scholarly journals Association between dietary patterns and overweight risk among Malaysian adults: evidence from nationally representative surveys

2019 ◽  
Vol 23 (2) ◽  
pp. 319-328 ◽  
Author(s):  
Sangeetha Shyam ◽  
Geok-Lin Khor ◽  
Rashidah Ambak ◽  
Balkish Mahadir ◽  
Mohamad Hasnan ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Urban Areas ◽  
Principal Component ◽  
Positive Association ◽  
Lower Income ◽  
Fish Eggs ◽  
Cross Sectional ◽  
Fast Foods ◽  
Younger Age ◽  
Nationally Representative

AbstractObjective:To investigate the association between dietary patterns (DP) and overweight risk in the Malaysian Adult Nutrition Surveys (MANS) of 2003 and 2014.Design:DP were derived from the MANS FFQ using principal component analysis. The cross-sectional association of the derived DP with prevalence of overweight was analysed.Setting:Malaysia.Participants:Nationally representative sample of Malaysian adults from MANS (2003, n 6928; 2014, n 3000).Results:Three major DP were identified for both years. These were ‘Traditional’ (fish, eggs, local cakes), ‘Western’ (fast foods, meat, carbonated beverages) and ‘Mixed’ (ready-to-eat cereals, bread, vegetables). A fourth DP was generated in 2003, ‘Flatbread & Beverages’ (flatbread, creamer, malted beverages), and 2014, ‘Noodles & Meat’ (noodles, meat, eggs). These DP accounted for 25·6 and 26·6 % of DP variations in 2003 and 2014, respectively. For both years, Traditional DP was significantly associated with rural households, lower income, men and Malay ethnicity, while Western DP was associated with younger age and higher income. Mixed DP was positively associated with women and higher income. None of the DP showed positive association with overweight risk, except for reduced adjusted odds of overweight with adherence to Traditional DP in 2003.Conclusions:Overweight could not be attributed to adherence to a single dietary pattern among Malaysian adults. This may be due to the constantly morphing dietary landscape in Malaysia, especially in urban areas, given the ease of availability and relative affordability of multi-ethnic and international foods. Timely surveys are recommended to monitor implications of these changes.

scholarly journals Exposure to Famine During Early Life and Abdominal Obesity in Adulthood: Findings from the Great Chinese Famine During 1959–1961

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 903 ◽  
Author(s):  
Dan Liu ◽  
Dong-mei Yu ◽  
Li-yun Zhao ◽  
Hong-yun Fang ◽  
Jian Zhang ◽  
...  
Keyword(s):  
Abdominal Obesity ◽  
Urban Areas ◽  
Early Life ◽  
Healthy Lifestyle ◽  
Positive Association ◽  
Fetal Life ◽  
Cross Sectional ◽  
Famine Exposure ◽  
Nationally Representative ◽  
The Relationship

Undernutrition during early life may lead to obesity in adulthood. This study was conducted to examine the relationship between famine exposure during early life and the risk of abdominal obesity in adulthood. A total of 18,984 and 16,594 adults were surveyed in 2002 and 2010–2012 in two nationally representative cross-sectional surveys, namely China Nutrition and Health Survey, respectively. The risk of abdominal obesity was evaluated for participants born during 1956–1961 and compared with that of participants born during 1962–1964. The overall prevalence of abdominal obesity in adulthood showed a positive association with famine exposure during early life. The odds ratios of famine exposure were 1.31 (1.19–1.44) and 1.28 (1.17–1.40) in 2002 during fetal life and infancy and 1.09 (1.00–1.19) in 2012 during fetal life, respectively. The relationships between famine exposure and abdominal obesity across the famine exposure groups were distinct among females and those who lived in urban areas and were physical inactive (p < 0.05). Exposure to famine during early life was associated with increased risks of abdominal obesity in adulthood, which was partially alleviated by healthy lifestyle factors (e.g., physical activity).

scholarly journals Dietary patterns and breast-feeding in Australian children

2011 ◽  
Vol 14 (11) ◽  
pp. 1939-1947 ◽  
Author(s):  
Jessica A Grieger ◽  
Jane Scott ◽  
Lynne Cobiac
Keyword(s):  
Breast Feeding ◽  
Dietary Patterns ◽  
Dairy Products ◽  
Principal Component ◽  
Positive Association ◽  
National Sample ◽  
Cross Sectional Study ◽  
Principal Component Factor Analysis ◽  
Food Groups ◽  
Cross Sectional

AbstractObjectiveTo determine the dietary patterns of a national sample of 2–8-year-old Australian children and to establish whether breast-feeding is associated with dietary patterns in this age group.DesignCross-sectional study using 24 h recall data from the 2007 Australian National Children's Nutrition and Physical Activity Survey.SettingAustralia.SubjectsA total of 2287 children aged 2–8 years.ResultsPrincipal component factor analysis identified three distinct patterns. The ‘Non-core food groups’ pattern included food groups such as whole-fat dairy products, cheese, medium–high sugar-sweetened breakfast cereals and sweet biscuits, no fruit, reduced/low-fat dairy products and wholegrain bread/rolls. The ‘Healthy, meat and vegetable’ pattern included vegetables, red meat, fruit and wholegrain bread/rolls and was inversely associated with take-away foods and carbonated sugar-sweetened beverages. The ‘Combination’ pattern contained many food groups including candy (not chocolate based), pasta/rice products, nuts/seeds, cakes and chocolate, but no fruit or vegetables. Of the 2287 children, 2064 (89·3 %) had been breast-fed. A positive association was found between breast-feeding and the healthy, meat and vegetable pattern (r= 0·267) but not with the other two patterns. Higher scores on this pattern were also associated with younger age, lower BMI, higher birth weight, high likelihood of being in the less-disadvantaged Socio-economic Indexes for Areas category and less likelihood of the child's parents having a lower educational level.ConclusionsThese results provide suggestive evidence that breast-feeding during infancy is associated with a healthy dietary pattern in childhood and offers a likely pathway to explain the previously reported association between breast-feeding and chronic disease.

scholarly journals Dietary patterns of the Andean population of Puna and Quebrada of Humahuaca, Jujuy, Argentina

2008 ◽  
Vol 99 (2) ◽  
pp. 390-397 ◽  
Author(s):  
D. Romaguera ◽  
N. Samman ◽  
A. Rossi ◽  
C. Miranda ◽  
A. Pons ◽  
...  
Keyword(s):  
Diet Quality ◽  
Dietary Patterns ◽  
Rural Areas ◽  
Urban Areas ◽  
Representative Sample ◽  
Nutrition Transition ◽  
Principal Component ◽  
Double Burden ◽  
Cross Sectional ◽  
High Level

The aim of the present study was to describe dietary patterns in a representative sample from Puna and Quebrada of Humahuaca, Jujuy, Argentina. A cross-sectional nutritional survey was carried out in a representative sample (n 1236) of individuals from these regions. For the present study, only children aged 2–9 years (n 360), adolescents aged 10–18 years (n 223) and adults aged 18 years or over (n 465) were considered. Breast-fed children, pregnant women and lactating women were excluded. Dietary data collection methods comprised one 24 h recall and a semi-quantitative FFQ. We used principal component (PC) analyses to identify prevailing dietary patterns. Multiple linear regression analyses were performed to assess the determinants of the identified dietary patterns. Two dominant PC were identified: PC1 reflected a ‘Western-like’ diet with an emphasis on not-autochthon foods. This pattern tended to be present in urban areas of the Quebrada region and was associated with a younger age, a higher level of development, and a worse diet quality. PC2 reflected an ‘Andean-like’ diet including a variety of autochthon crops. This was preferred by individuals living in rural areas from Puna with a high level of development during the post-harvest season, and was associated with a greater diet quality. These results suggest that the nutrition transition phenomenon is a reality in certain sectors of this population and might be one of the leading causes of the observed double burden of malnutrition.

scholarly journals Dietary patterns and their association with obesity and sociodemographic factors in a national sample of Lebanese adults

2011 ◽  
Vol 14 (9) ◽  
pp. 1570-1578 ◽  
Author(s):  
Farah Naja ◽  
Lara Nasreddine ◽  
Leila Itani ◽  
Marie Claire Chamieh ◽  
Nada Adra ◽  
...  
Keyword(s):  
Sex Education ◽  
Dietary Patterns ◽  
Disease Risk ◽  
Communicable Disease ◽  
Positive Association ◽  
National Sample ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Cross Sectional ◽  
Nationally Representative

AbstractObjectiveTo identify and characterize dietary patterns in Lebanon and assess their association with sociodemographic factors, BMI and waist circumference (WC).DesignA cross-sectional population-based survey. In a face-to-face interview, participants completed a brief sociodemographic and semiquantitative FFQ. In addition, anthropometric measurements were obtained following standard techniques. Dietary patterns were identified by factor analysis. Multivariate linear regression was used to assess determinants of the various patterns and their association with BMI and WC.SettingNational Nutrition and Non-Communicable Disease Risk Factor Survey (2009), Lebanon.SubjectsA nationally representative sample of 2048 Lebanese adults aged 20–55 years.ResultsFour dietary patterns were identified: ‘Western’, ‘Traditional Lebanese’, ‘Prudent’ and ‘Fish and alcohol’. Factor scores of the identified patterns increased with age, except for the Western pattern in which a negative association was noted. Women had higher scores for the prudent pattern. Adults with higher levels of education had significantly higher scores for the prudent pattern. The frequency of breakfast consumption was significantly associated with scores of both traditional Lebanese and prudent patterns. Multivariate-adjusted analysis revealed a positive association between scores of the Western pattern and the BMI and WC of study participants.ConclusionsThe findings show the presence of four distinct dietary patterns in the Lebanese population, which were associated with age, sex, education and meal pattern. Only the Western pattern was associated with higher BMI.

scholarly journals Exploring absolute and relative measures of exposure to food environments in relation to dietary patterns among European adults

2018 ◽  
Vol 22 (06) ◽  
pp. 1037-1047 ◽  
Author(s):  
MGM Pinho ◽  
JD Mackenbach ◽  
J-M Oppert ◽  
H Charreire ◽  
H Bárdos ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Fast Food ◽  
Principal Component ◽  
Healthy Food ◽  
Cross Sectional Survey ◽  
Spatial Access ◽  
Cross Sectional ◽  
Food Retailers ◽  
Healthy Dietary Pattern

AbstractObjectiveTo explore the associations of absolute and relative measures of exposure to food retailers with dietary patterns, using simpler and more complex measures.DesignCross-sectional survey.SettingUrban regions in Belgium, France, Hungary, the Netherlands and the UK.ParticipantsEuropean adults (n 4942). Supermarkets and local food shops were classified as ‘food retailers providing healthier options’; fast-food/takeaway restaurants, cafés/bars and convenience/liquor stores as ‘food retailers providing less healthy options’. Simpler exposure measures used were density of healthy and density of less healthy food retailers. More complex exposure measures used were: spatial access (combination of density and proximity) to healthy and less healthy food retailers; density of healthier food retailers relative to all food retailers; and a ratio of spatial access scores to healthier and less healthy food retailers. Outcome measures were a healthy or less healthy dietary pattern derived from a principal component analysis (based on consumption of fruits, vegetables, fish, fast foods, sweets and sweetened beverages).ResultsOnly the highest density of less healthy food retailers was significantly associated with the less healthy dietary pattern (β = −129·6; 95 % CI −224·3, −34·8). None of the other absolute density measures nor any of the relative measures of exposures were associated with dietary patterns.ConclusionsMore complex measures of exposure to food retailers did not produce stronger associations with dietary patterns. We had some indication that absolute and relative measures of exposure assess different aspects of the food environment. However, given the lack of significant findings, this needs to be further explored.

scholarly journals Association of Dietary Patterns with Metabolic Syndrome: Results from the Kardiovize Brno 2030 Study

Nutrients ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 898 ◽  
Author(s):  
Antonella Agodi ◽  
Andrea Maugeri ◽  
Sarka Kunzova ◽  
Ondrej Sochor ◽  
Hana Bauerova ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
International Diabetes Federation ◽  
Principal Component ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Western Dietary Pattern ◽  
High Adherence

Although metabolic syndrome (MetS) could be handled by lifestyle interventions, its relationship with dietary patterns remains unclear in populations from Central Europe. Using data from the Kardiovize Brno cohort, the present study aims to identify the main dietary patterns and to evaluate their association with MetS risk in a random urban sample from Brno, Czech Republic. In a cross-sectional study of 1934 subjects aged 25–65 years (44.3% male), dietary patterns were derived by food frequency questionnaire (FFQ) administration and principal component analysis. Metabolic syndrome was defined according to the International Diabetes Federation statement. Logistic regression models were applied. High adherence to the prudent dietary pattern was associated with lower odds of abdominal obesity, abnormal glucose concentration, and MetS. By contrast, high adherence to the western dietary pattern was associated with higher odds of abnormal glucose, triglycerides and blood pressure levels. Whilst our results confirm the deleterious effect of a western dietary pattern on several metabolic risk factors, they also indicate that the consumption of a diet rich in cereals, fish, fruit and vegetables is associated with a healthier metabolic profile. However, further prospective research is warranted to develop and validate novel potential preventive strategies against MetS and its complications.

scholarly journals Socioeconomic Factors as Determinants of Suicidal Behaviours Among Adult in Nigeria

2021 ◽  
Author(s):  
Zulkiflu Musa Argungu ◽  
◽  
Tajudeen Oladele Olalekan ◽  
Murtala Hassan Hassan ◽  
◽  
...  
Keyword(s):  
Medical Center ◽  
Positive Association ◽  
Lower Income ◽  
Multi Stage ◽  
Reverse Pattern ◽  
Low Incomes ◽  
Low Education ◽  
Lower Education ◽  
Nationally Representative ◽  
Effect Of Age

Objective Suicidal behaviour is seen in the context of a variety of mental disorders and while many believe that, suicide has become a serious matter in both developed and developing countries. This study aimed to evaluate the associated factors of suicidal ideation (SI) and attempt (SA) among Nigerian adults. Method The data were collected from Federal Medical Center Birnin Kebbi and the Ministry of Health and Welfare in Kebbi State, a nationally representative sample recruited using a multi-stage clustered probability design. Results Female, divorced/widowed, lower education and lower-income were associated with SI and SA (OR=1.56 CI=1.31–1.97, OR=1.91 CI=1.09–3.31). In particular, the effect of age on SI presented a reverse pattern based on gender; there was a positive association for men and a negative association for women. Conclusions: This study suggested that low education, low incomes, marital status and age were predominantly associated with the prevalence of SI and SA in women than men.

scholarly journals Dietary Patterns and Associations with Chronic Diseases of Ageing: Evidence from The Irish Longitudinal Study on Ageing (TILDA)

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Deirdre O'Connor ◽  
Siobhan Scarlett ◽  
Rose Anne Kenny
Keyword(s):  
Older Adults ◽  
Dietary Patterns ◽  
Adult Population ◽  
Health Assessment ◽  
Community Dwelling ◽  
Nutritional Epidemiology ◽  
Processed Foods ◽  
Cross Sectional ◽  
Obesity And Diabetes ◽  
Nationally Representative

AbstractIn the field of nutritional epidemiology, principal component analysis (PCA) has been used to derive dietary patterns, but this has never been conducted in a large, nationally representative sample of older adults in Ireland. The aim was to identify dietary patterns amongst older adults in Ireland derived through PCA and to examine cross-sectional associations with common comorbidities of ageing.PCA was performed using data from Wave 3 of TILDA (2014), a nationally representative cohort of community-dwelling adults aged ≥ 54 (n = 4,395). We derived major dietary patterns from a PCA of reported intake from a Food Frequency Questionnaire (FFQ). Objective measures for Body Mass Index (BMI), diabetes (HbA1c), bone density(heel bone ultrasound), blood pressure and total cholesterol were collected during a health assessment. The Mini-Mental State Examination (MMSE) was also performed during health assessment with trained interviewers, as a measure of global cognitive function.Statistical analyses were conducted using multivariate logistic regression, adjusting for age, sex, marital status, income, educational attainment, alcohol consumption, smoking and physical activity.With the use of PCA, five dietary patterns were identified in the sample - Pattern 1 (fresh fruit, vegetable, fresh fish and dairy), Pattern 2 (confectionary, fatty and processed foods), Pattern 3 (meats, processed meats and salty foods), Pattern 4 (carbohydrates and processed foods) and Pattern 5 (savoury snacks, spreads and processed foods). Those characterized by Pattern 4 were more likely to be overweight (adjusted RRR 0.12, 95% CI 0.05–0.20; p = 0.001), obesity (adjusted RRR 0.18, 95% CI 0.10–0.27; p = 0.001) and have diabetes (adjusted RRR 0.10, 95% CI 0.01–0.19; p = 0.024) after adjusting for known covariates.Our results suggest that in the older adult population of Ireland, a dietary pattern typified by consumption of refined grains and processed carbohydrates is associated with higher prevalence of overweight, obesity and diabetes.

scholarly journals Obesity prevalence in Colombian adults is increasing fastest in lower socio-economic status groups and urban residents: results from two nationally representative surveys

2014 ◽  
Vol 17 (11) ◽  
pp. 2398-2406 ◽  
Author(s):  
Nicole M Kasper ◽  
Oscar F Herrán ◽  
Eduardo Villamor
Keyword(s):  
Urban Areas ◽  
Economic Status ◽  
Obesity Prevalence ◽  
Adult Obesity ◽  
Cross Sectional ◽  
Middle Income ◽  
Prevalence Difference ◽  
Prevalence Of Obesity ◽  
Nationally Representative ◽  
Vulnerable Subpopulations

AbstractObjectiveLow- and middle-income countries are experiencing rises in the prevalence of adult obesity. Whether these increases disproportionately affect vulnerable subpopulations is unclear because most previous investigations were not nationally representative, were limited to women, or relied on self-reported anthropometric data which are subject to bias. The aim of the present study was to assess changes in the prevalence of obesity from 2005 to 2010 in Colombian adults; overall and by levels of sociodemographic characteristics.DesignTwo cross-sectional, nationally representative surveys.SettingColombia.SubjectsMen and women 18–64 years old (n 31 105 in 2005; n 81 115 in 2010).ResultsThe prevalence of obesity (BMI ≥30 kg/m2) was 13·9 % in 2005 and 16·4 % in 2010 (prevalence difference = 2·7 %; 95 % CI 1·9, 3·4 %). In multivariable analyses, obesity was positively associated with female sex, age, wealth, and living in the Pacific or National Territories regions in each year. In 2010, obesity was also associated with living in an urban area. The change in the prevalence of obesity from 2005 to 2010 varied significantly according to wealth; 5·0 % (95 % CI 3·3, 6·7 %) among the poorest and 0·3 % (95 % CI −1·6, 2·2 %) in the wealthiest (P, test for interaction = 0·007), after adjustment. Obesity rates also increased faster in older than younger people (P, test for interaction = 0·01), among people from urban compared with non-urban areas (P, test for interaction = 0·06) and in adults living in the Atlantic region compared with others.ConclusionsAdult obesity prevalence has increased in Colombia and its burden is shifting towards the poor and urban populations.

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