Macronutrient and Micronutrient Intakes, and Dietary Patterns in Adults by Diabetes Status: Results from the 2012 Mexican National Health and Nutrition Survey

Abstract Objectives To compare the intake of macronutrients, micronutrients, and dietary patterns between Mexican adults with and without diabetes. Methods Design: We calculated the mean intakes and adequacies of energy, macronutrients and micronutrients, and factor analysis was used to identify dietary patterns. We computed sex-specific, age- and energy-adjusted and fully-adjusted linear regression models to test whether nutrient intakes and dietary patterns scores were different by diabetes status. Setting: Mexico Participants: Mexican men (n 1142) and women (n 1620) participating in the Mexican National Health and Nutrition Survey 2012. Results The energy intake from carbohydrates and added sugars was lower in men and women with diabetes than in men and women without diabetes, but slightly above the recommended among adults with diabetes. Men with diabetes consumed more protein, total, monounsaturated and saturated fatty acids, vitamin D, calcium, and potassium than men without diabetes. The score for the prudent pattern and basic dietary pattern was 0.49 higher and 0.35 lower, respectively, among men with diabetes versus men without diabetes (P < 0.05). Among women, there was no difference in the three dietary patterns (prudent, basic, and industrialized) by diabetes status. Conclusions Mexican adults with diabetes, especially men, had better daily nutrient intake and dietary pattern profiles than adults without diabetes. However, intakes of several nutrients are still inadequate in a large proportion of individuals with diabetes. It is pivotal to assure the dietary recommendations are given considering the potential differences by gender to improve the prevention, management, and control of the diabetes. Funding Sources This secondary data analysis was funded through a research grant from Abbott Nutrition.

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Dietary patterns and sleep disorders in Mexican adults from a National Health and Nutrition Survey

Journal of Nutritional Science ◽

10.1017/jns.2021.24 ◽

2021 ◽

Vol 10 ◽

Author(s):

Elsa B. Gaona-Pineda ◽

Brenda Martinez-Tapia ◽

Sonia Rodríguez-Ramírez ◽

Selene Guerrero-Zúñiga ◽

Rogelio Perez-Padilla ◽

...

Keyword(s):

Logistic Regression ◽

Sleep Disorders ◽

National Health ◽

Dietary Patterns ◽

Activity Level ◽

Multivariate Logistic Regression ◽

Nutrition Survey ◽

Health And Nutrition ◽

Obstructive Sleep ◽

Mexican Adults

Abstract Given the high prevalence of multiple non-communicable chronic diseases in Mexico, the aim of the present study was to assess the association between dietary patterns and sleep disorders in a national representative sample of 5076 Mexican adults (20–59 years) from the 2016 National Health and Nutrition Survey. Through a cross-sectional study, we used the Berlin sleep symptoms questionnaire to estimate the proportion of adults with insomnia, obstructive sleep apnoea (OSA) and other related problems such as daytime symptoms and inadequate sleep duration. Dietary data were collected through a seven-day semi-quantitative food frequency questionnaire, and dietary patterns were determined through cluster analysis. Associations between dietary patterns and sleep disorders were assessed by multivariate logistic regression models adjusted for age, sex, well-being, rural/urban area type, geographical region, tobacco use, physical activity level and energy intake. Three dietary patterns were identified: traditional (high in legumes and tortilla), industrialised (high in sugar-sweetened beverages, fast foods, and alcohol, coffee or tea) and mixed (high in meat, poultry, fruits and vegetables). Multivariate logistic regression showed that the industrialised pattern yielded higher odds for daytime symptoms (OR 1⋅49; 95 % CI 1⋅12, 1⋅99) and OSA (OR 1⋅63; 95 % CI 1⋅21, 2⋅19) compared with the traditional pattern. In conclusion, dietary patterns are associated with sleep disorders in Mexican adults. Further research is required to break the vicious cycle of poor-quality diet, sleep symptoms and health.

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Dietary Patterns and Daytime Sleepiness in Mexican Adults from 2016 National Health and Nutrition Survey

Current Developments in Nutrition ◽

10.1093/cdn/nzaa061_033 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1405-1405

Author(s):

Elsa Gaona-Pineda ◽

Sonia Rodríguez-Ramírez ◽

Brenda Martínez-Tapia ◽

Selene Guerrero-Zúñiga ◽

Rogelio Pérez-Padilla ◽

...

Keyword(s):

Sleep Disorders ◽

Energy Intake ◽

National Health ◽

Dietary Patterns ◽

Daytime Sleepiness ◽

Fast Food ◽

Nutrition Survey ◽

Health And Nutrition ◽

Mexican Adults ◽

Dairy Beverages

Abstract Objectives To assess the association between dietary patterns and sleep disorders in a nationally representative sample of Mexican adults (20–59 y). Methods Sleep symptoms and dietary information of a sample of 5076 Mexican adults from 2016 National Health and Nutrition Survey were analyzed. If perception of nonrestorative sleep or feeling sleepy/tired during the day ≥3 days/week were reported in a sleep symptoms questionnaire daytime sleepiness was defined. Dietary data was obtained through a semi-quantitative food frequency questionnaire of 7 days. Food and beverages were classified into 26 food groups: Sweetened dairy and non-dairy beverages, Non-sweetened dairy and non-dairy beverages, Fruits, Vegetables, Other dairy products, Legumes, Cereal-based salty dishes, Corn-based salty dishes, Fast food, Eggs, Meat and poultry, Processed meat, Bakery products, Candies, Desserts, Salty snacks, Nuts and Seeds, Added fats, Tortilla, Soup, Ready-to-eat cereals, Bread, Potatoes, Alcohol, coffee and tea. Dietary patterns were generated through k-means cluster analysis using the standardized percentage of energy intake contribution of each food group. Logistic regression model adjusted by age, sex, socioeconomic status, rural/urban area, geographical region, tobacco use, physical activity level and total energy intake was done to assess the association. All statistical analyses were performed using STATA 14.0, with SVY commands. Results Three dietary patterns were identified: traditional (high in legumes and tortilla), industrialized (high in sweetened beverages, fast food and alcohol, coffee or tea) and mixed (high in meat, poultry, fruits and vegetables). 19.5% Mexican adults reported daytime sleepiness, it was higher in women (24.1%; 95% CI: 21.2, 27.2) than in men (14.5%; 95% CI: 12, 17.3). Multivariate logistic regressions showed that the industrialized pattern had higher odds for daytime sleepiness (OR = 1.49; 95% CI: 1.12, 1.99) than the traditional pattern. Conclusions Dietary patterns are associated with sleep disorders, such as daytime sleepiness in Mexican adults. Further research is needed to break the vicious circle of poor-quality diets, sleep disorders and health. Funding Sources Mexican Ministry of Health.

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Physical inactivity prevalence and trends among Mexican adults: results from the National Health and Nutrition Survey (ENSANUT) 2006 and 2012

BMC Public Health ◽

10.1186/1471-2458-13-1063 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 39

Author(s):

Catalina Medina ◽

Ian Janssen ◽

Ismael Campos ◽

Simón Barquera

Keyword(s):

National Health ◽

Physical Inactivity ◽

Nutrition Survey ◽

Health And Nutrition ◽

Mexican Adults

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Association between High Waist-to-Height Ratio and Cardiovascular Risk among Adults Sampled by the 2016 Half-Way National Health and Nutrition Survey in Mexico (ENSANUT MC 2016)

Nutrients ◽

10.3390/nu11061402 ◽

2019 ◽

Vol 11 (6) ◽

pp. 1402 ◽

Cited By ~ 6

Author(s):

Eduardo Rangel-Baltazar ◽

Lucia Cuevas-Nasu ◽

Teresa Shamah-Levy ◽

Sonia Rodríguez-Ramírez ◽

Ignacio Méndez-Gómez-Humarán ◽

...

Keyword(s):

Cardiovascular Risk ◽

National Health ◽

Low Density Lipoprotein ◽

Density Lipoprotein ◽

Lipoprotein Cholesterol ◽

Height Ratio ◽

Nutrition Survey ◽

Health And Nutrition ◽

Mexican Adults ◽

Waist To Height Ratio

Little evidence exists regarding the association between waist-to-height ratio (WHtR) and cardiovascular risk (CVR) factors in Mexican adults. Our study pursued a twofold objective: To describe the association between a high WHtR and CVR indicators among Mexican adults canvassed by the 2016 Half-Way National Health and Nutrition Survey, and to examine the interaction of sex and age on this association. We analyzed data from the adult sample (≥20 years old) and classified in two groups using WHtRs ≥0.5 considered high and low otherwise. The following CVR factors were analyzed: High-total-cholesterol (≥200 mg/dL), low high-density-lipoprotein-cholesterol (HDL-c < 40 mg/dL), high low-density-lipoprotein-cholesterol (LDL-c ≥ 130 mg/dL), high triglycerides (≥150 mg/dL), insulin resistance (IR) (HOMA-IR) (≥2.6), and hypertension (HBP) (≥140/≥90 mmHg). We estimated prevalence ratios (PR) to analyze the association between high WHtRs and CVR indicators. Over 90% of participants had high WHtRs and were at greater risk for dyslipidemias, HBP, and IR compared to those that had low WHtRs. PR for men with high WHtRs were between 1.3 to 2.3 for dyslipidemias, 3.4 for HBP and 7.6 for IR; among women were between 1.8 to 2.4 for dyslipidemias and HBP and 5.9 for IR (p < 0.05). A high WHtR is associated with CVR factors in Mexican adults.

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Association between Dietary Patterns and Handgrip Strength: Analysis of the Korean National Health and Nutrition Examination Survey Data Between 2014 and 2017

Nutrients ◽

10.3390/nu12103048 ◽

2020 ◽

Vol 12 (10) ◽

pp. 3048

Author(s):

Yunkoo Kang ◽

Jieun Kim ◽

Do-Yeon Kim ◽

Seung Kim ◽

Sowon Park ◽

...

Keyword(s):

National Health ◽

Dietary Patterns ◽

Dietary Pattern ◽

Fast Food ◽

Handgrip Strength ◽

Weight Ratio ◽

Muscle Quality ◽

Anthropometric Measurement ◽

Nutrition Examination Survey ◽

Health And Nutrition

Non-invasive anthropometric measurement methods such as those for measuring height and weight are crucial in pediatric patients. However, research focusing on the association between the type of dietary pattern and handgrip strength and handgrip-to-weight ratio in adolescents has not been carried out yet. This cross-sectional analysis of the 2014–2017 Korean National Health and Nutrition Examination Survey assessed 2327 adolescents (aged 10–18 years) who had their handgrip strength measured and analyzed its association with dietary pattern. The clusters were examined for nutritional values, and the ready-to-eat, balanced, and Western-style fast-food clusters were ultimately generated. Overall, 85.6% of the participants were assigned to a ready-to-eat dietary pattern, 9.3% to a Western-style fast-food dietary pattern, and 5.1% to a balanced dietary pattern. Compared with the participants following a balanced dietary pattern, those following a ready-to-eat dietary pattern were shown to have a significantly lower handgrip strength and handgrip-to-weight ratio. Decreased handgrip strength and handgrip-to-weight ratio values in participants following ready-to-eat dietary patterns indicate a diffuse problem in adolescents’ health and possibly imply an association between reduced muscle quality and dietary pattern. Therefore, the overall environmental factors potentially inducing such unhealthy dietary preferences should be investigated, and appropriate lifestyle changes in Korean adolescents should be encouraged.

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Meal-specific dietary patterns and their contribution to overall dietary patterns in the Japanese context: Findings from the 2012 National Health and Nutrition Survey, Japan

Nutrition ◽

10.1016/j.nut.2018.07.110 ◽

2019 ◽

Vol 59 ◽

pp. 108-115 ◽

Cited By ~ 12

Author(s):

Kentaro Murakami ◽

M. Barbara E. Livingstone ◽

Satoshi Sasaki

Keyword(s):

National Health ◽

Dietary Patterns ◽

Nutrition Survey ◽

Health And Nutrition

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Association between dietary patterns and handgrip strength: analysis of the Korean National Health and Nutrition Examination Survey data between 2014 and 2017

10.21203/rs.3.rs-21964/v1 ◽

2020 ◽

Author(s):

Yunkoo Kang ◽

Jieun Kim ◽

Do-Yeon Kim ◽

Seung Kim ◽

Sowon Park ◽

...

Keyword(s):

National Health ◽

Dietary Patterns ◽

Dietary Pattern ◽

Fast Food ◽

Handgrip Strength ◽

Weight Ratio ◽

Muscle Quality ◽

Nutrition Examination Survey ◽

Korean Adolescents ◽

Health And Nutrition

Abstract Background Non-invasive anthropometric measurement methods such as those for measuring height and weight are crucial in pediatric patients. However, research focusing on the association between the type of dietary pattern and handgrip strength and handgrip-to-weight ratio in adolescents has not been carried out yet. Methods The current work aims to investigate the association between handgrip strength and dietary patterns in Korean adolescents. This cross-sectional analyses of the 2014-2017 Korean National Health and Nutrition Examination Survey assessed 2,327 adolescent (aged 10-18 years) who had measured handgrip strength and analyzed association between dietary pattern. The mean of three handgrip strength measurements, per hand, was used in the analysis. Handgrip-to-weight ratio was calculated by the following equation: Handgrip strength/body weight (kg)×100). The overall food intake data were subcategorized into 25 food groups from the Korean Nutrient Database. The clusters were examined for nutritional values, and the ready-to-eat , balanced, and western-style fast-food clusters were ultimately generated. The association between handgrip strength, handgrip-to-weight ratio, and dietary intake was analyzed. Results Overall, 85.6% of the participants were assigned to a ready-to-eat dietary pattern, 9.3% to a western-style fast-food dietary pattern, and 5.1% to a balanced dietary pattern. Compared with the participants following a balanced dietary pattern, those following a ready-to-eat dietary pattern were shown to have significantly lower handgrip strength and handgrip-to-weight ratio. However, no significant association was found between handgrip strength or handgrip-to-weight ratio when the western-style fast-food dietary pattern was compared to the balanced dietary pattern. Conclusions Decreased handgrip strength and handgrip-to-weight ratio value in participants following ready-to-eat dietary patterns indicate a diffuse problem in adolescents’ health and possibly imply an association between reduced muscle quality and dietary pattern. Moreover, the overall environmental factors potentially inducing such unhealthy dietary preferences should be investigated, and appropriate lifestyle changes in Korean adolescents should be encouraged.

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Dietary patterns in Mexican preschool children are associated with stunting and overweight

Revista de Saúde Pública ◽

10.11606/s1518-8787.2021055002350 ◽

2021 ◽

Vol 55 ◽

pp. 53

Author(s):

Mario E. Flores ◽

Marta Rivera-Pasquel ◽

Nayeli Macías ◽

Luisa María Sánchez-Zamorano ◽

Sonia Rodríguez-Ramírez ◽

...

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Fruits And Vegetables ◽

Household Head ◽

Social Programs ◽

Nutrition Survey ◽

Health And Nutrition ◽

Gender Education ◽

Components Analysis ◽

Prevalence Ratios

OBJECTIVE To evaluate the association between dietary patterns, stunting, and overweight among Mexican preschoolers. METHODS This study was conducted with anthropometric (weight, height/length), sociodemographic (age, gender, education level of household head, socioeconomic status, country region and area, ethnicity, and beneficiary of social programs), and dietary data (Semiquantitative-food frequency questionnaire) on children aged from 1 to 4 years collected from the Mexican National Health and Nutrition Survey-2012. Dietary patterns were derived by principal components analysis. The association between dietary patterns, stunting, and overweight was assessed by prevalence ratios (PR), estimated by Poisson regression. RESULTS In total, 1,112 preschoolers (mean age 3.06 years, SD = 1.08 years; 48.8% females) were included in the study; 11.9% of whom presented stunting, and 6.7% overweight. We identified four dietary patterns: Fruits and Vegetables [F&V], Western [W], Traditional [T], and Milk and Liquids [M&L]. Considering the lowest tertile of each dietary pattern as reference, the prevalence of stunting was 2.04 times higher [95%CI: 1.17–3.56] among children in the highest tertile of the “F&V” pattern. The prevalence of stunting was lower among children in the highest tertile of the “W” pattern [PR = 0.48; 95%CI: 0.27–0.85]. Overweight was negatively associated with the “F&V” dietary pattern [PR = 0.37; 95%CI: 0.16–0.85 for its highest tertile], and children whose consumption was mostly equivalent to the “T” pattern showed higher prevalence of stunting [PR = 1.74; 95%CI: 1.01–3.00]. CONCLUSIONS The prevalence of stunting and overweight in a nationwide sample of Mexican preschoolers was associated with dietary patterns.

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Trajectories of Dietary Patterns and Their Associations with Overweight/Obesity among Chinese Adults: China Health and Nutrition Survey 1991–2018

Nutrients ◽

10.3390/nu13082835 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2835 ◽

Cited By ~ 1

Author(s):

Jiguo Zhang ◽

Huijun Wang ◽

Zhihong Wang ◽

Feifei Huang ◽

Xiaofan Zhang ◽

...

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Chinese Adults ◽

Nutrition Survey ◽

Health And Nutrition ◽

Group 3 ◽

Group 2 ◽

Prospective Association ◽

Initial Score ◽

The Impact

It is essential to understand the impact of different dietary pattern trajectories on health over time. Therefore, we aimed to explore the long-term trajectories of dietary patterns among Chinese adults and examine the prospective association between different trajectory groups and the risk of overweight/obesity. The sample was 9299 adults aged 18 years or older from the China Health and Nutrition Survey (CHNS) between 1991 and 2018. We used factor analysis to identify dietary patterns and group-based trajectory modeling to identify dietary pattern trajectories. Three trajectories of a southern pattern and a modern pattern and four trajectories of a meat pattern were identified. Participants who followed the highest initial score and a slight decrease trajectory (OR = 1.63; 95% CI: 1.04, 2.54) of the meat dietary pattern were positively associated with risk of overweight/obesity when compared with the lowest initial score trajectory. The southern dietary pattern and the modern dietary pattern trajectories of participants in Group 2 (OR = 0.64; 95% CI: 0.51, 0.81; OR = 0.76; 95% CI: 0.63, 0.91) and Group 3 (OR = 0.71; 95% CI: 0.54, 0.91; OR = 0.64; 95% CI: 0.44, 0.90) were associated with lower risk of overweight/obesity when compared with Group 1. We observed that dietary pattern trajectories have different associations with overweight/obesity among Chinese adults.

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