scholarly journals Potato Consumption Is Not Associated with Cardiometabolic Risk in Adolescent Girls

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1506-1506
Author(s):  
Ioanna Yiannakou ◽  
Mengjie Yuan ◽  
R Taylor Pickering ◽  
Martha Singer ◽  
Lynn l Moore

Abstract Objectives Potatoes are typically considered to be less healthy than most vegetables although the 2015 Dietary Guidelines provide no specific recommendations for intake other than to reduce consumption of fried potatoes. Evidence linking potato consumption, including consumption of fried potatoes with a risk of obesity, is limited. The objective of the current analysis was to study the impact of potato consumption on the risk of obesity and elevated cardiometabolic risk (CMR) in adolescent girls. Methods We used data for 2091 girls, ages 9–10 years at enrollment in the prospective National Growth and Health Study (NGHS). and followed for 10 years. Potato consumption was derived from 3-day records collected during the annual follow-up periods. Total potato intake included white and sweet potatoes from all sources including mixed dishes. Total intake was classified as <0.25 (low), 0.25–<0.5 (moderate), and 0.5–<1.0 (high) cup-equivalents per day. Logistic regression models were used to estimate the odds ratio for becoming overweight or developing elevated blood pressure, triglyceride levels, or fasting glucose at 17–20 years of age according to the category of potato consumption. Models adjusted for confounding by factors such as age, race, socio-economic status, BMI, the hour spent watching TV per day, and other dietary factors. Results At 9–17 years of age, the median intake of total potatoes was 0.38 cups/day. Girls with moderate intakes of potatoes had a 23% lower risk (95% CI: 0.57–1.04) of being overweight (>85% ile of CDC cutoff values); the effects of higher intakes were the same. The odds ratio for elevated blood pressure (≥90th percentile for age, sex, height) associated with moderate (vs. low) intakes of potatoes was 1.16 (95% CI: 0.84–1.59) and again, the effects of higher intakes were very similar. For the relation between potatoes and elevated triglycerides (≥110 mg/dl), the risk was U-shaped with those who had moderate (vs. low) intakes having a 24% lower risk (95% CI: 0.54–1.08). Finally, moderate and higher (vs. lower) potato intakes were linked with non-statistically significant 26% and 30% reduced risks of elevated fasting glucose levels, respectively. Conclusions These analyses suggest that there is no adverse effect of moderate daily potato consumption on cardiometabolic risk in adolescent girls. Funding Sources The Framingham Heart Study.

2019 ◽  
Vol 8 (6) ◽  
pp. 817 ◽  
Author(s):  
Yi-Cheng Chang ◽  
Shih-Che Hua ◽  
Chia-Hsuin Chang ◽  
Wei-Yi Kao ◽  
Hsiao-Lin Lee ◽  
...  

(1) Background: Overt and subclinical hypothyroidism has been associated with increased cardiometabolic risks. Here we further explore whether thyroid function within normal range is associated with cardiometabolic risk factors in a large population-based study. (2) Methods: We screened 24,765 adults participating in health examinations in Taiwan. Participants were grouped according to high-sensitive thyroid-stimulating hormone (hsTSH) level as: <50th percentile (0.47–1.48 mIU/L, the reference group), 50–60th percentile (1.49–1.68 mIU/L), 60–70th percentile (1.69–1.94 mIU/L), 70–80th percentile (1.95–2.3 mIU/L), 80–90th percentile (2.31–2.93 mIU/L), and >90th percentile (>2.93 mIU/L). Cardiometabolic traits of each percentile were compared with the reference group. (3) Results: Elevated hsTSH levels within normal range were dose-dependently associated with increased body mass index, body fat percentage, waist circumferences, blood pressure, hemoglobin A1c (HbA1c), fasting insulin, homeostasis model assessment of insulin resistance (HOMA-IR), high homeostasis model of assessment of beta-cell (HOMA-β), triglycerides, total cholesterols, fibrinogen, and uric acids (p-for-trend <0.001), but not with fasting glucose levels. The association remained significant after adjustment of age, sex, and lifestyle. As compared to the reference group, subjects with the highest hsTSH percentile had significantly increased risk of being overweight (adjusted odds ratio (adjOR): 1.35), increased body fat (adjOR: 1.29), central obesity (adjOR: 1.36), elevated blood pressure (adjOR: 1.26), high HbA1c (adjOR: 1.20), hyperinsulinemia (adjOR: 1.75), increased HOMA-IR (adjOR: 1.45), increased HOMA-β (adjOR: 1.40), hypertriglyceridemia (adjOR: 1.60), hypercholesterolemia (adjOR: 1.25), elevated hsCRP (adjOR: 1.34), increased fibrinogen (adjOR: 1.45), hyperuricemia (adjOR: 1.47), and metabolic syndrome (adjOR: 1.42), but significant risk of low fasting glucose (adjOR: 0.89). Mediation analysis indicates that insulin resistance mediates the majority of the association between thyroid hormone status and the metabolic syndrome. (4) Conclusion: Elevated hsTSH within the normal range is a cardiometabolic risk marker associated with central obesity, insulin resistance, elevated blood pressure, dyslipidemia, hyperuricemia, inflammation, and hypercoagulability.


Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3608
Author(s):  
Laurent Béghin ◽  
Inge Huybrechts ◽  
Elodie Drumez ◽  
Mathilde Kersting ◽  
Ryan W Walker ◽  
...  

Background: The association between high fructose consumption and elevated blood pressure continues to be controversial, especially in adolescence. The aim of this study was to assess the association between fructose consumption and elevated blood pressure in an European adolescent population. Methods: A total of 1733 adolescents (mean ± SD age: 14.7 ± 1.2; percentage of girls: 52.8%) were analysed from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study in eight European countries. Blood pressure was measured using validated devices and methods for measuring systolic blood pressure (SBP) and diastolic blood pressure (DBP). Dietary data were recorded via repeated 24 h recalls (using specifically developed HELENA–DIAT software) and converted into pure fructose (monosaccharide form) and total fructose exposure (pure fructose + fructose from sucrose) intake using a specific fructose composition database. Food categories were separated at posteriori in natural vs. were non-natural foods. Elevated BP was defined according to the 90th percentile cut-off values and was compared according to tertiles of fructose intake using univariable and multivariable mixed logistic regression models taking into account confounding factors: centre, sex, age and z-score–BMI, MVPA (Moderate to Vigorous Physical Activity) duration, tobacco consumption, salt intake and energy intake. Results: Pure fructose from non-natural foods was only associated with elevated DBP (DBP above the 10th percentile in the highest consuming girls (OR = 2.27 (1.17–4.40); p = 0.015) after adjustment for cofounding factors. Conclusions: Consuming high quantities of non-natural foods was associated with elevated DBP in adolescent girls, which was in part due to high fructose levels in these foods categories. The consumption of natural foods containing fructose, such as whole fruits, does not impact blood pressure and should continue to remain a healthy dietary habit.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Zheng ◽  
Zengshuo Xie ◽  
Jiayong Li ◽  
Chen Chen ◽  
Wenting Cai ◽  
...  

Abstract Background Recent studies have reported the effects of metabolic syndrome (MetS) and its components on atrial fibrillation (AF), but the results remain controversial. Therefore, we performed a meta-analysis to evaluate the relationship between MetS and AF risk. Methods Studies were searched from the Cochrane library, PubMed, and Embase databases through May 2020. Adjusted hazard ratios (HRs) and its corresponding 95% confidence intervals (CIs) were extracted and then pooled by using a random effects model. Results A total of 6 observational cohort studies were finally included. In the pooled analysis, MetS was associated with an increased risk of AF (HR 1.57; 95% CI 1.40–1.77; P < 0.01). And the components of MetS including abdominal obesity (HR 1.37; 95% CI 1.36–1.38; P < 0.01), elevated blood pressure (HR 1.56; 95% CI 1.46–1.66; P < 0.01), elevated fasting glucose (HR 1.18; 95% CI 1.15–1.21; P < 0.01) and low high density cholesterol (HDL) (HR 1.18; 95% CI 1.06–1.32; P < 0.01) was also associated with an increased risk of AF, while high triglyceride (HR 0.99; 95% CI 0.87–1.11, P = 0.82) was not. Conclusions Our present meta-analysis suggested that MetS, as well as its components including abdominal obesity, elevated blood pressure, elevated fasting glucose and low HDL cholesterol were associated with an increase in the risk of AF.


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Ashley L. Devonshire ◽  
Erin R. Hager ◽  
Maureen M. Black ◽  
Marie Diener-West ◽  
Nicholas Tilton ◽  
...  

2019 ◽  
Vol 8 (8) ◽  
pp. 1095 ◽  
Author(s):  
Kwon ◽  
Kim ◽  
Kim ◽  
Kim ◽  
Kim ◽  
...  

Aims: To evaluate the impact of metabolic syndrome (MetS) status on the incidence of atrial fibrillation (AF) in Koreans. Methods and results: Data obtained from the Korean National Health Insurance Service from 2009 to 2016 were analyzed. In total, 7,830,602 men and women (between 30 and 69 years of age) without baseline AF who underwent a national health examination between January 2009 and December 2009 were enrolled. Patients were evaluated to determine the impact of MetS status on their risk of developing AF until December 2016. Using the National Cholesterol Education Program Adult Treatment Panel III criteria, patients were placed into one of three groups depending on MetS component numbers: 0 (normal), 1–2 (Pre-MetS) or 3–5 (MetS). During a mean follow-up of 7.3 years, 20,708 subjects (0.26%) were diagnosed with AF. After multivariable adjustment, the risk of AF was significantly and positively correlated with MetS status (hazard ratios (HR) 1.391, 95% confidence interval (CI) 1.322–1.464 in Pre-MetS and HR 1.722, 95% CI 1.621–1.829 in MetS). When subgroup analyses were conducted according to MetS components, abdominal obesity (HR 1.316, p < 0.001), elevated blood pressure (HR 1.451, p < 0.001), and elevated fasting glucose (HR 1.163, p < 0.001) were associated with an increased risk of AF. Conclusion: MetS and pre-MetS are significantly associated with an increased risk of AF in Korean adults. Of the MetS components, abdominal obesity, elevated blood pressure, and elevated fasting glucose are potent risk factors for the risk of AF in this population.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1507-1507
Author(s):  
Ioanna Yiannakou ◽  
R Taylor Pickering ◽  
Mengjie Yuan ◽  
Martha Singer ◽  
Lynn l Moore

Abstract Objectives We examined the prospective association between potato consumption and risk of cardiometabolic disorders including hypertension, high fasting plasma triglycerides, low-density lipoproteins (LDL), and type 2 diabetes mellitus (T2DM) or impaired fasting glucose (IFG) in the prospective Framingham Offspring (FOS) cohort. We also assessed the relationship between fried or non-fried potato consumption and risk of cardiometabolic disorders. Methods We included 2549 subjects, aged 30 years old and older. Dietary data were derived from 3-day records from examination visits 3–5. Average consumption of potatoes was classified as &lt;1, 1–&lt;2, 2–&lt;4, and ≥4 cups per week. Fried and non-fried potatoes were classified as &lt;1, 1–&lt;3, and ≥3 cups/week. Cox proportional-hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs), adjusting for sex, age, education, pack-years of smoking, baseline waist and hip circumferences, fruit and non-starchy vegetable intake excluding potatoes. Results Median follow-up was approximately 17 years. Total potato intake was not associated with increased risks of T2DM, hypertension, or abnormal fasting LDL levels but intake of 4 cups or more were associated with a 17% lower risk (95% CI: 0.68–1.02) of elevated triglycerides. Similarly, non-fried potatoes were not associated with cardiometabolic risk, although moderate intakes (vs. low) were linked with a 16% lower risk (95% CI: 0.71–1.00) of elevated LDL. Higher consumption of fried potatoes was associated with 24% decreased risk (95% CI: 0.60–0.96) of elevated triglycerides but not associated with an increased risk of other cardiometabolic factors. Conclusions In this large cohort study, there is no adverse effect of moderate or high daily potato consumption on cardiometabolic risk factors including T2DM/IFG, hypertension, and dyslipidemia. Funding Sources Framingham Heart Study.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C H Kwon

Abstract Background/Introduction There is a lack of studies for the association between the status of metabolic syndrome (MetS) and the risk of atrial fibrillation (AF) Purpose The present study aimed to evaluate the impact of MetS status for the incidence of AF in Korean population. Methods We used the data obtained from the Korean National Health Insurance Service from 2009 to 2016. This study enrolled a total of 7,830,602 men and women aged between 30 and 69 years without baseline AF who underwent national health examination between January 2009 and December 2009. They were evaluated to determine the risk of AF based on the status of MetS until December 2016. Based on the criteria of the National Cholesterol Education Program Adult Treatment Panel III, the status of MetS was defined into three groups according to number of MetS components: the normal (0), Pre-MetS (1–2), and MetS (3–5). Results During follow-up, 20,708 subjects (0.26%) were diagnosed with AF. After multivariable adjustment, the risk of AF was significantly higher according to the status of MetS (hazard ratios [HR] 1.391, 95% confidence interval [CI] 1.322–1.464 in Pre-MetS and HR 1.722, 95% CI 1.621–1.829 in MetS). Among the components of MetS, central obesity (HR 1.316, P<0.001), elevated blood pressure (HR 1.451, P<0.001), and elevated fasting glucose (HR 1.163, P<0.001) were associated with an increased risk of AF. Conclusion MetS and pre-MetS are significantly associated with an increased risk of AF in Korean adults. Of the components of MetS, central obesity, elevated blood pressure, and elevated fasting glucose are potent risk factors for the risk of AF in this population.


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