scholarly journals Systems Nutrology of Persons with Tuberculosis Identifies Specific Dietary Profiles Associated with Dysglycemia

Author(s):  
María B. Arriaga ◽  
Mariana Araújo-Pereira ◽  
Vanessa M. B. Andrade ◽  
Catarina D. Fernandes ◽  
Caio Sales ◽  
...  

Abstract Objective: Dietary pattern may be associated with overall nutritional status that can alter the risk of tuberculosis (TB) disease. This complex interaction can be further intricated by additional metabolic comorbidities such as dysglycemia (diabetes or prediabetes). This study aimed at identifying dietary pattern associated with dysglycemia in TB patients. Research Methods & Procedures: A prospective cohort study of TB patients and their household contacts was conducted between February and November 2017 in Lima, Peru. Among the 269 patients, 85 were considered healthy, 48 had dysglycemia, 75 had TB and 61 had TB-dysglycemia. Food intake was collected using a food frequency questionnaire and a Systems Nutrology analytical approach was employed to identify dietary pattern associated with these groups. Potential associations between clinical factors and dietary pattern were also analyzed.Results: Three dietary patterns were identified based on the food intake profile of the study participants. Normoglycemic TB patients more often had the dietary pattern 1, while healthy individuals more frequently presented with the dietary pattern 2 and persons with TB-dysglycemia were more represented in the dietary pattern 3. Conclusion: TB-dysglycemia was mainly associated with the increased intakes of rice and cereals, fast food and oils. The identification of distinct dietary patterns involved with TB and dysglycemia may help to guide nutritional interventions to optimize patient care.

2021 ◽  
Author(s):  
María B. Arriaga ◽  
Mariana Araújo-Pereira ◽  
Vanessa M. B. Andrade ◽  
Catarina D. Fernandes ◽  
Caio Sales ◽  
...  

Abstract Dietary pattern (DP) may be associated with overall nutritional status that can alter the risk of tuberculosis (TB) disease. This complex interaction can be further intricated by additional metabolic comorbidities such as dysglycemia (diabetes or prediabetes). This study aimed at identifying DP associated with dysglycemia in TB patients. A prospective cohort study of TB patients and their household contacts was conducted between February and November 2017 in Lima, Peru. Among the 269 patients, 85 were considered healthy, 48 had dysglycemia, 75 had TB and 61 had TB-dysglycemia. Food intake was collected using a food frequency questionnaire and a Systems Nutrology analytical approach was employed to identify DP associated with these groups. Potential associations between clinical factors and DP were also analyzed. Three dietary patterns were identified based on the food intake profile of the study participants. Normoglycemic TB patients more often had the DP1, while healthy individuals more frequently presented with the DP2 and persons with TB-dysglycemia were more represented in the DP3. TB-dysglycemia was mainly associated with the increased intakes of rice and cereals, fast food and oils. The identification of distinct dietary patterns involved with TB and dysglycemia may help to guide nutritional interventions to optimize patient care.


Author(s):  
Marwa Alaradi ◽  
Asma Ouagueni ◽  
Rim Khatib ◽  
Hiba Bawadi

Background: No studies assess the effect of dietary pattern on glycemic control among Qatari adults with T2DM. Objective: To assess the association between dietary patterns, and glycemic control among Qatari adults with T2DM. Method: Data from 1000 adults with known diabetes attending the Qatar Biobank Study were analyzed. Poor glycemic control was defined as HbA1c ≥7.0%. Dietary pattern was constructed using factor analysis based on habitual food intake data assessed by a food frequency questionnaire. Logistic regression was used to assess the association between dietary patterns and poor glycemic control. The following covariates were considered: education, age, gender, smoking, BMI and medication. All analyses were conducted using STATA15. Results: The odds ratio for poor glycemic control was 0.86 (95%CI 0.68-1.08) in men, 0.76(95%CI 0.61-0.95) in women. For men without diabetes medication, fast food pattern was positively but traditional pattern was inversely associated with poor glycemic control 2.35(95%CI 1.13-4.87) (p=0.021) and 0.49 (95%CI 0.22-1.07) (p=0.075) respectively. And among younger participants, the use of insulin was higher than older participants as it was 77 (SD 30.8%). Conclusion: Fast food pattern was inversely associated with glycemic control, which is most likely linked to medication use. In men who were not under diabetes medication, fast food pattern was associated with poor glycemic control.


2018 ◽  
Vol 22 (06) ◽  
pp. 1037-1047 ◽  
Author(s):  
MGM Pinho ◽  
JD Mackenbach ◽  
J-M Oppert ◽  
H Charreire ◽  
H Bárdos ◽  
...  

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.


2019 ◽  
Vol 50 (2) ◽  
pp. 253-268 ◽  
Author(s):  
Reema Tayyem ◽  
Rawan Al-Qawasmeh ◽  
Nahla Khawaja

Purpose This paper aims to evaluate macro- and micronutrient intake among Jordanian adults who have metabolic syndrome (MetS) and those MetS-free. Design/methodology/approach A total of 154 Jordanian adults aged 20-55 years were enrolled from The National Center for Diabetes, Endocrinology and Genetics in this case control study. In total, 77 newly diagnosed cases of MetS and 77 controls were recruited and matched by age and sex. Dietary data were collected by face-to-face interview using a validated food frequency questionnaire. Findings After adjustment of the energy intake and macronutrients, the cases reported significantly higher intake of the amount of protein (p < 0.001), carbohydrates (p < 0.001), fiber (p < 0.001), sugar (p < 0.001), fat (p < 0.001), saturated fat (p < 0.001), monounsaturated (p < 0.001), polyunsaturated (p < 0.001), trans-fat (p < 0.029), omega-3 (p < 0.001) and omega-6 (p < 0.001) as compared to the controls. The results also showed that the intake of some micronutrients was significantly higher among cases when compared to the controls. In this study, three dietary patterns have been itemized; “fast food dietary pattern”, “Mediterranean dietary pattern” and “high-protein dietary pattern”. Only a direct significant trend between MetS and fast food pattern was detected (p-trend = 0.001). Neither significant associations nor trends were detected in the Mediterranean and high-protein patterns with MetS risk. Originality/value The study findings highlighted the presence of associations between fast food dietary pattern, total energy and some macro- and micronutrients intake and the risk of MetS among population living in the Middle East. Even though the findings of this study bridge the gap between theory and practice, a large scale population-based study is warranted to confirm these findings.


Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1643 ◽  
Author(s):  
Shakeela N. Jayasinghe ◽  
Bernhard H. Breier ◽  
Sarah A. McNaughton ◽  
Aaron P. Russell ◽  
Paul A. Della Gatta ◽  
...  

The combinations of food consumed together (dietary patterns) may have a greater influence on health than nutrients or food groups consumed independently. This study investigated the relationship between dietary patterns, body composition and metabolic biomarkers of premenopausal New Zealand women from three ethnic groups. In total, 408 New Zealand European, Māori and Pacific women aged 16–45 years participated in the Women’s EXPLORE (EXamining Predictors Linking Obesity Related Elements) study. Participants completed a 220-item food frequency questionnaire. Several body composition parameters and metabolic biomarkers were measured. Dietary patterns were extracted by principal component analysis and dietary pattern scores were categorised into tertiles to assess links with other measured parameters. Women with higher scores for the ‘refined and processed’ pattern were younger, had higher body mass index, total body fat, plasma leptin and plasma insulin (p < 0.001), and lower plasma ghrelin levels (p < 0.05) than women with lower scores. In addition, more Māori (51%) and Pacific (68%) women followed the ‘refined and processed’ pattern, while more New Zealand European women (40%) followed the ‘sweet and savoury snacking’ pattern. These data show that dietary pattern analysis is a useful tool to assess links between diet and metabolic health. It further reveals interesting ethnic group-specific differences in dietary pattern use.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3048
Author(s):  
Yunkoo Kang ◽  
Jieun Kim ◽  
Do-Yeon Kim ◽  
Seung Kim ◽  
Sowon Park ◽  
...  

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.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2245
Author(s):  
Yingting Cao ◽  
Xiaoyue Xu ◽  
Zumin Shi

No study has used trajectories of dietary patterns to examine their effects on sleep duration and body mass index over time in the Chinese population. We analyzed data from adults participating in the China Health and Nutrition Survey between 1991 and 2009. Dietary intake was measured by a 24-h recall method over three consecutive days. Height and body weight were measured, and sleep duration was self-reported. Multivariable mixed linear models were applied to examine the association between trajectories of dietary patterns (using a latent class model) and sleep duration as well as BMI. Four trajectories of a traditional pattern (characterized by rice, meat, and vegetables) and three trajectories of a modern pattern (characterized by fast food, milk, and deep-fried food) were identified. Participants with a high and rapid increase trajectory of the modern dietary pattern had the shortest sleep duration (β = −0.26; 95% CI: −0.40, −0.13). Participants with a high and stable intake of the traditional dietary pattern had the lowest BMI (β = −1.14; 95% CI: −1.41, −0.87), while the participants with a high and rapid increase trajectory of the modern dietary pattern had the highest BMI (β = 0.74; 95% CI: 0.34, 1,15). A rapid increase in the modern dietary pattern is associated with shorter sleep duration and higher BMI.


2020 ◽  
Author(s):  
Yunkoo Kang ◽  
Jieun Kim ◽  
Do-Yeon Kim ◽  
Seung Kim ◽  
Sowon Park ◽  
...  

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.


2021 ◽  
Author(s):  
Cecilia Isabel Oviedo Solís ◽  
César Hernández-Alcaraz ◽  
Néstor Alonso Sánchez-Ortíz ◽  
Nancy López-Olmedo ◽  
Alejandra Jáuregui ◽  
...  

Abstract Background. Diet is one of the leading risk factors for developing non-communicable diseases and is related to sociodemographic and lifestyle factors, including sex. We aimed to investigate the associated factors of dietary patterns among adults living in Mexico City by sex. Methods. We used data from a city-wide representative survey conducted between May and June 2015 in Mexico City (n=1,142). Self-reported information about sociodemographic and lifestyle variables was collected. Dietary information was collected using a semi-quantitative food frequency questionnaire. Dietary patterns were constructed by cluster analysis. We used sex-specific multivariable multinomial logistic models to assess the association of demographic and lifestyle factors with dietary patterns using. Results. Three dietary patterns were identified: basic, prudent and fast food. Among men and women, higher school attainment was associated with a lower relative probability of having a basic rather than prudent dietary pattern (women: RRR= 0.8, 95% CI: 0.8, 0.9; men: RRR= 0.8, 95% CI:0.7, 0.9). Compared to single men, divorced or separated men (RRR=3.8, 95% CI: 1.3, 11.2) and those living with a partner (RRR=2.6, 95% CI: 1.1, 6.0) had a higher relative probability of consuming a fast food dietary pattern than the prudent one. Men living with a partner (RRR=3.0, 95% CI:1.1, 8.6) or working long shifts (RRR=3.8, 95% CI: 1.3, 11.1) had a higher probability of consuming a basic pattern rather than a prudent one compared to peers. Conclusion. Differences by sex in the associations between sociodemographic factors and dietary patterns may be due to gender roles. Public policies and programs should consider the gender perspective to accomplish positive results in both men and women.


2019 ◽  
pp. jramc-2018-001119
Author(s):  
Reihane Khorasaniha ◽  
F Siassi ◽  
F Khajehnasiri ◽  
M Qorbani ◽  
G Sotoudeh

IntroductionRotational shift work has a considerable effect on immune function and cause inflammation. In addition, it may lead to unhealthy dietary intake. No earlier study has examined the association between dietary patterns and inflammation in rotational shift workers. Therefore, this study was conducted to investigate the association between dietary patterns and circulating proinflammatory cytokines among shift workers.MethodsThis cross-sectional study was conducted among 257 male shift workers. Dietary intake of participants was examined using the semiquantitative Food Frequency Questionnaire. Serum concentrations of interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α) and high sensitivity C-reactive protein (hs-CRP) were measured using suitable commercial kits.ResultsThree main dietary patterns included green vegetables, yellow vegetables and cruciferous vegetables (VEG), liquid oils and mayonnaise, fast food and eggs (LFE), as well as tea and coffee, refined grains and spice (TRS). Subjects with the highest adherence to VEG dietary pattern had a significantly lower concentration of IL-6 (p<0.01) and TNF-α (p<0.001) as compared with those with the lowest adherence. On the other hand, a significant negative association was found between LFE dietary pattern and serum concentrations of IL-6 (p=0.01) and TNF-α (p=0.02). However, no significant association was found between adherence to VEG (p=0.34) or LFE (p=0.99) dietary patterns and levels of hs-CRP and between adherence to TRS dietary pattern and any of the inflammatory cytokines.ConclusionAdherence to VEG and LFE dietary patterns was inversely and directly associated to serum IL-6 and TNF-α concentrations in shift workers, respectively. However, no significant association was found between adherence to these two dietary patterns and serum hs-CRP concentrations and between TRS dietary pattern and any of the inflammatory cytokines.


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