scholarly journals Dietary Fructose and Risk of Metabolic Syndrome in Chinese Residents Aged 45 and Above: Results From the China National Nutrition and Health Survey

2020 ◽  
Author(s):  
shaojie pang ◽  
Pengkun Song ◽  
Wentao Qi ◽  
Chun Yang ◽  
Ge Song ◽  
...  

Abstract Background A growing number of researches supported that dietary fructose was associated with all the key features of metabolic syndrome (MetS). However, there was no large epidemiological study among Chinese population although the prevalence of MetS increased sharply. This study explores the relationship between dietary fructose and MetS among Chinese residents aged 45 and above. Methods A total of 25528 participants (11574 males and 13954 females) were included in this nationwide representative cross-sectional study of China National Nutrition and Health Survey. Dietary fructose intake was assessed by 3-day 24-h dietary records. MetS was defined according to the International Diabetes Federation and Chinese Diabetes Society criteria. Results The consumption of dietary fructose for urban residents was 11.6 g/day and for rural residents was 7.6 g/day. Fruits and vegetables as well as their products were the main food sources. There was no association between dietary fructose intake and the risk of MetS in both urban (P = 0.315) and rural residents (P = 0.230) after adjustment for confounding factors. Moreover, for urban residents who participating in physical activity, the risk of MetS in the fourth quartiles (OR: 0.67; 95%CI: 0.52–0.86) was reduced compared with the first quartile. In the sensitivity analysis, the risk of MetS was also found a significant reduction in the fourth quartiles (OR, 95%CI: 0.67, 0.51–0.89; 0.63, 0.46–0.85; 0.74, 0.56–0.98) compared with the first quartile when excluding smokers, alcohol users, and underweight/obesity, respectively. And there was no association between dietary fructose intake and the risk of MetS after multivariate adjustment stratified by gender, smoking and alcohol use. Conclusions Under the current dietary fructose intake status, there was no association between dietary fructose intake and the risk of MetS among Chinese residents aged 45 and above. Physical activity and relatively low fructose intake may have a beneficial synergistic effect on MetS.

2020 ◽  
Author(s):  
shaojie pang ◽  
Pengkun Song ◽  
Wentao Qi ◽  
Chun Yang ◽  
Ge Song ◽  
...  

Abstract Background: A growing number of researches supported that dietary fructose was associated with all the key features of metabolic syndrome (MetS). However, there was no related epidemiological studies among Chinese population despite that cases of MetS increased sharply. This study explores the relationship between dietary fructose and MetS among Chinese residents aged 45 and above. Methods: A total of 25528 participants (11574 males and 13954 females) were included in this nationwide representative cross-sectional study of China National Nutrition and Health Survey. Dietary fructose intake was assessed by 3-day 24-h dietary records. MetS was defined by the International Diabetes Federation and Chinese Diabetes Society criteria. Results: The consumption of dietary fructose was 11.6g/day for urban residents and 7.6g/day for rural residents. Fruits and vegetables as well as their products were the main food sources. There was no association between dietary fructose intake and the risk of MetS in both urban (P = 0.315) and rural residents (P = 0.230) after adjustment for confounding factors. Moreover, for urban residents participating physical activities, the risk of MetS in the fourth quartiles (OR: 0.67; 95%CI: 0.52-0.86) was reduced compared with the first quartile. In the sensitivity analysis, a significant reduction in the risk of MetS was also found in the fourth quartiles (OR, 95%CI: 0.67, 0.51-0.89; 0.63, 0.46-0.85; 0.74, 0.56-0.98) compared with the first quartile when excluding smokers, alcohol users, and underweight/obesity, respectively. And there was no association between dietary fructose intake and the risk of MetS after multivariate adjustment stratified by gender, smoking and alcohol use. Conclusions: Under the current dietary fructose intake status, there was no association between dietary fructose intake and the risk of MetS among Chinese residents aged 45 and above. Physical activity and relatively low fructose intake may have a beneficial synergistic effect on MetS.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Shaojie Pang ◽  
Pengkun Song ◽  
Xueqian Sun ◽  
Wentao Qi ◽  
Chun Yang ◽  
...  

Abstract Background A growing number of researches supported that dietary fructose was associated with most of the key features of metabolic syndrome (MetS). However, there was no related epidemiological studies among Chinese population, despite the sharp increase in MetS cases. This study explores the relationship between dietary fructose and MetS among Chinese residents aged 45 and above. Methods A total of 25,528 participants (11,574 males and 13,954 females) were included in this nationwide representative cross-sectional study of China National Nutrition and Health Survey. Dietary fructose intake was assessed by 3-day 24-h dietary records. MetS was defined by the International Diabetes Federation and Chinese Diabetes Society criteria. Results The consumption of dietary fructose was 11.6 g/day for urban residents and 7.6 g/day for rural residents. Fruits and vegetables as well as their products were the main sources of fructose intake. There was no association between dietary fructose intake and the odds of having MetS in both urban (P = 0.315) and rural residents (P = 0.230) after adjustment for confounding factors. Moreover, for urban residents participating physical activities, the odds of having MetS in the fourth quartiles (OR: 0.67; 95%CI: 0.52-0.87) was lower than that in the first quartile. In the sensitivity analysis, a significant reduction in the odds of having MetS was also found in the fourth quartiles (OR, 95%CI: 0.68, 0.51-0.90; 0.67, 0.49-0.91; 0.74, 0.56-0.99) compared with the first quartile when excluding smokers, alcohol users, and underweight/obesity, respectively. And there was no association between dietary fructose intake and the odds of having MetS after multivariate adjustment stratified by gender, smoking and alcohol use. Conclusions Under the current dietary fructose intake status, there was no association between dietary fructose intake and the odds of having MetS among Chinese residents aged 45 and above. Physical activity and relatively low fructose intake may have a beneficial synergistic effect on MetS.


2013 ◽  
Vol 58 (6) ◽  
pp. 855-864 ◽  
Author(s):  
M. Vernay ◽  
B. Salanave ◽  
C. de Peretti ◽  
C. Druet ◽  
A. Malon ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sirinapa Siwarom ◽  
Wichai Aekplakorn ◽  
Kwanchai Pirojsakul ◽  
Witchuri Paksi ◽  
Pattapong Kessomboon ◽  
...  

Abstract Background Presence of metabolic syndrome (MetS) in early life may influence cardiovascular outcome later in adulthood. There is limited data regarding MetS among Thai adolescents. This study aimed to estimate the prevalence of MetS and related factors in Thai adolescents. Methods Data on MetS components of 1934 Thai adolescents aged 10–16 years were obtained from the 5th National Health Examination Survey. Age at first screen time exposure, duration of screen time, frequency of food intake and physical activities were collected from interviews. MetS was defined according to 3 definitions: International Diabetes Federation (IDF), Cook’s, and de Ferranti’s. Results The prevalence of MetS was 4.1% by IDF, 8.0% by Cook’s, and 16.8% by de Ferranti’s definition. The overall prevalence was higher in male (19.0%) than female adolescents (15.3%). The most common MetS components composition among Thai adolescents was high waist circumference with high serum triglyceride and low HDL-cholesterol (40.0% for IDF, 22.6% for Cook’s and 43.5% for de Ferranti’s definition). Exposure to screen media during the first 2 years of life had a 1.3- fold increased odds of MetS by 1 out of 3 definitions (OR 1.30, 95% CI. 1.01–1.68). Duration of physical activity associated with decreased odds of MetS by Cook’s definition (OR 0.96, 95% CI. 0.92–0.99). Conclusions The prevalence of MetS among Thai adolescents was higher than previously reported by other studies. Screen media exposure during the first 2 years of life should be discouraged and measures to promote physical activity among children and adolescents should be strengthen.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2955
Author(s):  
Ming-Chieh Li ◽  
Hsin-Yu Fang

Although nutritional health knowledge serves as the basis for the daily food guides, limited epidemiologic studies were conducted to verify whether adherence to the daily food guides reduced the prevalence of diseases. This study aims to examine whether adherence to the daily food guides relates to the lower risk of having metabolic syndrome, as well as to assess the association between levels of adherence to daily food guides and demographic characteristics. A cross-sectional study was conducted using data from the Nutrition and Health Survey in Taiwan (NAHSIT) 2013–2016. Face-to-face dietary assessments were conducted using a validated food-frequency questionnaire. Six food groups were defined according to the daily food guides in Taiwan. We constructed a daily food guide index to measure the levels of adherence to the daily food guides. Logistic regression was performed to assess the association between the levels of adherence to the daily food guides and the risk of having metabolic syndrome. A total of 2534 participants (51% of females) were included in the final analysis. After adjusting for age, sex, body mass index, education level, marital status, and family income, we found a negative correlation between the levels of adherence to daily food guides and the prevalence of metabolic syndrome. The odds ratios (ORs) for the highest versus lowest quartile of the adherence level was 0.65 (95% confidence interval (CI) = 0.48–0.88). In addition, males, younger age, lower education, divorced, separated, and widowed, and lower family income were associated with lower adherence to daily food guides. In conclusion, participants reporting better adherence to the daily food guides during the past month had a lower risk of having metabolic syndrome.


Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1486 ◽  
Author(s):  
Huidi Zhang ◽  
Lijuan Wang ◽  
Siran Li ◽  
Xiaobing Liu ◽  
Yuqian Li ◽  
...  

Background: Elevated ferritin, which is often used to represent iron storage, is known to increase the risk of metabolic syndrome (MetS) or its components, but its increase is affected by many factors. Therefore, it is necessary to analyze the relationship between other indicators of iron storage, and MetS and its components in order to fully understand the role of iron in the occurrence and development of these diseases. Although there are many studies to analyze the relationship involved in adults and adolescents, in children there is limited research. In this study, we aim to estimate the association of whole blood iron, ferritin, and total body iron with metabolic syndrome, and especially its components in Chinese rural children aged 6–12 years old. Method: A total of 1333 children aged 6–12 years old were enrolled from the 2010–2012 China National Nutrition and Health Survey in this study. Markers of iron storage (whole blood iron, ferritin, and total body iron (TBI)) and MetS component parameters (waist, blood pressure, high-density lipoprotein cholesterol (HDL-C), triglyceride (TG), and fast glycose) were collected. A multivariate logistic regression analysis was performed to confirm the independent relationship between iron storage markers, and the incident of metabolic syndrome and its components. Results: After adjusting for age, gender, C-reactive protein (CRP), and body mass index (BMI), a negative association was found between whole blood iron, ferritin, and TBI and incidence of reduced HDL-C (odds ratio (OR) = 0.63, 0.49, and 0.57, respectively). The highest tertile of whole blood iron increased the risk of the incidence of hyperglycemia (OR = 1.74), while TBI decreased the risk by 61%. No significant association was found between ferritin tertiles and the incidence of hyperglycemia. Conclusion: An iron storage level within the normal range in children is associated with a risk of MetS components, especially in hyperglycemia and reduced HDL-C. The relationship between the three iron indexes and metabolic syndrome and its components is not completely consistent, which suggests that the underlying mechanism is complex and needs to be further explored.


2012 ◽  
Vol 15 (11) ◽  
pp. 2054-2059 ◽  
Author(s):  
Benoit Salanave ◽  
Michel Vernay ◽  
Emmanuelle Szego ◽  
Aurélie Malon ◽  
Valérie Deschamps ◽  
...  

AbstractObjectiveTo describe detailed physical activity and sedentary behaviour in French adults across physical activity categories.DesignThe French Nutrition and Health Survey (Etude Nationale Nutrition Santé, ENNS), conducted in 2006–2007, was a national cross-sectional survey based on three-stage random sampling. The International Physical Activity Questionnaire (IPAQ) was used to classify participants into three physical activity categories. Time spent in a sitting position and time spent in front of a screen were used as markers of sedentary behaviour.SettingFrance.SubjectsAdults (n2971) aged 18 to 74 years were included.ResultsOverall, 29·5 % of men and 23·6 % of women were classified into the high-IPAQ category, while 36·1 % of men and 37·5 % of women were in the low-IPAQ category. For each intensity level of physical activity (vigorous intensity, moderate intensity or walking), the number of active days per week decreased from the high- to the low-IPAQ category and daily duration of physical activity was longer in the high-IPAQ category than in the other two categories; 6 % of adults declared neither vigorous nor moderate nor walking activities.ConclusionsFor most adults in the low-IPAQ category, an increasing number of active days per week would be sufficient to attain the moderate-IPAQ category. This should be taken into account in public health initiatives aimed at promoting physical activity.


2010 ◽  
Vol 51 (6) ◽  
pp. 488-493 ◽  
Author(s):  
Chantal Julia ◽  
Michel Vernay ◽  
Benoît Salanave ◽  
Valérie Deschamps ◽  
Aurélie Malon ◽  
...  

2020 ◽  
Author(s):  
Huidi Zhang ◽  
Qingqing Man ◽  
Pengkun Song ◽  
Siran Li ◽  
Xiaobing Liu ◽  
...  

Abstract Background: Copper (Cu), magnesium (Mg) and zinc (Zn) are essential elements that participate in a series of oxidative stress and inflammation pathways related to metabolic reactions. Many studies have analyzed the relationship between Cu, Mg and Zn and metabolic syndrome (MetS) in adolescents and adults, but there have been few studies of children. We aimed to investigate the association of whole blood Cu, Mg and Zn with MetS components in 6–12-year-old rural Chinese children. Methods: A total of 911 children (51.2% male, 48.7% female) aged 6–12 years were enrolled from the 2010–2012 China National Nutrition and Health Survey. Basic characteristics, metals and MetS component parameters were collected. Multivariate logistic regression analysis was performed to examine the independent relationship between metals and the incidence of MetS components.Results: Copper was positively associated with elevated waist circumference when analyzed alone (OR=2.00, 1.18–3.28). Combined with Zn, this association approached zero. For elevated triglyceride levels, the combination of low Cu and high Zn showed the opposite association with triglyceride relative to Cu alone (OR=2.21, 1.18–4.13 versus OR=0.33, 0.16–0.65, respectively), but was similar to the analysis of Zn alone (OR=2.12, 1.10–4.10). There was no association between whole blood Mg and waist circumference. However, the presence of both high Cu and high Mg levels significantly increased the risk of waist circumference exceeding the standard value (OR=2.03, 1.26–3.27). In addition, separate analysis of the distribution of Mg and Zn found no association with the risk of reduced high density lipoprotein-cholesterol (HDL-C); but high Zn combined with low Mg negatively associated with the risk of reduced HDL-C levels (OR=0.47, 0.28–0.77). Conclusions: Both the single and combined effects of Cu, Mg and Zn were associated with components of MetS. These results indicate the importance of combined analysis of multiple elements, and also provide new avenues for the early screening of MetS. The current results need to be further investigated in future work and other populations.


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