scholarly journals Synergistic Interaction of Dietary Pattern and Concordance Lifestyle with Abnormal Liver Function among Young Adults in Taiwan: A Population-Based Longitudinal Study

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3591
Author(s):  
Rathi Paramastri ◽  
Chien-Yeh Hsu ◽  
Yung-Kun Chuang ◽  
Hsiu-An Lee ◽  
Bayu Satria Wiratama ◽  
...  
Keyword(s):  
Liver Function ◽  
Dietary Pattern ◽  
Population Based ◽  
Lifestyle Factors ◽  
Abnormal Liver Function ◽  
Soy Sauce ◽  
Reduced Rank Regression ◽  
Rank Regression ◽  
Increased Risk ◽  
Diet And Lifestyle

While diet and lifestyle are independently implicated in the etiology of liver disease, the interaction of diet and lifestyle may be more helpful for determining the risk of liver abnormality. Thus, our study aimed to evaluate the interaction between the dietary pattern associated with liver biomarkers and lifestyle factors among Taiwanese adults with abnormal liver enzymes. A liver-associated dietary pattern, generated using reduced rank regression, was characterized by high intake of soy sauce or other dips, sugar sweetened beverages, and preserved and processed foods, but low intake of seafood, fruits, eggs, and dark-colored vegetables. In the fully adjusted model, liver-associated dietary patterns or unhealthy concordance lifestyle factors were associated with an increased risk of having liver function abnormality (OR = 1.08, 95% CI: 1.04, 1.12 and OR = 1.42, 95% CI: 1.31, 1.53, respectively). Moreover, the interaction between liver-associated dietary pattern and unhealthy concordance lifestyle factors showed more significant correlation, with an elevated risk of abnormal liver function (OR = 2.14, 95% CI: 2.02, 2.26). Therefore, our study suggests that participants who have a strong liver-associated dietary pattern along with unhealthy concordance lifestyles are likely to have increased odds of abnormal liver function.

scholarly journals Interactions of Lifestyle Factors on the Risk of Anemia Among Taiwanese Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1004-1004
Author(s):  
Rathi Paramastri ◽  
Chien-Yeh Hsu ◽  
Hsiu-An Lee ◽  
Jane Chao
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Dietary Pattern ◽  
Lifestyle Factors ◽  
Dietary Habit ◽  
Health Examination ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
Increased Risk ◽  
High Adherence

Abstract Objectives The aim of this study was to investigate the association of lifestyle factors with the risk of anemia among adults in Taiwan. Methods This cross sectional study included 118,924 (43,055 men and 75,869 women) participants aged 20–45 years, who had health examination including blood tests, anthropometric measurements, and questionnaires to collect demographic, lifestyle, and dietary data at Mei Jau (MJ) Health Screening Center between 2000 to 2015. We evaluated the interactive associations of smoking, alcohol drinking, sleeping habit, physical activity, and dietary habit on the risk of anemia among study participants. The multivariable regression analysis was performed to examine the interactive correlations of lifestyle factors on the risk of anemia. Relative excess risk due to interaction (RERI) and attributable proportion (AP) were used for the estimation of additive interactions. The dietary pattern was derived by reduced rank regression. Results The anemia-inflammatory dietary pattern was heavily loaded on eggs, meat, organ meats, rice and flour products, fried rice or flour, sugary beverages, fried foods, and processed foods. Participants who actively smoked and had less sleep duration (< 6 hours/day) significantly increased the risk of anemia (OR = 1.03, 95% CI: 1.01, 1.30, RERI = 0.13, 95% CI: 0.01, 0.24, AP = 0.31, 95% CI: 0.19, 0.35, all Pinteraction < 0.05) compared to those who were non-smokers and had longer sleep duration (³ 7 hours/day). In addition, the interaction of less physically active (≤2 hours/week) and high adherence to anemia-inflammatory dietary pattern was positively correlate with the risk of anemia (OR = 1.10, 95% CI: 1.03, 1.18, RERI = 0.18, 95% CI: 0.02, 0.34, AP = 0.15, 95% CI: 0.08, 0.23, all Pinteraction < 0.05). Conclusions Smoking, less sleep duration (<6 hours/day), less physical activity (≤2 hours/week), and high adherence to anemia-inflammatory dietary pattern are associated with an increased risk of anemia. Funding Sources This study had no funding source.

scholarly journals Interactions between dietary patterns and genetic factors in relation to incident dementia among 70-year-olds

2021 ◽  
Author(s):  
Jessica Samuelsson ◽  
Jenna Najar ◽  
Ola Wallengren ◽  
Silke Kern ◽  
Hanna Wetterberg ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Genetic Factors ◽  
Cox Regression ◽  
Population Based ◽  
Risk Scores ◽  
Reduced Rank Regression ◽  
Apoe Ε4 ◽  
Incident Dementia ◽  
Increased Risk

Abstract Purpose To investigate potential interactions between dietary patterns and genetic factors modulating risk for Alzheimer’s disease (AD) in relation to incident dementia. Methods Data were derived from the population-based Gothenburg H70 Birth Cohort Studies in Sweden, including 602 dementia-free 70-year-olds (examined 1992–93, or 2000–02; 64% women) followed for incident dementia until 2016. Two factors from a reduced rank regression analysis were translated into dietary patterns, one healthy (e.g., vegetables, fruit, and fish) and one western (e.g., red meat, refined cereals, and full-fat dairy products). Genetic risk was determined by APOE ε4 status and non-APOE AD-polygenic risk scores (AD-PRSs). Gene–diet interactions in relation to incident dementia were analysed with Cox regression models. The interaction p value threshold was < 0.1. Results There were interactions between the dietary patterns and APOE ε4 status in relation to incident dementia (interaction p value threshold of < 0.1), while no evidence of interactions were found between the dietary patterns and the AD-PRSs. Those with higher adherence to a healthy dietary pattern had a reduced risk of dementia among ε4 non-carriers (HR: 0.77; 95% CI: 0.61; 0.98), but not among ε4 carriers (HR: 0.86; CI: 0.63; 1.18). Those with a higher adherence to the western dietary pattern had an increased risk of dementia among ε4 carriers (HR: 1.37; 95% CI: 1.05; 1.78), while no association was observed among ε4 non-carriers (HR: 0.99; CI: 0.81; 1.21). Conclusions The results of this study suggest that there is an interplay between dietary patterns and APOE ε4 status in relation to incident dementia.

scholarly journals Inflammatory Dietary Pattern Predicts Dyslipidemia and Anemia in Middle-Aged and Older Taiwanese Adults with Declined Kidney Function: A Cross-Sectional Population Study from 2008 to 2010

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2052 ◽  
Author(s):  
Adi Lukas Kurniawan ◽  
Chien-Yeh Hsu ◽  
Hsiao-Hsien Rau ◽  
Li-Yin Lin ◽  
Jane C-J Chao
Keyword(s):  
Kidney Function ◽  
Dietary Pattern ◽  
Middle Aged ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
Rank Regression ◽  
Sugary Drinks ◽  
Increased Risk ◽  
Lower Egfr ◽  
Vegetables And Fruits

Dyslipidemia, anemia, and inflammation are associated with declined kidney function. This study investigated the association of inflammatory dietary pattern with dyslipidemia, anemia, and kidney function biomarkers among middle-aged and older Taiwanese adults with declined kidney function. Biochemical data and food frequency questionnaire were obtained from 41,128 participants with estimated glomerular filtration rate (eGFR) <90 mL/min/1.73 m2 and positive urinary protein. Inflammatory dietary pattern was identified by reduced rank regression with C-reactive protein (CRP) and neutrophil-to-lymphocyte ratio (N/L) as response variables. Males had higher prevalence of dyslipidemia and higher inflammatory markers, but lower prevalence of anemia and lower eGFR levels compared to females. Inflammatory dietary pattern characterized with low intakes of seafood, grains, vegetables, and fruits but high intakes of meat, eggs, preserved/processed foods, and sugary drinks was associated with an increased risk of dyslipidemia by 21% in males and an increased risk of anemia by 28–47% in both genders. Furthermore, high consumption of inflammatory dietary pattern was associated with reduced eGFR (males β = −0.85, 95% CI −1.26 to −0.43, females β = −0.53, 95% CI −0.98 to −0.08) and increased N/L and/or CRP in both genders. In conclusion, inflammatory dietary pattern is positively associated with dyslipidemia, anemia, and decreased kidney function in middle-aged and older adults with declined kidney function.

The association between the dietary pattern in abdominal obesity based on visceral fat index and dyslipidaemia in the Henan Rural Cohort Study

2021 ◽  
pp. 1-8
Author(s):  
Yuan Xue ◽  
Chang Liu ◽  
Shan-Bin Pang ◽  
Zhen-Xing Mao ◽  
Dong-Dong Zhang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Abdominal Obesity ◽  
Dose Response ◽  
Dietary Patterns ◽  
Visceral Fat ◽  
Dietary Pattern ◽  
Mediation Effect ◽  
Reduced Rank Regression ◽  
Rank Regression ◽  
Increased Risk

Abstract The present study aimed to explore the association between dietary patterns in abdominal obesity obtained by reduced-rank regression (RRR) with visceral fat index (VFI) as a dependent variable and dyslipidemia in rural adults in Henan, China. A total of 29538 people aged 18–79 were selected from the Henan Rural Cohort Study. RRR analysis was used to identify dietary patterns; logistic regression analysis and restricted cubic spline regression models were applied to analyze the association between dietary patterns in abdominal obesity and dyslipidemia. VFI was used as a mediator to estimate the mediation effect. The dietary pattern in abdominal obesity was characterized by high carbohydrate and red meat intake and low consumption of fresh fruits, vegetables, milk, etc. After full adjustment, the highest quartile of dietary pattern scores was significantly associated with an increased risk of dyslipidemia (OR: 1·33, 95 % CI 1·23–1·44, Ptrend < 0·001), there was a non-linear dose–response relationship between them (Poverall-association < 0·001, Pnon-lin-association = 0·022). The result was similar in dose-response between the dietary pattern scores and VFI. The indirect effect partially mediated by VFI was significant (OR: 1·07, 95 % CI 1·06–1·08). VIF explained approximately 53·3 % of odds of dyslipidemia related to the dietary pattern. Abdominal obesity dietary pattern scores positively affected VFI and dyslipidemia; there was a dose-response in both relationships. Dyslipidemia progression increased with higher abdominal obesity dietary pattern scores. In addition, VFI played a partial mediating role in relationship between abdominal obesity dietary pattern and dyslipidemia.

scholarly journals THE RELATIONSHIP BETWEEN INFLAMMATORY DIETARY PATTERN AND INCIDENCE OF PERIODONTITIS

2021 ◽  
pp. 1-36
Author(s):  
Ahmed A. Alhassani ◽  
Frank B. Hu ◽  
Bernard A. Rosner ◽  
Fred K. Tabung ◽  
Walter C. Willett ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Periodontal Disease ◽  
Secondary Analysis ◽  
Hazard Ratio ◽  
Reduced Rank Regression ◽  
Rank Regression ◽  
Increased Risk ◽  
Cox Proportional Hazard Models ◽  
Study Population

ABSTRACT The long-term inflammatory impact of diet could potentially elevate the risk of periodontal disease through modification of systemic inflammation. The aim of the present study was to prospectively investigate the associations between a food based, reduced rank regression (RRR) derived, empirical dietary inflammatory pattern (EDIP) and incidence of periodontitis. The study population was composed of 34,940 men from the Health Professionals Follow-Up Study, who were free of periodontal disease and major illnesses at baseline (1986). Participants provided medical and dental history through mailed questionnaires every 2 years, and dietary data through validated semi-quantitative food frequency questionnaires every 4 years. We used Cox proportional hazard models to examine the associations between EDIP scores and validated self-reported incidence of periodontal disease over a 24-year follow-up period. No overall association between EDIP and the risk of periodontitis was observed; the hazard ratio comparing the highest EDIP quintile (most proinflammatory diet) to the lowest quintile was 0.99 (95% confidence interval: 0.89 -1.10, p-value for trend = 0.97). A secondary analysis showed that among obese non-smokers (i.e. never and former smokers at baseline), the hazard ratio for periodontitis comparing the highest EDIP quintile to the lowest was 1.39 (95% confidence interval: 0.98 -1.96, p-value for trend = 0.03). In conclusion, no overall association was detected between EDIP and incidence of self-reported periodontitis in the study population. From the subgroups evaluated EDIP was significantly associated with increased risk of periodontitis only among nonsmokers who were obese. Hence, this association must be interpreted with caution.

scholarly journals Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Hossein Farhadnejad ◽  
Karim Parastouei ◽  
Hosein Rostami ◽  
Parvin Mirmiran ◽  
Fereidoun Azizi
Keyword(s):  
Metabolic Syndrome ◽  
Positive Association ◽  
Population Based ◽  
Population Based Study ◽  
Logistic Regression Models ◽  
Increased Risk ◽  
Confounding Variables ◽  
Adjusted Model ◽  
Diet And Lifestyle

Abstract Background In the current study, we aimed to investigate the association of dietary inflammation scores (DIS) and lifestyle inflammation scores (LIS) with the risk of metabolic syndrome (MetS) in a prospective population-based study. Methods A total of 1625 participants without MetS were recruited from among participants of the Tehran Lipid and Glucose Study(2006–2008) and followed a mean of 6.1 years. Dietary data of subjects were collected using a food frequency questionnaire at baseline to determine LIS and DIS. Multivariable logistic regression models, were used to calculate the odds ratio (ORs) and 95 % confidence interval (CI) of MetS across tertiles of DIS and LIS. Results Mean ± SD age of individuals (45.8 % men) was 37.5 ± 13.4 years. Median (25–75 interquartile range) DIS and LIS for all participants was 0.80 (− 2.94, 3.64) and 0.48 (− 0.18, − 0.89), respectively. During the study follow-up, 291 (17.9 %) new cases of MetS were identified. Based on the age and sex-adjusted model, a positive association was found between LIS (OR = 7.56; 95% CI 5.10–11.22, P for trend < 0.001) and risk of MetS, however, the association of DIS and risk of MetS development was not statistically significant (OR = 1.30;95% CI 0.93–1.80, P for trend = 0.127). In the multivariable model, after adjustment for confounding variables, including age, sex, body mass index, physical activity, smoking, and energy intake, the risk of MetS is increased across tertiles of DIS (OR = 1.59; 95% CI 1.09–2.33, P for trend = 0.015) and LIS(OR = 8.38; 95% CI 5.51–12.7, P for trend < 0.001). Conclusions The findings of the current study showed that greater adherence to LIS and DIS, determined to indicate the inflammatory potential of diet and lifestyle, are associated with increased the risk of MetS.

scholarly journals Cross-Sectional, Short-, Medium- and Long-Term Effects of Dietary Pattern on Frailty in Taiwan

2021 ◽  
Vol 18 (18) ◽  
pp. 9717
Author(s):  
Mei-Huey Shiau ◽  
Meng-Chih Lee ◽  
Fang-Ling Lin ◽  
Baai-Shyun Hurng ◽  
Chih-Jung Yeh
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Multinomial Logistic Regression ◽  
Population Based ◽  
Long Term Effects ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
Protein Rich ◽  
Healthy Dietary Pattern

This study examined the association between dietary patterns and the development of frailty during 4-, 8-, 12-year follow-up periods in the population-based Taiwan Study. We used the data of an elderly population aged 53 years and over (n = 3486) from four waves of the Taiwan Longitudinal Study on Aging. Frailty was identified by using the modified Fried criteria and the values were summed to derive a frailty score. We applied reduced rank regression to determine dietary patterns, which were divided into tertiles (healthy, general, and unhealthy dietary pattern). We used multinomial logistic regression models to assess the association between dietary patterns and the risk of frailty. The healthy dietary pattern was characterized by a higher intake of antioxidant drinks (tea), energy-rich foods (carbohydrates, e.g., rice, noodles), protein-rich foods (fish, meat, seafood, and eggs), and phytonutrient-rich foods (fruit and dark green vegetables). Compared with the healthy pattern, the unhealthy dietary pattern showed significant cross-sectional, short-term, medium-term, and long-term associations with a higher prevalence of frailty (odds ratios (OR) 2.74; 95% confidence interval (CI) 1.94–3.87, OR 2.55; 95% CI 1.67–3.88, OR 1.66; 95% CI 1.07–2.57, and OR 2.35; 95% CI 1.27–4.34, respectively). Our findings support recommendations to increase the intake of antioxidant drinks, energy-rich foods, protein-rich foods, and phytonutrient-rich foods, which were associated with a non-frail status. This healthy dietary pattern can help prevent frailty over time in elderly people.

scholarly journals Relationship Between Dietary Patterns Derived by Reduced Rank Regression and Risk of Depression in American Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 464-464
Author(s):  
Peng Zhao ◽  
Yemian Li ◽  
Jingxian Wang ◽  
Yuhui Yang ◽  
Danmeng Liu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
The United States ◽  
Reduced Rank Regression ◽  
Eating Pattern ◽  
Rank Regression ◽  
Reduced Rank ◽  
High Adherence ◽  
Response Variables

Abstract Objectives Depression is one of the most serious mental disorder worldwide. Published studies indicated that nutrients such as folic acid and magnesium may provide a protective effect against it. The purpose of this study was to analyze whether dietary patterns defined by nutrients are associated with the risk of depression. Methods Research data content of 23 464 adults was obtained from the NHANES database. Dietary data were assessed with a valid food frequency questionnaire. Dietary patterns were derived by reduced rank regression with EPA + DHA, folate, Mg and Zn as response variables. The Patient Health Questionnaire was used to assess depressive symptoms (cutoff = 10). We applied logistic regression analyses to test the association between dietary patterns and depressive symptoms. Finally, all samples were divided into three groups: low, medium and high adherence to dietary patterns according to the trinomial score of dietary patterns, and the differences of depression risk among the three groups were compared. Results In total, 3 020 cases with depression were observed. We identified a dietary pattern that was strongly associated with EPA + DHA, folate, Mg and Zn (response variables) intake, which was also characterized by the consumption of vegetables, grains, meat, nuts, beans, peas, and lentils, milk, cheese, oils and solid fats. After adjustment for confounders, a statistically significant association was observed (OR = 0.42, 95%CI: 0.36,0.50; P &lt; 0.001). In addition, compared with the low-adherence group, increasing adherence to this dietary pattern significantly reduced the risk of depression (medium-adherence: OR = 0.62, 95%CI: 0.55,0.71; high-adherence: OR = 0.43, 95%CI: 0.36,0.51; P &lt; 0.001). Conclusions Adults living in the United States have been linked to a lower risk of depression with a high-nutrient eating pattern. Funding Sources National Natural Science Foundation of China and National Key R&D Program of China.

scholarly journals Children with Early Sexual Maturation Exhibit Changes in Dairy and Soybean Consumption: A 6-Year Nationwide Study

2020 ◽  
Author(s):  
Ngan Thi Kim Nguyen ◽  
Hsien-Yu Fan ◽  
Shih-Yi Huang ◽  
Jia-Woei Hou ◽  
Chen Yang ◽  
...  
Keyword(s):  
Parent Education ◽  
Sexual Maturation ◽  
Dietary Pattern ◽  
Family Income ◽  
Dietary Habit ◽  
Study Cohort ◽  
Reduced Rank Regression ◽  
Rank Regression ◽  
Reduced Rank ◽  
Soybean Diet

Abstract BackgroundEarly sexual maturation (ESM) is associated with behavioral disorders in adolescence and hormone-related cancers in adulthood. Dietary pattern (DP) has been noticed in association with ESM. However, to our knowledge, no study has shown that association between DP derived from reduced-rank regression (RRR) and ESM, and whether ESM influences tracking dietary habit in children. This study was therefore to examine the prospective association between childhood dietary pattern (DP) and ESM, and whether ESM influenced children’s dietary habit during 6 years of pubertal growth.MethodsThis longitudinal study, using the Taiwan Children Health Study cohort, included 2593 peripubertal children aged 11.1 ± 0.3 years in 2011. DPs were derived by factor analysis (FA) and reduced-rank regression (RRR) methods from food frequency questionnaires. ESM was assessed in 2012 at age 12.1 ± 0.3 years. Multivariate logistic regression was used to examine the association between DP scores and ESM (n = 2593). The change in DP scores between 2011 and 2017 was obtained by comparing baseline DP scores with those participants who completed the final assessment (n = 1018).ResultsAt baseline, 3 DPs (dairy–soybean, traditional, and vegetarian diet) were identified using FA. Children with FA-derived dairy–soybean diet had a significantly higher risk of ESM (females: odds ratio [OR] = 1.58, 95% confidence interval [CI]: 1.07, 2.32; P = 0.02; males: OR = 1.42, 95% CI: 1.08, 1.86; P = 0.01) after adjusting for parent education, family income, fat percentage, total energy intake, and screen time. RRR-derived DPs yielded similar associations. Children who experienced ESM exhibited a significantly higher decrease in DP scores of “dairy–soybean diet” than did children without ESM over a 6-year period. Children with ESM were prone to resume “traditional diet” after completing pubertal growth.ConclusionsAdherence to “dairy–soybean diet” in childhood were associated with ESM; therefore, children undergoing pubertal growth should be advised on appropriate levels of dairy and soybean consumption, even after completion of pubertal growth.Data Share StatementData described in the manuscript, code book, and analytic code will be made available upon request pending either before or after publication for checking through contact with the authors by emails.

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