scholarly journals Association between Milk Intake and All-Cause Mortality among Chinese Adults: A Prospective Study

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 292
Author(s):  
Xiaona Na ◽  
Hanglian Lan ◽  
Yu Wang ◽  
Yuefeng Tan ◽  
Jian Zhang ◽  
...  
Keyword(s):  
Energy Intake ◽  
Cox Regression ◽  
Dietary Diversity ◽  
Milk Intake ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Dietary Recall ◽  
Risk Of Death ◽  
All Cause Mortality ◽  
A Prospective Study

Background: Little is known about the effect of milk intake on all-cause mortality among Chinese adults. The present study aimed to explore the association between milk intake and all-cause mortality in the Chinese population. Methods: Data from 1997 to 2015 of the China Health and Nutrition Survey (CHNS) were used. A total of 14,738 participants enrolled in the study. Dietary data were obtained by three day 24-h dietary recall. All-cause mortality was assessed according to information reported. The association between milk intake and all-cause mortality were explored using Cox regression and further stratified with different levels of dietary diversity score (DDS) and energy intake. Results: 11,975 (81.25%) did not consume milk, 1341 (9.10%) and 1422 (9.65%) consumed 0.1–2 portions/week and >2 portions/week, respectively. Milk consumption of 0.1–2 portions/week was related to the decreased all-cause mortality (HR: 0.59, 95% CI: 0.41–0.85). In stratified analysis, consuming 0.1–2 portions/week was associated with decreased all-cause mortality among people with high DDS and energy intake. Conclusions: Milk intake is low among Chinese adults. Consuming 0.1–2 portions of milk/week might be associated with the reduced risk of death among Chinese adults by advocating health education. Further research is required to investigate the relationships between specific dairy products and cause-specific mortality.

scholarly journals Trends and Disparities of Energy Intake and Macronutrient Composition in China: A Series of National Surveys, 1982–2012

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2168
Author(s):  
Zhenni Zhu ◽  
Xiaoguang Yang ◽  
Yuehui Fang ◽  
Jian Zhang ◽  
Zhenyu Yang ◽  
...  
Keyword(s):  
Energy Intake ◽  
Gross National Product ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Macronutrient Composition ◽  
Cross Sectional ◽  
Dietary Recall ◽  
National Surveys ◽  
National Nutrition Survey ◽  
Nationally Representative

Background: China’s diet transition might offer guidance to undeveloped countries on the way to prosperity. This report describes the trends and disparities in energy and macronutrient composition among Chinese adults, and between subpopulations. Methods: Data for the current study were obtained from the 1982, 1992, 2002, and 2010–2012 China National Nutrition Survey (CNNS) rounds, which were nationally representative cross-sectional surveys. We applied 24-h dietary recall and food weighing to assess dietary intake. Results: There were 204,877 participants aged 20 years or older included in the current analysis. From 1982 to 2012, the estimated energy intake declined from 2614.7 kcal to 2063.9 kcal. The trend in the estimated percentage of energy intake from fat showed a spike. It increased from 16.3% to 33.1% (1992 vs. 1982 difference, 7.6%; 95% CI 7.4% to 7.7%; 2002 vs. 1992 difference, 7.7%; 95% CI 7.6% to 7.9%; 2012 vs. 2002 difference, 1.6%; 95% CI 1.4% to 1.7%; p < 0.01 for trend). The trends coincided in all the subgroups (all p < 0.01 for trend) except for the subgroup of those educated over 15 years, whose percentage of energy intake from fat declined from 37.4% to 36.6% (2012 vs. 2002 difference, −0.8%; 95% CI −1.6% to 0.0%). The estimated percentage of energy intake from carbohydrates declined from 74.0% to 55.0%. The ranges of the estimated percentage of energy intake from fat, within population subgroups stratified by education level, area and Gross national product (GNP) level, were narrowed. Conclusions: Quick improvements in society and the economy effectively curbed undernutrition, but easily triggered overnutrition. Disparities persistently existed between different subpopulations, while the gaps would narrow if comprehensive efforts were made. Education might be a promising way to prevent overnutrition during prosperous progress. The low-social profile populations require specific interventions so as to avoid further disease burdens.

scholarly journals Multi-Trajectories of Macronutrient Intake and Their Associations with Obesity among Chinese Adults from 1991 to 2018: A Prospective Study

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 13
Author(s):  
Xiaofan Zhang ◽  
Jiguo Zhang ◽  
Wenwen Du ◽  
Chang Su ◽  
Yifei Ouyang ◽  
...  
Keyword(s):  
Rural Areas ◽  
Cox Regression ◽  
Macronutrient Intake ◽  
High Fat ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Hazard Ratios ◽  
Low Carbohydrate ◽  
A Prospective Study

Studies on macronutrient intake and obesity have been inconclusive. This study examined the associations between multi-trajectories of macronutrients and the risk of obesity in China. We used data from 7914 adults who participated in the China Health and Nutrition Survey at least three times from 1991 to 2018. We collected detailed dietary data by conducting three 24 h dietary recalls and weighing foods and condiments in household inventories. We identified multi-trajectories using group-based multi-trajectory models and examined their associations with the risk of obesity with multiple Cox regression models. We found four multi-trajectories in rural areas: balanced macronutrient intake (BM), moderate protein, increasing low fat, and decreasing high carbohydrate (MP&ILF&DHC); decreasing moderate protein, decreasing high fat, and increasing moderate carbohydrate (DMP&DHF&IMC); increasing moderate protein, increasing high fat, and decreasing low carbohydrate (IMP&IHF&DLC)—35.1%, 21.3%, 20.1%, and 23.5% of our rural participant population, respectively. Compared with the BM trajectory, the hazard ratios of obesity in the DMP&DHF&IMC and the IMP&IHF&DLC groups were 0.50 (95% confidence interval (CI): 0.27–0.95) and 0.48 (95% CI: 0.28–0.83), respectively, in rural participants. Relatively low carbohydrate and high fat intakes with complementary dynamic trends are associated with a lower risk of obesity in rural Chinese adults.

scholarly journals Energy intake, energy required and mortality in an older population

2016 ◽  
Vol 19 (17) ◽  
pp. 3178-3184 ◽  
Author(s):  
Paul H Lee ◽  
Choi-Wan Chan
Keyword(s):  
Older Adults ◽  
Energy Intake ◽  
Cox Regression ◽  
Economic Status ◽  
Dietary Recall ◽  
Hazard Ratios ◽  
Co Morbidity ◽  
All Cause Mortality ◽  
Cvd Mortality

AbstractObjectivesThe present study evaluated the association between energy intake, energy required and mortality in older adults.DesignA cohort study with a mean of 10·67 (sd 4·74) years of follow-up. Participants completed a 24 h dietary recall. Energy required per day was computed by BMR. Deaths through 2006 were identified from the National Death Index. A Cox regression was used to estimate the hazard ratios (HR) of quantiles of energy intake and energy required on all-cause and CVD mortality, adjusting for demographics, socio-economic status and co-morbidity.SettingThe National Health and Nutrition Examination Survey (NHANES) III, 1988–1994.SubjectsA total of 4846 participants aged 60 years or above were analysed.ResultsWithin the follow-up period, there were a total of 2954 deaths (61·0 %), 51·9 % were caused by CVD. Relative to those in quartile 1 of energy intake, only quartile 4 was associated with all-cause mortality and CVD mortality with HR of 0·86 (95 % CI 0·77, 0·96, P=0·006) and 0·76 (95 % CI 0·65, 0·89, P=0·001), respectively. On the other hand, relative to those in quartile 1 of energy required, all quartiles of participants had a lower risk of all-cause mortality and CVD mortality. The interaction effects between energy intake and energy required with all-cause and CVD mortality were insignificant (P=0·70 and 0·61, respectively).ConclusionsIndependent of energy required, higher energy intake was associated with lower HR of both all-cause and CVD mortality in older adults.

Modifiable factors of 20-year blood pressure trajectories among normotensives and their associations with hypertension : a prospective study

2021 ◽  
pp. 1-11
Author(s):  
Xiaofan Zhang ◽  
Yifei Ouyang ◽  
Feifei Huang ◽  
Jiguo Zhang ◽  
Chang Su ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Influencing Factors ◽  
Regression Models ◽  
Cox Regression ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Modifiable Factors ◽  
A Prospective Study ◽  
The Impact

Abstract Little is known about the impact of modifiable risk factors on blood pressure (BP) trajectories and their associations with hypertension (HTN). We aimed to identify BP trajectories in normotensive Chinese adults and explore their influencing factors and associations with HTN. We used data from 3436 adults with at least four BP measurements between 1989 and 2018 in the China Health and Nutrition Survey, an ongoing cohort study. We measured BP using mercury sphygmomanometers with appropriate cuff sizes in all surveys. We used group-based trajectory modelling to identify BP trajectories between 1989 and 2009 and multiple logistic and Cox regression models to analyse their influencing factors and associations with HTN in 2011–2018. We identified five systolic blood pressure (SBP) trajectories, ‘Low-increasing (LI)’, ‘Low–stable (LS)’, ‘Moderate-increasing (MI)’, ‘High-stable (HS)’ and ‘Moderate-decreasing (MD)’, and four diastolic blood pressure (DBP) trajectories classified as ‘Low-increasing (LI)’, ‘Moderate–stable (MS)’, ‘Low-stable (LS)’ and ‘High-increasing (HI)’. People with higher physical activity (PA) levels and lower waist circumferences (WC) were less likely to be in the SBP LI, MI, HS and MD groups (P < 0·05). People with higher fruit and vegetable intakes, lower WCs and salt intakes and higher PA levels were less likely to be in the DBP LI, MS and HI groups (P < 0·05). Participants in the SBP HS group (hazard ratio (HR) 2·01) or the DBP LI, MS and HI groups (HR 1·38, 1·40, 1·71, respectively) had higher risks of HTN (P < 0·05). This study suggests that BP monitoring is necessary to prevent HTN in the Chinese population.

scholarly journals The interactive association of dietary diversity scores and breast-feeding status with weight and length in Filipino infants aged 6–24 months

2015 ◽  
Vol 18 (10) ◽  
pp. 1762-1773 ◽  
Author(s):  
Melecia J Wright ◽  
Margaret E Bentley ◽  
Michelle A Mendez ◽  
Linda S Adair
Keyword(s):  
Energy Intake ◽  
Breast Feeding ◽  
Fixed Effects ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Food Groups ◽  
Nutrition Survey ◽  
Feeding Patterns ◽  
Significant Difference ◽  
Breast Fed

AbstractObjectiveTo assess how breast-feeding and dietary diversity relate to infant length-for-age Z-score (LAZ) and weight-for-age Z-score (WAZ).DesignBreast-feeding, dietary and anthropometric data from the Cebu Longitudinal Health and Nutrition Survey were analysed using sex-stratified fixed-effects longitudinal regression models. A dietary diversity score (DDS) based on seven food groups was classified as low (<4) or high (≥4). The complementary feeding patterns were: (i) non-breast-fed with low DDS (referent); (ii) breast-fed with low DDS; (iii) non-breast-fed with high DDS; and (iv) breast-fed with high DDS (optimal). Interactions between age, energy intake and complementary feeding patterns were included.SettingPhilippines.SubjectsInfants (n 2822) measured bimonthly from 6 to 24 months.ResultsBreast-feeding (regardless of DDS) was significantly associated with higher LAZ (until 24 months) and WAZ (until 20 months). For example, at 6 months, breast-fed boys with low DDS were 0·246 (95 % CI 0·191, 0·302) sd longer and 0·523 (95 % CI 0·451, 0·594) sd heavier than the referent group. There was no significant difference in size between breast-fed infants with high v. low DDS. Similarly, high DDS conferred no advantage in LAZ or WAZ among non-breast-fed infants. There were modest correlations between the 7-point DDS and nutrient intakes but these correlations were substantially attenuated after energy adjustment. We elucidated several interactions between sex, age, energy intake and complementary feeding patterns.ConclusionsThese results demonstrate the importance of prolonged breast-feeding up to 24 months. The DDS provided qualitative information on infant diets but did not confer a significant advantage in LAZ or WAZ.

scholarly journals Can a simple measure of vigorous physical activity predict future mortality? Results from the OXCHECK study

2004 ◽  
Vol 7 (4) ◽  
pp. 557-562 ◽  
Author(s):  
Melvyn Hillsdon ◽  
Margaret Thorogood ◽  
Mike Murphy ◽  
Lesley Jones
Keyword(s):  
Physical Activity ◽  
Cox Regression ◽  
Vigorous Physical Activity ◽  
Previous History ◽  
Self Report ◽  
Moderate Intensity ◽  
Risk Of Death ◽  
All Cause Mortality ◽  
Intensity Physical Activity

AbstractBackground:As epidemiological studies have become more complex, demands for short, easily administered measures of risk factors have increased. This study investigates whether such a measure of physical activity is associated with the risk of death from all causes and death from specific causes.Methods:A prospective follow-up study of 11 090 men and women, aged 35–64 years, recruited from five UK general practices who responded to a postal questionnaire in 1989. Self-reported frequency of vigorous-intensity physical activity and data on confounding factors were collected at baseline survey. Death notifications up to 31 December 2001 were provided by the Office for National Statistics. The relative risk (and 95% confidence interval) of dying associated with each level of exposure to physical activity was estimated by the hazard ratio in a series of Cox regression models.Results:After > 10 years' follow-up there were 825 deaths among the 10 522 subjects with no previous history of angina or myocardial infarction. Participation in vigorous exercise was associated with a significantly lower risk of all-cause mortality. Similar associations were found for ischaemic heart disease and cancer mortality, although the relationships were not significant at the 5% level.Conclusions:Simple measures of self-reported vigorous physical activity are associated with the risk of future mortality, at least all-cause mortality in a somewhat selected group. Interpretation of the finding should be treated with caution due to the reliance on self-report and the possibility that residual confounding may underlie the associations. Because moderate-intensity physical activity is also beneficial to health, short physical activity questionnaires should include measures of such physical activity in the future.

scholarly journals Relationship between systolic blood pressure and all-cause mortality: a prospective study in a cohort of Chinese adults

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Chunsheng Li ◽  
Youren Chen ◽  
Qiongbing Zheng ◽  
Weiqiang Wu ◽  
Zhichao Chen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Prospective Study ◽  
Systolic Blood Pressure ◽  
Chinese Adults ◽  
All Cause Mortality ◽  
A Prospective Study

scholarly journals Dietary Diversity and Self-Reported Memory Deterioration in Chinese Adults: A Prospective Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 95-95
Author(s):  
Jian Zhang ◽  
Ai Zhao ◽  
Chenlu Yang ◽  
Zhongxia Ren ◽  
Wei Wu ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Dietary Diversity ◽  
Multinomial Logistic Regression ◽  
Food Group ◽  
Dietary Guidelines ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
The Past ◽  
Memory Improvement ◽  
Memory Deterioration

Abstract Objectives To investigate the association between dietary diversity and memory deterioration in Chinese adults aged 50 years or older. Methods This study was based on the China Health and Nutrition Survey, a longitudinal study initiated in 1989. Information on general characteristics, lifestyle behaviors, medical history, and dietary intake (by 3-day dietary recall and household food inventory) were collected in each survey round. In the survey 2015, participants were additionally asked “How is your memory?” (very good, good, OK, bad, or very bad) and “In the past twelve months, how has your memory changed?” (improved, stayed the same, or deteriorated). The dietary diversity score (DDS) was developed according to the Chinese Dietary Guidelines and was calculated based on the data collected in the survey 2011. The DDS included eight food groups (cereals and tubers, vegetables, fruits, meat, soybeans and nuts, eggs, aquatic products, and milk and dairy products). If a participant consumed any food from a certain food group in the past 24 hours, then he would get one point for that food group. Average daily DDS scores were calculated. Participants who had been diagnosed with apoplexy and those who were uncertain about their memory status were excluded. Multinomial Logistic regression models were conducted to investigate the association between DDS scores and self-reported memory changes, taking the participants whose memory stayed the same as the reference. In the multivariate analysis, covariates (age, gender, residential region, education, and alcohol consumption) were adjusted. Results Of the 4363 participants included in our analysis, the percentages of participants who thought their memory was OK, bad (bad or very bad), and good (good or very good) were 43.3%, 24.3%, and 32.4%, respectively. 47.3% of the participants reported memory deterioration in the past 12 months, and 1.4% reported memory improvement. The average value of DDS in participants was 4.09 ± 1.13. Multivariate analysis showed that higher DDS (OR = 0.82,95% CI = 0.77∼0.87, P &lt; 0.001) was inversely associated with the risk of memory deterioration. No association between memory improvement and dietary diversity was observed. Conclusions Lower dietary diversity was associated with self-reported memory deterioration in Chinese adults. Funding Sources The authors received no financial support.

scholarly journals Patterns and trends in the intake distribution of manufactured and homemade sugar-sweetened beverages in pre-tax Mexico, 1999–2012

2018 ◽  
Vol 21 (18) ◽  
pp. 3296-3306 ◽  
Author(s):  
Tania C Aburto ◽  
Jennifer M Poti ◽  
Barry M Popkin
Keyword(s):  
Energy Intake ◽  
Economic Status ◽  
Nutrition Transition ◽  
Nutrition Survey ◽  
Sugar Sweetened Beverages ◽  
Dietary Recall ◽  
School Aged Children ◽  
Sweetened Beverages ◽  
Health And Nutrition ◽  
Nationally Representative

AbstractObjectiveTo describe trends across the intake distribution of total, manufactured and homemade sugar-sweetened beverages (SSB) from 1999 to 2012, focusing on high SSB consumers and on changes by socio-economic status (SES) subgroup.DesignWe analysed data from one 24 h dietary recall from two nationally representative surveys. Quantile regression models at the 50th, 75th and 90th percentiles of energy intake distribution of SSB were used.Setting1999 Mexican National Nutrition Survey and 2012 Mexican National Health and Nutrition Survey.ParticipantsSchool-aged children (5–11 years) and women (20–49 years) for trend analyses (n7718). Population aged >1 year for 2012 (n10 096).ResultsOver the 1999–2012 period, there were significant increases in the proportion of total and manufactured SSB consumers (5·7 and 10·7 percentage points), along with an increase in per-consumer SSB energy intake, resulting in significant increases in per-capita total SSB energy intake (142, 247 and 397 kJ/d (34, 59 and 95 kcal/d) in school-aged children and 155, 331 and 456 kJ/d (37, 79 and 109 kcal/d) in women at the 50th, 75th and 90th percentile, respectively). Total and manufactured SSB intakes increased sharply among low-SES children but remained similar among high-SES children during this time span.ConclusionsLarge increases in SSB consumption were seen between 1999 and 2012 during this pre-tax SSB period, particularly for the highest consumers. Trends observed in school-aged children are a clear example of the nutrition transition experienced in Mexico. Policies to discourage high intake of manufactured SSB should continue, joined with strategies to encourage water and low-calorie beverage consumption.

The influence of treatment facility volume on the mortality of multiple myeloma patients.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 284-284
Author(s):  
Ronald S. Go ◽  
Adam C Bartley ◽  
Cynthia S Crowson ◽  
Nilay D. Shah ◽  
Elizabeth B. Habermann ◽  
...  
Keyword(s):  
Cox Regression ◽  
Multivariable Analysis ◽  
Geographic Area ◽  
Cancer Registries ◽  
Treatment Facility ◽  
Cancer Data ◽  
Risk Of Death ◽  
Co Morbidity ◽  
The Us ◽  
All Cause Mortality

284 Background: MM is an uncommon cancer with annual incidence of only 27,000 cases in the US. Our study determined the extent to which the number of MM patients treated annually in a treatment facility affected all-cause mortality. Methods: We used the National Cancer Data Base (NCDB) to identify adult patients with MM diagnosed from 2003-2011. NCDB is sourced from over 1,500 Commission on Cancer-accredited cancer registries representing 70% of cancer cases in the US. We classified treatment facilities by quartiles based on facility volume (mean patients/year): Quartile 1 (Q1: < 3.6), Quartile 2 (Q2: 3.6-6.1), Quartile 3 (Q3: 6.1-10.3) and Quartile 4 (Q4: > 10.3). We used hot deck imputation to account for missing data, Cox regression to analyze the association between facility volume and time-to-death, and random intercepts to adjust for multiple patients per facility. Results: There were 94,722 MM patients cared for at 1,333 facilities. Most patients (73.5%) were diagnosed and treated in the same facility. The median age at diagnosis was 67 years and 54.7% were males. The median annual facility volume was 6.1 patients/year (IQR: 3.6-10.3; range: 0.2-109.9). The distribution of patients according to facility volume was Q1 (5.2%), Q2 (12.6%), Q3 (21.9%) and Q4 (60.3%). The unadjusted median overall survival by facility volume was: Q1: 26.9 months, Q2: 29.1 months, Q3: 31.9 months and Q4: 49.1 months. After multivariable analysis adjusting for demographic (sex, age, race, ethnicity), socioeconomic (income, education, insurance type), geographic (area of residence, treatment facility location), co-morbidity (Charlson-Deyo score), and disease-specific (year of diagnosis) factors, we show that facility volume remains an independent predictor of all-cause mortality. Compared to patients treated at Q4 facilities, patients treated at lower quartile facilities had a higher risk of death (Q3 HR: 1.16 [95% CI, 1.12-1.20]; Q2: 1.21 [1.17-1.26]; Q1: 1.27 [1.22-1.34]). We observed an inverse volume-outcome relationship up to an annual facility volume of approximately 60 patients. Conclusions: MM patients treated at higher volume facilities had lower risk of mortality compared to those treated at lower volume facilities.

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