scholarly journals A Dietary Pattern Derived by Reduced Rank Regression is Associated with Type 2 Diabetes in An Urban Ghanaian Population

Nutrients ◽  
2015 ◽  
Vol 7 (7) ◽  
pp. 5497-5514 ◽  
Author(s):  
Laura Frank ◽  
Franziska Jannasch ◽  
Janine Kröger ◽  
George Bedu-Addo ◽  
Frank Mockenhaupt ◽  
...  
Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Ivonne Sluijs ◽  
Joline W Beulens ◽  
Daphne L van der A ◽  
Annemieke M Spijkerman ◽  
Matthias B Schulze ◽  
...  

Background: Current evidence suggests a positive relation of uric acid with diabetes risk, but it is still unclear whether this association is independent of other risk factors such as obesity and diet. Objective: To investigate whether plasma uric acid concentrations are independently associated with incident type 2 diabetes, and to investigate the role of a uric acid related dietary pattern in this association. Methods: We used a case-cohort study, nested in the European Prospective Investigation into Cancer and Nutrition - Netherlands (EPIC-NL) study. The study included 2318 subcohort members and 845 incident diabetes cases, with a mean follow-up of 10 years. At baseline, blood samples were taken and diet was assessed using a validated food frequency questionnaire. A dietary pattern was obtained with reduced rank regression. Diabetes was mainly self-reported, and verified against general practitioner records. Results: Mean plasma uric acid concentrations were 275 and 217 µmol/L for males and females respectively. After adjustment for age, sex, measures of adiposity, hypertension, biochemical markers and other confounders, uric acid related to a statistically significant higher risk of diabetes (HR 1.59 [95%CI: 1.06, 2.40]). A uric acid related dietary pattern (high: alcohol, meat , French fries, sugared soft drinks, snacks, low-fibre bread, low: soy products, tea) did not influence the relation. Conclusions: This study supports that high uric acid concentrations increase risk of diabetes, independent of risk factors such as obesity and diet.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 464-464
Author(s):  
Peng Zhao ◽  
Yemian Li ◽  
Jingxian Wang ◽  
Yuhui Yang ◽  
Danmeng Liu ◽  
...  

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 < 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 < 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.


2020 ◽  
Author(s):  
Ngan Thi Kim Nguyen ◽  
Hsien-Yu Fan ◽  
Shih-Yi Huang ◽  
Jia-Woei Hou ◽  
Chen Yang ◽  
...  

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.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Archana P Lamichhane ◽  
Angela D Liese ◽  
Elaine M Urbina ◽  
Jamie L Crandell ◽  
Lindsay M Jaacks ◽  
...  

Introduction: Youth with type 1 diabetes (T1DM) are at substantially increased risk for adverse vascular outcomes, but little is known about the influence of dietary behavior on cardiovascular disease (CVD) risk profile and outcomes. Objective: We applied reduced rank regression (RRR) to identify a specific dietary pattern that explained the maximum amount of variation in CVD risk factors, and was strongly associated with markers of arterial stiffness (AS) in a cohort of youth with T1DM. Methods: Baseline diet data from a food frequency questionnaire and CVD risk factors (triglycerides, LDL-cholesterol, systolic blood pressure, hemoglobin A1c, C-reactive protein and waist circumference) were available for 1,153 youth aged ≥10 years with T1DM from the SEARCH for Diabetes in Youth Study. Dietary intake patterns were identified using 33 food-groups as predictors and six CVD risk factors as responses in an RRR analysis. AS outcomes were measured on average 18.9±7.1 months after the baseline diet assessment and were available only in a subset of participants from the SEARCH CVD pilot study. Associations between the RRR-derived dietary pattern explaining the maximum variation in CVD risk factors and AS measures [augmentation index(AIx75),n=229; pulse wave velocity(PWV),n=237; and brachial distensibility(BrachD),n=228] were then assessed using linear regression. Results: The RRR-derived pattern of interest was characterized by high intakes of sugar-sweetened beverages (SSB) and diet soda, eggs, potatoes and high-fat meats, and low intakes of sweets/desserts and low-fat dairy; major contributors were SSB and diet soda. This pattern captured the largest variability in the adverse CVD risk profile and was subsequently positively associated with AIx75 in the final model (β=0.47; p<0.01). The mean difference in AIx75 concentration between the highest and the lowest dietary pattern quartiles was 4.3% in fully adjusted model. Associations of the dietary pattern with the other measures of AS, PWV and BrachD, were attenuated and became non-significant after adjustment for potential confounders. Conclusions: Intervention strategies to reduce consumption of unhealthful foods and beverages among youth with T1DM may significantly improve CVD risk profile and ultimately reduce the risk for AS. Future studies with larger samples are needed to explore the associations between the derived dietary pattern and other measures of AS (PWV and BrachD), which can provide further insights into possible pathways linking diet to AS in this high risk population.


2016 ◽  
Vol 115 (12) ◽  
pp. 2145-2153 ◽  
Author(s):  
Esther Vermeulen ◽  
Karien Stronks ◽  
Marjolein Visser ◽  
Ingeborg A. Brouwer ◽  
Aart H. Schene ◽  
...  

AbstractThis study aimed to identify dietary patterns using reduced rank regression (RRR) and to explore their associations with depressive symptoms over 9 years in the Invecchiare in Chianti study. At baseline, 1362 participants (55·4 % women) aged 18–102 years (mean age 68 (sd 15·5) years) were included in the study. Baseline data collection started in 1998 and was repeated after 3, 6 and 9 years. Dietary intake information was obtained using a country-specific, validated FFQ with 188 food items. For baseline diet, dietary pattern scores in quartiles (Q) were derived using RRR with the nutrients EPA+DHA, folate, Mg and Zn as response variables. Continuous depression scores from the Centre for Epidemiologic Studies Depression (CES-D) scale were used for assessing depressive symptoms. The derived dietary pattern was rich in vegetables, olive oil, grains, fruit, fish and moderate in wine and red and processed meat, and was labelled as ‘typical Tuscan dietary pattern’. After full adjustment, an inverse association was observed between this dietary pattern and depressive symptoms at baseline (Q1 v. Q4, B −2·77; 95 % CI −4·55, −0·98). When examining the relationship between the above-mentioned dietary pattern at baseline and depressive symptoms over 9 years, a similar association was found after full adjustment for confounding factors (Q1 v. Q4, B −1·78; 95 % CI −3·17, −0·38). A diet rich in vegetables, olive oil, grains, fruits, fish and moderate in wine and red and processed meat was consistently associated with lower CES-D scores over a 9-year period in the Tuscan population.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1044-1044
Author(s):  
Jiyoung Hwang ◽  
Dayeon Shin ◽  
Hyesook Kim ◽  
Oran Kwon

Abstract Objectives This study aims to identify the associations between maternal dietary patterns and the risks of low birth weight (≤ 10th percentile). Methods A total of 1,751 mothers and their newborns recruited for the Mothers and Children's Environmental Health cohort study between 2006 and 2010. A semiquantitative FFQ for nutrient intakes was collected and dietary patterns were derived using Reduced Rank Regression (RRR). A total of 138 food items were categorized into 40 pre-defined food groups. In this study, log transformed maternal intakes of folate, iron, and zinc were selected as the intermediate response variables based on the associations with birth weight. Associations were assessed by logistic regression with adjustment for confounding factors. Results All of energy and nutrient intakes of dietary pattern 1, characterized by high intakes of grain, green/yellow, and light-colored vegetables, legumes, fruits, red meat, poultry, eggs, fishes, seaweeds, tofu/soymilk, yogurt, and nuts significantly increased as the from quartile one to quartile four. Biochemical marker levels such as triglyceride, C-reactive protein, and malondialdehyde levels were significantly decreased from quartile one to quartile four in pattern 1. Pregnant women, who adhered to pattern 1 had a lower risk of low weight at birth in the highest quartile compared to the lowest quartile (adjusted odds ratio 0.35, 95% confidence interval 0.32–0.95). No association was observed for pattern 2(green/yellow vegetables, light-colored vegetables, kimchi, and seaweeds) and 3(grains, milk, and yogurt) with low weight at birth. Conclusions Mothers who practiced good nutrition such as various food groups were likely to have a lower risk of low weight at birth. This study was the first to use a birth cohort to investigate the association between maternal dietary pattern and low weight at birth using RRR method, which highlights the important role of whole foods or quality of nutrients during pregnancy. Funding Sources This research was supported by the BK21 FOUR (Fostering Outstanding Universities for Research) funded by the Ministry of Education(MOE, Korea) and National Research Foundation of Korea(NRF).


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