Associations of dietary intake with cardiometabolic risk in a multi-ethnic cohort: a longitudinal analysis of the Determinants of Adolescence, now young Adults, Social well-being and Health (DASH) study
Associations of dietary intake with cardiometabolic risk in a multi-ethnic cohort: a longitudinal analysis of the Determinants of Adolescence, now young Adults, Social well-being and Health (DASH) study
复制标题
DOI：
10.1017/s0007114519000291
复制
发表时间：
2019-05-14
影响因子：
3.6
通讯作者：
Harding, Seeromanie
中科院分区：
文献类型：
--
作者：
Goff, Louise M.;Huang, Peiyuan;Harding, Seeromanie
不良的饮食习惯，如不吃早餐，在少数民族儿童中很常见，可能导致心脏代谢疾病的不平等。我们对英国青少年社会幸福和健康队列的多种族决定因素的子样本进行了纵向随访，该队列代表了英国的主要种族群体，现在年龄为21-23岁。我们的目的是描述饮食摄入的纵向模式，并调查其对青年人心脏代谢风险的影响。参与者完成了饮食行为问卷和24小时饮食摄入回忆;测量人体测量，血压，总胆固醇和HDL-胆固醇和HbA 1c。队列包括107名白色英国人、102名加勒比黑人、132名非洲黑人、98名印度人、111名孟加拉国人/巴基斯坦人和115名其他/混合种族。不健康的饮食行为，如不吃早餐和水果和蔬菜摄入量少是常见的（分别为56%，57%和63%）。不吃早餐和水果蔬菜消费量低的比例在非洲黑人和加勒比黑人参与者中最高。在11-13岁经常不吃早餐的人中，21-23岁的BMI和胆固醇水平较高（BMI 141（95% CI 057，226），P=0001;胆固醇015（95% CI-001，031），P=0063）和21-23岁（BMI 105（95% CI 022，189），P=0014;胆固醇022（95% CI 006，037），P=0007）。儿童不吃早餐在某些种族群体中更常见，并与年轻人的心脏代谢危险因素有关。我们的研究结果强调了针对性干预措施的重要性，以改善特定人群的饮食行为，如早餐消费。
Unfavourable dietary habits, such as skipping breakfast, are common among ethnic minority children and may contribute to inequalities in cardiometabolic disease. We conducted a longitudinal follow-up of a subsample of the UK multi-ethnic Determinants of Adolescent Social well-being and Health cohort, which represents the main UK ethnic groups and is now aged 21-23 years. We aimed to describe longitudinal patterns of dietary intake and investigate their impact on cardiometabolic risk in young adulthood. Participants completed a dietary behaviour questionnaire and a 24 h dietary intake recall; anthropometry, blood pressure, total cholesterol and HDL-cholesterol and HbA1c were measured. The cohort consisted of 107 White British, 102 Black Caribbean, 132 Black African, 98 Indian, 111 Bangladeshi/Pakistani and 115 other/mixed ethnicity. Unhealthful dietary behaviours such as skipping breakfast and low intake of fruits and vegetables were common (56, 57 and 63 %, respectively). Rates of skipping breakfast and low fruit and vegetable consumption were highest among Black African and Black Caribbean participants. BMI and cholesterol levels at 21-23 years were higher among those who regularly skipped breakfast at 11-13 years (BMI 141 (95 % CI 057, 226), P=0001; cholesterol 015 (95 % CI -001, 031), P=0063) and at 21-23 years (BMI 105 (95 % CI 022, 189), P=0014; cholesterol 022 (95 % CI 006, 037), P=0007). Childhood breakfast skipping is more common in certain ethnic groups and is associated with cardiometabolic risk factors in young adulthood. Our findings highlight the importance of targeting interventions to improve dietary behaviours such as breakfast consumption at specific population groups.