Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake.
Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake.
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DOI：
10.1017/s1368980021003530
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发表时间：
2021-12
影响因子：
3.2
通讯作者：
Tao MH
中科院分区：
文献类型：
--
作者：
Liu J;Fulda KG;Tao MH
与其他种族相比，美国的西班牙裔成年人代谢综合征 (MetS) 的患病率往往不成比例。我们研究了西班牙裔人的水果摄入量是否介导文化适应与 MetS 及其组成部分之间的关联。本研究使用了 2009-2016 年国家健康和营养检查调查 (NHANES) 的数据。本次分析共纳入了 2,078 名年龄 ≥ 20 岁的西班牙裔人。使用多变量调整逻辑结构方程模型和自举法，通过估计从文化适应到 MetS 的间接（IE）和直接（DE）效应，评估水果总摄入量的中介作用。在西班牙裔成年人中，高文化适应与 MetS（调整后比值比 (OR) = 1.20，95% CI，1.04，1.39）、中心性肥胖（OR = 1.24，95% CI，1.07，1.44）和高血压（OR = 1.16，95% CI，1.02，1.32）的几率增加相关。水果总摄入量部分介导了文化适应与 MetS（ORIE = 1.02，95% CI = 1.00，1.03）和中心性肥胖（ORIE = 1.02，95% CI，1.00，1.03）之间的关联，而完全介导了文化适应与高血压之间的关联（ORIE = 1.03，95% CI，1.01， 1.06）。此外，总水果摄入量完全介导了墨西哥裔美国人的文化适应-MetS 关联（ORIE = 1.02，95% CI，1.00，1.05）。我们的研究结果表明，增加水果消费可能会减少高文化适应对西班牙裔成年人 MetS 发展的影响。需要进一步的研究来证实这些发现。
Hispanic adults in the U.S. tend to have a disproportionate prevalence of metabolic syndrome (MetS) as compared to other races. We examined whether the association between acculturation and MetS and its components are mediated by the intake of fruit in Hispanics. Data from the National Health and Nutrition Examination Surveys (NHANES) 2009-2016 were used in this study. A total of 2,078 Hispanics aged ≥ 20 years were included in this analysis. The mediating role of total fruit intake was assessed using multivariable-adjusted logistic structural equation models with the bootstrapping method by estimating indirect (IE) and direct (DE) effects from acculturation to MetS. High acculturation was associated with increased odds of MetS (adjusted odds ratio (OR) =1.20, 95% CI, 1.04, 1.39), central obesity (OR= 1.24, 95% CI, 1.07, 1.44) and high blood pressure (OR=1.16, 95% CI, 1.02, 1.32) among Hispanic adults. Total fruits intake partially mediated the associations of acculturation with MetS (ORIE = 1.02, 95% CI = 1.00, 1.03) and central obesity (ORIE = 1.02, 95% CI, 1.00, 1.03), whereas fully mediated the association between acculturation and high blood pressure (ORIE = 1.03, 95% CI, 1.01, 1.06). Moreover, intake of total fruits fully mediated the acculturation-MetS association among Mexican Americans (ORIE = 1.02, 95% CI, 1.00, 1.05). Our findings suggested that increasing fruit consumption may reduce the impact of high acculturation on MetS development in Hispanic adults. Further studies are needed to confirm these findings.