Major dietary patterns and cardiovascular risk factors among young Brazilian adults.

Major dietary patterns and cardiovascular risk factors among young Brazilian adults.
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DOI:
10.1007/s00394-011-0213-4
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发表时间:
2012-04
影响因子:
5
通讯作者:
Willett W
Willett W
中科院分区:
医学2区
文献类型:
--
作者:
Olinto MT;Gigante DP;Horta B;Silveira V;Oliveira I;Willett W

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饮食是心血管疾病最重要的可改变的危险因素之一。科学文献一直表明某些饮食对健康的影响;然而,鉴于世界各地的文化和饮食习惯的多样性,关于饮食模式和健康结果可能还有很多东西需要了解。我们在一项横断面分析中评估了4,202名巴西年轻人的主要饮食模式与心血管危险因素之间的关系。在主成分分析中,确定了两种主要的饮食模式:常见的巴西食品和加工食品。作为结果,我们检查了体重指数(BMI)、腰围(WC)、收缩压(SBP)、舒张压(DBP)、总胆固醇、高密度脂蛋白胆固醇(HDL-c)和低密度脂蛋白胆固醇(LDL-c)。根据饮食模式的五分位数估计平均值、粗值和调整后的β系数以及95%CI。在男性中,巴西人的常见评分与BMI、WC、LDL-c、HDL-c和总胆固醇值呈负相关。在女性中,SBP、DBP、LDL-c、HDL-c和总胆固醇呈负相关趋势。在男性中,加工食品模式与LDL-c、HDL-c、总胆固醇、BMI和WC值呈正相关。在这些女性中,加工食品模式与心血管风险因素没有显着相关性。总之,我们的研究结果证实,饮食对成年早期的健康有重要作用。常见的巴西模式显示了关于CVD风险因素的总体健康趋势,但由于与HDL-c水平呈负相关,因此对疾病风险的最终影响尚不清楚。
Diet is one of the most important modifiable risk factors for cardiovascular diseases. The scientific literature has consistently shown the effects of certain diets on health; however, given the variety of cultures and dietary habits across the world, it is likely that much remains to be learned about dietary patterns and health outcomes. We assessed the associations between main dietary patterns and cardiovascular risk factors among 4,202 young Brazilian adults in a cross-sectional analysis. In a principle components analysis, two main dietary patterns were identified: common Brazilian and processed food. As outcomes, we examined body mass index (BMI), waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, HDL cholesterol (HDL-c), and LDL cholesterol (LDL-c). Means, crude, and adjusted β coefficients and 95% CIs were estimated according to quintiles of dietary patterns. Common Brazilian scores were inversely associated with BMI, WC, LDL-c, HDL-c, and total cholesterol values among men. Among women, inverse association trends were observed with SBP, DBP, LDL-c, HDL-c, and total cholesterol. The processed food pattern was positively associated with LDL-c, HDL-c, total cholesterol, BMI, and WC values among the men. Among the women, the processed food pattern was not significantly associated with cardiovascular risk factors. In conclusion, our findings confirm that diet has an important role on health during early adulthood. The common Brazilian pattern showed generally healthier trends regarding CVD risk factors, but the ultimate effects on risk of risk of disease are unclear because of the inverse relation with HDL-c levels.
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