Dietary patterns are associated with cardiometabolic risk factors in a representative study population of German adults
Dietary patterns are associated with cardiometabolic risk factors in a representative study population of German adults
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DOI：
10.1017/s0007114511001504
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发表时间：
2011-10-01
影响因子：
3.6
通讯作者：
Mensink, Gert B. M.
中科院分区：
文献类型：
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作者：
Heidemann, Christin;Scheidt-Nave, Christa;Mensink, Gert B. M.
调查普通人群复杂的实际饮食行为及其与心脏代谢风险标志物的关系的研究很少。我们的目的是确定一个具有全国代表性的样本4025德国成年人的饮食模式的因素分析的基础上验证的饮食史访谈。此外，我们通过logistic回归模型和ANCOVA评估了衍生的饮食模式与代谢综合征和相关代谢标志物中异常聚集的相关性。对“加工食品”模式的高度坚持反映了精制谷物，加工肉类，红肉，高糖饮料，鸡蛋，土豆，啤酒，糖果和蛋糕，零食和黄油的高摄入量，而对“健康意识”模式的高度坚持则代表了蔬菜，植物油，豆类，水果，鱼类和全谷物的高摄入量。与加工食品模式中最低五分之一的受试者相比，腹部肥胖的发生率为88（95% CI 31，169）%升高，高血压为34（95% CI-1，86）%升高，高甘油三酯血症为59当校正年龄、性别、能量摄入、社会经济状况、体育活动和吸烟时，代谢综合征的发生率高64（95% CI 10，143）%。此外，最高五分位数的受试者具有统计学显著性较高的尿酸浓度和较低的叶酸浓度（P趋势
Studies that investigated complex actual eating behaviours of the general population and their relation to cardiometabolic risk markers are sparse. We aimed to identify dietary patterns within a nationally representative sample of 4025 German adults by factor analysis based on validated dietary history interviews. Furthermore, we evaluated associations of the derived dietary patterns with abnormalities clustered within the metabolic syndrome and related metabolic markers by logistic regression models and ANCOVA. A high adherence to the 'processed foods' pattern reflected a high intake of refined grains, processed meat, red meat, high-sugar beverages, eggs, potatoes, beer, sweets and cakes, snacks and butter, whereas a high adherence to the 'health-conscious' pattern represented a high intake of vegetables, vegetable oils, legumes, fruits, fish and whole grains. For subjects in the highest compared with those in the lowest quintile of the processed foods pattern, the occurrence of abdominal obesity was 88 (95% CI 31, 169)% higher, hypertension was 34 (95% CI -1, 86)% higher, hypertriacylglycerolaemia was 59 (95% CI 11, 128)% higher and the metabolic syndrome was 64 (95% CI 10, 143)% higher when adjusted for age, sex, energy intake, socio-economic status, sport activity and smoking. Furthermore, subjects in the highest quintile had statistically significantly higher uric acid concentrations and lower folate concentrations (P for trend