Specific Dietary Protein Sources Are Associated with Cardiometabolic Risk Factors in the Boston Puerto Rican Health Study.

Specific Dietary Protein Sources Are Associated with Cardiometabolic Risk Factors in the Boston Puerto Rican Health Study.
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DOI:
10.1016/j.jand.2021.05.020
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发表时间:
2022-03
影响因子:
4.8
通讯作者:
Mattei J
Mattei J
中科院分区:
医学2区
文献类型:
--
作者:
Riseberg E;Lopez-Cepero A;Mangano KM;Tucker KL;Mattei J

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居住在美国大陆的波多黎各成年人经历代谢综合征(MetS)的高患病率。含有健康蛋白质丰富来源的饮食可能有助于控制包括MetS的风险因素。本研究旨在评估各种富含蛋白质的食物摄入量与六种MetS组分变化之间的2年纵向关联。这是一项纵向队列研究的次要分析,使用波士顿波多黎各健康研究的基线(2004-2007)和2年随访访视(2006-2011)数据。参与者/设置:参与者是自称波多黎各人,年龄45-75岁,居住在波士顿,马萨诸塞州或周边地区(n=1126)。MetS组分包括空腹血糖、HDL胆固醇、甘油三酯、收缩压和舒张压以及腰围。在半定量食物频率问卷中报告的食物基线摄入量以每天的份数表示,富含蛋白质的食物分为:未加工的白色肉、未加工的红肉、加工肉类、牛奶和酸奶、奶酪、鱼和海鲜、豆类、坚果和鸡蛋。每个连续的蛋白质食物组和连续2年的MetS组分的变化之间的关联进行了评估,使用线性混合模型调整社会经济和行为因素,以及其他饮食来源。总蛋白质摄入量的最大贡献者是未加工的红肉(13.3%)和未加工的家禽(13.0%),最低的是鸡蛋(2.92%)和坚果(0.91%)。加工肉类的摄入量增加与腰围增加有关(β=1.28; SE=0.63),而鱼类和海鲜的摄入量增加与腰围减少有关(β=-3.47; SE=1.39)。未加工家禽的摄入与甘油三酯的降低有关(β=−24.5; SE=9.13)。没有其他显着的关联之间的蛋白质来源和两年的变化MetS组件。在美国本土的波多黎各人中,少吃加工肉类,多吃鱼类、海鲜和未加工的家禽与腰围和甘油三酯的减少有关。其他膳食蛋白质来源与心脏代谢健康无关。
Puerto Rican adults residing in the US mainland experience a high prevalence of metabolic syndrome (MetS). A diet containing healthy protein-rich sources may help control risk factors comprising MetS. This study aimed to evaluate 2-year longitudinal associations between intake of various protein-rich foods and changes in the six MetS components. This is a secondary analysis of a longitudinal cohort study using data from the baseline (2004–2007) and 2-year follow-up visits (2006–2011) in the Boston Puerto Rican Health Study. Participants/setting: Participants were self-identified Puerto Ricans, aged 45–75 y, residing in Boston, Massachusetts or the surrounding area (n=1126). MetS components were fasting glucose, HDL cholesterol, triglycerides, systolic and diastolic blood pressures, and waist circumference. Baseline intake of foods reported in a semi-quantitative food frequency questionnaire were expressed as servings/day, and protein-rich foods were categorized as: unprocessed white meat, unprocessed red meat, processed meat, milk and yogurt, cheese, fish and seafood, beans, nuts, and eggs. Associations between each continuous protein food group and continuous 2-year change in MetS components were assessed using linear mixed models adjusted for socioeconomic and behavioral factors, and other dietary sources. The top contributors to total protein intake were unprocessed red meat (13.3%) and unprocessed poultry (13.0%), and the lowest were eggs (2.92%) and nuts (0.91%). Higher intake of processed meats was associated with an increase in waist circumference over 2 years (β=1.28; SE=0.63), whereas higher intake of fish and seafood was associated with a decrease in waist circumference (β=−3.47; SE=1.39). Intake of unprocessed poultry was associated with a decrease in triglycerides (β=−24.5; SE=9.13). No other significant associations were observed between protein sources and two-year changes in MetS components. Consuming less processed meat and more fish and seafood and unprocessed poultry was associated with decreases in waist circumference and triglycerides among US mainland Puerto Ricans. Other dietary protein sources were not related to cardiometabolic health.
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