Dietary patterns and the prevalence of metabolic syndrome in Korean women
Dietary patterns and the prevalence of metabolic syndrome in Korean women
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DOI：
10.1016/j.numecd.2010.02.018
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发表时间：
2011-11-01
影响因子：
3.9
通讯作者：
Shin, A.
中科院分区：
文献类型：
--
作者：
Cho, Y. A.;Kim, J.;Shin, A.
背景和目的：饮食模式在亚洲女性代谢综合征中的作用尚未得到充分的研究。我们的目的是确定饮食模式，并评估饮食模式与韩国女性代谢综合征患病率之间的横断面关系。方法与结果：对4984名年龄在30-79岁之间的女性进行了一项横断面研究，采用因子分析方法获得了16种食物组的饮食模式。代谢综合征是根据国家胆固醇教育计划（ATPIII NCEP）的成人治疗小组III标准定义的，使用改良的肥胖指数有三个或更多的危险因素。采用Logistic回归估计饮食模式与代谢综合征患病率之间的关系。确定了三种饮食模式（西方、健康和传统）。健康模式的高摄入量与代谢综合征（最高四分位数vs最低四分位数OR [95% CI]: 0.58[0.50-0.91]；趋势P = 0.012）和代谢综合征的大多数成分呈负相关。在绝经状态的分层分析中，健康饮食模式与代谢综合征的负相关仅在绝经后妇女中具有统计学意义（最高四分位数vs最低四分位数OR [95% CI]: 0.60[0.40-0.86]；趋势P = 0.004）。西方和传统饮食模式与代谢综合征没有相关性，但与代谢综合征的一些个体危险因素有关。结论：这些结果表明，健康的饮食模式与韩国妇女，特别是绝经后妇女代谢综合征的风险降低有关。(C) 2010 Elsevier B.V.版权所有
Background and aims: The role of dietary patterns in metabolic syndrome has not been adequately investigated in Asian women. We aimed to identify dietary patterns and to evaluate the cross-sectional relationship between dietary patterns and the prevalence of metabolic syndrome in Korean women.Methods and results: In a cross-sectional study of 4984 women aged 30-79 years, dietary patterns were derived from 16 food groups using factor analysis. Metabolic syndrome was defined based on the Adult Treatment Panel III of the National Cholesterol Education Program (ATPIII NCEP) criteria as having three or more risk factors using a modified obesity index. Logistic regression was used to estimate the association between dietary pattern and the prevalence of metabolic syndrome. Three dietary patterns (Western, healthy and traditional) were identified. Higher consumption of the healthy pattern was inversely associated with metabolic syndrome (OR [95% CI] for highest vs. lowest quartile: 0.58 [0.50-0.91]; P for trend = 0.012) and most components of metabolic syndrome. In a stratified analysis by menopausal status, the inverse association of the healthy dietary pattern and metabolic syndrome was statistically significant only among postmenopausal women (OR [95% CI] for highest vs. lowest quartile: 0.60 [0.40-0.86]; P for trend = 0.004). The Western and traditional patterns showed no association with metabolic syndrome, but were related to some individual risk factors for metabolic syndrome.Conclusions: These results suggest that the healthy dietary pattern is associated with a reduced risk for metabolic syndrome in Korean women, particularly in postmenopausal women. (C) 2010 Elsevier B.V. All rights reserved.