Dietary patterns and abdominal obesity in middle-aged and elderly Japanese adults: Waseda Alumni's Sports, Exercise, Daily Activity, Sedentariness and Health Study (WASEDA'S Health Study)

Dietary patterns and abdominal obesity in middle-aged and elderly Japanese adults: Waseda Alumni's Sports, Exercise, Daily Activity, Sedentariness and Health Study (WASEDA'S Health Study)
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DOI:
10.1016/j.nut.2018.05.029
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发表时间:
2019-02-01
期刊:
影响因子:
4.4
通讯作者:
Higuchi, Mitsuru
Higuchi, Mitsuru
中科院分区:
医学3区
文献类型:
--
作者:
Ito, Tomoko;Kawakami, Ryoko;Higuchi, Mitsuru

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目的:本研究以日本中老年人为研究对象,以腰围(WC)和内脏脂肪(VF)为指标,探讨饮食结构与腹型肥胖的关系。对829名成年人进行了横断面研究(534名男性和295名女性),40至79岁,参加早稻田校友的运动,锻炼,日常活动,久坐与健康研究(WASEDA的健康研究)。膳食模式来自主成分分析。使用磁共振成像测量VF。为了研究每个饮食模式与WC和VF的关联,我们计算了每个饮食模式得分的三分位数的WC和VF的多变量调整均值和95%置信区间(CI)。“健康的日本饮食模式评分仅与男性的WC和VF呈负相关。WC测量值为84.9 cm(95% CI,83.7-86.1),83.9 cm(95% CI,82.7-85.1)和82.4 cm(95% CI,81.2-83.6); P趋势= 0.006,VF测量值为94.0 cm(2)(95% CI,85.6-102.4)、89.4 cm(2)(95% CI,81.1-97.7)和80.4 cm(2)(95% CI,72.5-88.4);男性健康日本饮食模式评分的最低至最高三分位数的P趋势= 0.027。海鲜和酒精的饮食模式与WC和VF。结论:健康的日本饮食模式与WC和VF在中年和老年人的日本男性呈负相关。(C)2018作者(S)爱思唯尔公司出版
Objective: The aim of this study was to investigate the associations between dietary patterns and abdominal obesity among middle-aged and elderly Japanese people, using both waist circumference (WC) and visceral fat (VF) as indices.Methods: A cross-sectional study was conducted with 829 adults (534 men and 295 women), 40 to 79 y of age, who participated in the Waseda Alumni's Sports, Exercise, Daily Activity, Sedentariness and Health Study (WASEDA'S Health Study). Dietary patterns were derived from principal component analysis. VF was measured using magnetic resonance imaging. To examine the associations of each dietary pattern with WC and VF, we calculated multivariate-adjusted means and 95% confidence intervals (CIs) of WC and VF for the tertile of each dietary pattern score.Results: Two main dietary patterns were identified: "healthy Japanese" and "seafood and alcohol." The healthy Japanese dietary pattern score was inversely associated with WC and VF in men only. WC measurements were 84.9 cm (95% CI, 83.7-86.1), 83.9 cm (95% CI, 82.7-85.1), and 82.4 cm (95% CI, 81.2-83.6); P-trend = 0.006, and VF measurements were 94.0 cm(2) (95% CI, 85.6-102.4), 89.4 cm(2) (95% CI, 81.1-97.7), and 80.4 cm(2) (95% CI, 72.5-88.4); P-trend = 0.027 for the lowest through the highest tertile of healthy Japanese dietary pattern scores in men. The seafood and alcohol dietary pattern was not associated with WC and VF.Conclusion: The healthy Japanese dietary pattern was negatively associated with WC and VF in middle-aged and elderly Japanese men. (C) 2018 The Author(s). Published by Elsevier Inc.