A cross-sectional investigation of regional patterns of diet and cardio-metabolic risk in India.
A cross-sectional investigation of regional patterns of diet and cardio-metabolic risk in India.
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DOI：
10.1186/1475-2891-10-12
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发表时间：
2011-01-28
影响因子：
5.4
通讯作者：
Sinha R
中科院分区：
文献类型：
--
作者：
Daniel CR;Prabhakaran D;Kapur K;Graubard BI;Devasenapathy N;Ramakrishnan L;George PS;Shetty H;Ferrucci LM;Yurgalevitch S;Chatterjee N;Reddy KS;Rastogi T;Gupta PC;Mathew A;Sinha R
饮食在印度迅速发展的慢性病流行中的作用尚不清楚;此外，南北地区的饮食可能差异很大。印度健康研究是一项多中心研究，研究对象为35-69岁的男性和女性，他们提供了饮食、生活方式和病史，以及血压、空腹血、尿和人体测量。在每个地区（德里，n = 824;孟买，n = 743;特里凡得琅，n = 2,247），我们确定了两种饮食模式的因素分析。在调整了年龄、性别、教育、收入、婚姻状况、宗教、体育活动、烟草、酒精和总能量摄入的多元逻辑回归模型中，我们调查了区域饮食模式与腹部肥胖、高血压、糖尿病和血脂异常之间的关系。在这些地区，超过80%的参与者符合腹部肥胖的标准，10%至28%的参与者被认为是糖尿病患者。在德里，“水果和奶制品”饮食模式与腹部肥胖[最高与最低三分位数，多变量调整OR和95%CI：2.32（1.03-5.23）; Ptrend = 0.008]和高血压[2.20（1.47-3.31）; Ptrend < 0.0001]呈正相关。在特里凡得琅，“豆类和米饭”模式与糖尿病呈负相关[0.70（0.51-0.95）; Ptrend = 0.03]，“零食和甜食”模式与腹部肥胖呈正相关[2.05（1.34-3.14）; Ptrend = 0.03]。在孟买，“水果和蔬菜”模式与高血压呈负相关[0.63（0.40-0.99）; Ptrend = 0.05]，“零食和肉类”模式似乎与腹部肥胖呈正相关。高代谢危险因素在该人群中非常普遍。在所有地区，我们几乎没有发现西方饮食的证据;然而，以动物产品，油炸小吃或糖果为特征的饮食模式似乎与腹部肥胖呈正相关。相反，南部地区更传统的饮食与糖尿病和高血压呈负相关。需要继续调查饮食以及其他环境和生物因素，以更好地了解这一人群的风险状况和潜在的预防手段。
The role of diet in India's rapidly progressing chronic disease epidemic is unclear; moreover, diet may vary considerably across North-South regions. The India Health Study was a multicenter study of men and women aged 35-69, who provided diet, lifestyle, and medical histories, as well as blood pressure, fasting blood, urine, and anthropometric measurements. In each region (Delhi, n = 824; Mumbai, n = 743; Trivandrum, n = 2,247), we identified two dietary patterns with factor analysis. In multiple logistic regression models adjusted for age, gender, education, income, marital status, religion, physical activity, tobacco, alcohol, and total energy intake, we investigated associations between regional dietary patterns and abdominal adiposity, hypertension, diabetes, and dyslipidemia. Across the regions, more than 80% of the participants met the criteria for abdominal adiposity and 10 to 28% of participants were considered diabetic. In Delhi, the "fruit and dairy" dietary pattern was positively associated with abdominal adiposity [highest versus lowest tertile, multivariate-adjusted OR and 95% CI: 2.32 (1.03-5.23); Ptrend = 0.008] and hypertension [2.20 (1.47-3.31); Ptrend < 0.0001]. In Trivandrum, the "pulses and rice" pattern was inversely related to diabetes [0.70 (0.51-0.95); Ptrend = 0.03] and the "snacks and sweets" pattern was positively associated with abdominal adiposity [2.05 (1.34-3.14); Ptrend = 0.03]. In Mumbai, the "fruit and vegetable" pattern was inversely associated with hypertension [0.63 (0.40-0.99); Ptrend = 0.05] and the "snack and meat" pattern appeared to be positively associated with abdominal adiposity. Cardio-metabolic risk factors were highly prevalent in this population. Across all regions, we found little evidence of a Westernized diet; however, dietary patterns characterized by animal products, fried snacks, or sweets appeared to be positively associated with abdominal adiposity. Conversely, more traditional diets in the Southern regions were inversely related to diabetes and hypertension. Continued investigation of diet, as well as other environmental and biological factors, will be needed to better understand the risk profile in this population and potential means of prevention.
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DOI：
10.1111/j.1559-4564.2007.07392.x
发表时间：
2007-01-01
期刊：
Journal of the cardiometabolic syndrome
影响因子：
--
作者：
Enas, Enas A;Mohan, Vishwanathan;Chennikkara, Hancy
通讯作者：
Chennikkara, Hancy
影响因子：
1.9
作者：
Gupta, Shruti;Bains, Kiran
通讯作者：
Bains, Kiran
影响因子：
37.8
作者：
Grundy, SM;Becker, D;Jehle, AJ
通讯作者：
Jehle, AJ
影响因子：
7.1
作者：
Flood, Andrew;Rastogi, Tanuja;Schatzkin, Arthur
通讯作者：
Schatzkin, Arthur
影响因子：
4.2
作者：
Griffiths, PL;Bentley, ME
通讯作者：
Bentley, ME