Association between dietary patterns and metabolic syndrome in a sample of Portuguese adults.

Association between dietary patterns and metabolic syndrome in a sample of Portuguese adults.
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DOI:
10.1186/1475-2891-11-64
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发表时间:
2012-09-03
期刊:
影响因子:
5.4
通讯作者:
Santos AC
Santos AC
中科院分区:
医学2区
文献类型:
--
作者:
Fonseca MJ;Gaio R;Lopes C;Santos AC

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有关于饮食和代谢综合征(MetS)在葡萄牙人口之间的关联的证据很少。我们的目的是评估后验饮食模式(DP)和代谢综合征及其功能之间的关联。使用随机数字拨号,在1999年至2003年期间,在波尔图的2167名成年人的样本被选中。在面对面的访谈中,进行了问卷调查,进行了人体测量,测量了血压,并收集了空腹血液样本。饮食进行了评估,使用一个有效的食物频率问卷,并确定了四个DP在每个性别的多元有限混合模型。在调整年龄和每日能量摄入后,与“健康”DP相比,低水果和蔬菜含量的女性腰围高的几率更高(OR = 1.88 95% CI 1.17-3.01)和低HDL-胆固醇(OR = 1.7895%IC1.12 -2.82),“红肉和酒精”DP的女性腰围高的几率更高(OR = 1.45 95%CI 1.01-2.07)和MetS(OR = 1.57 95%CI 1.07-2.29);具有“鱼”DP的男性具有较高的高甘油三酯几率(OR = 1.57 95%CI 1.05-2.35)。在进一步调整(教育,体力活动,吸烟,饮酒,BMI和绝经状态)后,没有显著的关联。在葡萄牙成年人的社区样本中确定了四个不同的DP,与MetS的患病率没有关联。
There is scarce evidence regarding the association between diet and metabolic syndrome (MetS) in Portuguese population. We aim to evaluate the association between a posteriori dietary patterns (DPs) and MetS and its features. Using random digit dialing, a sample of 2167 adults was selected between 1999 and 2003, in Porto. During a face-to-face interview, a questionnaire was applied, anthropometric measures were taken, blood pressure measured and a fasting blood sample collected. Diet was assessed using a validated food frequency questionnaire, and four DPs were identified in each sex by multivariate finite mixture models. After adjustment for age and daily energy intake, comparing to the “healthy” DP, women with the “low fruit and vegetables” DP had a higher odds of high waist circumference (OR = 1.88 95% CI 1.17-3.01) and low HDL-cholesterol (OR = 1.78 95% IC 1.12-2.82) and women in the “red meat and alcohol” DP had higher odds of high waist circumference (OR = 1.45 95% CI 1.01-2.07) and of MetS (OR = 1.57 95% CI 1.07-2.29); men with the “fish” DP had a higher odds of high triglycerides (OR = 1.57 95% CI 1.05-2.35). After further adjustments (education, physical activity, smoking, alcohol drinking, BMI, and menopausal status) no significant associations remained. Four distinct DPs were identified in a community sample of Portuguese adults and there was no association with the prevalence of MetS.
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