Unique dietary patterns and chronic disease risk profiles of adult men: The Framingham Nutrition Studies
Unique dietary patterns and chronic disease risk profiles of adult men: The Framingham Nutrition Studies
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DOI：
10.1016/j.jada.2005.08.007
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发表时间：
2005-11-01
影响因子：
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通讯作者：
D'Agostino, RB
中科院分区：
文献类型：
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作者：
Millen, BE;Quatromoni, PA;D'Agostino, RB
目的通过长期随访，确定成年男性的饮食模式，并探讨其与营养摄入和慢性病风险的关系。设计/受试者来自1666名Framingham后代-配偶队列男性的基线145项食物频率问卷用于确定综合饮食模式。基线和8年后的独立3天饮食记录提供了受试者按饮食模式摄入营养的估计。对所有男性饮食模式进行基线和16年随访时的慢性病风险因素状况进行比较。统计分析对食物频率数据进行聚类分析，以确定不重叠的男性饮食模式。采用协方差分析和logistic回归分析比较男性饮食模式在基线和随访时的营养摄入量、总营养风险评分和慢性病风险状况。结果根据总体营养风险，确定了Framingham后代配偶男性的五种独特而全面的饮食模式，并将其排序为：向心脏健康过渡、高淀粉、普通男性、低品种和空卡路里。营养风险高，且因饮食模式而异；在8年的随访中，主要营养对比是稳定的。慢性疾病的风险也因饮食模式而异，特定亚组的差异持续了16年，特别是超重/肥胖和吸烟的比率。结论对食物频率问卷数据进行定量聚类分析，确定了Framingham后代-配偶队列成年男性五种独特、全面、稳定的饮食模式。男性饮食模式、营养风险和慢性疾病状况之间的密切联系强调了有针对性的预防性营养干预措施对促进男性人口健康的重要性。
Objective To identify the dietary patterns of adult men and examine their relationships with nutrient intake and chronic disease risk over long-term follow-up.Design/subjects Baseline 145-item food frequency questionnaires from 1,666 Framingham Offspring-Spouse cohort men were used to identify comprehensive dietary patterns. Independent 3-day dietary records at baseline and 8 years later provided estimates of subjects' nutrient intake by dietary pattern. Chronic disease risk factor status was compared at baseline and 16-year follow-up across all male dietary patterns.Statistical analyses Cluster analysis was applied to food frequency data to identify non-overlapping male dietary patterns. Analysis of covariance and logistic regression were used to compare nutrient intake, summary nutritional risk scores, and chronic disease risk status at baseline and follow-up by male dietary pattern.Results Five distinct and comprehensive dietary patterns of Framingham Offspring-Spouse men were identified and ordered according to overall nutritional risk: Transition to Heart Healthy, Higher Starch, Average Male, Lower Variety, and Empty Calories. Nutritional risk was high and varied by dietary pattern; key nutrient contrasts were stable over 8-year follow-up. Chronic disease risk also varied by dietary pattern and specific subgroup differences persisted over 16 years, notably rates of overweight/obesity and smoking.Conclusions Quantitative cluster analysis applied to food frequency questionnaire data identified five distinct, comprehensive, and stable dietary patterns of adult Framingham Offspring-Spouse cohort men. The close associations between the dietary patterns, nutritional risk, and chronic disease profiles of men emphasize the importance of targeted preventive nutrition interventions to promote health in the male population.