Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.

<h4>Background</h4>The association of dietary pattern with chronic diseases has been investigated widely in western countries. However, information is quite limited among children in China. Our study is aimed to identify the dietary patterns of Chinese children and examine their associat...

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Autores principales:	Xianwen Shang, Yanping Li, Ailing Liu, Qian Zhang, Xiaoqi Hu, Songming Du, Jun Ma, Guifa Xu, Ying Li, Hongwei Guo, Lin Du, Guansheng Ma
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1b6372b0e953419092328e89fd6684d8
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spelling	oai:doaj.org-article:1b6372b0e953419092328e89fd6684d82021-11-18T07:08:48ZDietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.1932-620310.1371/journal.pone.0043183https://doaj.org/article/1b6372b0e953419092328e89fd6684d82012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22905228/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The association of dietary pattern with chronic diseases has been investigated widely in western countries. However, information is quite limited among children in China. Our study is aimed to identify the dietary patterns of Chinese children and examine their association with obesity and related cardiometabolic risk factors.<h4>Methods</h4>A total of 5267 children were selected using multistage random sampling from 30 primary schools of 5 provincial capital cities in China. Dietary intake was derived from 24 hour dietary recall for three consecutive days. Anthropometric measurements, glucose and lipid profiles were obtained. Factor analysis combined with cluster analysis was used for identifying major dietary patterns. The associations of dietary patterns with obesity and related cardiometabolic risk factors were examined by logistic regression analysis.<h4>Results</h4>Three mutually exclusive dietary patterns were identified, which were labeled as the healthy dietary pattern, the transitive dietary pattern, and the Western dietary pattern. Compared with children of the healthy dietary pattern, the multiple-adjusted odds ratios (95% confidence interval (CI)) of obesity were 1.11 (0.89-1.38) for children with the transitive dietary pattern and 1.80 (1.15-2.81) for children with the Western dietary pattern, which was 1.31 (95%CI 1.09-1.56) and 1.71 (95%CI: 1.13-2.56), respectively, for abdominal obesity. The Western dietary pattern was associated with significantly higher concentrations of low-density lipoprotein cholesterol (P<.001), triglycerides (P<.001), systolic blood pressure (P = 0.0435) and fasting glucose (P = 0.0082) and a lower concentration of high-density lipoprotein cholesterol (P = 0.0023), as compared with the healthy dietary pattern.<h4>Conclusions</h4>The Western dietary pattern characterized by red meat, eggs, refined grain and products, was positively associated with odds of obesity, the levels of plasma glucose, low-density lipoprotein cholesterol and triglycerides, and was inversely associated with the level of high-density lipoprotein cholesterol.Xianwen ShangXianwen ShangYanping LiAiling LiuQian ZhangXiaoqi HuSongming DuJun MaGuifa XuYing LiHongwei GuoLin DuGuansheng MaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e43183 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xianwen Shang Xianwen Shang Yanping Li Ailing Liu Qian Zhang Xiaoqi Hu Songming Du Jun Ma Guifa Xu Ying Li Hongwei Guo Lin Du Guansheng Ma Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
description	<h4>Background</h4>The association of dietary pattern with chronic diseases has been investigated widely in western countries. However, information is quite limited among children in China. Our study is aimed to identify the dietary patterns of Chinese children and examine their association with obesity and related cardiometabolic risk factors.<h4>Methods</h4>A total of 5267 children were selected using multistage random sampling from 30 primary schools of 5 provincial capital cities in China. Dietary intake was derived from 24 hour dietary recall for three consecutive days. Anthropometric measurements, glucose and lipid profiles were obtained. Factor analysis combined with cluster analysis was used for identifying major dietary patterns. The associations of dietary patterns with obesity and related cardiometabolic risk factors were examined by logistic regression analysis.<h4>Results</h4>Three mutually exclusive dietary patterns were identified, which were labeled as the healthy dietary pattern, the transitive dietary pattern, and the Western dietary pattern. Compared with children of the healthy dietary pattern, the multiple-adjusted odds ratios (95% confidence interval (CI)) of obesity were 1.11 (0.89-1.38) for children with the transitive dietary pattern and 1.80 (1.15-2.81) for children with the Western dietary pattern, which was 1.31 (95%CI 1.09-1.56) and 1.71 (95%CI: 1.13-2.56), respectively, for abdominal obesity. The Western dietary pattern was associated with significantly higher concentrations of low-density lipoprotein cholesterol (P<.001), triglycerides (P<.001), systolic blood pressure (P = 0.0435) and fasting glucose (P = 0.0082) and a lower concentration of high-density lipoprotein cholesterol (P = 0.0023), as compared with the healthy dietary pattern.<h4>Conclusions</h4>The Western dietary pattern characterized by red meat, eggs, refined grain and products, was positively associated with odds of obesity, the levels of plasma glucose, low-density lipoprotein cholesterol and triglycerides, and was inversely associated with the level of high-density lipoprotein cholesterol.
format	article
author	Xianwen Shang Xianwen Shang Yanping Li Ailing Liu Qian Zhang Xiaoqi Hu Songming Du Jun Ma Guifa Xu Ying Li Hongwei Guo Lin Du Guansheng Ma
author_facet	Xianwen Shang Xianwen Shang Yanping Li Ailing Liu Qian Zhang Xiaoqi Hu Songming Du Jun Ma Guifa Xu Ying Li Hongwei Guo Lin Du Guansheng Ma
author_sort	Xianwen Shang
title	Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
title_short	Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
title_full	Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
title_fullStr	Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
title_full_unstemmed	Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.
title_sort	dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among chinese children.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/1b6372b0e953419092328e89fd6684d8
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Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children.

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