Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China

Background: The relationship between dietary patterns and atherosclerosis is inconclusive. Usually, diets vary greatly among different regions due to cultural differences and lifestyles. Few studies to date based on a Chinese population have investigated the relationship between dietary patterns and...

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Autores principales: Yunyun Liu, Xuena Wang, Qing Zhang, Ge Meng, Li Liu, Hongmei Wu, Yeqing Gu, Shunming Zhang, Yawen Wang, Tingjing Zhang, Magdalena J. Górska, Shaomei Sun, Xing Wang, Ming Zhou, Qiyu Jia, Kun Song, Liping Tan, Kaijun Niu
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/8849dd41e8f4433981733db20192ccd9
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spelling oai:doaj.org-article:8849dd41e8f4433981733db20192ccd92021-12-02T00:37:36ZRelationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China2296-861X10.3389/fnut.2021.723726https://doaj.org/article/8849dd41e8f4433981733db20192ccd92021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.723726/fullhttps://doaj.org/toc/2296-861XBackground: The relationship between dietary patterns and atherosclerosis is inconclusive. Usually, diets vary greatly among different regions due to cultural differences and lifestyles. Few studies to date based on a Chinese population have investigated the relationship between dietary patterns and the formation of atherosclerosis in carotid arteries. We aimed to investigate whether dietary patterns were related to carotid atherosclerosis among an adult population in Tianjin, China.Methods: This cross-sectional study included a total of 2,346 participants aged 50 years or older (mean: 59.7 ± 6.29 years). Dietary intakes were assessed using a validated 81-item semiquantitative food frequency questionnaire, and factor analysis was used to identify dietary patterns. Carotid atherosclerosis was defined as a common carotid artery intima-media thickness ≥1.0 mm or plaques, or a carotid bifurcation intima-media thickness ≥1.2 mm. Multiple logistic regression models were used to explore the relationship between dietary patterns and carotid atherosclerosis.Results: Three factors were determined: “health” dietary pattern (factor 1), “traditional Tianjin” dietary pattern (factor 2), and “sweets” dietary pattern (factor 3). The multivariable-adjusted odds ratios (95% CI) of carotid atherosclerosis for the increasing quartiles of the sweets dietary pattern scores in women were as follows: 1.00 (reference), 1.33 (0.91, 1.97), 1.21 (0.82, 1.79), 1.64 (1.08, 2.51) (p for trend <0.05). No significant difference was found between any dietary pattern and carotid atherosclerosis in men.Conclusion: Greater adherence to “sweets” dietary patterns was positively related to a higher prevalence of carotid atherosclerosis in women aged 50 or older. No relationship was found between any dietary pattern and carotid atherosclerosis in men. Further prospective studies are warranted to test this finding in other populations.Yunyun LiuXuena WangQing ZhangGe MengGe MengLi LiuHongmei WuYeqing GuShunming ZhangYawen WangTingjing ZhangMagdalena J. GórskaShaomei SunXing WangMing ZhouQiyu JiaKun SongLiping TanKaijun NiuKaijun NiuKaijun NiuKaijun NiuKaijun NiuFrontiers Media S.A.articledietary patternscarotid atherosclerosisChinese populationnutritional epidemiologycross-sectionalNutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic dietary patterns
carotid atherosclerosis
Chinese population
nutritional epidemiology
cross-sectional
Nutrition. Foods and food supply
TX341-641
spellingShingle dietary patterns
carotid atherosclerosis
Chinese population
nutritional epidemiology
cross-sectional
Nutrition. Foods and food supply
TX341-641
Yunyun Liu
Xuena Wang
Qing Zhang
Ge Meng
Ge Meng
Li Liu
Hongmei Wu
Yeqing Gu
Shunming Zhang
Yawen Wang
Tingjing Zhang
Magdalena J. Górska
Shaomei Sun
Xing Wang
Ming Zhou
Qiyu Jia
Kun Song
Liping Tan
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
description Background: The relationship between dietary patterns and atherosclerosis is inconclusive. Usually, diets vary greatly among different regions due to cultural differences and lifestyles. Few studies to date based on a Chinese population have investigated the relationship between dietary patterns and the formation of atherosclerosis in carotid arteries. We aimed to investigate whether dietary patterns were related to carotid atherosclerosis among an adult population in Tianjin, China.Methods: This cross-sectional study included a total of 2,346 participants aged 50 years or older (mean: 59.7 ± 6.29 years). Dietary intakes were assessed using a validated 81-item semiquantitative food frequency questionnaire, and factor analysis was used to identify dietary patterns. Carotid atherosclerosis was defined as a common carotid artery intima-media thickness ≥1.0 mm or plaques, or a carotid bifurcation intima-media thickness ≥1.2 mm. Multiple logistic regression models were used to explore the relationship between dietary patterns and carotid atherosclerosis.Results: Three factors were determined: “health” dietary pattern (factor 1), “traditional Tianjin” dietary pattern (factor 2), and “sweets” dietary pattern (factor 3). The multivariable-adjusted odds ratios (95% CI) of carotid atherosclerosis for the increasing quartiles of the sweets dietary pattern scores in women were as follows: 1.00 (reference), 1.33 (0.91, 1.97), 1.21 (0.82, 1.79), 1.64 (1.08, 2.51) (p for trend <0.05). No significant difference was found between any dietary pattern and carotid atherosclerosis in men.Conclusion: Greater adherence to “sweets” dietary patterns was positively related to a higher prevalence of carotid atherosclerosis in women aged 50 or older. No relationship was found between any dietary pattern and carotid atherosclerosis in men. Further prospective studies are warranted to test this finding in other populations.
format article
author Yunyun Liu
Xuena Wang
Qing Zhang
Ge Meng
Ge Meng
Li Liu
Hongmei Wu
Yeqing Gu
Shunming Zhang
Yawen Wang
Tingjing Zhang
Magdalena J. Górska
Shaomei Sun
Xing Wang
Ming Zhou
Qiyu Jia
Kun Song
Liping Tan
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
author_facet Yunyun Liu
Xuena Wang
Qing Zhang
Ge Meng
Ge Meng
Li Liu
Hongmei Wu
Yeqing Gu
Shunming Zhang
Yawen Wang
Tingjing Zhang
Magdalena J. Górska
Shaomei Sun
Xing Wang
Ming Zhou
Qiyu Jia
Kun Song
Liping Tan
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
Kaijun Niu
author_sort Yunyun Liu
title Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
title_short Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
title_full Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
title_fullStr Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
title_full_unstemmed Relationship Between Dietary Patterns and Carotid Atherosclerosis Among People Aged 50 Years or Older: A Population-Based Study in China
title_sort relationship between dietary patterns and carotid atherosclerosis among people aged 50 years or older: a population-based study in china
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/8849dd41e8f4433981733db20192ccd9
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