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Int. J. Environ. Res. Public Health 2014, 11(4), 3956-3971; doi:10.3390/ijerph110403956
Article

Dietary Pattern and Its Association with the Prevalence of Obesity, Hypertension and Other Cardiovascular Risk Factors among Chinese Older Adults

1,2,* , 1
 and 1,3,4
Received: 27 February 2014; in revised form: 31 March 2014 / Accepted: 1 April 2014 / Published: 10 April 2014
(This article belongs to the Special Issue IJERPH: 10th Anniversary)
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Abstract: Aim: This article examined the association between dietary patterns and cardiovascular risk factors in Chinese older adults. Methods: For this study, older adults with one or more cardiovascular risk factors or a history of cardiovascular disease were randomly selected using health check medical records from the Changshu and Beijing Fangshan Centers for Disease Control and Prevention. Exploratory factor analysis and cluster analysis was used to extract dietary pattern factors. Log binomial regression analysis was used to analyse the association between dietary patterns and chronic disease related risk factors. Results: Four factors were found through factor analysis. A high level of internal consistency was obtained, with a high Cronbach’s alpha coefficient of 0.83. Cluster analysis identified three dietary patterns: healthy diet, Western diet, and balanced diet. Findings in this sample of Chinese adults correspond to those reported in previous studies, indicating that a Western diet is significantly related to likelihood of having obesity, hypertension and the metabolic syndrome. The identification of distinct dietary patterns among Chinese older adults and the nutritional status of people with chronic diseases suggest that the three dietary patterns have a reasonable level of discriminant validity. Conclusions: This study provides evidence that a FFQ is a valid and reliable tool to assess the dietary patterns of individuals with chronic diseases in small- to medium-size urban and rural settings in China. It also validates the significant association between dietary pattern and cardiovascular disease risk factors, including body mass index, blood pressure, triglycerides, and metabolic conditions. Clinical diagnosis of chronic disease further confirmed this relationship in Chinese older adults.
Keywords: dietary pattern; obesity; hypertension; metabolic syndrome; older adults dietary pattern; obesity; hypertension; metabolic syndrome; older adults
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Sun, J.; Buys, N.J.; Hills, A.P. Dietary Pattern and Its Association with the Prevalence of Obesity, Hypertension and Other Cardiovascular Risk Factors among Chinese Older Adults. Int. J. Environ. Res. Public Health 2014, 11, 3956-3971.

AMA Style

Sun J, Buys NJ, Hills AP. Dietary Pattern and Its Association with the Prevalence of Obesity, Hypertension and Other Cardiovascular Risk Factors among Chinese Older Adults. International Journal of Environmental Research and Public Health. 2014; 11(4):3956-3971.

Chicago/Turabian Style

Sun, Jing; Buys, Nicholas J.; Hills, Andrew P. 2014. "Dietary Pattern and Its Association with the Prevalence of Obesity, Hypertension and Other Cardiovascular Risk Factors among Chinese Older Adults." Int. J. Environ. Res. Public Health 11, no. 4: 3956-3971.


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