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Nutrients 2017, 9(11), 1218; doi:10.3390/nu9111218

Dietary Pattern during 1991–2011 and Its Association with Cardio Metabolic Risks in Chinese Adults: The China Health and Nutrition Survey

1,* and 2
1
Centre for Population Health Research, Division of Health Sciences, University of South Australia, City East Campus, North Tce, Adelaide, SA 5001, Australia
2
Discipline of Medicine, University of Adelaide, Adelaide, SA 5005, Australia
*
Author to whom correspondence should be addressed.
Received: 18 September 2017 / Revised: 26 October 2017 / Accepted: 2 November 2017 / Published: 6 November 2017
(This article belongs to the Special Issue Dietary Patterns, Diet Quality and Human Health)
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Abstract

Increased prevalence of overweight and obesity, diabetes, hypertension, and other cardio metabolic risks has become a public health concern in China, a country undergoing nutrition transition. We investigated the dietary pattern during 1991–2011 and its association with these risks in a longitudinal study among adults; Adults in The China Health and Nutrition Survey were included. Three-day food consumption was collected by 24 h recall method. Anthropometric measures, blood pressure, fasting blood glucose and lipids was collected in 2009. Dietary pattern was generated using principal components analysis. The associations between dietary pattern and cardio metabolic risk were assessed with generalized linear regression adjusted for age, sex, and social economic status (SES). “Traditional” pattern loaded with rice, meat, and vegetables, and “Modern” pattern had high loadings of fast food, milk, and deep-fried food. “Traditional” pattern was inversely associated with cardio metabolic risks, with linear slopes ranging from −0.15 (95% confidence interval (CI): −0.18, −0.12) for hypertension to −0.67 (95% CI: −0.73, −0.60) for impaired glucose control. “Modern” pattern was associated positively with those factors, with slopes ranging 0.10 (95% CI: 0.04, 0.17) for high cholesterol to 0.42 (95% CI: 0.35, 0.49) for impaired glucose control. Dietary patterns were associated with cardio metabolic risk in Chinese adults. View Full-Text
Keywords: The China Health and Nutrition Survey; dietary pattern; principal component analysis; cardio-metabolic risks; adults The China Health and Nutrition Survey; dietary pattern; principal component analysis; cardio-metabolic risks; adults
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Li, M.; Shi, Z. Dietary Pattern during 1991–2011 and Its Association with Cardio Metabolic Risks in Chinese Adults: The China Health and Nutrition Survey. Nutrients 2017, 9, 1218.

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