Dietary patterns in India and their association with obesity and central obesity

被引:50
作者
Satija, Ambika [1 ,2 ]
Hu, Frank B. [1 ,2 ]
Bowen, Liza [3 ]
Bharathi, Ankalmadugu V. [4 ]
Vaz, Mario [5 ]
Prabhakaran, Dorairaj [6 ]
Reddy, K. Srinath [7 ]
Ben-Shlomo, Yoav [8 ]
Smith, George Davey [8 ]
Kinra, Sanjay [3 ]
Ebrahim, Shah [3 ,9 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[3] London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London WC1, England
[4] Indira Gandhi Natl Open Univ, Mt Carmel Coll, Bangalore, Karnataka, India
[5] St Johns Res Inst, Div Nutr, Bangalore, Karnataka, India
[6] Ctr Chron Dis Control, New Delhi, India
[7] Publ Hlth Fdn India, New Delhi, India
[8] Univ Bristol, Sch Social & Community Med, Bristol, Avon, England
[9] Publ Hlth Fdn India, South Asia Network Chron Dis, New Delhi, India
基金
英国惠康基金;
关键词
Dietary patterns; Obesity; Central obesity; India; Indian Migration Study; FOOD-FREQUENCY QUESTIONNAIRE; BODY-MASS INDEX; CORONARY-HEART-DISEASE; RISK-FACTORS; WEIGHT-GAIN; LIFE-STYLE; CARDIOVASCULAR-DISEASE; NUTRITION TRANSITION; WAIST CIRCUMFERENCE; EATING PATTERNS;
D O I
10.1017/S1368980015000312
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Obesity is a growing problem in India, the dietary determinants of which have been studied using an 'individual food/nutrient' approach. Examining dietary patterns may provide more coherent findings, but few studies in developing countries have adopted this approach. The present study aimed to identify dietary patterns in an Indian population and assess their relationship with anthropometric risk factors. Design: FFQ data from the cross-sectional sib-pair Indian Migration Study (IMS; n 7067) were used to identify dietary patterns using principal component analysis. Mixed-effects logistic regression was used to examine associations with obesity and central obesity. Setting: The IMS was conducted at four factory locations across India: Lucknow, Nagpur, Hyderabad and Bangalore. Subjects: The participants were rural-to-urban migrant and urban non-migrant factory workers, their rural and urban resident siblings, and their co-resident spouses. Results: Three dietary patterns were identified: 'cereals-savoury foods' (cooked grains, rice/rice-based dishes, snacks, condiments, soups, nuts), 'fruit-veg-sweets-snacks' (Western cereals, vegetables, fruit, fruit juices, cooked milk products, snacks, sugars, sweets) and 'animal-food' (red meat, poultry, fish/seafood, eggs). In adjusted analysis, positive graded associations were found between the 'animal-food' pattern and both anthropometric risk factors. Moderate intake of the 'cereals-savoury foods' pattern was associated with reduced odds of obesity and central obesity. Conclusions: Distinct dietary patterns were identified in a large Indian sample, which were different from those identified in previous literature. A clear 'plant food-based/animal food-based pattern' dichotomy emerged, with the latter being associated with higher odds of anthropometric risk factors. Longitudinal studies are needed to further clarify this relationship in India.
引用
收藏
页码:3031 / 3041
页数:11
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