Examining associations between dietary patterns and metabolic CVD risk factors: a novel use of structural equation modelling

被引:28
作者
Castro, Michelle Alessandra [1 ]
Baltar, Valeria Troncoso [2 ]
Marchioni, Dirce Maria [1 ]
Fisberg, Regina Mara [1 ]
机构
[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, POB 01246-904, BR-715 Sao Paulo, Brazil
[2] Univ Fed Fluminense, Inst Collect Hlth, Dept Epidemiol & Biostat, POB 24030210, BR-303 Niteroi, RJ, Brazil
基金
巴西圣保罗研究基金会;
关键词
Dietary patterns; Structural equation modelling; CVD; Risk factors; Cross-sectional analyses; CORONARY-HEART-DISEASE; ISOLATED SYSTOLIC HYPERTENSION; CARDIOVASCULAR-DISEASE; BLOOD-PRESSURE; SERUM LEPTIN; CARDIOMETABOLIC RISK; WAIST CIRCUMFERENCE; NATIONAL-HEALTH; FIT INDEXES; POPULATION;
D O I
10.1017/S0007114516000556
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The association between dietary patterns and metabolic cardiovascular risk factors has long been addressed but there is a lack of evidence towards the effects of the overall diet on the complex net of biological inter-relationships between risk factors. This study aimed to derive dietary patterns and examine their associations with metabolic cardiovascular risk factors following a theoretic model for the relationship between them. Participants included 417 adults of both sexes, enrolled to the cross-sectional population-based study performed in Brazil. Body weight, waist circumference, high-sensitivity C-reactive protein, blood pressure, total cholesterol: HDL-cholesterol ratio, TAG: HDL-cholesterol ratio, fasting plasma glucose and serum leptin were evaluated. Food consumption was assessed by two non-consecutive 24-h dietary recalls adjusted for the within-person variation of intake. A total of three dietary patterns were derived by exploratory structural equation modelling: 'Traditional', 'Prudent' and 'Modern'. The 'Traditional' pattern had a negative and direct effect on obesity indicators (serum LEP, body weight and waist circumference) and negative indirect effects on total cholesterol: HDL-cholesterol ratio, TAG: HDL-cholesterol ratio and fasting plasma glucose. The 'Prudent' pattern had a negative and direct effect on systolic blood pressure. No association was observed for the 'Modern' pattern and metabolic risk factors. In conclusion, the 'Traditional' and 'Prudent' dietary patterns were negatively associated with metabolic cardiovascular risk factors among Brazilian adults. Their apparent protective effects against obesity and high blood pressure may be important non-pharmacological strategies for the prevention and control of obesity-related metabolic disorders and CVD.
引用
收藏
页码:1586 / 1597
页数:12
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