Dietary intakes associated with metabolic syndrome in a cohort of Japanese ancestry

被引:70
作者
Damiao, Renata
Castro, Teresa G.
Cardoso, Marly A.
Gimeno, Suely G. A.
Ferreira, Sandra R. G.
机构
[1] Univ Fed Sao Paulo, Dept Prevent Med, BR-04023062 Sao Paulo, Brazil
[2] Univ Fed Sao Paulo, Div Endocrinol, Dept Internal Med, BR-04023062 Sao Paulo, Brazil
[3] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
Nutrition surveys; Dietary patterns; Abdominal obesity; Metabolic syndrome; Japanese-Brazilians;
D O I
10.1079/BJN20061876
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 present study examined the association between dietary factors and metabolic syndrome in a 7-year follow-up of Japanese-Brazilians. In 1993, a survey estimated the prevalence of diabetes in a Japanese-Brazilian population aged 40-79 years. From 647 subjects studied at baseline, 394 (60.9 %) participated in a second survey (2000); after exclusion of subjects with self-reported diseases, 23.4 % (n 151) were included in the present analysis. Metabolic syndrome diagnosis was based on the National Cholesterol Education Program criteria modified for Asians. Food intake was assessed by a validated food-frequency questionnaire. At baseline, mean ages were 56.1 (SD 9.7) and 54.7 (SD 10.6) years for men and women, respectively. Similar cumulative incidence rates of the metabolic syndrome were found in both sexes (36.9 (95 % CI 26.6, 48.1)% for men and 38.8 (95 % CI 27.1, 51.4) % for women). In 1993, mean values of blood pressure, waist circumference for men and 2 h plasma glucose for both sexes were higher among subjects who developed metabolic syndrome when compared with those who did not. Comparisons of nutrient intakes between subsets of subjects who developed or did not develop metabolic syndrome showed an association of protein intake with the syndrome only in men (96.4 (SD 56.8) v. 74.3 (SD 26.0) g/d; P < 0.05). Odds ratios of the metabolic syndrome across tertiles of food groups intake showed that among men the highest tertile of red meat consumption was associated with a 4.7-fold increase in risk of developing the syndrome, after adjustments for confounders. However, the statistical significance of this model disappeared when saturated fatty acids were added. The data raised the possibility of a role of red meat consumption for the occurrence of metabolic syndrome in Japanese-Brazilian men. The present findings may have implications for the prevention of metabolic syndrome in this high-risk population.
引用
收藏
页码:532 / 538
页数:7
相关论文
共 47 条
[1]  
Alstrup KK, 1999, METABOLISM, V48, P22
[2]  
[Anonymous], 2002, NIH PUBL
[3]   REVISION OF DIETARY ANALYSIS SOFTWARE FOR THE HEALTH HABITS AND HISTORY QUESTIONNAIRE [J].
BLOCK, G ;
COYLE, LM ;
HARTMAN, AM ;
SCOPPA, SM .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1994, 139 (12) :1190-1196
[4]   Reproducibility and validity of a food frequency questionnaire among women of Japanese ancestry living in Brazil [J].
Cardoso, MA ;
Kida, AA ;
Tomita, LY ;
Stocco, PR .
NUTRITION RESEARCH, 2001, 21 (05) :725-733
[5]  
Clarke SD, 2000, BRIT J NUTR, V83, pS59
[6]   Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) [J].
Cleeman, JI ;
Grundy, SM ;
Becker, D ;
Clark, LT ;
Cooper, RS ;
Denke, MA ;
Howard, WJ ;
Hunninghake, DB ;
Illingworth, DR ;
Luepker, RV ;
McBride, P ;
McKenney, JM ;
Pasternak, RC ;
Stone, NJ ;
Van Horn, L ;
Brewer, HB ;
Ernst, ND ;
Gordon, D ;
Levy, D ;
Rifkind, B ;
Rossouw, JE ;
Savage, P ;
Haffner, SM ;
Orloff, DG ;
Proschan, MA ;
Schwartz, JS ;
Sempos, CT ;
Shero, ST ;
Murray, EZ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (19) :2486-2497
[7]  
Costa M B, 2000, J Epidemiol, V10, P111
[8]   Dietary carbohydrates and insulin sensitivity: A review of the evidence and clinical implications [J].
Daly, ME ;
Vale, C ;
Walker, M ;
Alberti, KGMM ;
Mathers, JC .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1997, 66 (05) :1072-1085
[9]  
Ferreira SRG, 1996, DIABETES RES CLIN PR, V34, pS59, DOI 10.1016/S0168-8227(96)01305-8
[10]   DIETARY FACTORS DETERMINING DIABETES AND IMPAIRED GLUCOSE-TOLERANCE - A 20-YEAR FOLLOW-UP OF THE FINNISH AND DUTCH COHORTS OF THE 7-COUNTRIES STUDY [J].
FESKENS, EJM ;
VIRTANEN, SM ;
RASANEN, L ;
TUOMILEHTO, J ;
STENGARD, J ;
PEKKANEN, J ;
NISSINEN, A ;
KROMHOUT, D .
DIABETES CARE, 1995, 18 (08) :1104-1112