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Dietary patterns associated with incidence of metabolic syndrome and its components
Author(s) -
PerezRodriguez Marcela,
RamirezPalacios Paula,
Salmeron Jorge,
Talavera Juan
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.lb348
Subject(s) - medicine , metabolic syndrome , blood pressure , waist , incidence (geometry) , logistic regression , diabetes mellitus , cohort , type 2 diabetes , fasting glucose , endocrinology , insulin resistance , obesity , physics , optics
Metabolic syndrome (MetS) is a cluster of biochemical and physiological abnormalities associated with the development of cardiovascular disease and type 2 diabetes. MetS is present when three or more of the following five criteria are met: waist ≥ 102 cm in men and ≥ 88 cm in women, triglycerides ≥ 150 mg/dl, HDL‐C <40 mg/dl in men and < 50 mg/dl in women, systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 85 mmHg and fasting glucose ≥ 110 mg/dl. Diet is one of the main risk factor for MetS and the study of regional dietary patterns is necessary to develop ad hoc recommendations for populations. Objective Study the effect of dietary patterns on the incidence of metabolic syndrome and its components. Methods We present a cohort study with a baseline measurement in 2004–06 and a follow up 6 years later. A total of 557 NW and 489 OW/OB healthy Mexican adults were included. Fasting glucose, TG, HDL‐C, WC and BP were measured, physical activity (PA) and diet data were self‐reported. Using principal components analysis (PCA), we identified dietary patterns. PCA provides a score for each dietary pattern for all participants; scores were classified in tertiles and adherence to each pattern was determined according to each pattern score tertile. Logistic regression analysis was performed with MetS and each of its components as dependent variables, including only subjects free of metabolic disease at the beginning of the study. Results Four dietary patterns were identified. There was no association between any dietary pattern and metabolic syndrome, waist circumference, triglycerides, HDL or blood pressure, nonetheless. After adjusting for relevant covariates, a high adherence to the dietary pattern with high loads for artificial sweeteners, wine and beer had a higher risk (OR=1.9 CI95% 1.1, 3.4) for altered glucose than a low adherence to that same pattern; and a high adherence to the dietary pattern with high loads for rice, corn and beans had a lower risk (OR=0.57 CI95% 0.33, 0.97) for altered glucose than a low adherence to that same pattern. Conclusion Traditional Mexican dietary pattern (rice, corn and beans) is associated with lower odds of developing altered glucose in a follow up period of 6 years.