151
|
Deng FE, Shivappa N, Tang Y, Mann JR, Hebert JR. Association between diet-related inflammation, all-cause, all-cancer, and cardiovascular disease mortality, with special focus on prediabetics: findings from NHANES III. Eur J Nutr 2016; 56:1085-1093. [PMID: 26825592 DOI: 10.1007/s00394-016-1158-4] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Accepted: 01/12/2016] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Chronic inflammation is associated with increased risk of cancer, cardiovascular disease (CVD), and diabetes. The role of pro-inflammatory diet in the risk of cancer mortality and CVD mortality in prediabetics is unclear. We examined the relationship between diet-associated inflammation, as measured by dietary inflammatory index (DII) score, and mortality, with special focus on prediabetics. METHODS This prospective cohort study used data from the Third National Health and Nutrition Examination Survey (NHANES III). We categorized 13,280 eligible participants, ages 20-90 years, according to glycosylated hemoglobin (HgbA1c) level and identified 2681 with prediabetes, defined as a glycosylated hemoglobin percentage of 5.7-6.4. Computation of DII scores and all statistical analyses were conducted in 2015. The DII was computed based on baseline dietary intake assessed using 24-h dietary recalls (1988-1994). Mortality was determined from the National Death Index records through 2006. Over follow-up ranging between 135 and 168 person-months, a total of 3016 deaths were identified, including 676 cancer, 192 lung cancer, 176 digestive-tract cancer, and 1328 CVD deaths. Cox proportional hazard regression was used to estimate hazard ratios. RESULTS The prevalence of prediabetes was 20.19 %. After controlling for age, sex, race, HgbA1c, current smoking, physical activity, BMI, and systolic blood pressure, DII scores in tertile III (vs tertile I) was significantly associated with mortality from all causes (HR 1.39, 95 % CI 1.13, 1.72), CVD (HR 1.44, 95 % CI 1.02, 2.04), all cancers (HR 2.02, 95 % CI 1.27, 3.21), and digestive-tract cancer (HR 2.89, 95 % CI 1.08, 7.71). Findings for lung cancer (HR 2.01, 95 % CI 0.93, 4.34) suggested a likely effect. These results were moderately enhanced after additional adjustment for serum low-density lipoprotein and triglyceride and following eliminating deaths during the first year. CONCLUSIONS A pro-inflammatory diet, as indicated by higher DII scores, is associated with an increased risk of all-cause, CVD, all-cancer, and digestive-tract cancer mortality among prediabetic subjects.
Collapse
Affiliation(s)
- Fang Emily Deng
- Department of Family and Preventive Medicine, University of South Carolina School of Medicine, 3209 Colonial Drive, Columbia, SC, 29203, USA
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Nitin Shivappa
- Cancer Prevention and Control Program, University of South Carolina, 915 Greene Street, Suite 241, Columbia, SC, 29208, USA.
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
| | - YiFan Tang
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Joshua R Mann
- Department of Family and Preventive Medicine, University of South Carolina School of Medicine, 3209 Colonial Drive, Columbia, SC, 29203, USA
| | - James R Hebert
- Cancer Prevention and Control Program, University of South Carolina, 915 Greene Street, Suite 241, Columbia, SC, 29208, USA
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| |
Collapse
|
152
|
Pourmasoumi M, Karimbeiki R, Vosoughi N, Feizi A, Ghiasvand R, Barak F, Miraghajani M. Healthy Eating Index/Alternative Healthy Eating Index and Breast Cancer Mortality and Survival: A Systematic Review and Meta-analysis. Asia Pac J Oncol Nurs 2016; 3:297-305. [PMID: 27981174 PMCID: PMC5123523 DOI: 10.4103/2347-5625.189819] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE Breast cancer is the most common cancer in women worldwide. The effects of overall diet quality instead of single nutrients after breast cancer diagnosis on mortality have been a growing area of research interest. The aim of this systematic review was to investigate the relationship between the Healthy Eating Index (HEI)/the Alternative Healthy Eating Index (AHEI) and risk of breast cancer mortality or survival rates as a primary outcome, and some related inflammatory factors, as secondary outcomes among postdiagnosed women. METHODS This study methodology was performed based on the Preferred Reporting Item for Systematic Review and Meta-analysis statement recommendation and had been registered at PROSPERO (registration number: CRD42015015605). The systematic search was conducted in the electronic databases including PubMed, ISI, Scopus, Cochrane, and Google before July 2016. Researches that had not reported risk of breast cancer mortality or survival rates separately were excluded from the study. Similarly, this review excluded studies which only had examined the HEI or AHEI without reporting their association with the risk of mortality or survival rates. RESULTS After primary search, of 643 studies identified, 4 studies including eligible criteria were selected for the final assessment. All selected studies had been conducted in the USA and used self-report food-frequency questionnaire for diet quality assessment. In two studies HEI-2005, in one study AHEI, and in another study AHEI-2010 were applied. Meta-analysis result showed no significant association between these indexes and risk of breast cancer mortality/survival among women with this malignancy [relative risk: (RR) 1.04; 95% confidence interval (CI): 0.69-1.56; P = 0.87]. CONCLUSIONS Regarding the adherence HEI/AHEI, we found no association between mentioned indexes and risk of mortality or survival from breast cancer in women with breast cancer. However, evidence in this field is limited and inconsistence and further studies are needed.
Collapse
Affiliation(s)
- Makan Pourmasoumi
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Razieh Karimbeiki
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nooshin Vosoughi
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Awat Feizi
- Department of Biostatistics and Epidemiology, School of Health and Cardiac Rehabilitation Research Center, Cardiovascular Research Institute Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reza Ghiasvand
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Farzane Barak
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Miraghajani
- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
153
|
Denova-Gutiérrez E, Tucker KL, Flores M, Barquera S, Salmerón J. Dietary Patterns Are Associated with Predicted Cardiovascular Disease Risk in an Urban Mexican Adult Population. J Nutr 2016; 146:90-7. [PMID: 26581684 DOI: 10.3945/jn.115.217539] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 10/19/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Dietary patterns may predict cardiovascular disease (CVD) risk more accurately than does consumption of specific nutrients or foods. OBJECTIVE We evaluated the association between Mexican adults' dietary patterns and development of a >10% risk of 10-y CVD (using the Framingham risk score) over 7 y of follow-up. METHODS This prospective cohort study included 1196 men and women aged 20-80 y with a 10-y predicted risk <10% and without a CVD diagnosis at baseline in 2004-2007. Data on sociodemographic, lifestyle, and medical history factors were collected with a self-administered questionnaire. Dietary intake was evaluated by using a semiquantitative food-frequency questionnaire. The relations between dietary patterns and predicted CVD were analyzed by using pooled logistic regression models. RESULTS With the use of factor analysis, we identified 3 major dietary patterns in participants' dietary data. The "prudent" pattern was characterized by high positive loadings for the consumption of fresh fruit, vegetables, and whole grains. The "meat/fish" pattern showed positive loadings for the consumption of red meat, processed meat, eggs, fats, fish, and poultry. Finally, the "refined foods" pattern featured positive loadings for corn tortillas, refined grains, soft drinks, and alcohol. After adjustment for potential confounders, compared with participants in the lowest quintile of the prudent pattern, those in the highest quintile had a lower RR of 10-y CVD (RR: 0.40; 95% CI: 0.20, 0.79; P-trend = 0.006). In contrast, participants in the highest quintile of the refined-foods pattern had a greater risk of elevated 10-y CVD (RR: 2.98; 95% CI: 1.46, 6.10; P-trend = 0.020) than did those in the lowest quintile. Finally, the meat/fish dietary pattern was not significantly associated with 10-y CVD. CONCLUSION Our data suggest that the prudent pattern is associated with a reduced risk of 10-y CVD, whereas the refined-foods pattern may increase 10-y CVD in Mexican adults.
Collapse
Affiliation(s)
- Edgar Denova-Gutiérrez
- Health Services and Epidemiological Investigation Unit, Mexican Institute of Social Security, Cuernavaca, Mexico; Center of Research in Nutrition and Health and Geriatric Epidemiology Research Center, National Institute of Geriatrics, Mexico City, Mexico; and
| | - Katherine L Tucker
- Department of Clinical Laboratory and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA
| | | | | | - Jorge Salmerón
- Health Services and Epidemiological Investigation Unit, Mexican Institute of Social Security, Cuernavaca, Mexico; Population Research Center, National Institute of Public Health, Cuernavaca, Mexico
| |
Collapse
|
154
|
Blondin SA, Mueller MP, Bakun PJ, Choumenkovitch SF, Tucker KL, Economos CD. Cross-Sectional Associations between Empirically-Derived Dietary Patterns and Indicators of Disease Risk among University Students. Nutrients 2015; 8:E3. [PMID: 26712784 PMCID: PMC4728617 DOI: 10.3390/nu8010003] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Revised: 12/02/2015] [Accepted: 12/10/2015] [Indexed: 01/31/2023] Open
Abstract
The transition from adolescence to adulthood is a unique period during which lifelong dietary habits are shaped. Dietary patterns (DPs) among young adults attending college have not been adequately described, and associations between DPs and indicators of disease risk are not well understood in this age group. Dietary data were collected from undergraduates participating in the Tufts Longitudinal Health Study (TLHS; 1998-2007) by Food Frequency Questionnaire (FFQ; n = 1323). DPs were derived using principal components analysis with varimax rotation. Scree plots; eigenvalues; factor loadings; and previous studies were used to determine and label the DPs retained. Cross-sectional relationships between DP scores and anthropometric measures (percent body fat (PBF) and (BMI) and lipid biomarkers (total; HDL and LDL cholesterol; and triglycerides) were assessed with multivariable regression models; adjusted for demographics; physical activity; smoking; intention to gain/lose weight; and total energy intake. Effect modification by sex was tested. Three DPs were identified: Prudent; Western; and Alcohol. Greater adherence to the Prudent DP was associated with favorable anthropometric outcomes. The Alcohol DP was associated with a favorable lipid profile. Associations between the Western DP and blood lipids differed by sex; with unfavorable impact observed only among males. Our findings add to the literature linking DPs in young adults with measurable adiposity and cardiometabolic outcomes; suggesting that improving nutrition among college students could reduce chronic disease risk.
Collapse
Affiliation(s)
- Stacy A Blondin
- Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA 02111, USA.
| | - Megan P Mueller
- Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA 02111, USA.
| | - Peter J Bakun
- Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA 02111, USA.
| | - Silvina F Choumenkovitch
- Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA 02111, USA.
| | - Katherine L Tucker
- Clinical Laboratory & Nutritional Sciences, Center for Population Health & Health Disparities, University of Massachusetts at Lowell, 3 Solomont Way, Suite 4, Lowell, MA 01854, USA.
| | - Christina D Economos
- Tufts University Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA 02111, USA.
| |
Collapse
|
155
|
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, de Ferranti S, Després JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jiménez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, McGuire DK, Mohler ER, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB. Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation 2015; 133:e38-360. [PMID: 26673558 DOI: 10.1161/cir.0000000000000350] [Citation(s) in RCA: 3740] [Impact Index Per Article: 415.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
|
156
|
Bethancourt HJ, Kratz M, Beresford SAA, Hayes MG, Kuzawa CW, Duazo PL, Borja JB, Eisenberg DTA. No association between blood telomere length and longitudinally assessed diet or adiposity in a young adult Filipino population. Eur J Nutr 2015; 56:295-308. [PMID: 26497538 DOI: 10.1007/s00394-015-1080-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Accepted: 10/12/2015] [Indexed: 11/30/2022]
Abstract
PURPOSE Telomeres, DNA-protein structures that cap and protect chromosomes, are thought to shorten more rapidly when exposed to chronic inflammation and oxidative stress. Diet and nutritional status may be a source of inflammation and oxidative stress. However, relationships between telomere length (TL) and diet or adiposity have primarily been studied cross-sectionally among older, overweight/obese populations and yielded inconsistent results. Little is known about the relationship between diet or body composition and TL among younger, low- to normal-weight populations. It also remains unclear how cumulative exposure to a specific diet or body composition during the years of growth and development, when telomere attrition is most rapid, may be related to TL in adulthood. METHODS In a sample of 1459 young adult Filipinos, we assessed the relationship between blood TL at ages 20.8-22.5 and measures of BMI z-score, waist circumference, and diet collected between the ages of 8.5 and 22.5. TL was measured using monochrome multiplex quantitative PCR, and diet was measured using multiple 24-h recalls. RESULTS We found no associations between blood TL and any of the measures of adiposity or between blood TL and the seven dietary factors examined: processed meats, fried/grilled meats and fish, non-fried fish, coconut oil, fruits and vegetables, bread and bread products, and sugar-sweetened beverages. CONCLUSIONS Considering the inconsistencies in the literature and our null results, small differences in body composition and consumption of any single pro- or anti-inflammatory dietary component may not by themselves have a meaningful impact on telomere integrity, or the impact may differ across distinct ecological circumstances.
Collapse
Affiliation(s)
- Hilary J Bethancourt
- Department of Anthropology, University of Washington, Seattle, WA, USA.
- Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA.
| | - Mario Kratz
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- Division of Metabolism, Endocrinology, and Nutrition, Department of Medicine, University of Washington, Seattle, WA, USA
| | - Shirley A A Beresford
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - M Geoffrey Hayes
- Division of Endocrinology, Metabolism and Molecular Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- Department of Anthropology, Northwestern University, Evanston, IL, USA
- Center for Genetic Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Christopher W Kuzawa
- Department of Anthropology, Northwestern University, Evanston, IL, USA
- Institute for Policy Research, Northwestern University, Evanston, IL, USA
| | - Paulita L Duazo
- Office of Population Studies Foundation, University of San Carlos, Cebu City, Philippines
| | - Judith B Borja
- Office of Population Studies Foundation, University of San Carlos, Cebu City, Philippines
- Department of Nutrition and Dietetics, University of San Carlos, Cebu City, Philippines
| | - Daniel T A Eisenberg
- Department of Anthropology, University of Washington, Seattle, WA, USA
- Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA
| |
Collapse
|
157
|
8. References. Int J Gynaecol Obstet 2015. [DOI: 10.1016/s0020-7292(15)30032-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
158
|
Abstract
The vegetarian dietary pattern is traditionally a plant-based diet that includes fruits, vegetables, cereals, legumes, nuts, vegetable oils, soya, and possibly dairy products and/or eggs. Vegetarians and other populations who follow a plant-based dietary pattern enjoy longevity. Specifically, vegetarian dietary patterns have been associated with a lower risk for developing IHD, type 2 diabetes, hypertension, specific cancers, lower all-cause mortality and reduction in cause-specific mortality. The prevalence of the metabolic syndrome (MetS) in the USA is approximately 20 % and is currently increasing in developing countries in line with the obesity epidemic. The health care costs associated with the MetS are on a magnitude of 1.6 overall compared with healthy individuals, which makes it an important public health problem. Current evidence from several cross-sectional and case-control studies shows an association between consumption of a vegetarian dietary pattern and a reduced prevalence or risk of developing the MetS. There is a need for further research to be conducted, particularly prospective cohort studies to evaluate the effect of vegetarian dietary patterns on reducing the incidence of the MetS and, clinical trials should be designed to explore vegetarian dietary patterns for the reversal of the MetS in high-risk populations. This research could contribute to reduce the societal and economic burdens associated with the disorder.
Collapse
|
159
|
Abstract
Epidemiological studies show that diet is linked to the risk of developing CVD. The objective of this meta-analysis was to estimate the association between empirically derived dietary patterns and CVD. PubMed was searched for observational studies of data-driven dietary patterns that reported outcomes of cardiovascular events. The association between dietary patterns and CVD was estimated using a random-effects meta-analysis with 95 % CI. Totally, twenty-two observational studies met the inclusion criteria. The pooled relative risk (RR) for CVD, CHD and stroke in a comparison of the highest to the lowest category of prudent/healthy dietary patterns in cohort studies was 0·69 (95% CI 0·60, 0·78; I 2=0%), 0·83 (95% CI 0·75, 0·92; I 2=44·6%) and 0·86 (95% CI 0·74, 1·01; I 2=59·5%), respectively. The pooled RR of CHD in a case-control comparison of the highest to the lowest category of prudent/healthy dietary patterns was 0·71 (95% CI 0·63, 0·80; I 2=0%). The pooled RR for CVD, CHD and stroke in a comparison of the highest to the lowest category of western dietary patterns in cohort studies was 1·14 (95% CI 0·92, 1·42; I 2=56·9%), 1·03 (95% CI 0·90, 1·17; I 2=59·4%) and 1·05 (95% CI 0·91, 1·22; I 2=27·6%), respectively; in case-control studies, there was evidence of increased CHD risk. Our results support the evidence of the prudent/healthy pattern as a protective factor for CVD.
Collapse
|
160
|
Chrysohoou C, Pitsavos C, Lazaros G, Skoumas J, Tousoulis D, Stefanadis C. Determinants of All-Cause Mortality and Incidence of Cardiovascular Disease (2009 to 2013) in Older Adults. Angiology 2015; 67:541-8. [DOI: 10.1177/0003319715603185] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim: Ikaria Island (North-East Aegean, Greece) has been recognized as one of the places with the highest life expectancy around the world (the Blues Zones). Risk factors in relation to 4-year all-cause mortality and cardiovascular disease (CVD) incidence in elders were studied. Methods: From June to October 2009, 330 men and 343 women, aged 65 to 100 years, were enrolled, and in June to July 2013, they were reevaluated. Results: Age-standardized, gender-specific, all-cause mortality rate was 790 deaths per 10 000 inhabitants, and causes of death were CVD (36%), cancer (21%), infection (10%), respiratory disease (2%), and other (31%). Incidence of CVDwas 520 cases per 10 000 men inhabitants and 320 cases per 10 000 women ( P = .03). Age, male gender, heart rate, urea levels, left atrial maximum volume, left ventricular hypertrophy, thyroid-stimulating hormone, and moderate to severe depression were positively associated with mortality, whereas left ventricular ejection fraction as well as coffee and tea drinking, fruit intake, and exclusive olive oil use were inversely associated with CVD. Conclusion: Heart function markers in addition to antioxidant dietary factors were placed in this puzzle of CVD morbidity.
Collapse
Affiliation(s)
- Christina Chrysohoou
- First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
| | - Christos Pitsavos
- First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
| | - George Lazaros
- First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
| | - John Skoumas
- First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
| | - Dimitris Tousoulis
- First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
| | | |
Collapse
|
161
|
Abstract
A new study suggests that an energy-dense dietary pattern that is high in saturated fat and low in fibre is associated with cardiovascular risk factors, but not incident cardiovascular disease, among people with severe obesity, which highlights the urgent need for obesity prevention. Analysis of dietary patterns can bolster the evidence base for prevention-oriented dietary recommendations.
Collapse
Affiliation(s)
- Elizabeth M Cespedes
- Harvard T.H. Chan School of Public Health, Departments of Nutrition and Epidemiology, 665 Huntington Avenue, Boston, MA 02115, USA
| | - Frank B Hu
- Harvard T.H. Chan School of Public Health, Departments of Nutrition and Epidemiology, 665 Huntington Avenue, Boston, MA 02115, USA
| |
Collapse
|
162
|
Mantzari E, Vogt F, Shemilt I, Wei Y, Higgins JPT, Marteau TM. Personal financial incentives for changing habitual health-related behaviors: A systematic review and meta-analysis. Prev Med 2015; 75:75-85. [PMID: 25843244 PMCID: PMC4728181 DOI: 10.1016/j.ypmed.2015.03.001] [Citation(s) in RCA: 148] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 03/03/2015] [Accepted: 03/06/2015] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Uncertainty remains about whether personal financial incentives could achieve sustained changes in health-related behaviors that would reduce the fast-growing global non-communicable disease burden. This review aims to estimate whether: i. financial incentives achieve sustained changes in smoking, eating, alcohol consumption and physical activity; ii. effectiveness is modified by (a) the target behavior, (b) incentive value and attainment certainty, (c) recipients' deprivation level. METHODS Multiple sources were searched for trials offering adults financial incentives and assessing outcomes relating to pre-specified behaviors at a minimum of six months from baseline. Analyses included random-effects meta-analyses and meta-regressions grouped by timed endpoints. RESULTS Of 24,265 unique identified articles, 34 were included in the analysis. Financial incentives increased behavior-change, with effects sustained until 18months from baseline (OR: 1.53, 95% CI 1.05-2.23) and three months post-incentive removal (OR: 2.11, 95% CI 1.21-3.67). High deprivation increased incentive effects (OR: 2.17; 95% CI 1.22-3.85), but only at >6-12months from baseline. Other assessed variables did not independently modify effects at any time-point. CONCLUSIONS Personal financial incentives can change habitual health-related behaviors and help reduce health inequalities. However, their role in reducing disease burden is potentially limited given current evidence that effects dissipate beyond three months post-incentive removal.
Collapse
Affiliation(s)
- Eleni Mantzari
- Health Psychology Section, King's College London, London, UK.
| | - Florian Vogt
- Institute of Pharmaceutical Science, King's College London, London, UK.
| | - Ian Shemilt
- Behaviour and Health Research Unit, University of Cambridge, Cambridge, UK.
| | - Yinghui Wei
- MRC Clinical Trials Unit Hub for Trials Methodology Research, MRC Clinical Trials Unit, London, UK.
| | - Julian P T Higgins
- School of Social and Community Medicine, University of Bristol, Bristol UK; Centre for Reviews and Dissemination, University of York, York, UK.
| | - Theresa M Marteau
- Health Psychology Section, King's College London, London, UK; Behaviour and Health Research Unit, University of Cambridge, Cambridge, UK.
| |
Collapse
|
163
|
Fung TT, Feskanich D. Dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. Osteoporos Int 2015; 26:1825-30. [PMID: 25731807 PMCID: PMC4980913 DOI: 10.1007/s00198-015-3081-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2014] [Accepted: 02/13/2015] [Indexed: 11/26/2022]
Abstract
UNLABELLED We followed 74,540 postmenopausal women and 35,451 men above age 50 for up to 30 years. Neither the prudent pattern, characterized by higher intakes of whole grains, fruits, and vegetables, nor the Western pattern, characterized by higher intakes of red/processed meats, and refined grains were associated with hip fracture risk. INTRODUCTION We examined the association between predominant dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. METHODS We used data from 74,540 women in the Nurses' Health Study followed between 1980 and 2010, and 35,451 men from the Health Professionals Follow-up Study followed between 1986 and 2012 for this analysis. Health and lifestyle information was assessed every 2 years. Diet was assessed approximately every 4 years with a food frequency questionnaire. Two major dietary patterns were previously derived using principal component analysis. The prudent pattern is characterized by higher intakes of fruits, vegetables, whole grains, and poultry, and the Western pattern is characterized by higher intakes of red and processed meats, sweets, and refined grains. We computed relative risks (RR) for hip fracture by dietary pattern scores using Cox proportional hazards models, adjusting for potential confounders. RESULTS During follow-up, there were 1891 hip fractures in women and 596 in men. No association was observed between the prudent or Western pattern and risk of hip fractures in either men or women. We also did not find an association among lean (body mass index (BMI) <25) or overweight (BMI ≥25) individuals or among those with higher or lower levels of physical activity. CONCLUSION Neither the prudent nor the Western dietary pattern was associated with risk of hip fractures in postmenopausal women or men over 50 years of age.
Collapse
Affiliation(s)
- T T Fung
- Department of Nutrition, Simmons College, Boston, MA, USA.
- Department of Nutrition, Harvard School of Public Health, Boston, MA, USA.
| | - D Feskanich
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| |
Collapse
|
164
|
Rummo PE, Meyer KA, Boone-Heinonen J, Jacobs DR, Kiefe CI, Lewis CE, Steffen LM, Gordon-Larsen P. Neighborhood availability of convenience stores and diet quality: findings from 20 years of follow-up in the coronary artery risk development in young adults study. Am J Public Health 2015; 105:e65-73. [PMID: 25790410 PMCID: PMC4386512 DOI: 10.2105/ajph.2014.302435] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/27/2014] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined the association between neighborhood convenience stores and diet outcomes for 20 years of the Coronary Artery Risk Development in Young Adults study. METHODS We used dietary data from the Coronary Artery Risk Development in Young Adults study years 1985-1986, 1992-1993, and 2005-2006 (n = 3299; Birmingham, AL; Chicago, IL; Minneapolis, MN; and Oakland, CA) and geographically and temporally matched neighborhood-level food resource and US Census data. We used random effects repeated measures regression to estimate associations between availability of neighborhood convenience stores with diet outcomes and whether these associations differed by individual-level income. RESULTS In multivariable-adjusted analyses, greater availability of neighborhood convenience stores was associated with lower diet quality (mean score = 66.3; SD = 13.0) for participants with lower individual-level income (b = -2.40; 95% CI = -3.30, -1.51); associations at higher individual-level income were weaker. We observed similar associations with whole grain consumption across time but no statistically significant associations with consumption of sugar-sweetened beverages, artificially sweetened beverages, snacks, processed meats, fruits, or vegetables. CONCLUSIONS The presence of neighborhood convenience stores may be associated with lower quality diets. Low-income individuals may be most sensitive to convenience store availability.
Collapse
Affiliation(s)
- Pasquale E Rummo
- Pasquale E. Rummo, Katie A. Meyer, and Penny Gordon-Larsen are with the Department of Nutrition, University of North Carolina, Chapel Hill. Janne Boone-Heinonen is with the Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland. David R. Jacobs Jr and Lyn M. Steffen are with the Division of Epidemiology and Community Health, University of Minnesota, Minneapolis. Catarina I. Kiefe is with the Department of Quantitative Health Sciences, University of Massachusetts Medical School, Boston. Cora E. Lewis is with the Division of Preventive Medicine, University of Alabama, Birmingham
| | | | | | | | | | | | | | | |
Collapse
|
165
|
Holley CE, Haycraft E, Farrow C. ‘Why don’t you try it again?’ A comparison of parent led, home based interventions aimed at increasing children's consumption of a disliked vegetable. Appetite 2015; 87:215-22. [DOI: 10.1016/j.appet.2014.12.216] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Revised: 12/16/2014] [Accepted: 12/23/2014] [Indexed: 10/24/2022]
|
166
|
Corrêa VG, Tureck C, Locateli G, Peralta RM, Koehnlein EA. Estimate of consumption of phenolic compounds by Brazilian population. REV NUTR 2015. [DOI: 10.1590/1415-52732015000200007] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE: Estimate the intake of phenolic compounds by the Brazilian population. METHODS: To estimate the average per capita food consumption, micro data from the National Dietary Survey and from the Household Budget Survey from 2008 to 2009 was analyzed. The phenolic content in food was estimated from the base of Phenol-Explorer. It was chosen according to compatibility and variety of food items and usual method of preparation. RESULTS: The Brazilian population consumed, on average, 460.15 mg/day of total phenolic compounds, derived mainly from beverages (48.9%), especially coffee and legumes (19.5%). Since this analysis of classes of phenolics it was possible to observe an intake of 314 mg/day of phenolic acids, 138.92 mg/day of flavonoids and 7.16 mg/ day of other kinds of phenolics. Regarding the variables studied this present study shows that those men who live in the countryside and in the northeastern region of the country had a higher consumption of phenolic compounds. Besides, consumption was higher by adults and the elderly, the medium income classes, the population with incomplete and complete primary education and those with adequate nutrition and also overweight status. CONCLUSION: The intake of phenolic compounds can be considered low, especially where consumption of fruit and vegetables is insufficient. We can conclude that coffee and black beans were the best contributors to phenolic intake.
Collapse
|
167
|
|
168
|
Boggs DA, Ban Y, Palmer JR, Rosenberg L. Higher diet quality is inversely associated with mortality in African-American women. J Nutr 2015; 145:547-54. [PMID: 25733471 PMCID: PMC4336533 DOI: 10.3945/jn.114.195735] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Diet quality has been inversely associated with overall mortality in white populations, but the evidence in African-American populations is limited. OBJECTIVE The goal of the present study was to assess diet quality in relation to all-cause mortality in the Black Women's Health Study, a follow-up study of African-American women begun in 1995. METHODS Data used in this study were obtained via biennial questionnaires from 1995 to 2011. Based on food-frequency questionnaire data collected in 1995 and 2001, we calculated an index-based diet quality score [Dietary Approaches to Stop Hypertension (DASH)] and derived dietary patterns (prudent and Western) with the use of factor analysis. We followed 37,001 women who were aged 30-69 y and free of cancer, cardiovascular disease, and diabetes at baseline for mortality through 2011. Multivariable Cox regression was used to estimate HRs and 95% CIs. Analyses were conducted in 2014. RESULTS Based on a total of 1678 deaths during 16 y of follow-up, higher DASH scores were associated with reduced all-cause mortality (HR: 0.75; 95% CI: 0.63, 0.89 for highest vs. lowest quintiles). The DASH components most strongly associated with lower mortality were high intake of whole grains and low intake of red and processed meat. A Western dietary pattern, characterized by high intake of red and processed meat, was associated with increased all-cause mortality rates (HR: 1.37; 95% CI: 1.17, 1.60 for highest vs. lowest quintiles of score); a prudent dietary pattern was not associated with risk. CONCLUSION A DASH-style diet high in intake of whole grains and low in consumption of red meat is associated with reduced mortality rates in healthy African-American women.
Collapse
Affiliation(s)
| | | | | | - Lynn Rosenberg
- Slone Epidemiology Center at Boston University, Boston, MA
| |
Collapse
|
169
|
Zhou X, Guan H, Zheng L, Li Z, Guo X, Yang H, Yu S, Sun G, Li W, Hu W, Guo L, Pan G, Xing L, Zhang Y, Sun Y. Prevalence and awareness of diabetes mellitus among a rural population in China: results from Liaoning Province. Diabet Med 2015; 32:332-42. [PMID: 25308779 DOI: 10.1111/dme.12599] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/06/2014] [Indexed: 01/19/2023]
Abstract
AIM To clarify the diabetes prevalence trends among the rural population in northern China. METHODS All eligible permanent residents aged ≥ 35 years in selected rural villages of Liaoning province were invited to participate in the study. A total of 11 600 people completed all questionnaires and were included in the study. The response rate was 85.3%. Fasting plasma glucose levels were measured after at least 12 h of fasting and diabetes was diagnosed according to WHO criteria, i.e. fasting plasma glucose ≥ 7 mmol/l and/or being on treatment for diabetes. Impaired fasting glucose was defined according to the 1997 and the 2010 American Diabetes Association (ADA) criteria (6.1-6.9 and 5.6-6.9 mmol/l, respectively). Previous diagnoses of diabetes were assessed on the basis of self-reports. RESULTS The prevalence of diabetes among adults in the rural population was 10.6% (10.0% in men and 11.1% in women). The prevalence of impaired fasting glucose was 13.0 and 36.1% according to the 1997 and the 2010 ADA criteria, respectively. The prevalence of previously diagnosed diabetes was 4.3% among the whole population (3.3% in men and 5.1% in women). The prevalence of previously diagnosed diabetes was 34.8% in men and 50.2% in women. Only 29.6% of men and 42% of women with diabetes had taken oral hypoglycaemic agents or insulin to lower their blood sugar. In multivariate analysis, age, drinking habits, BMI, dyslipidaemia and family history of diabetes were identified as independent risk factors for diabetes, and occupational physical activity, smoking and lean meat intake were identified as independent protective factors for diabetes. CONCLUSIONS The prevalence of diabetes and impaired fasting glucose were found to be high in this rural population. Although the rate of treatment of people with diabetes has increased, the glycaemic control rate was still at a low level.
Collapse
Affiliation(s)
- X Zhou
- Department of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning, China
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
170
|
Health-related lifestyle behaviors among male and female rural-to-urban migrant workers in Shanghai, China. PLoS One 2015; 10:e0117946. [PMID: 25710464 PMCID: PMC4339381 DOI: 10.1371/journal.pone.0117946] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 01/05/2015] [Indexed: 11/24/2022] Open
Abstract
Background Lifestyle behaviors significantly impact health, yet remain poorly defined in Chinese rural-to-urban migrants. Methods In a cross-sectional study of health-related behaviors of 5484 rural-to-urban migrants who had worked in Shanghai for at least six months, we assessed the contribution of demographics and physical and mental health to lifestyle behaviors in male and female participants by multiple stepwise cumulative odds logistic regression. Results Respondents were 51.3% male. 9.9% exhibited abnormal blood pressure; 27.0% were overweight or obese; 11.2% reported abnormal mental health; 36.9% reported healthy lifestyle. Multiple stepwise cumulative odds logistic regression indicated that men working in manufacturing reported less unhealthy lifestyle than those in hospitality (cumulative odds ratio (COR) = 1.806, 95%CI 1.275–2.559) or recreation/leisure (COR = 3.248, 95%CI 2.379–4.435); and women working in manufacturing and construction reported less unhealthy lifestyle than those in all other sectors. Unhealthy lifestyle was associated with small workplaces for men (COR = 1.422, 95%CI 1.154–1.752), working more than 8 or 11 hours per day for women and men, respectively, and earning over 3500 RMB in women (COR = 1.618, 95%CI 1.137–2.303). Single women and women who had previously resided in three or more cities were more likely to report unhealthy lifestyle (COR = 2.023, 95%CI 1.664–2.461, and COR = 1.311, 95%CI 1.072–1.602, respectively). Abnormal mental status was also correlated with unhealthy lifestyle in men (COR = 3.105, 95%CI 2.454–3.930) and women (COR = 2.566, 95%CI 2.024–3.252). Conclusions There were different risk factors of unhealthy lifestyle score in male and female rural-to-urban migrants, especially in number of cities experienced, salary, marital status, work place scale. Several demographic groups: employment sectors (e.g. hospitality and recreation/leisure), working conditions (e.g. long hours) and abnormal mental status were associated with unhealthy lifestyle behaviors in Chinese rural-to-urban migrants, and health interventions should be targeted to these groups.
Collapse
|
171
|
Riboldi BP, Luft VC, de Castilhos CD, de Cardoso LO, Schmidt MI, Barreto SM, de Sander MF, Alvim SM, Duncan BB. Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study. Cardiovasc Diabetol 2015; 14:21. [PMID: 25855488 PMCID: PMC4329202 DOI: 10.1186/s12933-015-0181-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Accepted: 01/22/2015] [Indexed: 11/10/2022] Open
Abstract
Objective To assess glucose and triglyceride excursions 2 hours after the ingestion of a standardized meal and their associations with clinical characteristics and cardiovascular complications in individuals with diabetes. Research design and methods Blood samples of 898 subjects with diabetes were collected at fasting and 2 hours after a meal containing 455 kcal, 14 g of saturated fat and 47 g of carbohydrates. Self-reported morbidity, socio-demographic characteristics and clinical measures were obtained by interview and exams performed at the baseline visit of the ELSA-Brasil cohort study. Results Median (interquartile range, IQR) for fasting glucose was 150.5 (123–198) mg/dL and for fasting triglycerides 140 (103–199) mg/dL. The median excursion for glucose was 45 (15–76) mg/dL and for triglycerides 26 (11–45) mg/dL. In multiple linear regression, a greater glucose excursion was associated with higher glycated hemoglobin (10.7, 95% CI 9.1–12.3 mg/dL), duration of diabetes (4.5; 2.6–6.4 mg/dL, per 5 year increase), insulin use (44.4; 31.7–57.1 mg/dL), and age (6.1; 2.5–9.6 mg/dL, per 10 year increase); and with lower body mass index (−5.6; −8.4– -2.8 mg/dL, per 5 kg/m2 increase). In adjusted logistic regression models, a greater glucose excursion was marginally associated with the presence of cardiovascular comorbidities (coronary heart disease, myocardial infarction and angina) in those with obesity. Conclusions A greater postprandial glycemic response to a small meal was positively associated with indicators of a decreased capacity for insulin secretion and negatively associated with obesity. No pattern of response was observed with a greater postprandial triglyceride excursion.
Collapse
|
172
|
Wang H, Qu M, Yang P, Yang B, Deng F. Dietary patterns and cardio-cerebrovascular disease in a Chinese population. Nutr Res Pract 2015; 9:313-8. [PMID: 26060544 PMCID: PMC4460064 DOI: 10.4162/nrp.2015.9.3.313] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Revised: 10/14/2014] [Accepted: 10/16/2014] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES Dietary pattern and its association with cardio-cerebrovascular disease have not been studied in Baoji city by now. This study was aimed to identify the dietary patterns among Chinese adults in Baoji, and explore the association between these dietary patterns and cardio-cerebrovascular disease. SUBJECTS/METHODS A total of 4,968 participants were included in this study at 12 counties. With multistage stratified random sampling and semi quantitative food frequency questionnaire, the prevalence of cardio-cerebrovascular disease and dietary intake were investigated in 2013. We used factor analysis to establish dietary patterns. RESULTS A total of 4,968 participants over 15 years old were included in this study. Five dietary patterns were identified in Baoji: protein, balanced, beans, prudent, and traditional patterns. The protein dietary pattern mainly included animal and plant proteins and was negatively associated with hypertension as well as stroke. The balanced pattern included carbohydrates, protein, and fat and was negatively associated with hypertension as well as stroke. The beans pattern was mainly beans and beans products and was negatively associated with hypertension. The prudent pattern only included staple foods and pickled vegetables and was positively associated with hypertension as well as coronary heart disease. The traditional pattern was representative of local Baoji traditional recipes and was positively associated with hypertension. CONCLUSIONS The protein, balanced, and beans dietary patterns showed many protective effects on cardio-cerebrovascular disease. Based on these results, Baoji city residents should be encouraged to choose protein, balanced, and beans dietary patterns and abandon prudent and traditional patterns to prevent incidence of hypertension, coronary heart disease, and stroke.
Collapse
Affiliation(s)
- Honglin Wang
- Baoji Center for Disease Control and Prevention, XiBao Road No. 68, Baoji, Shaanxi, China
| | - Meng Qu
- Baoji Center for Disease Control and Prevention, XiBao Road No. 68, Baoji, Shaanxi, China
| | - Peirong Yang
- Baoji Center for Disease Control and Prevention, XiBao Road No. 68, Baoji, Shaanxi, China
| | - Biao Yang
- Baoji Center for Disease Control and Prevention, XiBao Road No. 68, Baoji, Shaanxi, China
| | - Feng Deng
- Baoji Center for Disease Control and Prevention, XiBao Road No. 68, Baoji, Shaanxi, China
| |
Collapse
|
173
|
Crow EM, Jeannot E, Trewhela A. Effectiveness of Iyengar yoga in treating spinal (back and neck) pain: A systematic review. Int J Yoga 2015; 8:3-14. [PMID: 25558128 PMCID: PMC4278133 DOI: 10.4103/0973-6131.146046] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Considerable amount of money spent in health care is used for treatments of lifestyle related, chronic health conditions, which come from behaviors that contribute to morbidity and mortality of the population. Back and neck pain are two of the most common musculoskeletal problems in modern society that have significant cost in health care. Yoga, as a branch of complementary alternative medicine, has emerged and is showing to be an effective treatment against nonspecific spinal pain. Recent studies have shown positive outcome of yoga in general on reducing pain and functional disability of the spine. The objective of this study is to conduct a systematic review of the existing research within Iyengar yoga method and its effectiveness on relieving back and neck pain (defined as spinal pain). Database research form the following sources (Cochrane library, NCBI PubMed, the Clinical Trial Registry of the Indian Council of Medical Research, Google Scholar, EMBASE, CINAHL, and PsychINFO) demonstrated inclusion and exclusion criteria that selected only Iyengar yoga interventions, which in turn, identified six randomized control trials dedicated to compare the effectiveness of yoga for back and neck pain versus other care. The difference between the groups on the postintervention pain or functional disability intensity assessment was, in all six studies, favoring the yoga group, which projected a decrease in back and neck pain. Overall six studies with 570 patients showed, that Iyengar yoga is an effective means for both back and neck pain in comparison to control groups. This systematic review found strong evidence for short-term effectiveness, but little evidence for long-term effectiveness of yoga for chronic spine pain in the patient-centered outcomes.
Collapse
Affiliation(s)
- Edith Meszaros Crow
- Institute of Global Health, Faculty of Medicine, University of Geneva, Switzerland
| | - Emilien Jeannot
- Institute of Global Health, Faculty of Medicine, University of Geneva, Switzerland
| | - Alison Trewhela
- Institute of Global Health, Faculty of Medicine, University of Geneva, Switzerland
| |
Collapse
|
174
|
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, de Ferranti S, Després JP, Fullerton HJ, Howard VJ, Huffman MD, Judd SE, Kissela BM, Lackland DT, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Matchar DB, McGuire DK, Mohler ER, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Willey JZ, Woo D, Yeh RW, Turner MB. Heart disease and stroke statistics--2015 update: a report from the American Heart Association. Circulation 2014; 131:e29-322. [PMID: 25520374 DOI: 10.1161/cir.0000000000000152] [Citation(s) in RCA: 4464] [Impact Index Per Article: 446.4] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|
175
|
Associations of dietary patterns with the risk of all-cause, CVD and stroke mortality: a meta-analysis of prospective cohort studies. Br J Nutr 2014; 113:16-24. [PMID: 25430485 DOI: 10.1017/s000711451400289x] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Considerable controversy exists regarding the associations of dietary patterns with the risk of all-cause, CVD and stroke mortality. Therefore, a meta-analysis was conducted to elucidate the potential associations between dietary patterns and the risk of all-cause, CVD and stroke mortality. The PubMed database was searched for prospective cohort studies on the associations between dietary patterns and the risk of all-cause, CVD and stroke mortality published until February 2014. Random-effects models were used to calculate the summary relative risk estimates (SRRE) based on the highest v. the lowest category of dietary pattern scores. Stratified analyses were conducted based on sex, geographical region, follow-up duration, and adjustment/non-adjustment for energy intake. A total of thirteen prospective cohort studies involving 338 787 participants were included in the meta-analysis. There was evidence of inverse associations between the prudent/healthy dietary pattern and the risk of all-cause (SRRE = 0·76, 95% CI 0·68, 0·86) and CVD (SRRE = 0·81, 95% CI 0·75, 0·87) mortality and an absence of association between this dietary pattern and stroke mortality (SRRE = 0·89, 95% CI 0·77, 1·02). However, no significant associations were observed between the Western/unhealthy dietary pattern and the risk of all-cause (SRRE = 1·07, 95% CI 0·96, 1·20), CVD (SRRE = 0·99, 95% CI 0·91, 1·08) and stroke (SRRE = 0·94, 95% CI 0·81, 1·10) mortality. In conclusion, the findings provide evidence that greater adherence to a prudent/healthy dietary pattern is associated with a lower risk of all-cause and CVD mortality and not significantly associated with stroke mortality and that the Western/unhealthy dietary pattern is not associated with all-cause, CVD and stroke mortality. Further studies are required to confirm these findings.
Collapse
|
176
|
Kim HS. Metabolic syndrome related health inequalities in Korean elderly: Korean National Health and Nutrition Examination Survey (KNHAES). Int J Equity Health 2014; 13:463. [PMID: 25406511 PMCID: PMC4299311 DOI: 10.1186/s12939-014-0097-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Accepted: 10/11/2014] [Indexed: 11/11/2022] Open
Abstract
While the prevalence of metabolic syndrome is increasing, little is presently known about this syndrome in Korean elderly. This study aimed to group metabolic risk factors and to examine the associations between groups of health living conditions and metabolic syndrome using data from the Korean National Health Examination and Nutritional Assessment (KNHANES). A total of 1,435 subjects aged over 65 years old with both biochemical and dietary data information were obtained from the 4th and 5th KNHANES (2007–2012). Using stratified and multistage probability sample data, five components of metabolic syndrome were adopted to identify health inequalities. Our findings show that groups of health living conditions such as dietary pattern, body image, muscle mass, and fat mass were differentially associated with metabolic syndrome risk factors. Future studies are necessary to examine the underlying mechanisms of individual health living conditions to better understand the role of metabolic risk factors in metabolic syndrome in elderly.
Collapse
Affiliation(s)
- Hak-Seon Kim
- Department of Foodservice Management, Kyungsung University, 309 Suyeong-ro Nam-gu, Busan, 608-736, South Korea.
| |
Collapse
|
177
|
Mortalidad prematura cardiovascular y sus costes: 20 años de seguimiento del estudio DRECE. Rev Clin Esp 2014; 214:365-70. [DOI: 10.1016/j.rce.2014.05.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2014] [Revised: 05/14/2014] [Accepted: 05/18/2014] [Indexed: 11/18/2022]
|
178
|
Gómez-de la Cámara A, Pinilla-Domínguez P, Vázquez-Fernández del Pozo S, García-Pérez L, Rubio-Herrera M, Gómez-Gerique J, Gutiérrez-Fuentes J, Rivero-Cuadrado A, Serrano-Aguilar P. Costs resulting from premature mortality due to cardiovascular causes: A 20-year follow-up of the DRECE study. Rev Clin Esp 2014. [DOI: 10.1016/j.rceng.2014.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
179
|
Association between Dietary Patterns and Chronic Diseases among Chinese Adults in Baoji. Int J Chronic Dis 2014; 2014:548269. [PMID: 26464858 PMCID: PMC4590925 DOI: 10.1155/2014/548269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 08/12/2014] [Accepted: 08/31/2014] [Indexed: 02/07/2023] Open
Abstract
Objective. This study was aimed to identify the dietary patterns among Chinese adults in Baoji and explore the association between these dietary patterns and chronic diseases. Methods. With multistage stratified random sampling and semiquantitative food frequency questionnaire, the prevalence of chronic disease and dietary intake was investigated in 2013. We used factor analysis to establish dietary patterns. Results. A total of 5020 participants over 15 years old were included in this study. Five dietary patterns were identified in Baoji named as protein, balanced, beans, prudent, and traditional patterns. There are many protective effects with protein, balanced, and beans dietary patterns on chronic diseases. Conclusions. We should encourage Baoji city residents to choose protein, balanced, and beans dietary patterns and abandon prudent and traditional patterns.
Collapse
|
180
|
Dietary patterns and cardiovascular risk factors in adolescents and young adults: the Northern Ireland Young Hearts Project. Br J Nutr 2014; 112:1685-98. [DOI: 10.1017/s0007114514002682] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Dietary pattern (DP) analysis allows examination of the combined effects of nutrients and foods on the markers of CVD. Very few studies have examined these relationships during adolescence or young adulthood. Traditional CVD risk biomarkers were analysed in 12–15-year-olds (n487; Young Hearts (YH)1) and again in the same individuals at 20–25 years of age (n487; YH3). Based on 7 d diet histories, in the present study, DP analysis was performed usinga posterioriprincipal component analysis for the YH3 cohort and thea prioriMediterranean Diet Score (MDS) was calculated for both YH1 and YH3 cohorts. In thea posterioriDP analysis, YH3 participants adhering most closely to the ‘healthy’ DP were found to have lower pulse wave velocity (PWV) and homocysteine concentrations, the ‘sweet tooth’ DP were found to have increased LDL concentrations, systolic blood pressure, and diastolic blood pressure and decreased HDL concentrations, the ‘drinker/social’ DP were found to have lower LDL and homocysteine concentrations, but exhibited a trend towards a higher TAG concentration, and finally the ‘Western’ DP were found to have elevated homocysteine and HDL concentrations. In thea prioridietary score analysis, YH3 participants adhering most closely to the Mediterranean diet were found to exhibit a trend towards a lower PWV. MDS did not track between YH1 and YH3, and nor was there a longitudinal relationship between the change in the MDS and the change in CVD risk biomarkers. In conclusion, cross-sectional analysis revealed that some associations between DP and CVD risk biomarkers were already evident in the young adult population, namely the association between the healthy DP (and the MDS) and PWV; however, no longitudinal associations were observed between these relatively short time periods.
Collapse
|
181
|
Martínez-González MA, Zazpe I, Razquin C, Sánchez-Tainta A, Corella D, Salas-Salvadó J, Toledo E, Ros E, Muñoz MÁ, Recondo J, Gómez-Gracia E, Fiol M, Lapetra J, Buil-Cosiales P, Serra-Majem L, Pinto X, Schröder H, Tur JA, Sorli JV, Lamuela-Raventós RM, Estruch R. Empirically-derived food patterns and the risk of total mortality and cardiovascular events in the PREDIMED study. Clin Nutr 2014; 34:859-67. [PMID: 25304294 DOI: 10.1016/j.clnu.2014.09.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Revised: 08/29/2014] [Accepted: 09/03/2014] [Indexed: 11/26/2022]
Abstract
BACKGROUND & AIMS There is little evidence on post hoc-derived dietary patterns (DP) and all-cause mortality in Southern-European populations. Furthermore, the potential effect modification of a DP by a nutritional intervention has not been sufficiently assessed. We assessed the association between a posteriori defined baseline major DP and total mortality or cardiovascular events within each of the three arms of a large primary prevention trial (PREDIMED) where participants were randomized to two active interventions with Mediterranean-type diets or to a control group (allocated to a low-fat diet). DESIGN We followed-up 7216 participants for a median of 4.3 years. A validated 137-item food-frequency questionnaire was administered. Baseline DP were ascertained through factor analysis based on 34 predefined groups. Cox regression models were used to estimate multivariable-adjusted hazard ratios (HR) for cardiovascular disease (CVD) or mortality across quartiles of DP within each of the three arms of the trial. RESULTS We identified two major baseline DP: the first DP was rich in red and processed meats, alcohol, refined grains and whole dairy products and was labeled Western dietary pattern (WDP). The second DP corresponded to a "Mediterranean-type" dietary pattern (MDP). During follow-up, 328 participants died. After controlling for potential confounders, higher baseline adherence to the MDP was associated with lower risk of CVD (adjusted HR for fourth vs. first quartile: 0.52; 95% CI (Confidence Interval): 0.36, 0.74; p-trend <0.001) and all-cause mortality (adjusted HR: 0.53; 95% CI: 0.38, 0.75; p-trend <0.001), regardless of the allocated arm of the trial. An increasing mortality rate was found across increasing quartiles of the WDP in the control group (allocated to a low-fat diet), though the linear trend was not statistically significant (p = 0.098). CONCLUSIONS Higher adherence to an empirically-derived MDP at baseline was associated with a reduced risk of CVD and mortality in the PREDIMED trial regardless of the allocated arm. The WDP was not associated with higher risk of mortality or cardiovascular events.
Collapse
Affiliation(s)
- Miguel A Martínez-González
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain.
| | - Itziar Zazpe
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Nutrition and Food Sciences and Physiology, University of Navarra, Pamplona, Spain
| | - Cristina Razquin
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain
| | - Ana Sánchez-Tainta
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain
| | - Dolores Corella
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Preventive Medicine, University of Valencia, Valencia, Spain
| | - Jordi Salas-Salvadó
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Human Nutrition Department, IISPV, Universitat Rovira i Virgili, Reus, Spain
| | - Estefanía Toledo
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain
| | - Emilio Ros
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - Miguel Ángel Muñoz
- Unitat de Suport a la Recerca, División de Atención Primaria de Salud, Institut Català de la Salut e IDIAP-Jordi Gol, Barcelona, Spain; Departamento de Pediatría, Obstetricia, Ginecología y Medicina Preventiva, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Javier Recondo
- Department of Cardiology, University Hospital of Alava, Vitoria, Spain
| | - Enrique Gómez-Gracia
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Preventive Medicine, University of Malaga, Malaga, Spain
| | - Miquel Fiol
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Instituto de Investigación Sanitaria de Palma (IdISPa), Hospital Son Espases, Palma de Mallorca, Spain
| | - José Lapetra
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Sevilla, Spain
| | - Pilar Buil-Cosiales
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain
| | - Lluis Serra-Majem
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Xavier Pinto
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
| | - Helmut Schröder
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar-IMIM, Barcelona, Spain; CIBER Epidemiologia y Salud Pública (CIBERESP), Spain
| | - Josep A Tur
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Fundamental Biology & Health Sciences, University of Balearic Islands, Spain
| | - José V Sorli
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Preventive Medicine, University of Valencia, Valencia, Spain
| | - Rosa M Lamuela-Raventós
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Department of Nutrition and Food Science, School of Pharmacy, XaRTA, INSA, University of Barcelona, Barcelona, Spain
| | - Ramón Estruch
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain; Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain
| | | |
Collapse
|
182
|
Odegaard AO, Koh WP, Yuan JM, Gross MD, Pereira MA. Dietary patterns and mortality in a Chinese population. Am J Clin Nutr 2014; 100:877-83. [PMID: 25057151 PMCID: PMC4135496 DOI: 10.3945/ajcn.114.086124] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Limited research has examined the association between dietary patterns and mortality, especially in non-Western populations. OBJECTIVE We examined the association of dietary patterns with all-cause mortality and cause-specific mortality in the Singapore Chinese Health Study, which included a unique ethnic population with strong Western and South Asian cultural influences. DESIGN We conducted a prospective data analysis of the Singapore Chinese Health Study, which included 52,584 Chinese men and women (aged 45-74 y) who were free of diabetes, cardiovascular disease (CVD), and cancer at baseline (1993-1998) and followed through 2011 with 10,029 deaths. The following 2 major dietary patterns were identified by using a principal components analysis: a vegetable-, fruit-, and soy-rich (VFS) pattern and a dim sum- and meat-rich (DSM) dietary pattern. Pattern scores for each participant were calculated and examined with all-cause and cause-specific mortality risks by using a Cox proportional hazards regression. RESULTS The VFS pattern was inversely associated with all-cause mortality and each cause-specific category (CVD, cancer, and respiratory) of mortality during the follow-up period. Compared with the lowest quintile of the VFS pattern, HRs for quintiles 2-5 for all-cause mortality were 0.90, 0.79, 0.80, and 0.75, respectively (P-trend < 0.0001). The DSM pattern was positively associated with CVD mortality in the whole population (HR for fifth quintile compared with first quintile: 1.23; 95% CI: 1.07, 1.40; P-trend = 0.001). Positive associations between the DSM pattern and cancer and all-cause mortality were only present in ever-smokers. In ever-smokers, relative to the first quintile, HRs for quintiles 2-5 of the DSM pattern for all-cause mortality were 1.04, 1.04, 1.13, and 1.24, respectively (P-trend < 0.0001). Similarly, HRs for quintiles 2-5 for cancer mortality were 1.08, 1.03, 1.25, and 1.34, respectively (P-trend < 0.0001). The DSM pattern was not associated with respiratory mortality. CONCLUSION Dietary patterns are strongly associated with mortality in Chinese Singaporeans.
Collapse
Affiliation(s)
- Andrew O Odegaard
- From the School of Public Health Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN (AOO, MDG, and MAP); The Duke-National University of Singapore Graduate Medical School, Singapore (W-PK); the Saw Swee Hock School of Public Health, National University of Singapore (W-PK); the Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA (J-MY); and the Graduate School of Public Health, Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA (J-MY)
| | - Woon-Puay Koh
- From the School of Public Health Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN (AOO, MDG, and MAP); The Duke-National University of Singapore Graduate Medical School, Singapore (W-PK); the Saw Swee Hock School of Public Health, National University of Singapore (W-PK); the Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA (J-MY); and the Graduate School of Public Health, Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA (J-MY)
| | - Jian-Min Yuan
- From the School of Public Health Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN (AOO, MDG, and MAP); The Duke-National University of Singapore Graduate Medical School, Singapore (W-PK); the Saw Swee Hock School of Public Health, National University of Singapore (W-PK); the Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA (J-MY); and the Graduate School of Public Health, Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA (J-MY)
| | - Myron D Gross
- From the School of Public Health Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN (AOO, MDG, and MAP); The Duke-National University of Singapore Graduate Medical School, Singapore (W-PK); the Saw Swee Hock School of Public Health, National University of Singapore (W-PK); the Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA (J-MY); and the Graduate School of Public Health, Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA (J-MY)
| | - Mark A Pereira
- From the School of Public Health Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN (AOO, MDG, and MAP); The Duke-National University of Singapore Graduate Medical School, Singapore (W-PK); the Saw Swee Hock School of Public Health, National University of Singapore (W-PK); the Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA (J-MY); and the Graduate School of Public Health, Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA (J-MY)
| |
Collapse
|
183
|
Abstract
BACKGROUND Evidence suggests that emotional distress and objective demands of cancer caregiving are comparable to those of dementia caregiving, yet little research has focused on the physical health of cancer caregivers. Whether the stress leads directly to changes in health or whether the stress leads to changes in health behaviors, which in turn affect health, has not been systematically examined. OBJECTIVE The objective of this study was to review the research literature regarding changes in health behaviors associated with caring for an individual with cancer. METHODS Literature was reviewed from multiple databases including CINAHL (Cumulative Index to Nursing and Allied Health Literature), CINAHL Plus, PsycNET, PubMed, SCOPUS, EMBASE, and Web of Science. Key words included "health behavior," "health promotion," "caregivers/caregiving," "cancer/oncology," "diet/nutrition," "exercise/physical activity," "stress management," "smoking" and "alcohol." Studies were included if they involved informal adult caregivers and at least 1 behavior associated with a healthy lifestyle. Of the 866 studies identified, 8 met the criteria. RESULTS Studies revealed conflicting information, with some suggesting deleterious changes in behaviors, whereas others found the changes protective. CONCLUSIONS The lack of uniformity of terminology and conflicting findings make it difficult to conclude the impact of the caregiving experience on the health behaviors of cancer caregivers. Something is placing caregivers at risk for illness and early death, but the mechanisms behind the risk and the role of unhealthy behaviors are not clear. IMPLICATIONS FOR PRACTICE At a minimum, cancer caregivers should be screened for behavior changes and disease risk. Developing standardized measures for future research including controlled, longitudinal studies is needed.
Collapse
|
184
|
Dunford E, Trevena H, Goodsell C, Ng KH, Webster J, Millis A, Goldstein S, Hugueniot O, Neal B. FoodSwitch: A Mobile Phone App to Enable Consumers to Make Healthier Food Choices and Crowdsourcing of National Food Composition Data. JMIR Mhealth Uhealth 2014; 2:e37. [PMID: 25147135 PMCID: PMC4147708 DOI: 10.2196/mhealth.3230] [Citation(s) in RCA: 144] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Revised: 07/01/2014] [Accepted: 08/04/2014] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Front-of-pack nutrition labeling (FoPL) schemes can help consumers understand the nutritional content of foods and may aid healthier food choices. However, most packaged foods in Australia carry no easily interpretable FoPL, and no standard FoPL system has yet been mandated. About two thirds of Australians now own a smartphone. OBJECTIVE We sought to develop a mobile phone app that would provide consumers with easy-to-understand nutrition information and support the selection of healthier choices when shopping for food. METHODS An existing branded food database including 17,000 Australian packaged foods underpinned the project. An iterative process of development, review, and testing was undertaken to define a user interface that could deliver nutritional information. A parallel process identified the best approach to rank foods based on nutritional content, so that healthier alternative products could be recommended. RESULTS Barcode scanning technology was identified as the optimal mechanism for interaction of the mobile phone with the food database. Traffic light labels were chosen as the preferred format for presenting nutritional information, and the Food Standards Australia New Zealand nutrient profiling method as the best strategy for identifying healthier products. The resulting FoodSwitch mobile phone app was launched in Australia in January 2012 and was downloaded by about 400,000 users in the first 18 months. FoodSwitch has maintained a 4-plus star rating, and more than 2000 users have provided feedback about the functionality. Nutritional information for more than 30,000 additional products has been obtained from users through a crowdsourcing function integrated within the app. CONCLUSIONS FoodSwitch has empowered Australian consumers seeking to make better food choices. In parallel, the huge volume of crowdsourced data has provided a novel means for low-cost, real-time tracking of the nutritional composition of Australian foods. There appears to be significant opportunity for this approach in many other countries.
Collapse
Affiliation(s)
- Elizabeth Dunford
- The George Institute for Global Health, Food Policy Division, Camperdown, Australia.
| | | | | | | | | | | | | | | | | |
Collapse
|
185
|
Bezerra IN, Goldman J, Rhodes DG, Hoy MK, Moura Souza AD, Chester DN, Martin CL, Sebastian RS, Ahuja JK, Sichieri R, Moshfegh AJ. Difference in adult food group intake by sex and age groups comparing Brazil and United States nationwide surveys. Nutr J 2014; 13:74. [PMID: 25047421 PMCID: PMC4118205 DOI: 10.1186/1475-2891-13-74] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2013] [Accepted: 07/16/2014] [Indexed: 11/12/2022] Open
Abstract
Background International comparisons of dietary intake are an important source of information to better understand food habits and their relationship to nutrition related diseases. The objective of this study is to compare food intake of Brazilian adults with American adults identifying possible dietary factors associated with the increase in obesity in Brazil. Methods This research used cross-national analyses between the United States and Brazil, including 5,420 adults in the 2007–2008 What We Eat In America, National Health and Nutrition Examination Survey and 26,390 adults in the 2008–2009 Brazilian Household Budget Survey, Individual Food Intake. Dietary data were collected through 24 h recalls in the U.S. and through food records in Brazil. Foods and beverages were combined into 25 food categories. Food intake means and percentage of energy contribution by food categories to the population’s total energy intake were compared between the countries. Results Higher frequencies of intake were reported in the United States compared to Brazil for the majority of food categories except for meat, rice and rice dishes; beans and legumes; spreads; and coffee and tea. In either country, young adults (20-39 yrs) had greater reports of meat, poultry and fish mixed dishes; pizza and pasta; and soft drinks compared to older adults (60 + yrs). Meat, poultry and fish mixed dishes (13%), breads (11%), sweets and confections (8%), pizza and pasta (7%), and dairy products (6%) were the top five food category sources of energy intake among American adults. The top five food categories in Brazil were rice and rice dishes (13%), meat (11%), beans and legumes (10%), breads (10%), and coffee and tea (6%). Thus, traditional plant-based foods such as rice and beans were important contributors in the Brazilian diet. Conclusion Although young adults had higher reports of high-calorie and nutrient-poor foods than older adults in both countries, Brazilian young adults did not consume a diet similar to Americans, indicating that it is still possible to reverse the current trends of incorporating Western dietary habits in Brazil.
Collapse
Affiliation(s)
- Ilana Nogueira Bezerra
- Centro de Ciências da Saúde, Curso de Nutrição, Universidade de Fortaleza (UNIFOR), Av, Washington Soares 1321, sala C04 Edson Queiroz, Fortaleza, Brazil.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
186
|
Nickerson KP, Homer CR, Kessler SP, Dixon LJ, Kabi A, Gordon IO, Johnson EE, de la Motte CA, McDonald C. The dietary polysaccharide maltodextrin promotes Salmonella survival and mucosal colonization in mice. PLoS One 2014; 9:e101789. [PMID: 25000398 PMCID: PMC4084946 DOI: 10.1371/journal.pone.0101789] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Accepted: 06/11/2014] [Indexed: 11/19/2022] Open
Abstract
In the latter half of the 20th century, societal and technological changes led to a shift in the composition of the American diet to include a greater proportion of processed, pre-packaged foods high in fat and carbohydrates, and low in dietary fiber (a "Western diet"). Over the same time period, there have been parallel increases in Salmonella gastroenteritis cases and a broad range of chronic inflammatory diseases associated with intestinal dysbiosis. Several polysaccharide food additives are linked to bacterially-driven intestinal inflammation and may contribute to the pathogenic effects of a Western diet. Therefore, we examined the effect of a ubiquitous polysaccharide food additive, maltodextrin (MDX), on clearance of the enteric pathogen Salmonella using both in vitro and in vivo infection models. When examined in vitro, murine bone marrow-derived macrophages exposed to MDX had altered vesicular trafficking, suppressed NAPDH oxidase expression, and reduced recruitment of NADPH oxidase to Salmonella-containing vesicles, which resulted in persistence of Salmonella in enlarged Rab7+ late endosomal vesicles. In vivo, mice consuming MDX-supplemented water had a breakdown of the anti-microbial mucous layer separating gut bacteria from the intestinal epithelium surface. Additionally, oral infection of these mice with Salmonella resulted in increased cecal bacterial loads and enrichment of lamina propria cells harboring large Rab7+ vesicles. These findings indicate that consumption of processed foods containing the polysaccharide MDX contributes to suppression of intestinal anti-microbial defense mechanisms and may be an environmental priming factor for the development of chronic inflammatory disease.
Collapse
Affiliation(s)
- Kourtney P. Nickerson
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Molecular Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America
| | - Craig R. Homer
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Sean P. Kessler
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Laura J. Dixon
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Amrita Kabi
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Ilyssa O. Gordon
- Department of Anatomic Pathology, Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Erin E. Johnson
- Department of Biology, John Carroll University, University Heights, Ohio, United States of America
| | - Carol A. de la Motte
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Molecular Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America
| | - Christine McDonald
- Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Molecular Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America
- * E-mail:
| |
Collapse
|
187
|
Wong JMW. Gut microbiota and cardiometabolic outcomes: influence of dietary patterns and their associated components. Am J Clin Nutr 2014; 100 Suppl 1:369S-77S. [PMID: 24898225 DOI: 10.3945/ajcn.113.071639] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Many dietary patterns have been associated with cardiometabolic risk reduction. A commonality between these dietary patterns is the emphasis on plant-based foods. Studies in individuals who consume vegetarian and vegan diets have shown a reduced risk of cardiovascular events and incidence of diabetes. Plant-based dietary patterns may promote a more favorable gut microbial profile. Such diets are high in dietary fiber and fermentable substrate (ie, nondigestible or undigested carbohydrates), which are sources of metabolic fuel for gut microbial fermentation and, in turn, result in end products that may be used by the host (eg, short-chain fatty acids). These end products may have direct or indirect effects on modulating the health of their host. Modulation of the gut microbiota is an area of growing interest, and it has been suggested to have the potential to reduce risk factors associated with chronic diseases. Examples of dietary components that alter the gut microbial composition include prebiotics and resistant starches. Emerging evidence also suggests a potential link between interindividual differences in the gut microbiota and variations in physiology or predisposition to certain chronic disease risk factors. Alterations in the gut microbiota may also stimulate certain populations and may assist in biotransformation of bioactive components found in plant foods. Strategies to modify microbial communities may therefore provide a novel approach in the treatment and management of chronic diseases.
Collapse
Affiliation(s)
- Julia M W Wong
- From the Clinical Nutrition and Risk Factor Modification Center, St Michael's Hospital, Toronto, Canada; the New Balance Obesity Foundation Obesity Prevention Center, Boston Children's Hospital, Boston, MA; and the Department of Pediatrics, Harvard Medical School, Boston, MA
| |
Collapse
|
188
|
Yang M, Wang Y, Davis CG, Lee SG, Fernandez ML, Koo SI, Cho E, Chun OK. Validation of an FFQ to assess antioxidant intake in overweight postmenopausal women. Public Health Nutr 2014; 17:1467-75. [PMID: 23800675 PMCID: PMC10282371 DOI: 10.1017/s1368980013001638] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2012] [Revised: 04/01/2013] [Accepted: 05/09/2013] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To validate an FFQ to assess antioxidant intake in overweight postmenopausal women. DESIGN A seventy-four-item antioxidant 1-month FFQ was developed based on major antioxidant sources in the American diet. Forty overweight postmenopausal women participated in a 9-month observational study and completed four sets of FFQ and 7 d food record (7dFR) every 3 months. Twelve-hour fasting blood was collected for plasma antioxidant measurement at the first visit. SETTING Connecticut, USA. SUBJECTS Forty overweight postmenopausal women. RESULTS Spearman correlation coefficients of 1-month antioxidant intake estimated from the first set of FFQ and 7dFR ranged from 0·34 to 0·87, except for γ-tocopherol. The proportion of participants categorized into the extremely opposite tertiles averaged 7 %. Significant correlations were observed for diet-plasma vitamin C, α-tocopherol and carotenoids (P < 0·05). No time effect was observed on the dietary antioxidant intakes estimated from four 7dFR and four FFQ. Dietary antioxidants estimated from averaged four 7dFR showed moderate to high correlation with those estimated from averaged four FFQ and from each FFQ collected every 3 months. Bland-Altman plots did not show any systematic bias. Averaged misclassifications were below 10 % between these two instruments. CONCLUSIONS These findings attested a reasonable validity and a good acceptance of this 1-month FFQ in assessing both short-term and long-term diverse antioxidant intakes in these overweight postmenopausal women. The use of this FFQ in associating antioxidant intake with disease risk needs further investigation.
Collapse
Affiliation(s)
- Meng Yang
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Ying Wang
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Catherine G Davis
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Sang Gil Lee
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Maria Luz Fernandez
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Sung I Koo
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| | - Eunyoung Cho
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Ock K Chun
- Department of Nutritional Sciences, University of Connecticut, 3624 Horsebarn Road Extension Unit 4017, Storrs, CT 06269-4017, USA
| |
Collapse
|
189
|
Martínez-González MA, Sánchez-Tainta A, Corella D, Salas-Salvadó J, Ros E, Arós F, Gómez-Gracia E, Fiol M, Lamuela-Raventós RM, Schröder H, Lapetra J, Serra-Majem L, Pinto X, Ruiz-Gutierrez V, Estruch R. A provegetarian food pattern and reduction in total mortality in the Prevención con Dieta Mediterránea (PREDIMED) study. Am J Clin Nutr 2014; 100 Suppl 1:320S-8S. [PMID: 24871477 DOI: 10.3945/ajcn.113.071431] [Citation(s) in RCA: 184] [Impact Index Per Article: 18.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Vegetarian diets have been associated with reduced mortality. Because a pure vegetarian diet might not easily be embraced by many individuals, consuming preferentially plant-derived foods would be a more easily understood message. A provegetarian food pattern (FP) emphasizing preference for plant-derived foods might reduce all-cause mortality. OBJECTIVE The objective was to identify the association between an a priori-defined provegetarian FP and all-cause mortality. DESIGN We followed 7216 participants (57% women; mean age: 67 y) at high cardiovascular risk for a median of 4.8 y. A validated 137-item semiquantitative food-frequency questionnaire was administered at baseline and yearly thereafter. Fruit, vegetables, nuts, cereals, legumes, olive oil, and potatoes were positively weighted. Added animal fats, eggs, fish, dairy products, and meats or meat products were negatively weighted. Energy-adjusted quintiles were used to assign points to build the provegetarian FP (range: 12-60 points). Deaths were confirmed by review of medical records and the National Death Index. RESULTS There were 323 deaths during the follow-up period (76 from cardiovascular causes, 130 from cancer, 117 for noncancer, noncardiovascular causes). Higher baseline conformity with the provegetarian FP was associated with lower mortality (multivariable-adjusted HR for ≥ 40 compared with <30 points: 0.59; 95% CI: 0.40, 0.88). Similar results were found with the use of updated information on diet (RR: 0.59; 95% CI: 0.39, 0.89). CONCLUSIONS Among omnivorous subjects at high cardiovascular risk, better conformity with an FP that emphasized plant-derived foods was associated with a reduced risk of all-cause mortality. This trial was registered at www.controlled-trials.com as ISRCTN35739639.
Collapse
Affiliation(s)
- Miguel A Martínez-González
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Ana Sánchez-Tainta
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Dolores Corella
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Jordi Salas-Salvadó
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Emilio Ros
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Fernando Arós
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Enrique Gómez-Gracia
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Miquel Fiol
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Rosa M Lamuela-Raventós
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Helmut Schröder
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Jose Lapetra
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Lluis Serra-Majem
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Xavier Pinto
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | - Valentina Ruiz-Gutierrez
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (MAM-G and AS-T); the CIBER Fisiopatologia de la Obesidad y Nutricion (DC, JS-S, ER, MF, RML-R, HS, JL, and RE), CIBER Epidemiologia y Salud Pública (HS), and the PREDIMED Network, Instituto de Salud Carlos III) (RE, JS-S, FA, EG-G, VR-G, RML-R, LS-M, XP, and MAM-G), Spain; the Department of Internal Medicine (RE) and the Lipid Clinic, Department of Endocrinology and Nutrition (ER), Institut d'Investigacions Biomediques August Pi Sunyer, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; the Human Nutrition Department, Institut d'Investigacions Sanitaries Pere i Virgili, Universitat Rovira i Virgili, Reus (JS-S); the Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona, Spain (HS); the Department of Preventive Medicine, University of Valencia, Valencia, Spain (DC); the Department of Cardiology, University Hospital of Alava, Vitoria, Spain (FA); the Department of Preventive Medicine, University of Malaga, Malaga, Spain (EG-G); the Instituto de la Grasa, Consejo Superior de Investigaciones Cientificas, Seville, Spain (VR-G); the Institute of Health Sciences IUNICS, University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca, Spain (MF); the Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Seville, Spain (JL); the Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia d'Aliments, University of Barcelona, Barcelona, Spain (RML-R); the Research Institute of Biomedical and Health Sciences University of Las Palmas de Gran Canaria, Las Palmas, Spain (LS-M.); and the Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (XP)
| | | | | |
Collapse
|
190
|
Moubarac JC, Parra DC, Cannon G, Monteiro CA. Food Classification Systems Based on Food Processing: Significance and Implications for Policies and Actions: A Systematic Literature Review and Assessment. Curr Obes Rep 2014; 3:256-72. [PMID: 26626606 DOI: 10.1007/s13679-014-0092-0] [Citation(s) in RCA: 270] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
This paper is the first to make a systematic review and assessment of the literature that attempts methodically to incorporate food processing into classification of diets. The review identified 1276 papers, of which 110 were screened and 21 studied, derived from five classification systems. This paper analyses and assesses the five systems, one of which has been devised and developed by a research team that includes co-authors of this paper. The quality of the five systems is assessed and scored according to how specific, coherent, clear, comprehensive and workable they are. Their relevance to food, nutrition and health, and their use in various settings, is described. The paper shows that the significance of industrial food processing in shaping global food systems and supplies and thus dietary patterns worldwide, and its role in the pandemic of overweight and obesity, remains overlooked and underestimated. Once food processing is systematically incorporated into food classifications, they will be more useful in assessing and monitoring dietary patterns. Food classification systems that emphasize industrial food processing, and that define and distinguish relevant different types of processing, will improve understanding of how to prevent and control overweight, obesity and related chronic non-communicable diseases, and also malnutrition. They will also be a firmer basis for rational policies and effective actions designed to protect and improve public health at all levels from global to local.
Collapse
Affiliation(s)
- Jean-Claude Moubarac
- Centre for Epidemiological Studies in Health and Nutrition, University of São Paulo, Av. Dr. Arnaldo, 715, São Paulo, Brazil, 01246-907.
| | - Diana C Parra
- Centre for Epidemiological Studies in Health and Nutrition, University of São Paulo, Av. Dr. Arnaldo, 715, São Paulo, Brazil, 01246-907
- Program in Physical Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA
| | - Geoffrey Cannon
- Centre for Epidemiological Studies in Health and Nutrition, University of São Paulo, Av. Dr. Arnaldo, 715, São Paulo, Brazil, 01246-907
| | - Carlos A Monteiro
- Centre for Epidemiological Studies in Health and Nutrition, University of São Paulo, Av. Dr. Arnaldo, 715, São Paulo, Brazil, 01246-907
- Department of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil
| |
Collapse
|
191
|
Talaei M, Koh WP, van Dam RM, Yuan JM, Pan A. Dietary soy intake is not associated with risk of cardiovascular disease mortality in Singapore Chinese adults. J Nutr 2014; 144:921-8. [PMID: 24699802 PMCID: PMC4018954 DOI: 10.3945/jn.114.190454] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Although soy food has been recommended because of its presumed cardiovascular benefits, the long-term prospective association between habitual soy food intake and cardiovascular disease mortality remains unclear. This study aimed to evaluate the relation of soy protein and isoflavone intake with the risk of cardiovascular disease mortality in middle-aged and older Chinese adults residing in Singapore. The Singapore Chinese Health Study is a population-based study that recruited 63,257 Chinese adults aged 45-74 y from 1993 to 1998. Usual diet was measured at recruitment by using a validated semiquantitative food-frequency questionnaire, and mortality information was identified via registry linkage until 31 December 2011. Cox proportional hazards models were used to calculate HRs, with adjustment for potential confounders. The median intake was 5.2 g/d for soy protein, 15.8 mg/d for soy isoflavones, and 87.4 g/d for soy expressed as tofu equivalents. We documented 4780 cardiovascular deaths during 890,473 person-years of follow-up. After adjustment for sociodemographic, lifestyle, and other dietary factors, soy protein intake was not significantly associated with cardiovascular disease mortality: HRs (95% CIs) were 1.00 (reference), 1.02 (0.94, 1.11), 1.02 (0.93, 1.11), and 1.06 (0.97, 1.17) for increasing quartiles of soy protein (P-trend = 0.24). Similarly, no significant association was observed for soy isoflavones and total tofu equivalents and when deaths from coronary heart disease (n = 2697) and stroke (n = 1298) were considered separately. When stratified by sex, HRs for cardiovascular disease mortality across quartiles of soy protein were 1.00, 1.00, 1.05, and 1.16 (95% CI: 1.03, 1.31) in men (P-trend = 0.02) and 1.00, 1.01, 0.96, and 0.95 (95% CI: 0.81, 1.10) in women (P-trend = 0.31), although the interaction was not significant (P-interaction = 0.12). In conclusion, soy intake was not significantly associated with risk of cardiovascular disease mortality in the Chinese population. However, a slightly increased risk associated with high soy protein intake in men cannot be excluded and requires further investigation.
Collapse
Affiliation(s)
| | - Woon-Puay Koh
- Saw Swee Hock School of Public Health and,Duke-NUS Graduate Medical School, Singapore
| | - Rob M. van Dam
- Saw Swee Hock School of Public Health and,Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore,Department of Nutrition, Harvard School of Public Health, Boston, MA
| | - Jian-Min Yuan
- Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA; and,Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA
| | - An Pan
- Saw Swee Hock School of Public Health and Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore
| |
Collapse
|
192
|
Arthur AE, Peterson KE, Shen J, Djuric Z, Taylor JMG, Hebert JR, Duffy SA, Peterson LA, Bellile EL, Whitfield JR, Chepeha DB, Schipper MJ, Wolf GT, Rozek LS. Diet and proinflammatory cytokine levels in head and neck squamous cell carcinoma. Cancer 2014; 120:2704-12. [PMID: 24830761 DOI: 10.1002/cncr.28778] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2013] [Revised: 04/14/2014] [Accepted: 04/17/2014] [Indexed: 12/20/2022]
Abstract
BACKGROUND Proinflammatory cytokine levels may be associated with cancer stage, recurrence, and survival. The objective of this study was to determine whether cytokine levels were associated with dietary patterns and fat-soluble micronutrients in patients with previously untreated head and neck squamous cell carcinoma (HNSCC). METHODS This was a cross-sectional study of 160 patients with newly diagnosed HNSCC who completed pretreatment food frequency questionnaires (FFQs) and health surveys. Dietary patterns were derived from FFQs using principal component analysis. Pretreatment serum levels of the proinflammatory cytokines interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), and interferon gamma (IFN-γ) were measured using an enzyme-linked immunosorbent assay, and serum carotenoid and tocopherol levels were measured by high-performance liquid chromatography. Multivariable ordinal logistic regression models examined associations between cytokines and quartiles of reported and serum dietary variables. RESULTS Three dietary patterns emerged: whole foods, Western, and convenience foods. In multivariable analyses, higher whole foods pattern scores were significantly associated with lower levels of IL-6, TNF-α, and IFN-γ (P ≤ .001, P = .008, and P = .03, respectively). Significant inverse associations were reported between IL-6, TNF-α, and IFN-γ levels and quartiles of total reported carotenoid intake (P = .006, P = .04, and P = .04, respectively). There was an inverse association between IFN-γ levels and serum α-tocopherol levels (P = .03). CONCLUSIONS Consuming a pretreatment diet rich in vegetables, fruit, fish, poultry, and whole grains may be associated with lower proinflammatory cytokine levels in patients with HNSCC.
Collapse
Affiliation(s)
- Anna E Arthur
- Department of Nutrition Sciences, University of Alabama-Birmingham, Birmingham, Alabama; Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
193
|
Bakker PJ, Butter LM, Kors L, Teske GJ, Aten J, Sutterwala FS, Florquin S, Leemans JC. Nlrp3 is a key modulator of diet-induced nephropathy and renal cholesterol accumulation. Kidney Int 2014; 85:1112-22. [DOI: 10.1038/ki.2013.503] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Revised: 10/07/2013] [Accepted: 10/10/2013] [Indexed: 12/23/2022]
|
194
|
Principal components analysis of diet and alternatives for identifying the combination of foods that are associated with the risk of disease: a simulation study. Br J Nutr 2014; 112:61-9. [DOI: 10.1017/s0007114514000221] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Dietary patterns derived empirically using principal components analysis (PCA) are widely employed for investigating diet–disease relationships. In the present study, we investigated whether PCA performed better at identifying such associations than an analysis of each food on a FFQ separately, referred to here as an exhaustive single food analysis (ESFA). Data on diet and disease were simulated using real FFQ data and by assuming a number of food intakes in combination that were associated with the risk of disease. In each simulation, ESFA and PCA were employed to identify the combinations of foods that are associated with the risk of disease using logistic regression, allowing for multiple testing and adjusting for energy intake. ESFA was also separately adjusted for principal components of diet, foods that were significant in the unadjusted ESFA and propensity scores. For each method, we investigated the power with which an association between diet and disease could be identified, and the power and false discovery rate (FDR) for identifying the specific combination of food intakes. In some scenarios, ESFA had greater power to detect a diet–disease association than PCA. ESFA also typically had a greater power and a lower FDR for identifying the combinations of food intakes that are associated with the risk of disease. The FDR of both methods increased with increasing sample size, but when ESFA was adjusted for foods that were significant in the unadjusted ESFA, FDR were controlled at the desired level. These results question the widespread use of PCA in nutritional epidemiology. The adjusted ESFA identifies the combinations of foods that are causally linked to the risk of disease with low FDR and surprisingly good power.
Collapse
|
195
|
Jankovic N, Steppel MT, Kampman E, de Groot LC, Boshuizen HC, Soedamah-Muthu SS, Kromhout D, Feskens EJ. Stability of dietary patterns assessed with reduced rank regression; the Zutphen Elderly Study. Nutr J 2014; 13:30. [PMID: 24690194 PMCID: PMC4021363 DOI: 10.1186/1475-2891-13-30] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Accepted: 03/27/2014] [Indexed: 01/27/2023] Open
Abstract
Background Reduced rank regression (RRR) combines exploratory analysis with a-priori knowledge by including risk factors in the model. Dietary patterns, derived from RRR analysis, can be interpreted by the chosen risk factor profile and give an indication of positive or adverse health effects for a specific disease. Our aim was to assess the stability of dietary patterns derived by RRR over time. Methods We used data from 467 men, aged 64–85 years, participating in the 1985 and 1990 examination rounds of the Zutphen Elderly Study. Backwards regression on risk factors and food groups was applied prior to the RRR analysis to exclude food groups with low predictability (from 36 to 19 food groups) for the chosen risk factor profile. For the final RRR analysis, dietary intake data from 19 food groups as predictor variables and 6 established risk factors for cardiovascular diseases (body mass index, systolic and diastolic blood pressure, high density lipoprotein and total cholesterol levels, and uric acid) were used. Results Three RRR dietary patterns were derived for both examination years: a “(low in) cereal fibre pattern”, an “alcohol pattern” and an “inconsistent pattern”. The “(low in) cereal fibre pattern” was most stable over time, with a correlation coefficient of 0.47 (95% CI: 0.38-0.53) between 1985 and 1990 measurements. Conclusion Dietary patterns as measured by RRR, after backwards regression, are reasonably stable over a period of five years. Thus, RRR appears to be an attractive method to measure long-term dietary exposure for nutritional epidemiological studies, with one dietary measurement at baseline.
Collapse
Affiliation(s)
- Nicole Jankovic
- Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands.
| | | | | | | | | | | | | | | |
Collapse
|
196
|
Oh C, No JK, Kim HS. Dietary pattern classifications with nutrient intake and body composition changes in Korean elderly. Nutr Res Pract 2014; 8:192-7. [PMID: 24741404 PMCID: PMC3988509 DOI: 10.4162/nrp.2014.8.2.192] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2013] [Revised: 02/05/2014] [Accepted: 02/15/2014] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND/OBJECTIVES The body composition changes in aging increased the risk of metabolic disorder. Recent dietary studies have increasingly focused on the correlations between dietary patterns and chronic diseases to overcome the limitations of traditional single-nutrient studies because nutrients in food have complex relations that interact. SUBJECTS/METHODS This study was conducted to classify a dietary pattern among Korean elderly using cluster analysis and to explore the relationships between dietary patterns and body composition changes in Korean elderly aged 65 years or older. The study subjects (n = 1,435) were individuals who participated in the Korean National Health Examination and Nutrition Survey (KNHANES) in 2011. RESULTS There were three dietary patterns derived by cluster analysis in this study: 'Traditional Korean' (37.49% of total population), 'Meat and Alcohol' (19.65%) and 'Westernized Korean' (42.86%). The (1) 'Traditional Korean' pattern was characterized by high consumptions of white rice and low protein, low fat, and low milk products, while (2) 'Westernized Korean' pattern ate a Korean-style diet base with various foods such as noodles, bread, eggs and milk, (3) 'Meat and Alcohol' pattern had high consumptions of meat and alcohol. In body composition changes, compared with the 'Traditional Korean' pattern, the 'Meat & alcohol' pattern was associated with a 50% increased risk of having elevated BMI (kg/m2), 'Westernized Korean' pattern was associated with a 74% increased abnormality of ASM/Wt (kg) by logistics analysis. Most of the Korean adult population continues to follow ether a traditional Korean having beneficial effects for successful aging. However, the 'Traditional Korean' pattern showed low protein intake (0.7 g/kg), calcium intake, and vitamin D intake as well as low of appendicular skeletal muscle mass (ASM (kg)) among 3 groups. CONCLUSIONS Considering the low ASM, consumption of protein, calcium and vitamin D should be increased for Korean elderly health body composition.
Collapse
Affiliation(s)
- Chorong Oh
- Department of Nutrition and Health Care, Kyungsung University, Busan 608-736, Korea
| | - Jae-Kyung No
- Department of Nutrition and Health Care, Kyungsung University, Busan 608-736, Korea
| | - Hak-Seon Kim
- Department of Foodservice Management, Kyungsung University, 309 Suyeong-ro, Nam-gu, Busan 608-736, Korea
| |
Collapse
|
197
|
Gopinath B, Schneider J, Flood VM, McMahon CM, Burlutsky G, Leeder SR, Mitchell P. Association between diet quality with concurrent vision and hearing impairment in older adults. J Nutr Health Aging 2014; 18:251-6. [PMID: 24626751 DOI: 10.1007/s12603-013-0408-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVES Published literature shows that individual nutrients could influence the risk of developing vision and hearing loss. There is, however, a lack of population-based data on the relationship between overall patterns of food intake and the presence of concurrent vision and hearing impairment. We aimed to assess the associations between diet quality with the prevalence and 5-year incidence of dual sensory impairment (DSI). DESIGN Cross-sectional and 5-year longitudinal analyses. SETTING Blue Mountains, Sydney, Australia. PARTICIPANTS 2443 participants aged ≥50 from baseline were examined and followed over 5 years. MEASUREMENTS Dietary data were collected using a semi-quantitative food frequency questionnaire. A modified version of the Healthy Eating Index for Australians was developed to determine total diet score (TDS). Visual impairment was defined as visual acuity less than 20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold greater than 25 dB HL (500-4000 Hz, better ear). RESULTS After adjusting for age, sex, education, noise exposure, current smoking, and type 2 diabetes, participants in the lowest compared to the highest quintile of TDS had a 2-fold increased likelihood of having prevalent DSI, odds ratio, OR, 2.62 (95% confidence intervals, CI, 1.08-6.36), P-trend=0.04. Significant associations were not observed between TDS and the prevalence of having a single sensory impairment (vision or hearing loss). Baseline TDS was not significantly associated with the 5-year incidence of DSI. Adherence to dietary guidelines was associated with a reduced likelihood of having DSI in cross-sectional, but not in longitudinal analyses. CONCLUSIONS Further studies with adequate power are warranted to assess the prospective relationship between diet quality and DSI.
Collapse
Affiliation(s)
- B Gopinath
- Dr Bamini Gopinath, Centre for Vision Research, University of Sydney, Westmead Hospital, Hawkesbury Rd, Westmead, NSW, 2145, Australia. Telephone: 61 2 9845 5551 Fax: 61 2 9845 8345
| | | | | | | | | | | | | |
Collapse
|
198
|
Luo J, Agley J, Hendryx M, Gassman R, Lohrmann D. Risk Patterns Among College Youth. Health Promot Pract 2014; 16:132-41. [DOI: 10.1177/1524839914520702] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Purpose. This study identified underlying subgroups among college students in terms of lifestyle characteristics and health risk behaviors and then investigated how demographic factors were associated with the underlying risk patterns to bolster health promotion efforts and interventions. Method. College students ( N = 996) enrolled at Indiana University during 2009-2010 participated in a multidimensional online survey. Latent class analysis was used to identify underlying risk patterns based on seven lifestyle and health behaviors, including frequent alcohol use, binge drinking, smoking, low physical activity, low vegetable intake, low fruit intake, and poor sleep. Results. Four distinct risk behavior patterns were identified for both males and females including a “healthy” class, “low substance use but poor other health behaviors” class, “high substance use” (males)/“high alcohol use” (females) class, and a risk class characterized by elevated probability of all seven indicators. The highest risk class included 34% of the males and 22% of the females; they tended to be older or in more advanced undergraduate classes. Among males, compared with the “healthy” class, the “high substance use” class was more likely to contain non-Hispanic White students and students in advanced classes. Among females, the “low substance use but poor other health behaviors” class was associated with racial/ethnic minority status and lower levels of parental education. Conclusions. Our data suggest that risky health behaviors may tend to cluster in some students and that health promotion techniques might effectively be targeted to identifiable student subgroups.
Collapse
Affiliation(s)
- Juhua Luo
- Indiana University, Bloomington, IN, USA
| | - Jon Agley
- Indiana University, Bloomington, IN, USA
- Indiana Prevention Resource Center, Bloomington, IN, USA
| | | | - Ruth Gassman
- Indiana University, Bloomington, IN, USA
- Indiana Prevention Resource Center, Bloomington, IN, USA
| | | |
Collapse
|
199
|
Abstract
Healthy longevity is a tangible possibility for many individuals and populations, with nutritional and other lifestyle factors playing a key role in modulating the likelihood of healthy ageing. Nevertheless, studies of effects of nutrients or single foods on ageing often show inconsistent results and ignore the overall framework of dietary habits. Therefore, the use of dietary patterns (e.g. a Mediterranean dietary pattern) and the specific dietary recommendations (e.g. dietary approaches to stop hypertension, Polymeal and the American Healthy Eating Index) are becoming more widespread in promoting lifelong health. A posteriori defined dietary patterns are described frequently in relation to age-related diseases but their generalisability is often a challenge since these are developed specifically for the population under study. Conversely, the dietary guidelines are often developed based on prevention of disease or nutrient deficiency, but often less attention is paid to how well these dietary guidelines promote health outcomes. In the present paper, we provide an overview of the state of the art of dietary patterns and dietary recommendations in relation to life expectancy and the risk of age-related disorders (with emphasis on cardiometabolic diseases and cognitive outcomes). According to both a posteriori and a priori dietary patterns, some key 'ingredients' can be identified that are associated consistently with longevity and better cardiometabolic and cognitive health. These include high intake of fruit, vegetables, fish, (whole) grains and legumes/pulses and potatoes, whereas dietary patterns rich in red meat and sugar-rich foods have been associated with an increased risk of mortality and cardiometabolic outcomes.
Collapse
|
200
|
Koehnlein EA, Bracht A, Nishida VS, Peralta RM. Total antioxidant capacity and phenolic content of the Brazilian diet: a real scenario. Int J Food Sci Nutr 2014; 65:293-8. [PMID: 24490825 DOI: 10.3109/09637486.2013.879285] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The present study aimed to estimate the total dietary antioxidant capacity (TDAC) taken in by the Brazilian population. For analysis, the 36 most consumed foods in Brazil were evaluated. The foods were prepared according to their usual form of consumption and submitted to in vitro digestion. The daily intake of phenolics and flavonoids was estimated to be 2.31 ± 0.12 g and 374.12 ± 18.17 mg, respectively. The TDAC, evaluated as the ferric-reducing antioxidant power and as the trolox equivalent antioxidant capacity, was 10.3 and 9.4 mmol/d, respectively. The beverages, especially coffee, followed by beans, rice and salt bread were the most important sources of antioxidants. The average intake of phenolics and flavonoids of the Brazilian diet was comparatively higher than that estimated for several other countries. However, the contribution of fruits and vegetables to the phenolic intake and TDAC was minimal (4-6%).
Collapse
|