Document Detail

Dietary patterns are associated with metabolic syndrome in an urban Mexican population.
MedLine Citation:
PMID:  20702749     Owner:  NLM     Status:  MEDLINE    
The role that diet plays in the origin of metabolic syndrome (MetS) is not completely understood. Certain foods and nutrients have been established as dietary risk factors for MetS. However, the dietary patterns associated with MetS risk have been minimally studied with factor analysis. Our objective in this study was to use exploratory factor analysis to examine whether particular dietary patterns are related to risk of MetS in Mexican adults. We characterized the dietary patterns among 5240 men and women aged 20-70 y in the Health Workers Cohort Study. Information on participants' sociodemographic conditions and physical activity was collected via self-administered questionnaires. We also obtained anthropometric and clinical measurements and fasting blood samples for biochemical analyses. In a cross-sectional analysis, we examined dietary patterns in relation to MetS, defined using criteria from the Adult Treatment Panel III. Factor analysis revealed 3 major dietary patterns: prudent, Western, and high protein/fat. The prevalence of MetS was 26.6%. After adjustment for potential confounders, compared with participants in the lowest tertile of the Western pattern, those in the highest tertile had higher odds ratios (OR) for high fasting glucose (OR, 1.67; 95% CI: 1.36-2.06), low serum HDL cholesterol (OR, 1.55; 95% CI: 1.31-1.83), and MetS (OR, 1.56; 95% CI, 1.31-1.88). However, we found no significant associations between other patterns and MetS. In summary, a diet high in soft drinks, refined grains, corn tortillas, pastries, seafood, and whole grains was associated with MetS risk. This result emphasizes the importance of preventive nutrition interventions.
Edgar Denova-Gutiérrez; Susana Castañón; Juan O Talavera; Katia Gallegos-Carrillo; Mario Flores; Darina Dosamantes-Carrasco; Walter C Willett; Jorge Salmerón
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-11
Journal Detail:
Title:  The Journal of nutrition     Volume:  140     ISSN:  1541-6100     ISO Abbreviation:  J. Nutr.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-21     Completed Date:  2010-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404243     Medline TA:  J Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1855-63     Citation Subset:  IM    
Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Cuernavaca 65450, México.
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MeSH Terms
Age Factors
Blood Glucose / analysis
Body Mass Index
Cholesterol, HDL / blood
Cross-Sectional Studies
Dietary Carbohydrates / administration & dosage
Dietary Fats / administration & dosage
Dietary Fiber / administration & dosage
Dietary Proteins / administration & dosage
Metabolic Syndrome X / blood,  epidemiology*,  etiology*
Mexico / epidemiology
Middle Aged
Motor Activity
Odds Ratio
Risk Factors
Urban Population*
Waist Circumference
Reg. No./Substance:
0/Blood Glucose; 0/Cholesterol, HDL; 0/Dietary Carbohydrates; 0/Dietary Fats; 0/Dietary Proteins

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