Shridhar, K;
Satija, A;
Dhillon, PK;
Agrawal, S;
Gupta, R;
Bowen, L;
Kinra, S;
Bharathi, AV;
Prabhakaran, D;
Srinath Reddy, K;
et al.
Shridhar, K; Satija, A; Dhillon, PK; Agrawal, S; Gupta, R; Bowen, L; Kinra, S; Bharathi, AV; Prabhakaran, D; Srinath Reddy, K; Ebrahim, S; Indian Migration Study group
(2018)
Association between empirically derived dietary patterns with blood lipids, fasting blood glucose and blood pressure in adults - the India migration study.
Nutr J, 17 (1).
p. 15.
ISSN 1475-2891
https://doi.org/10.1186/s12937-018-0327-0
SGUL Authors: Bowen, Liza Jane
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Abstract
BACKGROUND: Dietary patterns (DPs) in India are heterogenous. To date, data on association of indigenous DPs in India with risk factors of nutrition-related noncommunicable diseases (cardiovascular disease and diabetes), leading causes of premature death and disability, are limited. We aimed to evaluate the associations of empirically-derived DPs with blood lipids, fasting glucose and blood pressure levels in an adult Indian population recruited across four geographical regions of India. METHODS: We used cross-sectional data from the Indian Migration Study (2005-2007). Study participants included urban migrants, their rural siblings and urban residents and their urban siblings from Lucknow, Nagpur, Hyderabad and Bangalore (n = 7067, mean age 40.8 yrs). Information on diet (validated interviewer-administered, 184-item semi-quantitative food frequency questionnaire), tobacco consumption, alcohol intake, physical activity, medical history, as well as anthropometric measurements were collected. Fasting-blood samples were collected for estimation of blood lipids and glucose. Principal component analysis (PCA) was used to identify major DPs based on eigenvalue> 1 and component interpretability. Robust standard error multivariable linear regression models were used to investigate the association of DPs (tertiles) with total cholesterol (TC), low density lipoprotein-cholesterol (LDL-C), high density lipoprotein-cholesterol (HDL-C), triglycerides, fasting-blood glucose (FBG), systolic and diastolic blood pressure (SBP and DBP) levels. RESULTS: Three major DPs were identified: 'cereal-savoury' (cooked grains, rice/rice-based dishes, snacks, condiments, soups, nuts), 'fruit-vegetable-sweets-snacks' (Western cereals, vegetables, fruit, fruit juices, cooked milk products, snacks, sugars, sweets) and 'animal food' (red meat, poultry, fish/seafood, eggs) patterns. High intake of the 'animal food' pattern was positively associated with levels of TC (β = 0.10 mmol/L; 95% CI: 0.02, 0.17 mmol/L; p-trend = 0.013); LDL-C (β = 0.07 mmol/L; 95% CI: 0.004, 0.14 mmol/L; p-trend = 0.041); HDL-C (β = 0.02 mmol/L; 95% CI: 0.004, 0.04 mmol/L; p-trend = 0.016), FBG: (β = 0.09 mmol/L; 95% CI: 0.01, 0.16 mmol/L; p-trend = 0.021) SBP (β = 1.2 mm/Hg; 95% CI: 0.1, 2.3 mm/Hg; p-trend = 0.032); DBP: (β = 0.9 mm/Hg; 95% CI: 0.2, 1.5 mm/Hg; p-trend = 0.013). The 'cereal-savoury' and 'fruit-vegetable-sweets-snacks' patterns showed no association with any parameter except for a positive association with diastolic blood pressure for high intake of 'fruits-vegetables-sweets-snacks' pattern. CONCLUSION: Our results indicate positive associations of the 'animal food' pattern with cardio-metabolic risk factors in India. Further longitudinal assessments of dietary patterns in India are required to validate the findings.
Item Type: | Article | ||||||||||||
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Additional Information: | © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | ||||||||||||
Keywords: | Animal food, Dietary patterns, Fasting glucose, India, Indian migration study, Lipids, Adult, Blood Glucose, Blood Pressure, Cholesterol, Cross-Sectional Studies, Diet, Female, Humans, India, Male, Rural Population, Transients and Migrants, Triglycerides, Urban Population, Indian Migration Study group, Humans, Cholesterol, Blood Glucose, Triglycerides, Diet, Cross-Sectional Studies, Blood Pressure, Adult, Transients and Migrants, Rural Population, Urban Population, India, Female, Male, Lipids, Dietary patterns, Animal food, Fasting glucose, Indian migration study, India, 1111 Nutrition and Dietetics, Nutrition & Dietetics | ||||||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||||||||
Journal or Publication Title: | Nutr J | ||||||||||||
ISSN: | 1475-2891 | ||||||||||||
Language: | eng | ||||||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||||||||
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PubMed ID: | 29422041 | ||||||||||||
Web of Science ID: | WOS:000425019700001 | ||||||||||||
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URI: | https://openaccess.sgul.ac.uk/id/eprint/115108 | ||||||||||||
Publisher's version: | https://doi.org/10.1186/s12937-018-0327-0 |
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