A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome

Inkyung Baik, Myoungsook Lee, Nu Ri Jun, Jae Yeon Lee, Chol Shin

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

There are limited data on healthy dietary patterns protective against metabolic syndrome (MetSyn) development. We identified dietary patterns among middle-aged and older adults and investigated the associations with the incidence of MetSyn. A population-based prospective cohort study included 5,251 male and female Koreans aged 40-69 years. At baseline, all individuals were free of MetSyn, other major metabolic diseases, and known cardiovascular disease or cancer. Cases of MetSyn were ascertained over a 6-year of follow-up. Dietary patterns and their factor scores were generated by factor analysis using the data of a food frequency questionnaire. We performed pooled logistic regression analysis to estimate multivariable-adjusted relative risk (RR) and 95% confidence interval (CI) for associations between factor scores and MetSyn risk. Two dietary patterns were identified; (1) a healthy dietary pattern, which included a variety of foods such as fish, seafood, vegetables, seaweed, protein foods, fruits, dairy products, and grains; and (2) an unhealthy dietary pattern, which included a limited number of food items. After controlling for confounding factors, factor scores for the healthy dietary pattern were inversely associated with MetSyn risk (P-value for trend < 0.05) while those for the unhealthy dietary pattern had no association. Individuals in the top quintile of the healthy diet scores showed a multivariable-adjusted RR [95% CI] of 0.76 [0.60-0.97] for MetSyn risk compared with those in the bottom quintile. The beneficial effects were derived from inverse associations with abdominal obesity, low HDL-cholesterol levels, and high fasting glucose levels. Our findings suggest that a variety of healthy food choices is recommended to prevent MetSyn.

Original languageEnglish
Pages (from-to)233-241
Number of pages9
JournalNutrition Research and Practice
Volume7
Issue number3
DOIs
Publication statusPublished - 2013 Jun 1

Fingerprint

metabolic syndrome
eating habits
food choices
Food
relative risk
confidence interval
middle-aged adults
Vegetable Proteins
Confidence Intervals
edible seaweed
Seaweed
fish meat
Seafood
Dairy Products
Abdominal Obesity
healthy diet
Metabolic Diseases
food frequency questionnaires
metabolic diseases
seafoods

Keywords

  • Dietary pattern
  • Food choices
  • Metabolic syndrome incidence
  • Prospective study

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome. / Baik, Inkyung; Lee, Myoungsook; Jun, Nu Ri; Lee, Jae Yeon; Shin, Chol.

In: Nutrition Research and Practice, Vol. 7, No. 3, 01.06.2013, p. 233-241.

Research output: Contribution to journalArticle

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