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Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study

In recent decades, a health-risk transition with changes in diet and lifestyle in low and middle-income countries (LMICs) led to an emergence of chronic diseases. These trends in Southeast Asian LMICs are not well studied. Here, we report on transitional dietary patterns and their socio-demographic...

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Autores principales: Papier, Keren, Jordan, Susan, D’Este, Catherine, Banwell, Cathy, Yiengprugsawan, Vasoontara, Seubsman, Sam-ang, Sleigh, Adrian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707645/
https://www.ncbi.nlm.nih.gov/pubmed/29077031
http://dx.doi.org/10.3390/nu9111173
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author Papier, Keren
Jordan, Susan
D’Este, Catherine
Banwell, Cathy
Yiengprugsawan, Vasoontara
Seubsman, Sam-ang
Sleigh, Adrian
author_facet Papier, Keren
Jordan, Susan
D’Este, Catherine
Banwell, Cathy
Yiengprugsawan, Vasoontara
Seubsman, Sam-ang
Sleigh, Adrian
author_sort Papier, Keren
collection PubMed
description In recent decades, a health-risk transition with changes in diet and lifestyle in low and middle-income countries (LMICs) led to an emergence of chronic diseases. These trends in Southeast Asian LMICs are not well studied. Here, we report on transitional dietary patterns and their socio-demographic predictors in Thai adults. Dietary data in 2015 were from a random sub-sample (N = 1075) of 42,785 Thai Cohort Study (TCS) members who completed all three TCS surveys (2005, 2009, 2013). Principle Component Analysis identified dietary patterns and multivariable linear regression assessed associations (Beta estimates (ß) and confidence intervals (CIs)) between socio-demographic factors and dietary intake pattern scores. Four dietary patterns emerged: Healthy Transitional, Fatty Western, Highly Processed, and Traditional. In women, higher income (≥30,001 Baht/month vs. ≤10,000) and managerial work (vs. office assistant) was associated with lower scores for Traditional (ß = −0.67, 95% CI −1.15, −0.19) and Fatty Western diets (ß = −0.60, 95% CI −1.14, −0.05), respectively. University education associated with lower Highly Processed (ß = −0.57, 95% CI −0.98, −0.17) and higher Traditional diet scores (ß = 0.42, 95% CI 0.03, 0.81). In men and women, urban residence associated with higher Fatty Western and lower Traditional diets. Local policy makers should promote healthy diets, particularly in urban residents, in men, and in low-SEP adults.
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spelling pubmed-57076452017-12-05 Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study Papier, Keren Jordan, Susan D’Este, Catherine Banwell, Cathy Yiengprugsawan, Vasoontara Seubsman, Sam-ang Sleigh, Adrian Nutrients Article In recent decades, a health-risk transition with changes in diet and lifestyle in low and middle-income countries (LMICs) led to an emergence of chronic diseases. These trends in Southeast Asian LMICs are not well studied. Here, we report on transitional dietary patterns and their socio-demographic predictors in Thai adults. Dietary data in 2015 were from a random sub-sample (N = 1075) of 42,785 Thai Cohort Study (TCS) members who completed all three TCS surveys (2005, 2009, 2013). Principle Component Analysis identified dietary patterns and multivariable linear regression assessed associations (Beta estimates (ß) and confidence intervals (CIs)) between socio-demographic factors and dietary intake pattern scores. Four dietary patterns emerged: Healthy Transitional, Fatty Western, Highly Processed, and Traditional. In women, higher income (≥30,001 Baht/month vs. ≤10,000) and managerial work (vs. office assistant) was associated with lower scores for Traditional (ß = −0.67, 95% CI −1.15, −0.19) and Fatty Western diets (ß = −0.60, 95% CI −1.14, −0.05), respectively. University education associated with lower Highly Processed (ß = −0.57, 95% CI −0.98, −0.17) and higher Traditional diet scores (ß = 0.42, 95% CI 0.03, 0.81). In men and women, urban residence associated with higher Fatty Western and lower Traditional diets. Local policy makers should promote healthy diets, particularly in urban residents, in men, and in low-SEP adults. MDPI 2017-10-27 /pmc/articles/PMC5707645/ /pubmed/29077031 http://dx.doi.org/10.3390/nu9111173 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Papier, Keren
Jordan, Susan
D’Este, Catherine
Banwell, Cathy
Yiengprugsawan, Vasoontara
Seubsman, Sam-ang
Sleigh, Adrian
Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title_full Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title_fullStr Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title_full_unstemmed Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title_short Social Demography of Transitional Dietary Patterns in Thailand: Prospective Evidence from the Thai Cohort Study
title_sort social demography of transitional dietary patterns in thailand: prospective evidence from the thai cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707645/
https://www.ncbi.nlm.nih.gov/pubmed/29077031
http://dx.doi.org/10.3390/nu9111173
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