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Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey

This study examines regional disparities in the association between cereal consumption and metabolic syndrome (MetS) among Chinese adults. We used data from the longitudinal China Health and Nutrition Survey (CHNS) for 2892 healthy adults aged 18–75 years (1088 in northern China, 1804 in southern Ch...

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Autores principales: Huang, Lina, Wang, Huijun, Wang, Zhihong, Zhang, Jiguo, Zhang, Bing, Ding, Gangqiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521195/
https://www.ncbi.nlm.nih.gov/pubmed/30939825
http://dx.doi.org/10.3390/nu11040764
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author Huang, Lina
Wang, Huijun
Wang, Zhihong
Zhang, Jiguo
Zhang, Bing
Ding, Gangqiang
author_facet Huang, Lina
Wang, Huijun
Wang, Zhihong
Zhang, Jiguo
Zhang, Bing
Ding, Gangqiang
author_sort Huang, Lina
collection PubMed
description This study examines regional disparities in the association between cereal consumption and metabolic syndrome (MetS) among Chinese adults. We used data from the longitudinal China Health and Nutrition Survey (CHNS) for 2892 healthy adults aged 18–75 years (1088 in northern China, 1804 in southern China) who had no non-communicable chronic diseases or MetS at the initial visit in 2009 and the follow-up in 2015. We used a 74-item food frequency questionnaire (FFQ) to assess the dietary intake. We defined MetS according to the International Diabetes Federation (IDF) criteria. Multiple logistic regressions stratified by region were performed to estimate the association between cereal consumption and the risk of MetS, and the quantile regression analyzed the relationship between cereal consumption and individual components of MetS in 2015. The rice consumption in southern China (9.00 kg/month) was more than twice that in northern China (3.60 kg/month). Consumption of wheat and wheat products in northern China (4.20 kg/month) was more than twice that in southern China (1.50 kg/month). After we adjusted for potential confounders, rice consumption was inversely associated with a risk of MetS 0.709 (95% CI: 0.458–1.003), the intake of wheat and wheat products was positively associated with a risk of MetS 1.925 (95% CI: 1.292–2.867) in southern China. We found no association between the intake of cereal and the prevalence of MetS in northern China. The quantile regression showed that various cereals were differentially associated with the components of MetS. The association between cereal consumption and the risk of MetS, and the components of MetS varied across these two regions of China.
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spelling pubmed-65211952019-05-31 Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey Huang, Lina Wang, Huijun Wang, Zhihong Zhang, Jiguo Zhang, Bing Ding, Gangqiang Nutrients Article This study examines regional disparities in the association between cereal consumption and metabolic syndrome (MetS) among Chinese adults. We used data from the longitudinal China Health and Nutrition Survey (CHNS) for 2892 healthy adults aged 18–75 years (1088 in northern China, 1804 in southern China) who had no non-communicable chronic diseases or MetS at the initial visit in 2009 and the follow-up in 2015. We used a 74-item food frequency questionnaire (FFQ) to assess the dietary intake. We defined MetS according to the International Diabetes Federation (IDF) criteria. Multiple logistic regressions stratified by region were performed to estimate the association between cereal consumption and the risk of MetS, and the quantile regression analyzed the relationship between cereal consumption and individual components of MetS in 2015. The rice consumption in southern China (9.00 kg/month) was more than twice that in northern China (3.60 kg/month). Consumption of wheat and wheat products in northern China (4.20 kg/month) was more than twice that in southern China (1.50 kg/month). After we adjusted for potential confounders, rice consumption was inversely associated with a risk of MetS 0.709 (95% CI: 0.458–1.003), the intake of wheat and wheat products was positively associated with a risk of MetS 1.925 (95% CI: 1.292–2.867) in southern China. We found no association between the intake of cereal and the prevalence of MetS in northern China. The quantile regression showed that various cereals were differentially associated with the components of MetS. The association between cereal consumption and the risk of MetS, and the components of MetS varied across these two regions of China. MDPI 2019-04-01 /pmc/articles/PMC6521195/ /pubmed/30939825 http://dx.doi.org/10.3390/nu11040764 Text en © 2019 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
Huang, Lina
Wang, Huijun
Wang, Zhihong
Zhang, Jiguo
Zhang, Bing
Ding, Gangqiang
Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title_full Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title_fullStr Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title_full_unstemmed Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title_short Regional Disparities in the Association between Cereal Consumption and Metabolic Syndrome: Results from the China Health and Nutrition Survey
title_sort regional disparities in the association between cereal consumption and metabolic syndrome: results from the china health and nutrition survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521195/
https://www.ncbi.nlm.nih.gov/pubmed/30939825
http://dx.doi.org/10.3390/nu11040764
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