Comparison of two exploratory dietary patterns in association with the metabolic syndrome in a Northern German population

Comparison of two exploratory dietary patterns in association with the metabolic syndrome in a Northern German population

Diet is related to many chronic disease conditions such as the metabolic syndrome (MetS). We set out to compare behaviour-related with disease-related patterns and their association with the MetS in a German cross-sectional study. A total of 905 participants of a Northern German cohort (aged 25–82 y...

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Bibliographic Details
Published in:British journal of nutrition Vol. 112; no. 8; pp. 1364 - 1372
Main Authors: Barbaresko, Janett, Siegert, Sabine, Koch, Manja, Aits, Imke, Lieb, Wolfgang, Nikolaus, Susanna, Laudes, Matthias, Jacobs, Gunnar, Nöthlings, Ute
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 28-10-2014
Subjects:
Adult
Aged
Biological and medical sciences
Biomarkers - blood
Cohort Studies
Comparative studies
Cross-Sectional Studies
Diet
Diet - adverse effects
Diet - ethnology
Dietary Surveys and Nutritional Epidemiology
Feeding Behavior - ethnology
Feeding. Feeding behavior
Follow-Up Studies
Food
Food groups
Fundamental and applied biological sciences. Psychology
Germany - epidemiology
Humans
Logistic Models
Male
Meat
Medical sciences
Metabolic diseases
Metabolic disorders
Metabolic syndrome
Metabolic Syndrome - blood
Metabolic Syndrome - epidemiology
Metabolic Syndrome - ethnology
Metabolic Syndrome - etiology
Middle Aged
Miscellaneous
Nutrition research
Other metabolic disorders
Prevalence
Principal Component Analysis
Principal components analysis
Regression Analysis
Risk factors
Surveys and Questionnaires
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Young Adult
Diet
Metabolic syndrome
Dietary pattern analysis
Endocrinopathy
Association
Nutrition
Metabolic diseases
Cardiovascular disease
Population
Comparative study
Feeding
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Summary:Diet is related to many chronic disease conditions such as the metabolic syndrome (MetS). We set out to compare behaviour-related with disease-related patterns and their association with the MetS in a German cross-sectional study. A total of 905 participants of a Northern German cohort (aged 25–82 years) completed a FFQ, underwent anthropometric assessments and provided a blood sample. Dietary patterns were derived by principal component analysis (PCA) and reduced-rank regression (RRR) from forty-two food groups. Components of the MetS were used as response variables for the RRR analysis. Simplified patterns comprising ten food groups were generated. Logistic regression analysis was performed to evaluate the likelihood of having the MetS across the quartiles of simplified pattern scores. We identified two similar dietary patterns derived by PCA and RRR characterised by high intakes of potatoes, various vegetables, red and processed meat, fats, sauce and bouillon. Comparing simplified patterns, an increased RRR pattern score was associated with a higher OR (2·18, 95 % CI 1·25, 3·81) of having the MetS than an increased PCA pattern score (OR 1·92, 95 % CI 1·21, 3·03). Comparing concordant food groups by both dietary pattern methods, a diet high in legumes, beef, processed meat and bouillon was also positively associated with the prevalence of the MetS after adjustment for potential confounders (OR 1·71, 95 % CI 1·04, 2·79). We identified a behaviour-related pattern that was positively associated with the MetS. The application of both dietary pattern methods may be advantageous to obtain information for designing and realising dietary guidelines. Prospective studies are needed to confirm the results.
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ISSN:0007-1145
1475-2662
DOI:10.1017/S0007114514002098