Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China
We aimed to investigate the association between dietary patterns and low HDL-C among the elderly population living in North China. The data were from a national cross-sectional survey conducted in 2015. General information in terms of living habits, health status, and food intake using 24 h dietary...
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MDPI AG
2021-09-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/10/3308 |
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| author | Pengkun Song Qingqing Man Yuqian Li Shanshan Jia Dongmei Yu Jian Zhang Gangqiang Ding |
| author_facet | Pengkun Song Qingqing Man Yuqian Li Shanshan Jia Dongmei Yu Jian Zhang Gangqiang Ding |
| author_sort | Pengkun Song |
| collection | DOAJ |
| description | We aimed to investigate the association between dietary patterns and low HDL-C among the elderly population living in North China. The data were from a national cross-sectional survey conducted in 2015. General information in terms of living habits, health status, and food intake using 24 h dietary recall for three consecutive days was procured, and the weight of edible oil and condiments recorded. Anthropometric index, blood pressure, and fasting serum lipids were measured using standard methods. Dietary patterns were derived from food categories by exploratory factor analysis, and multivariate logistic regression was used to estimate the odds ratios of low HDL-C across quartiles of dietary patterns. Among 3387 elderly participants, 21.9% had low HDL-C levels. After adjusting for potential confounding factors, participants with highest score versus lowest score in the balanced dietary pattern had a decreased risk of low HDL-C (OR = 0.38, 95% CI: 0.16–0.88, <i>p</i> for trend = 0.013) in the group with a BMI of 27.1 kg/m<sup>2</sup> and above. Compared to the lowest quartile, there was a statistically significant negative association between the highest scores of the Western dietary pattern and low HDL-C (OR = 0.37, 95% CI: 0.17–0.82, <i>p</i> for trend = 0.018) in the group with a BMI of 21.6–24.8 kg/m<sup>2</sup>. However, greater adherence to a thrifty dietary pattern (highest quartiles vs. lowest quartiles) was associated with increased risk of low HDL-C (OR = 3.31, 95% CI: 1.05–10.40, <i>p</i> for trend = 0.044), especially in the subgroup with a BMI of 21.6 kg/m<sup>2</sup> and below. The study revealed that it is urgent to develop district-specific dietary improvement plans for dyslipidemia based on the nutritional status of the elderly population in North China. |
| first_indexed | 2024-03-10T06:18:51Z |
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| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T06:18:51Z |
| publishDate | 2021-09-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-14d3f6be064a420a949d31cedc988aac2023-11-22T19:26:33ZengMDPI AGNutrients2072-66432021-09-011310330810.3390/nu13103308Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North ChinaPengkun Song0Qingqing Man1Yuqian Li2Shanshan Jia3Dongmei Yu4Jian Zhang5Gangqiang Ding6National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Xicheng District, Beijing 100050, ChinaWe aimed to investigate the association between dietary patterns and low HDL-C among the elderly population living in North China. The data were from a national cross-sectional survey conducted in 2015. General information in terms of living habits, health status, and food intake using 24 h dietary recall for three consecutive days was procured, and the weight of edible oil and condiments recorded. Anthropometric index, blood pressure, and fasting serum lipids were measured using standard methods. Dietary patterns were derived from food categories by exploratory factor analysis, and multivariate logistic regression was used to estimate the odds ratios of low HDL-C across quartiles of dietary patterns. Among 3387 elderly participants, 21.9% had low HDL-C levels. After adjusting for potential confounding factors, participants with highest score versus lowest score in the balanced dietary pattern had a decreased risk of low HDL-C (OR = 0.38, 95% CI: 0.16–0.88, <i>p</i> for trend = 0.013) in the group with a BMI of 27.1 kg/m<sup>2</sup> and above. Compared to the lowest quartile, there was a statistically significant negative association between the highest scores of the Western dietary pattern and low HDL-C (OR = 0.37, 95% CI: 0.17–0.82, <i>p</i> for trend = 0.018) in the group with a BMI of 21.6–24.8 kg/m<sup>2</sup>. However, greater adherence to a thrifty dietary pattern (highest quartiles vs. lowest quartiles) was associated with increased risk of low HDL-C (OR = 3.31, 95% CI: 1.05–10.40, <i>p</i> for trend = 0.044), especially in the subgroup with a BMI of 21.6 kg/m<sup>2</sup> and below. The study revealed that it is urgent to develop district-specific dietary improvement plans for dyslipidemia based on the nutritional status of the elderly population in North China.https://www.mdpi.com/2072-6643/13/10/3308dietary patternlow HDL-Celderscross-sectional studyNorth China |
| spellingShingle | Pengkun Song Qingqing Man Yuqian Li Shanshan Jia Dongmei Yu Jian Zhang Gangqiang Ding Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China Nutrients dietary pattern low HDL-C elders cross-sectional study North China |
| title | Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China |
| title_full | Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China |
| title_fullStr | Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China |
| title_full_unstemmed | Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China |
| title_short | Association between Dietary Patterns and Low HDL-C among Community-Dwelling Elders in North China |
| title_sort | association between dietary patterns and low hdl c among community dwelling elders in north china |
| topic | dietary pattern low HDL-C elders cross-sectional study North China |
| url | https://www.mdpi.com/2072-6643/13/10/3308 |
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