Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study

This study aims to investigate spousal concordance in dietary behaviors, spousal concordance in metabolic components (MCs), and their association. A cross-sectional survey was conducted in Taiwan from November 2014 to May 2015. Matched-pair analysis, McNemar’s test, logistic regression analysis, and...

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Main Authors: Dann-Pyng Shih, Chu-Ting Wen, Hsien-Wen Kuo, Wen-Miin Liang, Li-Fan Liu, Chien-Tien Su, Jong-Yi Wang
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/11/3332
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author Dann-Pyng Shih
Chu-Ting Wen
Hsien-Wen Kuo
Wen-Miin Liang
Li-Fan Liu
Chien-Tien Su
Jong-Yi Wang
author_facet Dann-Pyng Shih
Chu-Ting Wen
Hsien-Wen Kuo
Wen-Miin Liang
Li-Fan Liu
Chien-Tien Su
Jong-Yi Wang
author_sort Dann-Pyng Shih
collection DOAJ
description This study aims to investigate spousal concordance in dietary behaviors, spousal concordance in metabolic components (MCs), and their association. A cross-sectional survey was conducted in Taiwan from November 2014 to May 2015. Matched-pair analysis, McNemar’s test, logistic regression analysis, and stratified analysis were performed. A total of 901 pairs of spouses (1802 participants) were analyzed. Husbands were less likely to report intakes of high-fiber food (OR<sub>MP</sub> (matched pairs odds ratio) = 0.30, <i>p</i> < 0.0001), fish (OR<sub>MP</sub> = 0.74, <i>p</i> = 0.0128), biscuits or cakes (OR<sub>MP</sub> = 0.60, <i>p</i> < 0.0001), and fast food (OR<sub>MP</sub> = 0.65, <i>p</i> = 0.01) compared with their wives. Husbands had significantly higher odds of being overweight (OR<sub>MP</sub> = 2.34, <i>p</i> < 0.0001); and of having hypertension (OR<sub>MP</sub> = 2.14, <i>p</i> < 0.0001), hypercholesterolemia (OR<sub>MP</sub> = 1.75, <i>p</i> = 0.0007), hyperlipidemia (OR<sub>MP</sub> = 2.96, <i>p</i> < 0.0001), and one or more metabolic components (composite MCs) (OR<sub>MP</sub> = 2.50, <i>p</i> < 0.0001) compared with their wives. After adjusting for age and education, the spousal concordance in high-fiber food intake was inversely associated with the spousal concordance in composite MCs (aOR = 0.62, 95% CI = 0.44–0.88, <i>p</i> = 0.0074), whereas the spousal concordance in processed food intake was positively associated with the concordance in composite MCs (aOR (adjusted odds ratio) = 1.56, 95% CI (Confidence Interval) = 1.03–2.36, <i>p</i> = 0.034). An intervention study for couples with intakes of different fiber foods and/or processed foods is critical for future study, in order to test what kinds of fiber foods/processed foods are associated with the development of the spousal concordance of metabolic components.
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spelling doaj.art-1a5f2d0bcf6f4ea4ba9dd2128d8a7ffb2023-11-20T19:02:23ZengMDPI AGNutrients2072-66432020-10-011211333210.3390/nu12113332Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional StudyDann-Pyng Shih0Chu-Ting Wen1Hsien-Wen Kuo2Wen-Miin Liang3Li-Fan Liu4Chien-Tien Su5Jong-Yi Wang6Department of Public Health, China Medical University, Taichung City 406040, TaiwanStrategy Planning Office, Cheng Ching Hospital, Taichung 40764, TaiwanInstitute of Environmental and Occupational Health Sciences, National Yang Ming University, Taipei 11221, TaiwanDepartment of Health Services Administration, China Medical University, Taichung City 406040, TaiwanInstitute of Gerontology, College of Medicine, National Cheng Kung University, Tainan 701401, TaiwanDepartment of Family Medicine, Taipei Medical University Hospital, Taipei 110301, TaiwanDepartment of Health Services Administration, China Medical University, Taichung City 406040, TaiwanThis study aims to investigate spousal concordance in dietary behaviors, spousal concordance in metabolic components (MCs), and their association. A cross-sectional survey was conducted in Taiwan from November 2014 to May 2015. Matched-pair analysis, McNemar’s test, logistic regression analysis, and stratified analysis were performed. A total of 901 pairs of spouses (1802 participants) were analyzed. Husbands were less likely to report intakes of high-fiber food (OR<sub>MP</sub> (matched pairs odds ratio) = 0.30, <i>p</i> < 0.0001), fish (OR<sub>MP</sub> = 0.74, <i>p</i> = 0.0128), biscuits or cakes (OR<sub>MP</sub> = 0.60, <i>p</i> < 0.0001), and fast food (OR<sub>MP</sub> = 0.65, <i>p</i> = 0.01) compared with their wives. Husbands had significantly higher odds of being overweight (OR<sub>MP</sub> = 2.34, <i>p</i> < 0.0001); and of having hypertension (OR<sub>MP</sub> = 2.14, <i>p</i> < 0.0001), hypercholesterolemia (OR<sub>MP</sub> = 1.75, <i>p</i> = 0.0007), hyperlipidemia (OR<sub>MP</sub> = 2.96, <i>p</i> < 0.0001), and one or more metabolic components (composite MCs) (OR<sub>MP</sub> = 2.50, <i>p</i> < 0.0001) compared with their wives. After adjusting for age and education, the spousal concordance in high-fiber food intake was inversely associated with the spousal concordance in composite MCs (aOR = 0.62, 95% CI = 0.44–0.88, <i>p</i> = 0.0074), whereas the spousal concordance in processed food intake was positively associated with the concordance in composite MCs (aOR (adjusted odds ratio) = 1.56, 95% CI (Confidence Interval) = 1.03–2.36, <i>p</i> = 0.034). An intervention study for couples with intakes of different fiber foods and/or processed foods is critical for future study, in order to test what kinds of fiber foods/processed foods are associated with the development of the spousal concordance of metabolic components.https://www.mdpi.com/2072-6643/12/11/3332spousal concordancemetabolic componentsdietary behaviorfiber foodprocessed food
spellingShingle Dann-Pyng Shih
Chu-Ting Wen
Hsien-Wen Kuo
Wen-Miin Liang
Li-Fan Liu
Chien-Tien Su
Jong-Yi Wang
Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
Nutrients
spousal concordance
metabolic components
dietary behavior
fiber food
processed food
title Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
title_full Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
title_fullStr Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
title_full_unstemmed Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
title_short Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
title_sort spousal concordance in dietary behaviors and metabolic components and their association a cross sectional study
topic spousal concordance
metabolic components
dietary behavior
fiber food
processed food
url https://www.mdpi.com/2072-6643/12/11/3332
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