Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis
Certain dietary patterns are associated with an increased risk of obesity and its comorbidities. However, these associations vary across populations. The prevalence of obesity has been rising amid a drastic nutrition transition in China during the country’s rapid economic growth. This systematic rev...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/22/4911 |
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| author | Karen Jiang Zhen Zhang Lee Ann Fullington Terry T. Huang Catherine Kaliszewski Jingkai Wei Li Zhao Shuyuan Huang Amy Ellithorpe Shenghui Wu Xinyin Jiang Liang Wang |
| author_facet | Karen Jiang Zhen Zhang Lee Ann Fullington Terry T. Huang Catherine Kaliszewski Jingkai Wei Li Zhao Shuyuan Huang Amy Ellithorpe Shenghui Wu Xinyin Jiang Liang Wang |
| author_sort | Karen Jiang |
| collection | DOAJ |
| description | Certain dietary patterns are associated with an increased risk of obesity and its comorbidities. However, these associations vary across populations. The prevalence of obesity has been rising amid a drastic nutrition transition in China during the country’s rapid economic growth. This systematic review and meta-analysis were conducted to summarize how dietary patterns are associated with obesity in the Chinese population. We searched for articles from 1 January 2000 to 1 February 2022 in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus that assessed the relationship between dietary patterns and obesity outcomes. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using a random effects model. From the 2556 articles identified from the search, 23 articles were included in the analysis. We found that the traditional Chinese dietary pattern was associated with a lower risk of overweight/obesity (OR = 0.69, 95% CI: 0.57, 0.84, <i>p</i> < 0.001), whereas the Western dietary pattern was associated with a higher OR of overweight/obesity, but not reaching statistical significance (OR = 1.34, 95% CI: 0.98, 1.84, <i>p</i> = 0.07). There were inconsistent results for other dietary patterns, such as meat/animal protein and plant/vegetarian patterns. In conclusion, the traditional Chinese diet characterized by vegetables, rice, and meat was associated with a lower risk of obesity. The heterogeneity in characterizing dietary patterns contributes to the inconsistency of how dietary patterns are associated with obesity in the Chinese population. |
| first_indexed | 2024-03-09T18:05:15Z |
| format | Article |
| id | doaj.art-80c13fe5e9bd4d95920fb7ed00ce943d |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T18:05:15Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-80c13fe5e9bd4d95920fb7ed00ce943d2023-11-24T09:33:09ZengMDPI AGNutrients2072-66432022-11-011422491110.3390/nu14224911Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-AnalysisKaren Jiang0Zhen Zhang1Lee Ann Fullington2Terry T. Huang3Catherine Kaliszewski4Jingkai Wei5Li Zhao6Shuyuan Huang7Amy Ellithorpe8Shenghui Wu9Xinyin Jiang10Liang Wang11Department of Health and Nutrition Sciences, Brooklyn College, City University of New York, Brooklyn, NY 11210, USADepartment of Cardiology, The Affiliated Hospital of Southwest Jiaotong University, The Third People’s Hospital of Chengdu, Cardiovascular Disease Research Institute of Chengdu, Chengdu 610031, ChinaLibrary Department, Brooklyn College of the City University of New York, Brooklyn, NY 11210, USACenter for Systems and Community Design and NYU-CUNY Prevention Research Center, Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10027, USADepartment of Public Health, Robbins College of Health and Human Science, Baylor University, Waco, TX 76798, USADepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USAWest China School of Public Health, Sichuan University, Chengdu 610017, ChinaRory Meyer College of Nursing, New York University, New York, NY 10010, USADepartment of Health and Nutrition Sciences, Brooklyn College, City University of New York, Brooklyn, NY 11210, USADepartment of Public Health and Exercise Science, Beaver College of Health Sciences, Appalachian State University, Boone, NC 28608, USADepartment of Health and Nutrition Sciences, Brooklyn College, City University of New York, Brooklyn, NY 11210, USADepartment of Public Health, Robbins College of Health and Human Science, Baylor University, Waco, TX 76798, USACertain dietary patterns are associated with an increased risk of obesity and its comorbidities. However, these associations vary across populations. The prevalence of obesity has been rising amid a drastic nutrition transition in China during the country’s rapid economic growth. This systematic review and meta-analysis were conducted to summarize how dietary patterns are associated with obesity in the Chinese population. We searched for articles from 1 January 2000 to 1 February 2022 in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus that assessed the relationship between dietary patterns and obesity outcomes. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using a random effects model. From the 2556 articles identified from the search, 23 articles were included in the analysis. We found that the traditional Chinese dietary pattern was associated with a lower risk of overweight/obesity (OR = 0.69, 95% CI: 0.57, 0.84, <i>p</i> < 0.001), whereas the Western dietary pattern was associated with a higher OR of overweight/obesity, but not reaching statistical significance (OR = 1.34, 95% CI: 0.98, 1.84, <i>p</i> = 0.07). There were inconsistent results for other dietary patterns, such as meat/animal protein and plant/vegetarian patterns. In conclusion, the traditional Chinese diet characterized by vegetables, rice, and meat was associated with a lower risk of obesity. The heterogeneity in characterizing dietary patterns contributes to the inconsistency of how dietary patterns are associated with obesity in the Chinese population.https://www.mdpi.com/2072-6643/14/22/4911dietary patternobesitybody weightChinese |
| spellingShingle | Karen Jiang Zhen Zhang Lee Ann Fullington Terry T. Huang Catherine Kaliszewski Jingkai Wei Li Zhao Shuyuan Huang Amy Ellithorpe Shenghui Wu Xinyin Jiang Liang Wang Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis Nutrients dietary pattern obesity body weight Chinese |
| title | Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis |
| title_full | Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis |
| title_fullStr | Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis |
| title_short | Dietary Patterns and Obesity in Chinese Adults: A Systematic Review and Meta-Analysis |
| title_sort | dietary patterns and obesity in chinese adults a systematic review and meta analysis |
| topic | dietary pattern obesity body weight Chinese |
| url | https://www.mdpi.com/2072-6643/14/22/4911 |
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