Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study

BackgroundThe association between habitual food intake in Tibet and metabolic syndrome (MetS) is largely unclear.ObjectiveTo examine the association between Tibetan habitual food intake and MetS among Tibetan adults.MethodsA population-based cross-sectional study, named the China Multi-Ethnic Cohort...

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Main Authors: Kehan Li, Qiang Zhang, Hui Cai, Ruifeng He, Qucuo Nima, Yajie Li, Deji Suolang, Zhuoga Cidan, Pingcuo Wangqing, Xing Zhao, Jingzhong Li, Qiaolan Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.888317/full
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author Kehan Li
Qiang Zhang
Hui Cai
Ruifeng He
Qucuo Nima
Yajie Li
Deji Suolang
Zhuoga Cidan
Pingcuo Wangqing
Xing Zhao
Jingzhong Li
Qiaolan Liu
author_facet Kehan Li
Qiang Zhang
Hui Cai
Ruifeng He
Qucuo Nima
Yajie Li
Deji Suolang
Zhuoga Cidan
Pingcuo Wangqing
Xing Zhao
Jingzhong Li
Qiaolan Liu
author_sort Kehan Li
collection DOAJ
description BackgroundThe association between habitual food intake in Tibet and metabolic syndrome (MetS) is largely unclear.ObjectiveTo examine the association between Tibetan habitual food intake and MetS among Tibetan adults.MethodsA population-based cross-sectional study, named the China Multi-Ethnic Cohort (CMEC) study, was conducted between 2018 and 2019. We used data from all Tibetans in the CMEC in the current study. The participants, 1,954 men and 3,060 women aged 18–79 years, were from Lhasa, Tibet Autonomous Region, Tibet. The habitual dietary intake was assessed using a food frequency questionnaire (FFQ). MetS was defined according to ATP III guidelines. Multivariate logistic regression was used to estimate the association between five Tibetan habitual foods and MetS.ResultsTsampa, butter tea, and Qing cha intake were associated with reduced prevalence of MetS. Compared with the lowest quartile of each food, odds ratios (ORs) and their 95% confidence intervals (95% CIs) of medium and high Tsampa intake were 0.59 (0.41–0.85) and 0.53 (0.36–0.77), ORs (95% CIs) of butter tea were 0.67 (0.52–0.88) and 0.61 (0.46–0.81), and Qing cha were 0.85 (0.71–1.03) and 0.75 (0.60–0.93), respectively. When exploring the joint effects of these three foods on MetS, the adjusted ORs and their 95% CIs were 0.65 (0.49–0.87) for the middle intake group and 0.59 (0.42–0.83) for the high intake group as compared with the never/rarely group (p = 0.022 for trend). Associations of MetS with Tibetan noodles and raw beef were not observed.ConclusionTsampa, butter tea, and Qing cha were negatively associated with MetS. The recommendation of increasing the intake of these foods may be beneficial for MetS prevention.
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spelling doaj.art-9931fd0d251249b8930165d8dc93ef5f2022-12-22T03:33:13ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-06-01910.3389/fnut.2022.888317888317Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional StudyKehan Li0Qiang Zhang1Hui Cai2Ruifeng He3Qucuo Nima4Yajie Li5Deji Suolang6Zhuoga Cidan7Pingcuo Wangqing8Xing Zhao9Jingzhong Li10Qiaolan Liu11Department of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, United StatesCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaDepartment of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaCenter for Disease Control and Prevention of Tibet Autonomous Region, Lhasa, ChinaDepartment of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaBackgroundThe association between habitual food intake in Tibet and metabolic syndrome (MetS) is largely unclear.ObjectiveTo examine the association between Tibetan habitual food intake and MetS among Tibetan adults.MethodsA population-based cross-sectional study, named the China Multi-Ethnic Cohort (CMEC) study, was conducted between 2018 and 2019. We used data from all Tibetans in the CMEC in the current study. The participants, 1,954 men and 3,060 women aged 18–79 years, were from Lhasa, Tibet Autonomous Region, Tibet. The habitual dietary intake was assessed using a food frequency questionnaire (FFQ). MetS was defined according to ATP III guidelines. Multivariate logistic regression was used to estimate the association between five Tibetan habitual foods and MetS.ResultsTsampa, butter tea, and Qing cha intake were associated with reduced prevalence of MetS. Compared with the lowest quartile of each food, odds ratios (ORs) and their 95% confidence intervals (95% CIs) of medium and high Tsampa intake were 0.59 (0.41–0.85) and 0.53 (0.36–0.77), ORs (95% CIs) of butter tea were 0.67 (0.52–0.88) and 0.61 (0.46–0.81), and Qing cha were 0.85 (0.71–1.03) and 0.75 (0.60–0.93), respectively. When exploring the joint effects of these three foods on MetS, the adjusted ORs and their 95% CIs were 0.65 (0.49–0.87) for the middle intake group and 0.59 (0.42–0.83) for the high intake group as compared with the never/rarely group (p = 0.022 for trend). Associations of MetS with Tibetan noodles and raw beef were not observed.ConclusionTsampa, butter tea, and Qing cha were negatively associated with MetS. The recommendation of increasing the intake of these foods may be beneficial for MetS prevention.https://www.frontiersin.org/articles/10.3389/fnut.2022.888317/fullTibetan populationmetabolic syndromeTsampabutter teaQing cha
spellingShingle Kehan Li
Qiang Zhang
Hui Cai
Ruifeng He
Qucuo Nima
Yajie Li
Deji Suolang
Zhuoga Cidan
Pingcuo Wangqing
Xing Zhao
Jingzhong Li
Qiaolan Liu
Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
Frontiers in Nutrition
Tibetan population
metabolic syndrome
Tsampa
butter tea
Qing cha
title Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
title_full Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
title_fullStr Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
title_full_unstemmed Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
title_short Association of Tibetan Habitual Food and Metabolic Syndrome Among Tibetan People in China: A Cross-Sectional Study
title_sort association of tibetan habitual food and metabolic syndrome among tibetan people in china a cross sectional study
topic Tibetan population
metabolic syndrome
Tsampa
butter tea
Qing cha
url https://www.frontiersin.org/articles/10.3389/fnut.2022.888317/full
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