Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study
Background: The impact of socio-economic position and integration level on the observed ethnic differences in dietary habits has received little attention. Objectives: To identify and describe dietary patterns in a multi-ethnic population of pregnant women, to explore ethnic differences in odds rati...
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| Format: | Article |
| Language: | English |
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Swedish Nutrition Foundation
2013-07-01
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| Series: | Food & Nutrition Research |
| Subjects: | |
| Online Access: | http://www.foodandnutritionresearch.net/index.php/fnr/article/download/21164/28671 |
| _version_ | 1819265006568472576 |
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| author | Christine Sommer Line Sletner Anne K. Jenum Kjersti Mørkrid Lene F. Andersen Kåre I. Birkeland Annhild Mosdøl |
| author_facet | Christine Sommer Line Sletner Anne K. Jenum Kjersti Mørkrid Lene F. Andersen Kåre I. Birkeland Annhild Mosdøl |
| author_sort | Christine Sommer |
| collection | DOAJ |
| description | Background: The impact of socio-economic position and integration level on the observed ethnic differences in dietary habits has received little attention. Objectives: To identify and describe dietary patterns in a multi-ethnic population of pregnant women, to explore ethnic differences in odds ratio (OR) for belonging to a dietary pattern, when adjusted for socio-economic status and integration level and to examine whether the dietary patterns were reflected in levels of biomarkers related to obesity and hyperglycaemia. Design: This cross-sectional study was a part of the STORK Groruddalen study. In total, 757 pregnant women, of whom 59% were of a non-Western origin, completed a food frequency questionnaire in gestational week 28±2. Dietary patterns were extracted through cluster analysis using Ward's method. Results: Four robust clusters were identified where cluster 4 was considered the healthier dietary pattern and cluster 1 the least healthy. All non-European women as compared to Europeans had higher OR for belonging to the unhealthier dietary patterns 1–3 vs. cluster 4. Women from the Middle East and Africa had the highest OR, 21.5 (95% CI 10.6–43.7), of falling into cluster 1 vs. 4 as compared to Europeans. The ORs decreased substantially after adjusting for socio-economic score and integration score. A non-European ethnic origin, low socio-economic and integration scores, conduced higher OR for belonging to clusters 1, 2, and 3 as compared to cluster 4. Significant differences in fasting and 2-h glucose, fasting insulin, glycosylated haemoglobin (HbA1c), insulin resistance (HOMA-IR), and total cholesterol were observed across the dietary patterns. After adjusting for ethnicity, differences in fasting insulin (p=0.015) and HOMA-IR (p=0.040) across clusters remained significant, despite low power. Conclusion: The results indicate that socio-economic and integration level may explain a large proportion of the ethnic differences in dietary patterns. |
| first_indexed | 2024-12-23T20:38:31Z |
| format | Article |
| id | doaj.art-bceda21198334c02aa91f187867dfb96 |
| institution | Directory Open Access Journal |
| issn | 1654-6628 1654-661X |
| language | English |
| last_indexed | 2024-12-23T20:38:31Z |
| publishDate | 2013-07-01 |
| publisher | Swedish Nutrition Foundation |
| record_format | Article |
| series | Food & Nutrition Research |
| spelling | doaj.art-bceda21198334c02aa91f187867dfb962022-12-21T17:32:00ZengSwedish Nutrition FoundationFood & Nutrition Research1654-66281654-661X2013-07-0157011210.3402/fnr.v57i0.21164Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based studyChristine SommerLine SletnerAnne K. JenumKjersti MørkridLene F. AndersenKåre I. BirkelandAnnhild MosdølBackground: The impact of socio-economic position and integration level on the observed ethnic differences in dietary habits has received little attention. Objectives: To identify and describe dietary patterns in a multi-ethnic population of pregnant women, to explore ethnic differences in odds ratio (OR) for belonging to a dietary pattern, when adjusted for socio-economic status and integration level and to examine whether the dietary patterns were reflected in levels of biomarkers related to obesity and hyperglycaemia. Design: This cross-sectional study was a part of the STORK Groruddalen study. In total, 757 pregnant women, of whom 59% were of a non-Western origin, completed a food frequency questionnaire in gestational week 28±2. Dietary patterns were extracted through cluster analysis using Ward's method. Results: Four robust clusters were identified where cluster 4 was considered the healthier dietary pattern and cluster 1 the least healthy. All non-European women as compared to Europeans had higher OR for belonging to the unhealthier dietary patterns 1–3 vs. cluster 4. Women from the Middle East and Africa had the highest OR, 21.5 (95% CI 10.6–43.7), of falling into cluster 1 vs. 4 as compared to Europeans. The ORs decreased substantially after adjusting for socio-economic score and integration score. A non-European ethnic origin, low socio-economic and integration scores, conduced higher OR for belonging to clusters 1, 2, and 3 as compared to cluster 4. Significant differences in fasting and 2-h glucose, fasting insulin, glycosylated haemoglobin (HbA1c), insulin resistance (HOMA-IR), and total cholesterol were observed across the dietary patterns. After adjusting for ethnicity, differences in fasting insulin (p=0.015) and HOMA-IR (p=0.040) across clusters remained significant, despite low power. Conclusion: The results indicate that socio-economic and integration level may explain a large proportion of the ethnic differences in dietary patterns.www.foodandnutritionresearch.net/index.php/fnr/article/download/21164/28671dietary patternssocio-economic statusintegration levelethnic minority groupsimmigrants |
| spellingShingle | Christine Sommer Line Sletner Anne K. Jenum Kjersti Mørkrid Lene F. Andersen Kåre I. Birkeland Annhild Mosdøl Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study Food & Nutrition Research dietary patterns socio-economic status integration level ethnic minority groups immigrants |
| title | Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study |
| title_full | Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study |
| title_fullStr | Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study |
| title_full_unstemmed | Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study |
| title_short | Ethnic differences in maternal dietary patterns are largely explained by socio-economic score and integration score: a population-based study |
| title_sort | ethnic differences in maternal dietary patterns are largely explained by socio economic score and integration score a population based study |
| topic | dietary patterns socio-economic status integration level ethnic minority groups immigrants |
| url | http://www.foodandnutritionresearch.net/index.php/fnr/article/download/21164/28671 |
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