Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.

Evidence regarding the role of dietary patterns in metabolic syndrome (MetS) is limited. The mechanistic links between dietary patterns, insulin resistance, and MetS are not fully understood. This study aimed to evaluate the associations between dietary patterns and the risk of MetS in a Chinese pop...

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Main Authors: Liyong Kou, Jing Sun, Ping Wu, Zhou Cheng, Ping Zhou, Nana Li, Liang Cheng, Pengfei Xu, Yunzhuo Xue, Jiamin Tian, Wei Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0308090
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author Liyong Kou
Jing Sun
Ping Wu
Zhou Cheng
Ping Zhou
Nana Li
Liang Cheng
Pengfei Xu
Yunzhuo Xue
Jiamin Tian
Wei Chen
author_facet Liyong Kou
Jing Sun
Ping Wu
Zhou Cheng
Ping Zhou
Nana Li
Liang Cheng
Pengfei Xu
Yunzhuo Xue
Jiamin Tian
Wei Chen
author_sort Liyong Kou
collection DOAJ
description Evidence regarding the role of dietary patterns in metabolic syndrome (MetS) is limited. The mechanistic links between dietary patterns, insulin resistance, and MetS are not fully understood. This study aimed to evaluate the associations between dietary patterns and the risk of MetS in a Chinese population using a longitudinal design. Data from the China Health and Nutrition Survey, a nationally representative survey, were analyzed. MetS cases were identified based on biomarker data collected in 2009. Factor analysis was employed to identify dietary patterns, while logistic regression models were utilized to examine the association between dietary patterns and MetS. Mediation models were applied to assess multiple mediation effects. Two dietary patterns were revealed by factor analysis. Participants in the higher quartiles of the traditional Chinese dietary pattern had lower odds of MetS than those in the lowest quartile (Q1) (OR = 0.58, 95%CI: 0.48, 0.69 for Q4; OR = 0.75, 95%CI: 0.63, 0.89 for Q3). Conversely, participants in the higher quartiles of the modern Chinese dietary pattern had higher odds of MetS compared to those in the lowest quartile (Q1) (OR = 1.40, 95%CI: 1.17, 1.68 for Q4; OR = 1.27, 95%CI: 1.06, 1.52 for Q3). Significant associations between dietary patterns and MetS were mediated by insulin resistance. Therefore, dietary patterns in Chinese adults are associated with MetS, and these associations appear to be mediated through insulin resistance. These findings underscore the critical role of dietary patterns in the development of MetS and establish a foundation for culturally tailored dietary interventions aimed at reducing rates the prevalence of MetS among Chinese adults.
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spelling doaj-art-f5b7040297964d38ab8ce3b128a525e92025-01-16T05:31:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01198e030809010.1371/journal.pone.0308090Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.Liyong KouJing SunPing WuZhou ChengPing ZhouNana LiLiang ChengPengfei XuYunzhuo XueJiamin TianWei ChenEvidence regarding the role of dietary patterns in metabolic syndrome (MetS) is limited. The mechanistic links between dietary patterns, insulin resistance, and MetS are not fully understood. This study aimed to evaluate the associations between dietary patterns and the risk of MetS in a Chinese population using a longitudinal design. Data from the China Health and Nutrition Survey, a nationally representative survey, were analyzed. MetS cases were identified based on biomarker data collected in 2009. Factor analysis was employed to identify dietary patterns, while logistic regression models were utilized to examine the association between dietary patterns and MetS. Mediation models were applied to assess multiple mediation effects. Two dietary patterns were revealed by factor analysis. Participants in the higher quartiles of the traditional Chinese dietary pattern had lower odds of MetS than those in the lowest quartile (Q1) (OR = 0.58, 95%CI: 0.48, 0.69 for Q4; OR = 0.75, 95%CI: 0.63, 0.89 for Q3). Conversely, participants in the higher quartiles of the modern Chinese dietary pattern had higher odds of MetS compared to those in the lowest quartile (Q1) (OR = 1.40, 95%CI: 1.17, 1.68 for Q4; OR = 1.27, 95%CI: 1.06, 1.52 for Q3). Significant associations between dietary patterns and MetS were mediated by insulin resistance. Therefore, dietary patterns in Chinese adults are associated with MetS, and these associations appear to be mediated through insulin resistance. These findings underscore the critical role of dietary patterns in the development of MetS and establish a foundation for culturally tailored dietary interventions aimed at reducing rates the prevalence of MetS among Chinese adults.https://doi.org/10.1371/journal.pone.0308090
spellingShingle Liyong Kou
Jing Sun
Ping Wu
Zhou Cheng
Ping Zhou
Nana Li
Liang Cheng
Pengfei Xu
Yunzhuo Xue
Jiamin Tian
Wei Chen
Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
PLoS ONE
title Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
title_full Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
title_fullStr Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
title_full_unstemmed Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
title_short Associations of dietary pattern, insulin resistance and risk of developing metabolic syndrome among Chinese population.
title_sort associations of dietary pattern insulin resistance and risk of developing metabolic syndrome among chinese population
url https://doi.org/10.1371/journal.pone.0308090
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