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Dietary patterns by reduced rank regression are associated with obesity and hypertension in Australian adults

Livingstone, Katherine M and McNaughton, Sarah A 2017, Dietary patterns by reduced rank regression are associated with obesity and hypertension in Australian adults, British journal of nutrition, vol. 117, no. 2, pp. 248-259, doi: 10.1017/S0007114516004505.

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Title Dietary patterns by reduced rank regression are associated with obesity and hypertension in Australian adults
Author(s) Livingstone, Katherine MORCID iD for Livingstone, Katherine M orcid.org/0000-0002-9682-7541
McNaughton, Sarah AORCID iD for McNaughton, Sarah A orcid.org/0000-0001-5936-9820
Journal name British journal of nutrition
Volume number 117
Issue number 2
Start page 248
End page 259
Total pages 12
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2017-01
ISSN 0007-1145
1475-2662
Keyword(s) DED dietary energy density
DP dietary pattern
PR prevalence ratio
RRR reduced rank regression
WC waist circumference
Adults
Dietary patterns
Hypertension
Obesity
Reduced rank regression
Adult
Australia
Blood Pressure
Body Mass Index
Cross-Sectional Studies
Diet
Dietary Fats
Dietary Fiber
Dietary Sucrose
Energy Intake
Feeding Behavior
Female
Humans
Male
Middle Aged
Overweight
Prevalence
Sodium Chloride, Dietary
Young Adult
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Multiple source method
Cardiovasular risk
Blood-pressure
Energy-intake
Nutritional epidemiology
Statistical-method
Food pattern
Population
Childhood
Disease
Summary Evidence linking dietary patterns (DP) and obesity and hypertension prevalence is inconsistent. We aimed to identify DP derived from energy density, fibre and sugar intakes, as well as Na, K, fibre, SFA and PUFA, and investigate associations with obesity and hypertension. Adults (n 4908) were included from the cross-sectional Australian Health Survey 2011-2013. Two 24-h dietary recalls estimated food and nutrient intakes. Reduced rank regression derived DP with dietary energy density (DED), fibre density and total sugar intake as response variables for obesity and Na:K, SFA:PUFA and fibre density as variables for hypertension. Poisson regression investigated relationships between DP and prevalence ratios (PR) of overweight/obesity (BMI≥25 kg/m2) and hypertension (blood pressure≥140/90 mmHg). Obesity-DP1 was positively correlated with fibre density and sugars and inversely with DED. Obesity-DP2 was positively correlated with sugars and inversely with fibre density. Individuals in the highest tertile of Obesity-DP1 and Obesity-DP2, compared with the lowest, had lower (PR 0·88; 95 % CI 0·81, 0·95) and higher (PR 1·09; 95 % CI 1·01, 1·18) prevalence of obesity, respectively. Na:K and SFA:PUFA were positively correlated with Hypertension-DP1 and inversely correlated with Hypertension-DP2, respectively. There was a trend towards higher hypertension prevalence in the highest tertile of Hypertension-DP1 compared with the lowest (PR 1·18; 95 % CI 0·99, 1·41). Hypertension-DP2 was not associated with hypertension. Obesity prevalence was inversely associated with low-DED, high-fibre and high-sugar (natural sugars) diets and positively associated with low-fibre and high-sugar (added sugars) diets. Hypertension prevalence was higher on low-fibre and high-Na and SFA diets.
Language eng
DOI 10.1017/S0007114516004505
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
0702 Animal Production
1111 Nutrition And Dietetics
0908 Food Sciences
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090963

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