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Dietary Patterns Characterized by Fat Type in Association with Obesity and Type 2 Diabetes: A Longitudinal Study of UK Biobank Participants

Brayner, B, Kaur, Gunveen, Keske, Michelle, Perez-Cornago, A, Piernas, C and Livingstone, Katherine 2021, Dietary Patterns Characterized by Fat Type in Association with Obesity and Type 2 Diabetes: A Longitudinal Study of UK Biobank Participants, Journal of Nutrition, vol. 151, no. 11, pp. 3570-3578, doi: 10.1093/jn/nxab275.


Title Dietary Patterns Characterized by Fat Type in Association with Obesity and Type 2 Diabetes: A Longitudinal Study of UK Biobank Participants
Author(s) Brayner, B
Kaur, GunveenORCID iD for Kaur, Gunveen orcid.org/0000-0002-6250-0495
Keske, MichelleORCID iD for Keske, Michelle orcid.org/0000-0003-4214-7628
Perez-Cornago, A
Piernas, C
Livingstone, KatherineORCID iD for Livingstone, Katherine orcid.org/0000-0002-9682-7541
Journal name Journal of Nutrition
Volume number 151
Issue number 11
Start page 3570
End page 3578
Total pages 9
Publisher Oxford University Press
Place of publication Oxford, England
Publication date 2021-11-02
ISSN 0022-3166
1541-6100
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
dietary patterns
reduced rank regression
obesity
type 2 diabetes
longitudinal
dietary fat
saturated fat
monounsaturated fat
polyunsaturated fat
ACID-COMPOSITION
OXFORD WEBQ
RISK
ENERGY
CONSUMPTION
MELLITUS
EVENTS
WEIGHT
NUMBER
Summary ABSTRACT Background The fat type consumed is considered a risk factor for developing obesity and type 2 diabetes (T2D). However, these associations have not been investigated using a dietary patterns approach, which can capture combinations of foods and fat type consumed. Objectives This study aimed to investigate associations between dietary patterns with varying proportions of SFAs, MUFAs, or PUFAs and obesity, abdominal obesity, and self-reported T2D incidence. Methods This study included UK Biobank participants with 2 or more 24-h dietary assessments, free from the outcome of interest at recruitment, and with outcome data at follow-up (n = 16,523; mean follow-up: 6.3 y). Reduced rank regression was used to derive dietary patterns with SFAs, MUFAs, and PUFAs (% of energy intake) as response variables. Logistic regression, adjusted for sociodemographic and health characteristics, was used to investigate the associations between dietary patterns and obesity [BMI (kg/m2) ≥30], abdominal obesity (waist circumference; men: ≥102 cm; women: ≥88 cm) and T2D incidence. Results Two dietary patterns, DP1 and DP2, were identified: DP1 positively correlated with SFAs (r = 0.48), MUFAs (r = 0.67), and PUFAs (r = 0.56), characterized by higher intake of nuts, seeds, and butter and lower intake of fruit and low-fat yogurt; DP2 positively correlated with SFAs (r = 0.76) and negatively with PUFAs (r = −0.64) and MUFAs (r = −0.01), characterized by higher intake of butter and high-fat cheese and lower intake of nuts and seeds. Only DP2 was associated with higher obesity and abdominal obesity incidence (OR: 1.24; 95% CI: 1.02, 1.45; and OR: 1.19; 95% CI: 1.02, 1.38, respectively). Neither of the dietary patterns was associated with T2D incidence. Conclusions These findings provide evidence that a dietary pattern characterized by higher SFA and lower PUFA foods is associated with obesity and abdominal obesity incidence, but not T2D.
Notes Editor's Choice
Language eng
DOI 10.1093/jn/nxab275
Field of Research 0702 Animal Production
0908 Food Sciences
1111 Nutrition and Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30155566

Document type: Journal Article
Collections: Faculty of Health
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Created: Fri, 17 Sep 2021, 08:19:56 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.