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04-05-2024 | Dyslipidemia | Original Contribution

Associations between dietary diversity and dyslipidemia among Japanese workers: cross-sectional study and longitudinal study findings

Authors: Thi Thuy Bui, Mariko Nakamoto, Kana Yamada, Akiko Nakamoto, Akiko Hata, Nanako Aki, Yosuke Shikama, Yukiko Bando, Takako Ichihara, Takako Minagawa, Ayako Tamura, Yumi Kuwamura, Makoto Funaki, Tohru Sakai

Published in: European Journal of Nutrition

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Abstract

Objective

The aim of this study was to determine the associations between dietary diversity and risk of dyslipidemia in Japanese workers.

Methods

The cross-sectional study included 1399 participants aged 20–63 years and the longitudinal study included 751 participants aged 20–60 years in 2012–2013 (baseline) who participated at least once from 2013 to 2017 with cumulative participation times of 4.9 times. Dietary intake was assessed using a food frequency questionnaire, and dietary diversity score (DDS) was determined using the Quantitative Index for Dietary Diversity. Dyslipidemia was diagnosed when at least one of the following conditions was met: hypertriglyceridemia, high LDL-cholesterol, low HDL-cholesterol, high non-HDL-cholesterol, and a history of dyslipidemia. Multivariable logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for dyslipidemia with control of confounding factors in cross-sectional analysis. Generalized estimating equations were used for calculating the ORs (95% CI) for dyslipidemia in the follow-up period according to the DDS at baseline with control of confounding factors in longitudinal analysis.

Results

Cross-sectional analysis showed that the highest DDS reduced the odds of dyslipidemia in men (OR [95% CI] in Tertile 3: 0.67 [0.48–0.95], p value = 0.023). In longitudinal analysis, a moderate DDS reduced the risk of dyslipidemia (OR [95% CI] in Tertile 2: 0.21 [0.07–0.60], p value = 0.003) in women.

Conclusions

The results of cross-sectional analysis in this study suggest that the higher diversity of diet might reduce the presence of dyslipidemia in men and the results of longitudinal analysis suggest that a moderate DDS might reduce the risk of dyslipidemia in women. Further studies are needed since the results of cross-sectional and longitudinal analyses in this study were inconsistent.
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Literature
4.
go back to reference Kant AK, Block G, Schatzkin A et al (1991) Dietary diversity in the US population, NHANES II, 1976–1980. J Am Diet Assoc 91:1526–1531CrossRefPubMed Kant AK, Block G, Schatzkin A et al (1991) Dietary diversity in the US population, NHANES II, 1976–1980. J Am Diet Assoc 91:1526–1531CrossRefPubMed
5.
go back to reference Lee BL (2011) Dietary guidelines in Singapore. Asia Pac J Clin Nutr 20:472–476PubMed Lee BL (2011) Dietary guidelines in Singapore. Asia Pac J Clin Nutr 20:472–476PubMed
6.
go back to reference Alberti KGMM, Eckel RH, Grundy SM et al (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120:1640–1645. https://doi.org/10.1161/CIRCULATIONAHA.109.192644CrossRefPubMed Alberti KGMM, Eckel RH, Grundy SM et al (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120:1640–1645. https://​doi.​org/​10.​1161/​CIRCULATIONAHA.​109.​192644CrossRefPubMed
10.
go back to reference Ahmed SM, Clasen ME, Donnelly JE (1998) Management of dyslipidemia in adults. Am Fam Physician 57(2192–2204):2207–2208 Ahmed SM, Clasen ME, Donnelly JE (1998) Management of dyslipidemia in adults. Am Fam Physician 57(2192–2204):2207–2208
14.
go back to reference Abbasalizad Farhangi M, Vajdi M, Nikniaz L, Nikniaz Z (2020) Interaction between vascular endothelial growth factor-A (rs2010963) gene polymorphisms and dietary diversity score on cardiovascular risk factors in patients with metabolic syndrome. Lifestyle Genom 13:1–10. https://doi.org/10.1159/000503789CrossRefPubMed Abbasalizad Farhangi M, Vajdi M, Nikniaz L, Nikniaz Z (2020) Interaction between vascular endothelial growth factor-A (rs2010963) gene polymorphisms and dietary diversity score on cardiovascular risk factors in patients with metabolic syndrome. Lifestyle Genom 13:1–10. https://​doi.​org/​10.​1159/​000503789CrossRefPubMed
19.
go back to reference Takahashi K, Yoshimura Y, Kaimoto T, Kunii D, Komatsu T, Yamamoto S (2001) Validation of a food frequency questionnaire based on food groups for estimating individual nutrient intake. Jpn J Nutr Diet 59:221–232 (in Japanese)CrossRef Takahashi K, Yoshimura Y, Kaimoto T, Kunii D, Komatsu T, Yamamoto S (2001) Validation of a food frequency questionnaire based on food groups for estimating individual nutrient intake. Jpn J Nutr Diet 59:221–232 (in Japanese)CrossRef
39.
go back to reference Palmisano BT, Zhu L, Stafford JM (2017) Role of estrogens in the regulation of liver lipid metabolism. In: Mauvais-Jarvis F (ed) Sex and gender factors affecting metabolic homeostasis, diabetes and obesity. Springer, Cham, pp 227–256CrossRef Palmisano BT, Zhu L, Stafford JM (2017) Role of estrogens in the regulation of liver lipid metabolism. In: Mauvais-Jarvis F (ed) Sex and gender factors affecting metabolic homeostasis, diabetes and obesity. Springer, Cham, pp 227–256CrossRef
Metadata
Title
Associations between dietary diversity and dyslipidemia among Japanese workers: cross-sectional study and longitudinal study findings
Authors
Thi Thuy Bui
Mariko Nakamoto
Kana Yamada
Akiko Nakamoto
Akiko Hata
Nanako Aki
Yosuke Shikama
Yukiko Bando
Takako Ichihara
Takako Minagawa
Ayako Tamura
Yumi Kuwamura
Makoto Funaki
Tohru Sakai
Publication date
04-05-2024
Publisher
Springer Berlin Heidelberg
Keyword
Dyslipidemia
Published in
European Journal of Nutrition
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-024-03403-0
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