Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Obesity | Research

The relationship between dietary patterns and overweight and obesity among adult in Jiangsu Province of China: a structural equation model

Authors: Yuan-yuan Wang, Ting Tian, Da Pan, Jing-xian Zhang, Wei Xie, Shao-kang Wang, Hui Xia, Yue Dai, Guiju Sun

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Aims

This study aimed to analyze the relationship between diet and overweight and obesity in Jiangsu Province by using structural equation modeling (SEM), and to determine dietary differences between genders in the model.

Methods

Data from 1739 individuals (53.8% female, n = 935) were analyzed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to classify dietary patterns. SEM and multivariate logistic regression were used to explore the relationship between dietary patterns and overweight and obesity.

Results

Overweight and obesity was found in 49.1%, and no difference was found in gender (51.2% of men and 47.2% of women, respectively; P = 0.090). Three dietary patterns: the traditional dietary pattern (i.e., poultry, light-colored vegetables, red meat and its products, cereals and tubers products, condiment, oils and dark-colored vegetables), the fruit-egg dietary pattern (i.e., fruit, whole grains, pickled vegetables and eggs and eggs products) and nut-wine dietary pattern (i.e., nut, wine and pastry snacks) were established by using EFA and CFA. It was found that the traditional dietary pattern for adult male was positively associated with the overweight and obesity in Jiangsu Province of China through multivariate logistic regression and SEM (OR = 1.954; 95%CI: 1.258 ~ 3.036; β =0.121, P < 0.05, respectively).

Conclusion

The traditional dietary pattern only have positive association with overweight and obesity in men in Jiangsu Province, China.
Literature
2.
go back to reference China. Report on the status of nutrition and chronic diseases among Chinese residents 2015. Beijing: People’s Publishing House; 2015. China. Report on the status of nutrition and chronic diseases among Chinese residents 2015. Beijing: People’s Publishing House; 2015.
3.
go back to reference Damsgaard CT, Michaelsen KF, Molbo D, et al. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants[J]. Lancet. 2016;387(10026):1377-96. Damsgaard CT, Michaelsen KF, Molbo D, et al. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants[J]. Lancet. 2016;387(10026):1377-96.
12.
go back to reference Morin AJS, Marsh HW, Nagengast B. Exploratory structural equation modeling. Structural equation modeling. A second course; 2013. Morin AJS, Marsh HW, Nagengast B. Exploratory structural equation modeling. Structural equation modeling. A second course; 2013.
13.
go back to reference Castro MA, Baltar VT, Marchioni DM, et al. Examining associations between dietary patterns and metabolic CVD risk factors: a novel use of structural equation modelling. Br J Nutr. 2016;115(9):1–12.CrossRef Castro MA, Baltar VT, Marchioni DM, et al. Examining associations between dietary patterns and metabolic CVD risk factors: a novel use of structural equation modelling. Br J Nutr. 2016;115(9):1–12.CrossRef
16.
go back to reference World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1–452. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1–452.
17.
go back to reference Bei-Fan Z. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci. 2015;11(1):S685–93. Bei-Fan Z. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci. 2015;11(1):S685–93.
18.
go back to reference Qin Y, Melse-Boonstra A, Pan X, et al. Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China. BMC Public Health. 2014;14(1):1–8.CrossRef Qin Y, Melse-Boonstra A, Pan X, et al. Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China. BMC Public Health. 2014;14(1):1–8.CrossRef
21.
go back to reference Ye J, Lv Y, Li Z, et al. Associations of dietary patterns with hypertension among adults in Jilin Province, China: a structural equation modelling approach. Public Health Nutr. 2019;22(6):1–8.CrossRef Ye J, Lv Y, Li Z, et al. Associations of dietary patterns with hypertension among adults in Jilin Province, China: a structural equation modelling approach. Public Health Nutr. 2019;22(6):1–8.CrossRef
22.
go back to reference Mirzababaei A, Sajjadi S, et al. Dietary pattern Karelis criteria metabolic healthy metabolic unhealthy obesity and overweight. Diabetes Metab Syndr. 2018;13(1):322–31.CrossRef Mirzababaei A, Sajjadi S, et al. Dietary pattern Karelis criteria metabolic healthy metabolic unhealthy obesity and overweight. Diabetes Metab Syndr. 2018;13(1):322–31.CrossRef
23.
go back to reference Liu D, Zhao L-Y, et al. Dietary patterns and association with obesity of children aged 6–17 years in medium and small cities in China: findings from the CNHS 2010–2012. Nutrients. 2018;11(1):3.CrossRef Liu D, Zhao L-Y, et al. Dietary patterns and association with obesity of children aged 6–17 years in medium and small cities in China: findings from the CNHS 2010–2012. Nutrients. 2018;11(1):3.CrossRef
27.
go back to reference Long S, Pei-Fen Z, Xiao-Yan Z, et al. Association between dietary patterns and the indicators of obesity among Chinese: a cross-sectional study. Nutrients. 2015;7(9):7995–8009.CrossRef Long S, Pei-Fen Z, Xiao-Yan Z, et al. Association between dietary patterns and the indicators of obesity among Chinese: a cross-sectional study. Nutrients. 2015;7(9):7995–8009.CrossRef
34.
go back to reference Löfvenborg JE, Ahlqvist E, Alfredsson L, et al. Consumption of red meat, genetic susceptibility, and risk of LADA and type 2 diabetes. Eur J Nutr. 2020;1:11. Löfvenborg JE, Ahlqvist E, Alfredsson L, et al. Consumption of red meat, genetic susceptibility, and risk of LADA and type 2 diabetes. Eur J Nutr. 2020;1:11.
35.
go back to reference You W, Henneberg M. Meat consumption providing a surplus energy in modern diet contributes to obesity prevalence: an ecological analysis. BMC Nutr. 2016;2(1):1.CrossRef You W, Henneberg M. Meat consumption providing a surplus energy in modern diet contributes to obesity prevalence: an ecological analysis. BMC Nutr. 2016;2(1):1.CrossRef
47.
go back to reference Soltani S, Shirani F, Chitsazi MJ, Salehi-Abargouei A. The effect of dietary approaches to stop hypertension (DASH) diet on weight and body composition in adults: a systematic review and meta-analysis of randomized controlled clinical trials. Obes Rev. 2016;17(5):442–54. https://doi.org/10.1111/obr.12391.CrossRefPubMed Soltani S, Shirani F, Chitsazi MJ, Salehi-Abargouei A. The effect of dietary approaches to stop hypertension (DASH) diet on weight and body composition in adults: a systematic review and meta-analysis of randomized controlled clinical trials. Obes Rev. 2016;17(5):442–54. https://​doi.​org/​10.​1111/​obr.​12391.CrossRefPubMed
49.
go back to reference Golpour-Hamedani S, Mohammadifard N, Khosravi A, Feizi A, Safavi SM. Dietary approaches to stop hypertension diet and obesity: a cross-sectional study of Iranian children and adolescents. ARYA Atheroscler. 2017;13(1):7–13.PubMedPubMedCentral Golpour-Hamedani S, Mohammadifard N, Khosravi A, Feizi A, Safavi SM. Dietary approaches to stop hypertension diet and obesity: a cross-sectional study of Iranian children and adolescents. ARYA Atheroscler. 2017;13(1):7–13.PubMedPubMedCentral
61.
go back to reference Aguayo-Armendáriz J, Montalvo-Corral M, González-Martínez KA, Grijalva-Haro MI, Ballesteros-Vásquez MN, Caire-Juvera G, et al. Central obesity and body fat, but not body mass index, are associated with the Pro12Ala polymorphism in the peroxisome proliferator-activated receptor γ gene in a population with a high consumption of saturated and trans-fatty acids. Nutr Res. 2018;57:28–35. https://doi.org/10.1016/j.nutres.2018.05.003.CrossRefPubMed Aguayo-Armendáriz J, Montalvo-Corral M, González-Martínez KA, Grijalva-Haro MI, Ballesteros-Vásquez MN, Caire-Juvera G, et al. Central obesity and body fat, but not body mass index, are associated with the Pro12Ala polymorphism in the peroxisome proliferator-activated receptor γ gene in a population with a high consumption of saturated and trans-fatty acids. Nutr Res. 2018;57:28–35. https://​doi.​org/​10.​1016/​j.​nutres.​2018.​05.​003.CrossRefPubMed
63.
go back to reference Su Y, Feng Z, He Y, et al. Monosodium L-glutamate and fats change free fatty acid concentrations in intestinal contents and affect free fatty acid receptors express profile in growing pigs. Food Nutr Res. 2019;63:1444.CrossRef Su Y, Feng Z, He Y, et al. Monosodium L-glutamate and fats change free fatty acid concentrations in intestinal contents and affect free fatty acid receptors express profile in growing pigs. Food Nutr Res. 2019;63:1444.CrossRef
66.
go back to reference Yan Z, Zhang R, Zhou B, et al. A comparison study on the prevalence of obesity and its associated factors among city, township and rural area adults in China. BMJ Open. 2015;5(7):e008417.CrossRef Yan Z, Zhang R, Zhou B, et al. A comparison study on the prevalence of obesity and its associated factors among city, township and rural area adults in China. BMJ Open. 2015;5(7):e008417.CrossRef
69.
go back to reference Machado R, Feferbaum R, Leone C. Fruit intake and obesity fruit and vegetables consumption and obesity in Brazil. Rev Bras Crescimento E Desenvolvimento Hum. 2016;26(2):243. Machado R, Feferbaum R, Leone C. Fruit intake and obesity fruit and vegetables consumption and obesity in Brazil. Rev Bras Crescimento E Desenvolvimento Hum. 2016;26(2):243.
Metadata
Title
The relationship between dietary patterns and overweight and obesity among adult in Jiangsu Province of China: a structural equation model
Authors
Yuan-yuan Wang
Ting Tian
Da Pan
Jing-xian Zhang
Wei Xie
Shao-kang Wang
Hui Xia
Yue Dai
Guiju Sun
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-11341-3

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue