Relationship Between Dietary Factor And The Metabolic Syndrome In Kazakh People In Xinjiang

Objective:To understand the dietary nutrition status in Kazak nationalities aged18of Xinjiang, explore the dietand dietary patterns, distribution and influencing factors of Metabolic syndrome, and the correlationanalysis between dietary factors and the metabolic syndrome.Methods:1、24h descriptive food record and weight-intake were used to dietary survey of One thousand onehundred and thirty Kazakh residents over18years old in Niujuanzi rangeland of Shawan Xinjiang to carryout dietary investigation and medical examination.2、The questionnaires should be finished by face toface with each resident forinterview. The questionnaires include basic information of each family member,personal health condition, and the24hours of personal dietary recall information. Have a physicalexamination and blood specimen collection.3、Serum total cholesterol (TC), triglyceride (TG), lowdensity lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), fasting plasmaglucose (FPG) were detected with OLYMPUS2007automatic biochemical analyzer.Results:1130Kazakh subjects include533males and597females were examined with International DiabetesFederation criteria for MS, average age was (42.89±16.03) years old.1. The intake of Dietary: The diet composition of Kazakh residents based in cereals, the intake of saltwere excessed, the intake of fruits and vegetables were low consumption, beans, eggs, fish and othersbasically didn’t eat. The energy intake of Kazakh residents in Xinjiang was2811.3Kcal per reference perday. The intake of protein, fat and carbohydrates per day was103.8g,50.3g,485.0g, providing14.2%,16.2%,69%energy respectively. The intake of dietary fiber and micronutrients are less than90%of therecommended amount. Animal protein accounted for33.5%of whole protein, and animal fat for54.2%ofwhole fat respectively.2. Dietary patterns: Total four dietary patterns were derived among Kazakh people. The―cereal anddairy foods‖Pattern was charaeterized by higher intakes of wheat, rice and dairy foods(36%). The―vegetables and daily foods‖Pattern was charaeterized by vegetables, milk and meat foods(31.4%).The―cereal and meat foods‖Pattern was characterized by wheat, meat and dairy foods(25.3%). The―cerealfoods‖Pattern was characterized by intake of wheat foods(7.3%). The principal dietary pattern amongmales was "Western pattern"(36.8%),it was The traditional pattern among females(41.3%), the differencewas statistically significant(χ2=10.392，P=0.028).3.Correlation analysis of dietary factors and metabolic syndrome: The average daily intake of fruitsand eggs were significantly lower but intakes of meat were significantly higher in subjects with MS. Theaverage daily intake of dietary fiber was significantly lower but intakes of cholesterol and sodium weresignificantly higher in subjects with metabolic syndromeMS. We perform multiple logistic regression analysis, meat(≥85g/d), salt(≥19.0g/d), cholesterol(≥171.1mg/d) and sodium(≥10.41g/d) intake wereassociated with the increased risk of MS, dietary fiber(≥17.5g/d), vitamin A (≥360.2μg/d)and selenium(≥59.0μg/d)intake were associated with lower risk of MS. The biggest proportion is the―cereal and meatfoods‖Pattern in MS population, about46.4%. The biggest proportion is the―cereal and dairy foods‖Pattern in non-MS population, about40.4%. And the―cereal and meat foods‖Pattern was the risk factor forMS.Conclusion:1. The nutritional status of Kazakh residents in Xinjiang was not reasonable entirely. There was acertain degree of over nutrition and inadequate intake of some micronutrients.2. Metabolic syndrome and its components have become an important factor affecting the health ofKazakh residents, should strengthen nutrition intervention and health education for them.3. Total four dietary patterns were derived among Kazakh residents. The―cereal and dairy foods‖Pattern,the―vegetables and daily foods‖Pattern, the―cereal and meat foods‖Pattern, the―cereal foods‖Pattern.The―cereal and dairy foods‖Pattern accounted for the largest proportion of the overall.4. Dietary, nutrients intake factor were significantly associated with the risk of MS in Kazakh residents,Adherence to a Healthy dietary pattern was very important significance for the reduce risk of MS.