Association Between Dietary Patterns And Netabolic Syndrome Of Adult Residents In Anhui Province

Objective: To understand the prevalence of metabolic syndrome(MS)in adult residents in Anhui Province,and to explore the relationship between the type of dietary patterns and MS and its components in adult residents in Anhui Province,and provide scientific basis for guiding residents to prevent chronic diseases from a diet perspective.Methods: A multi-stage cluster random sampling method was used to select 3154 adult residents of Anhui Province as survey objects,conduct general and dietary questionnaire surveys,physical examinations,and collect blood samples for laboratory testing.Based on the data obtained from the survey,the prevalence of MS and its components in the survey subjects was calculated,and the influencing factors of MS and its components were statistically analyzed using SPSS17.0 software.Factor analysis was used to establish the residents ’dietary patterns.The applicability of the residents’dietary survey data was determined based on the results of the Kaiser-Meyer-Olkin(KMO)test and Bartlett’s spherical test.The 12 types of food in the questionnaire were selected for factor analysis.Roots> 1 as the inclusion criteria to determine the number of main factors.Based on the food type and expertise represented of the highest factor load in the rotated factor load matrix and experience,we named different types of dietary patterns.To analyze and evaluate different dietary patterns with risks for MS and its components by using non-conditional logistic regression.Results: According to the inclusion and exclusion criteria of the research object,3154 adult residents of Anhui Province were surveyed at each monitoring point,of which1506 were males,accounting for 47.75%,1648 were females,accounting for 52.25%,and the gender ratio was 0.91: 1.The average age was 55.25±14.67 years old.There were 1566 urban population,accounting for 49.65% of the total and 1588 rural population,accounting for 50.35% of the total.A total of 479 people in the survey were MS patients,the crude prevalence of MS was 15.19%.Statistical analysis of the number of MS patients with different demographic characteristics revealed that there were statistically significant differences in age,nature of residence,and occupational MS.Living in rural areas is a protective factor for MS in Anhui province.Age≥45 is a risk factor for MS in Anhui province.A total of 357 obese patients were surveyed,the prevalence of crude obesity was 11.32%.Among them,the obesity detection rates of males and females were 9.56% and 12.92%,respectively.There were 1089 hypertensive patients and the crude prevalence of hypertension was 34.53.The prevalence of crude hypertension in men was 39.97% and in women was 29.55% respectively.There were a total of 719 people with dyslipidemia and the prevalence of crude blood lipid was33.51%,of which the prevalence of men was 34.53% and women was 32.58%.A total of 394 diabetic patients,the crude prevalence of diabetes was 12.49%,of which the male were 12.95% and female was12.08%.Factor analysis of dietary survey data yields four dietary patterns,the pattern 1 is an aquatic sargassum fruit bean pattern based on aquatic products,meat,fungi,fruits,and beans.The pattern 2 is snack drink pattern based on snack and beverage category.The pattern 3 is a staple food vegetable pattern with staple food and vegetables.The pattern 4 is a drinking pattern with alcohol and meat.The demographic characteristics and the prevalence of MS and its components were Statistical analysis in different dietary pattern survey subjects.There were statistically significant differences in the sex,age,nature of residence,marital status,educational level,and occupation of the population with different dietary patterns.There were statistically significant differences in the prevalence of MS and hypertension among populations with different dietary patterns.Multi-factor non-conditional logistic regression analysis results showed that the aquatic diarrhea bean pattern is a protective factor for residents suffering from overweight or obesity(OR = 0.647,95% CI = 0.451 to 0.853,P = 0.014);the snack drink pattern is that residents suffer from high blood sugar Risk factors(OR = 1.575,95% CI = 1.003 to2.473,P = 0.048);the staple food vegetable pattern is a protective factor for residents suffering from dyslipidemia(OR = 0.551,95% CI = 0.353 to 0.861,P = 0.009);The drinking pattern is a risk factor for residents suffering from hypertension(OR = 1.455,95% CI = 1.155 to 1.832,P = 0.001)and residents suffering from overweight or obesity(OR = 1.241,95% CI= 1.081 to 1.424,P = 0.002).Conclusions: The crude prevalence of MS among adults in Anhui Province is 15.19%,the place of residence in rural areas is a protective factor for MS in Anhui province,The age≥45 years is a risk factor for MS in Anhui province.There are 4 dietary patterns for adult residents in Anhui Province.The aquatic sargassum bean pattern is a protective factor for residents suffering from overweight or obesity;the snack drink pattern is a risk factor for residents suffering from hyperglycemia.The staple food vegetable pattern is a protective factor for residents suffering from abnormal blood lipids.The drinking pattern is a risk factor for hypertension in residents.It is suggested that it is necessary to guide residents to increase intake of coarse grains,vegetables,fruits,milk,aquatic products,bacteria and algae,and reduce high-fat foods such as poultry and meat To reduce the intake of snacks,carbonated beverages,moderate alcohol consumption in the future prevention and control measures for chronic metabolic diseases of adult residents in Anhui Province.It is suggested that a scientific diet structure should be promoted,and we can reduce the prevalence of MS in residents through health education and nutrition interventions.