British Journal of Nutrition

Full Papers

Human and Clinical Nutrition

Dietary patterns are associated with insulin resistance in Chinese adults without known diabetes

Hui Zuoa1a2 c1, Zumin Shia1a3, Baojun Yuana1, Yue Daia1, Xiaoqun Pana4, Gaolin Wua1 and Akhtar Hussaina2

a1 Department of Nutrition and Food Hygiene, Jiangsu Provincial Center for Disease Control and Prevention, 172 Jiangsu Road, Nanjing 210009, People's Republic of China

a2 Department of General Practice and Community Medicine, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway

a3 Discipline of Medicine, University of Adelaide, Adelaide, SA, Australia

a4 Department of Non-communicable Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, People's Republic of China

Abstract

The aim of the present study was to examine the association between dietary patterns and insulin resistance in Chinese adults without known diabetes. Study subjects were 1070 Chinese adults aged 18 years and above in Jiangsu Province who participated in the 2006 wave of the China Health and Nutrition Survey. Usual dietary intake was assessed by using a validated FFQ. Dietary patterns were identified by factor analysis using a principal component analysis method. Insulin resistance was defined as the highest quartile of the homeostasis model assessment of insulin resistance (HOMA-IR) scores. We derived four dietary patterns in our population by factor analysis: the Western, High-wheat, Traditional and Hedonic pattern. After adjusted for potential confounders, the Western pattern was significantly associated with greater odds for insulin resistance (P for trend = 0·009), while a significant negative association was found between the Hedonic pattern and insulin resistance (P for trend = 0·035). Compared with the lowest quartile of the Western pattern, the highest quartile had higher odds of insulin resistance (adjusted OR 1·89, 95 % CI 1·12, 3·19). There was a 42 % decrease in the odds after adjustment for all covariates in the highest quartile of the Hedonic pattern, compared with the lowest quartile (adjusted OR 0·58, 95 % CI 0·34, 0·99). HOMA-IR levels as a continuous variable also increased across the quartiles of the Western pattern and decreased across the quartiles of the Hedonic pattern. In conclusion, dietary patterns were significantly associated with insulin resistance in Chinese adults without known diabetes.

(Received March 29 2012)

(Revised July 19 2012)

(Accepted July 19 2012)

(Online publication September 19 2012)

Key Words:

  • Dietary patterns;
  • Insulin resistance;
  • Factor analysis;
  • Adults;
  • China

Correspondence

c1 Corresponding author: Dr H. Zuo, fax +86 25 83759341, email huizuo97@gmail.com

Footnotes

  Abbreviations: CHNS, China Health and Nutrition Survey; HOMA-IR, homeostasis model assessment of insulin resistance

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