Correlation between dietary patterns and metabolic syndrome and its components in rural residents in Ili Kazakh Autonomous Prefecture
Objective This study aimed to investigate the relationship between dietary patterns and metabolic syndrome among rural residents in the Ili Kazakh Autonomous Prefecture,providing a scientific basis for the development of strategies to prevent and control metabolic syndrome in the Ili Kazakh Autonomous Prefecture and to offer rational dietary guidance.Methods From December 2018 to May 2019,2 500 rural residents in Huocheng County,Ili Kazakh Autonomous Prefecture,were recruited to investigate the dietary structure,metabolic syndrome,and related component indexes of rural residents and establish dietary patterns using factor analysis.Factor scores are divided into four levels,Q1-Q4,according to the quartile method.A logistic regression model was used to analyze the relationship between dietary patterns and metabolic syndrome and components.Results A total of five dietary patterns were extracted.Univariate unconditional logistic regression analysis showed that the"meat and dairy"pattern was positively correlated with abdominal obesity and low high-density lipoprotein cholesterol(HDL-C),while the highest quartile(Q4)was associated with reduced risk of high Triglyceride(TG)(OR=0.77,95％CI:0.59-0.99),hypertension(OR=0.75,95％CI:0.60-0.95),hyperglycemia(OR=0.72,95％CI:0.54-0.97).The"pickled vegetables and fungi"pattern in Q4 was associated with a reduced risk of abdominal obesity(OR=0.78,95％CI:0.62-0.97).After adjusting for confounding factors,multivariate logistic regression analysis showed that the"dried fruits and nuts"pattern reduced the risk of hyperglycemia(Q2:OR=0.68,95％CI:0.49-0.94).The"fast food and barbecue"pattern was positively correlated with abdominal obesity(Q4:OR=1.47,95％CI:1.07-2.03),and the"pickled vegetables and fungi"pattern was associated with an increased risk of metabolic syndrome(Q4:OR=1.57,95％CI:1.12-2.22),hypertension(Q4:OR=1.44,95％CI:1.09-1.91),and high TG(Q2:OR=1.49,95％CI:1.11-2.01).Conclusions Metabolic syndrome and its related components are affected by the dietary structure of ethnic groups and specific populations.Rural residents are encouraged to focus on increasing fruit and vegetable intake,balancing staple foods,and reducing sodium intake to improve the health of people with metabolic syndrome.
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