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Three major dietary patterns are all independently related to the risk of obesity among 3760 Japanese women aged 18-20 years

Objective: To examine associations between dietary patterns and obesity. Design: Cross-sectional study. Subjects: A total of 3760 Japanese female dietetic course students aged 18–20 years from 53 institutions in Japan. Measurements: Diet was assessed over a 1-month period with a validated self-admin...

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Published in:International Journal of Obesity 2008-03, Vol.32 (3), p.541-549
Main Authors: Okubo, H, Sasaki, S, Murakami, K, Kim, M.K, Takahashi, Y, Hosoi, Y, Itabashi, M
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container_title International Journal of Obesity
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creator Okubo, H
Sasaki, S
Murakami, K
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description Objective: To examine associations between dietary patterns and obesity. Design: Cross-sectional study. Subjects: A total of 3760 Japanese female dietetic course students aged 18–20 years from 53 institutions in Japan. Measurements: Diet was assessed over a 1-month period with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Body mass index (BMI) was calculated from self-reported body height and weight. Results: Mean BMI (±s.d.) was 20.9±2.8 kg m −2 . Four dietary patterns were identified. After adjustment for several confounding factors and total energy intake, the ‘Healthy’ pattern, characterized by high intakes of vegetables, mushrooms, seaweeds, potatoes, fish and shellfish, soy products, processed fish, fruit and salted vegetables, was significantly associated with a lower risk of BMI⩾25 (odds ratio of the highest quintile vs lowest, 0.57; 95% confidence interval: 0.37–0.87; P for trend
doi_str_mv 10.1038/sj.ijo.0803737
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Design: Cross-sectional study. Subjects: A total of 3760 Japanese female dietetic course students aged 18–20 years from 53 institutions in Japan. Measurements: Diet was assessed over a 1-month period with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Body mass index (BMI) was calculated from self-reported body height and weight. Results: Mean BMI (±s.d.) was 20.9±2.8 kg m −2 . Four dietary patterns were identified. After adjustment for several confounding factors and total energy intake, the ‘Healthy’ pattern, characterized by high intakes of vegetables, mushrooms, seaweeds, potatoes, fish and shellfish, soy products, processed fish, fruit and salted vegetables, was significantly associated with a lower risk of BMI⩾25 (odds ratio of the highest quintile vs lowest, 0.57; 95% confidence interval: 0.37–0.87; P for trend &lt;0.05). In contrast, the ‘Japanese traditional’ pattern, characterized by high intakes of rice, miso soup and soy products, and the ‘Western’ pattern, characterized by high intakes of meats, fats and oils, seasonings, processed meats and eggs, were both significantly associated with an increased risk of BMI⩾25 (OR: 1.77; 95% CI: 1.17–2.67; P for trend &lt;0.01 and OR: 1.56; 95% CI: 1.01–2.40; P for trend=0.04, respectively). Conclusion: Three major dietary patterns, Healthy, Japanese traditional and Western, were all independently and significantly related to the risk of obesity even among a relatively lean young Japanese female population.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0803737</identifier><identifier>PMID: 17895884</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Algae ; Biological and medical sciences ; Body height ; Body Mass Index ; Cluster analysis ; Confounding (Statistics) ; Cross-Sectional Studies ; Diet ; diet history ; Diet Records ; Dietary supplements ; eating habits ; Eggs ; Epidemiology ; Factor analysis ; Factor Analysis, Statistical ; Feeding Behavior ; Female ; Females ; Food ; Food and nutrition ; Food groups ; Fruits ; General aspects ; Health aspects ; health foods ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Japan - epidemiology ; Japanese ; Japanese people ; Management ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Nutrition research ; Obesity ; Obesity - epidemiology ; Obesity - etiology ; Odds Ratio ; Oils &amp; fats ; original-article ; Potatoes ; Public Health ; Public health. 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Hygiene-occupational medicine ; Questionnaires ; Risk factors ; Shellfish ; Soy products ; Students ; Surveys and Questionnaires ; traditional foods ; Vegetables ; Western diet ; Women ; Womens health ; young adults</subject><ispartof>International Journal of Obesity, 2008-03, Vol.32 (3), p.541-549</ispartof><rights>Springer Nature Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Mar 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c640t-4ecaaaa8f6428bdf862f0c784863b2a27586a3b6a45ed28bb887f5ec1fc7f5b3</citedby><cites>FETCH-LOGICAL-c640t-4ecaaaa8f6428bdf862f0c784863b2a27586a3b6a45ed28bb887f5ec1fc7f5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2725,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20200292$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17895884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okubo, H</creatorcontrib><creatorcontrib>Sasaki, S</creatorcontrib><creatorcontrib>Murakami, K</creatorcontrib><creatorcontrib>Kim, M.K</creatorcontrib><creatorcontrib>Takahashi, Y</creatorcontrib><creatorcontrib>Hosoi, Y</creatorcontrib><creatorcontrib>Itabashi, M</creatorcontrib><creatorcontrib>Freshmen in Dietetic Courses Study II group</creatorcontrib><creatorcontrib>the Freshmen in Dietetic Courses Study II group</creatorcontrib><title>Three major dietary patterns are all independently related to the risk of obesity among 3760 Japanese women aged 18-20 years</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective: To examine associations between dietary patterns and obesity. Design: Cross-sectional study. Subjects: A total of 3760 Japanese female dietetic course students aged 18–20 years from 53 institutions in Japan. Measurements: Diet was assessed over a 1-month period with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Body mass index (BMI) was calculated from self-reported body height and weight. Results: Mean BMI (±s.d.) was 20.9±2.8 kg m −2 . Four dietary patterns were identified. After adjustment for several confounding factors and total energy intake, the ‘Healthy’ pattern, characterized by high intakes of vegetables, mushrooms, seaweeds, potatoes, fish and shellfish, soy products, processed fish, fruit and salted vegetables, was significantly associated with a lower risk of BMI⩾25 (odds ratio of the highest quintile vs lowest, 0.57; 95% confidence interval: 0.37–0.87; P for trend &lt;0.05). In contrast, the ‘Japanese traditional’ pattern, characterized by high intakes of rice, miso soup and soy products, and the ‘Western’ pattern, characterized by high intakes of meats, fats and oils, seasonings, processed meats and eggs, were both significantly associated with an increased risk of BMI⩾25 (OR: 1.77; 95% CI: 1.17–2.67; P for trend &lt;0.01 and OR: 1.56; 95% CI: 1.01–2.40; P for trend=0.04, respectively). 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Design: Cross-sectional study. Subjects: A total of 3760 Japanese female dietetic course students aged 18–20 years from 53 institutions in Japan. Measurements: Diet was assessed over a 1-month period with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Body mass index (BMI) was calculated from self-reported body height and weight. Results: Mean BMI (±s.d.) was 20.9±2.8 kg m −2 . Four dietary patterns were identified. After adjustment for several confounding factors and total energy intake, the ‘Healthy’ pattern, characterized by high intakes of vegetables, mushrooms, seaweeds, potatoes, fish and shellfish, soy products, processed fish, fruit and salted vegetables, was significantly associated with a lower risk of BMI⩾25 (odds ratio of the highest quintile vs lowest, 0.57; 95% confidence interval: 0.37–0.87; P for trend &lt;0.05). 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subjects Adolescent
Adult
Algae
Biological and medical sciences
Body height
Body Mass Index
Cluster analysis
Confounding (Statistics)
Cross-Sectional Studies
Diet
diet history
Diet Records
Dietary supplements
eating habits
Eggs
Epidemiology
Factor analysis
Factor Analysis, Statistical
Feeding Behavior
Female
Females
Food
Food and nutrition
Food groups
Fruits
General aspects
Health aspects
health foods
Health Promotion and Disease Prevention
Humans
Internal Medicine
Japan - epidemiology
Japanese
Japanese people
Management
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Nutrition research
Obesity
Obesity - epidemiology
Obesity - etiology
Odds Ratio
Oils & fats
original-article
Potatoes
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
Risk factors
Shellfish
Soy products
Students
Surveys and Questionnaires
traditional foods
Vegetables
Western diet
Women
Womens health
young adults
title Three major dietary patterns are all independently related to the risk of obesity among 3760 Japanese women aged 18-20 years
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