Association between Three Low-Carbohydrate Diet Scores and Lipid Metabolism among Chinese Adults
Autor: | Li-Juan Tan, Sangah Shin, Seong-Ah Kim |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
0301 basic medicine dietary factor Physiology Blood lipids 030204 cardiovascular system & hematology Diet Carbohydrate-Restricted Eating chemistry.chemical_compound 0302 clinical medicine animal based Medicine Nutritional Physiological Phenomena Gonadal Steroid Hormones Aged 80 and over Hypertriglyceridemia Sex Characteristics Nutrition and Dietetics plant based Confounding Middle Aged Quartile Research Design Chinese adults Female lipids (amino acids peptides and proteins) lcsh:Nutrition. Foods and food supply Adult CHNS Hypercholesterolemia lcsh:TX341-641 Article LCD score Young Adult 03 medical and health sciences Sex Factors Asian People Humans Aged 030109 nutrition & dietetics Triglyceride business.industry dyslipidemia nutritional and metabolic diseases Odds ratio Lipid Metabolism medicine.disease Dietary Fats Confidence interval chemistry business Dyslipidemia Food Science |
Zdroj: | Nutrients Volume 12 Issue 5 Nutrients, Vol 12, Iss 1307, p 1307 (2020) |
ISSN: | 2072-6643 |
DOI: | 10.3390/nu12051307 |
Popis: | This study investigated the blood lipid levels of 5921 Chinese adults aged > 18 years using data from the China Health and Nutrition Survey 2009. Diet information was collected through 3 day, 24 h recalls by trained professionals. The low-carbohydrate diet (LCD) score was determined according to the percentage of energy obtained from carbohydrate, protein, and fat consumption. Dyslipidemia was defined when one or more of the following abnormal lipid levels were observed: high cholesterol levels, high triglyceride levels, and low high-density lipoprotein cholesterol levels. Multivariate adjusted odds ratios (ORs) and their 95% confidence intervals (95% CIs) were calculated using logistic regression models. After adjusting the confounding variables, in males, the OR of hypercholesterolemia was 1.87 (95% CI, 1.23&ndash 2.85 p for trend = 0.0017) and the OR of hypertriglyceridemia was 1.47 (95% CI, 1.04&ndash 2.06 p for trend = 0.0336), on comparing the highest and lowest quartiles of the LCD score. The animal-based LCD score showed a similar trend. The OR of hypercholesterolemia was 2.15 (95% CI, 1.41&ndash 3.29 p for trend = 0.0006) and the OR of hypertriglyceridemia was 1.51 (95% CI, 1.09&ndash 2.10 p for trend = 0.0156). However, there was no significant difference between plant-based LCD scores and dyslipidemia. In females, lipid profiles did not differ much among the quartiles of LCD scores&mdash only the animal-based LCD score was statistically significant with hypercholesterolemia. The OR of hypercholesterolemia was 1.64 (95% CI, 1.06&ndash 2.55), on comparing the highest and lowest quartiles of the LCD score. In conclusion, a higher LCD score, indicating lower carbohydrate intake and higher fat intake, especially animal-based fat, was significantly associated with higher odds of hypercholesterolemia and hypertriglyceridemia in Chinese males. Future studies investigating the potential mechanisms by which macronutrient types and sex hormones affect lipid metabolism are required. |
Databáze: | OpenAIRE |
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