Exploring dietary patterns, obesity and sources of bias: the Västerbotten Intervention Programme (VIP).

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MARC

Nyholm, MariaGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine (author)

Exploring dietary patterns, obesity and sources of bias: the Västerbotten Intervention Programme (VIP).

Article/chapterEnglish2013

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2013

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LIBRIS-ID:oai:gup.ub.gu.se/161943
https://gup.ub.gu.se/publication/161943URI
https://doi.org/10.1017/S1368980012003199DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-62135URI

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Language:English

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Subject category:art swepub-publicationtype

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Objective Dietary patterns capture the overall diet and thereby provide information on how nutrients are consumed in combinations, and have been suggested to be a better method than studying single nutrients. The present study explored the relationship between dietary patterns at baseline and incidence of obesity at 10-year follow-up in women. Design A longitudinal study using baseline measurements from 1992–1996, including food intake, medication, heredity, socio-economic status, lifestyle and measured body composition, and follow-up data collected in 2002–2006 including measured body composition. Setting Data from the Västerbotten Intervention Programme (VIP) in Sweden. Subjects A total of 6545 initially non-obese women aged 30–50 years. Results Among women reporting plausible energy intakes, the ‘Fruit and vegetables cluster’ predicted the highest incidence of obesity (OR = 1·76, 95 % CI 1·11, 2·76; P = 0·015) compared with women in the other food pattern groups combined. When adjusting for metabolic factors and BMI at baseline, the risk for obesity in the ‘Fruit and vegetables cluster’ was attenuated to non-significance. In contrast, high intake of fruit per se was associated with a decreased risk of developing obesity (OR = 0·69, 95 % CI 0·51, 0·91; P = 0·010). Conclusions Dietary pattern groups identified by cluster analysis are likely to reflect characteristics in addition to diet, including lifestyle, previous and current health status and risk factors for future disease, whereas intake of fruit per se was a stable indicator and less affected by baseline characteristics. These results underscore the need for complementary methods in understanding diet–disease relationships.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
Dietary patterns
Fruit and vegetables
Invidence of obesity
bias
biomedical risk factors
socio-economic status
lifestyle
dietary patterns

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Lissner, Lauren,1956Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xlisla (author)
Hörnell, AgnetaUmeå universitet,Institutionen för kostvetenskap,Arcum(Swepub:umu)agahol02 (author)
Johansson, IngegerdUmeå universitet,Tandläkarutbildning(Swepub:umu)injo0003 (author)
Hallmans, GöranUmeå universitet,Näringsforskning,Enheten för biobanksforskning,Arcum(Swepub:umu)goha0001 (author)
Weinehall, LarsUmeå universitet,Epidemiologi och global hälsa,Arcum(Swepub:umu)lawe0001 (author)
Winkvist, Anna,1962Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition(Swepub:gu)xwinan (author)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

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In:Public Health Nutrition16:4, s. 631-6381368-98001475-2727

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

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