Impact of sleep duration and dietary patterns on risk of metabolic syndrome in middle-aged and elderly adults: a cross-sectional study from a survey in Anhui, Eastern China.

IF 3.9 2区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Lipids in Health and Disease Pub Date : 2024-11-05 DOI:10.1186/s12944-024-02354-z
Hao Zhu, Li Zhang, Tongying Zhu, Linlin Jia, Jiaye Zhang, Li Shu
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Abstract

The aim of this study was to assess the sleep status of middle-aged and elderly adults in Bengbu City, Anhui Province, China, to identify the major dietary patterns, and to analyze the association of different sleep duration and dietary patterns with metabolic syndrome (MetS) and its related influencing factors, as well as to explore the predictive value of sleep duration and dietary patterns. A cross-sectional analysis was performed utilizing data collected from the Community-based Cardiovascular and Health Promotion Study 2019 (COCHPS 2019) conducted in Bengbu. The definition of MetS adhered to the criteria of Guidelines for the Prevention and Treatment of Dyslipidemia in Chinese Adults (2016 Revision). Dietary information was obtained using the Food Frequency Questionnaire (FFQ) to assess dietary intake over the past year. Principal component analysis (PCA) was performed to identify dominant dietary patterns. A logistic regression model was developed to analyze the associations among sleep duration, dietary patterns, and MetS, and a decision tree (DT) model was developed to compare factors affecting MetS and screen people at high risk for MetS. The prevalence of MetS was 13.4% among the 9132 middle-aged and elderly residents over 45 years of age included in COCHPS 2019. Participants were divided into short (< 6 h/d), normal (6-8 h/d), and long (> 8 h/d) groups based on their daily sleep duration. Three dietary patterns were identified by PCA, the fruit-milk pattern, the tubers-meat pattern, and the vegetable-cereal pattern. After adjusting for covariables, logistic regression analysis showed that long sleep duration was significantly negatively associated with MetS. The fruit-milk and vegetable-cereal patterns were negatively associated with MetS, whereas the tubers-meat pattern was positively correlated with MetS. The results of the DT model analysis showed that the vegetable-cereal pattern is the most important factor impacting MetS, followed by marital status, the tubers-meat pattern, the fruit-milk pattern, exercise, sleep duration, and gender. The DT model also screened out five types of MetS high-risk groups. The results of our study indicate that normal sleep duration and consumption of either a fruit-milk or vegetable-cereal diet may lower the likelihood of developing MetS in middle-aged and elderly adults.

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睡眠时间和饮食模式对中老年人代谢综合征风险的影响:一项来自中国东部安徽省的横断面调查研究。
本研究旨在评估中国安徽省蚌埠市中老年人的睡眠状况,确定主要饮食模式,分析不同睡眠时间和饮食模式与代谢综合征(MetS)及其相关影响因素的关系,并探讨睡眠时间和饮食模式的预测价值。我们利用在蚌埠开展的 "2019年社区心血管与健康促进研究"(COCHPS 2019)收集的数据进行了横断面分析。MetS的定义符合《中国成人血脂异常防治指南(2016年修订版)》的标准。膳食信息通过食物频率问卷(FFQ)获得,以评估过去一年的膳食摄入情况。进行主成分分析(PCA)以确定主要饮食模式。建立了一个逻辑回归模型来分析睡眠时间、饮食模式和 MetS 之间的关联,并建立了一个决策树(DT)模型来比较影响 MetS 的因素和筛选 MetS 高危人群。在纳入 COCHPS 2019 的 9132 名 45 岁以上的中老年居民中,MetS 患病率为 13.4%。根据参与者每天睡眠时间的长短,将他们分为短睡眠组(8 小时/天)。通过 PCA 确定了三种饮食模式,即水果-牛奶模式、块茎-肉类模式和蔬菜-谷物模式。在对共变量进行调整后,逻辑回归分析表明,睡眠时间长与 MetS 呈显著负相关。水果-牛奶和蔬菜-谷物模式与 MetS 呈负相关,而块茎-肉类模式与 MetS 呈正相关。DT 模型分析结果显示,蔬菜-谷物模式是影响 MetS 的最重要因素,其次是婚姻状况、块茎-肉类模式、水果-牛奶模式、运动、睡眠时间和性别。DT 模型还筛选出了五类 MetS 高危人群。我们的研究结果表明,正常的睡眠时间和食用水果-牛奶或蔬菜-谷物饮食可降低中老年人患 MetS 的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Lipids in Health and Disease
Lipids in Health and Disease 生物-生化与分子生物学
CiteScore
7.70
自引率
2.20%
发文量
122
审稿时长
3-8 weeks
期刊介绍: Lipids in Health and Disease is an open access, peer-reviewed, journal that publishes articles on all aspects of lipids: their biochemistry, pharmacology, toxicology, role in health and disease, and the synthesis of new lipid compounds. Lipids in Health and Disease is aimed at all scientists, health professionals and physicians interested in the area of lipids. Lipids are defined here in their broadest sense, to include: cholesterol, essential fatty acids, saturated fatty acids, phospholipids, inositol lipids, second messenger lipids, enzymes and synthetic machinery that is involved in the metabolism of various lipids in the cells and tissues, and also various aspects of lipid transport, etc. In addition, the journal also publishes research that investigates and defines the role of lipids in various physiological processes, pathology and disease. In particular, the journal aims to bridge the gap between the bench and the clinic by publishing articles that are particularly relevant to human diseases and the role of lipids in the management of various diseases.
期刊最新文献
Systemic immune-inflammation mediates the association between Klotho protein and metabolic syndrome: findings from a large-scale population-based study. Amelioration of fructose-induced hepatic lipid accumulation by vitamin D3 supplementation and high-intensity interval training in male Sprague‒Dawley rats. Impact of sleep duration and dietary patterns on risk of metabolic syndrome in middle-aged and elderly adults: a cross-sectional study from a survey in Anhui, Eastern China. Association between lipid accumulation products and stress urinary incontinence: a cross-sectional study from NHANES 2005 to 2018. Associations of human blood metabolome with optic neurodegenerative diseases: a bi-directionally systematic mendelian randomization study.
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