ArticleBMC nutrition2017
Dietary Patterns and Cardio-metabolic Risk in a Population of Guatemalan Young Adults.
Article in BMC nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Overweight and Obesity, Cardiometabolic Health, and Body Composition: Findings From the Follow-Up Studies of the INCAP Longitudinal Study.Food and nutrition bulletin · 2020Trial
- Implementing a Community-Centered Approach to Gestational Diabetes Screening in Rural Guatemala: A Process Report.Healthcare (Basel, Switzerland) · 2026Article
- Secondary Analysis Assesses Dietary Diversity Changes among Maya Guatemalan Women Post-Nutrition Interventions.Maternal and child health journal · 2024Article
- Dietary, socioeconomic, and maize handling practices associated with aflatoxin and fumonisin exposure among women tortilla makers in 5 departments in Guatemala.PLOS global public health · 2024Article
- Age at childbirth and change in BMI across the life-course: evidence from the INCAP Longitudinal Study.BMC pregnancy and childbirth · 2022Article
- Dietary and socioeconomic risk factors for fumonisin exposure among women of reproductive age in 18 municipalities in Guatemala from 2013 to 2014.PLOS global public health · 2022Article
- Maternal diet patterns during early pregnancy in relation to neonatal outcomes.The American journal of clinical nutrition · 2021Article
- Cross-country comparison of dietary patterns and overweight and obesity among adult women in urban Sub-Saharan Africa.Public health nutrition · 2021Article
- Perspective: Growing Up or Growing Out: Growth Faltering in Early Childhood and Subsequent Risk of Overweight.Advances in nutrition (Bethesda, Md.) · 2019Article
- High prevalence of non-alcoholic fatty liver disease and metabolic risk factors in Guatemala: A population-based study.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2019Article
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Authors and funding
7 authors at 5 institutions in 2 countries.
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Abstract
backgroundLatin America is facing an increasing burden of nutrition-related non-communicable disease. Little is known about dietary patterns in Guatemalan adults and how dietary patterns are associated with cardio-metabolic disease (CMD) risk.
methodsThis analysis is based on data from a 2002-04 follow-up study of the INCAP Nutrition Supplementation Trial Longitudinal Cohort. Diet data were collected using a validated, semi-quantitative food frequency questionnaire. We derived dietary patterns using principal components analysis. CMD risk was assessed by anthropometry (body mass index, waist circumference), biochemistry (fasting blood glucose and lipids), and clinical (blood pressure) measures. We used sex-stratified multivariable log binomial models to test associations between dietary pattern tertile and CMD risk factors. The sample included 1,428 participants (681 men and 747 women) ages 25-43 years.
resultsWe derived 3 dietary patterns (traditional, meat-based modern, and starch-based modern), collectively explaining 24.2% of variance in the diet. Dietary patterns were not associated with most CMD risk factors; however, higher starch-based modern tertiles were associated with increased prevalence of low high density lipoprotein cholesterol (HDL-c) in men (Prevalence Ratio (PR) 1.17, 95% Confidence Interval (CI) 1.01, 1.20 for tertile 2; PR 1.20, 95% CI 1.00, 1.44 for tertile 3; p trend 0.04). Higher traditional tertile was associated with increased prevalence of abdominal obesity in women (PR 1.24, 95% CI 1.07, 1.43 for tertile 2; PR 1.19, 95% CI 1.02, 1.39 for tertile 3; p trend 0.02) but marginally significant reduced prevalence of low HDL-c in men (PR 0.88, 95% CI 0.76, 1.00 for tertile 2; PR 0.85, 95% CI 0.72, 1.00 for tertile 3; p trend 0.05).
conclusionOur findings suggest the presence of two 'modern diet' patterns in Guatemala - one of which was associated with increased prevalence of low HDL-c in men. The association between the traditional dietary pattern and some CMD risk factors may vary by sex.
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