ArticlePloS one2023
Associations of dietary patterns with obesity and weight change for adults aged 18-65 years: Evidence from the China Health and Nutrition Survey (CHNS).
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Longitudinal reversals and evolving patterns of the double burden of malnutrition among adults in Southwest China: a population-based cohort study.Frontiers in nutrition · 2026Article
- Association of major dietary patterns with the risk of obesity among the population from the South-West of Iran: findings from Hoveyzeh cohort study.BMC endocrine disorders · 2025Article
- Dietary patterns among European children and their association with adiposity-related outcomes: a multi-country study.International journal of obesity (2005) · 2025Article
- Habitual dietary methyl donor's intake and metabolic profile in obese individuals: a cross-sectional study.Scientific reports · 2024Article
- Association of a High Healthy Eating Index Diet with Long-Term Visceral Fat Loss in a Large Longitudinal Study.Nutrients · 2024Article
- Adherence to plant-based dietary patterns and anthropometric indices among primary school girls in Kerman: A cross-sectional study.PloS one · 2024Article
- Association of major dietary patterns with socioeconomic status, obesity, and contracting COVID-19 among Iranian adults.Frontiers in nutrition · 2024Article
- A Positive Causal Relationship between Noodle Intake and Metabolic Syndrome: A Two-Sample Mendelian Randomization Study.Nutrients · 2023Article
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5 authors.
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Abstract
backgroundObesity has become a significant public health problem within China. By observing dietary patterns, an individual's actual dietary habit of nutrients or foods in combination can be identified. We aimed to examine dietary patterns in relation to the risk of obesity (body mass index (BMI) ≥ 25 kg/m2) and weight change (average weight change per five years) within a Chinese cohort.
methodsWe analyzed the data from 6,677 adults aged 18-65 years in the China Health and Nutrition Survey 1997-2015. Westernized, traditional Chinese, and high-starch plant-based dietary patterns were identified by principal components analysis. We estimated relative risks (RRs) and least-squares means (LS-means) with 95% confidence intervals (CIs) using the Cox proportional hazards models and the generalized linear models, respectively.
resultsHigh adherence to the Westernized dietary pattern was associated with increased risks of obesity and weight gain. Comparing top with bottom quintiles, RR (95% CI) for obesity (BMI ≥ 25 kg/m2) was 1.57 (1.26-1.95; P for trend < 0.001). LS-means of weight change (kg/5 years) were 1.73 (0.98-2.47) and 1.13 (0.39-1.87; P for trend = 0.036) in the top and bottom quintiles, respectively. Increased weight gain among those following the Westernized dietary pattern was stronger in the Southern region than the Northern region. There was a slight hint of an inverse association between the traditional Chinese dietary pattern and obesity. We did not find any significant association for the high-starch plant-based dietary pattern.
conclusionsThe Westernized dietary pattern increased the risk of obesity among Chinese adults. Weight gain associated with Western dietary pattern was more pronounced in the Southern region than in the Northern region. Our study will provide helpful data in developing dietary guidelines for the prevention of obesity specific to different regions in China.
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