Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T15:53:57.415Z Has data issue: false hasContentIssue false
  • English
  • Français

Association between dietary patterns and anaemia in adults from Jiangsu Province in Eastern China

Published online by Cambridge University Press:  08 March 2007

Zumin Shi ,
Xiaoshu Hu ,
Baojun Yuan ,
Xiaoqun Pan ,
Yue Dai  and
Gerd Holmboe-Ottesen
Zumin Shi*
Affiliation:
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China Section of Preventive Medicine and Epidemiology, Institute of General Practice and Community Medicine, University of Oslo, PO Box 1130, N- 0318 Oslo, Norway
Xiaoshu Hu
Affiliation:
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
Baojun Yuan
Affiliation:
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
Xiaoqun Pan
Affiliation:
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
Yue Dai
Affiliation:
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
Gerd Holmboe-Ottesen
Affiliation:
Section of Preventive Medicine and Epidemiology, Institute of General Practice and Community Medicine, University of Oslo, PO Box 1130, N- 0318 Oslo, Norway
*
*Corresponding author: Dr Zumin Shi, fax +86 25 83759341, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The objective of the present study was to investigate the association between food patterns and anaemia among Chinese adults. It was a cross-sectional household survey undertaken in 2002. The sample contained 2849 men and women aged 20 years and above, and had a response rate of 89·0 %. Factor analysis was used to identify food patterns based on a food-frequency questionnaire. Logistic regression was used to relate food patterns to anaemia. A four-factor solution explained 30·5 % of the total variance. After adjusting for socio-demographic factors and four distinct food patterns, the ‘traditional’ (rice, vegetable, wheat flour), ‘sweet tooth’ (drinks, cake) and ‘healthy’ (whole grains, fruits, vegetables) patterns were independently associated with anaemia. ‘Traditional’ and ‘sweet tooth’ patterns were positively associated with anaemia, whereas the association with ‘healthy’ food pattern was negative. No association was observed between the ‘macho’ pattern (meat and alcohol) and anaemia. Compared with the lowest quartile (Q1) of the ‘traditional’ pattern, the highest quartile (Q4) had a higher risk of anaemia (men: odds ratio (OR) 2·60, 95 % CI 1·38, 4·88; women: OR 3·40, 95 % CI 2·14, 5·39). For the ‘sweet tooth’ pattern, compared with the lowest quartile (Q1), the OR of the highest quartile was 2·34 (95 % CI 1·47, 3·73) for men and 2·02 (95 %CI 1·31, 3·13) for women. The fourth quartile of healthy food was associated with a lower risk of anaemia (men: OR 0·50, 95 % CI 0·31, 0·79; women: OR 0·51, 95 % CI 0·34, 0·75). Women in the north had a higher risk of anaemia (OR 2·49, 95 %CI 1·80, 3·43). Food patterns were associated with anaemia in this area with a high prevalence of anaemia.

Keywords

Food patternFactor analysisAnaemiaChina
Type
Research Article
Information
British Journal of Nutrition , Volume 96 , Issue 5 , November 2006 , pp. 906 - 912
Copyright
Copyright © The Nutrition Society 2006

References

ACC/SCN (Administrative Committee on Coordination Sub-Committee on Nutrition) (2000) Fourth Report on the World Nutrition Situation. Geneva: ACC/SCN/International Food Policy Research Institute.Google Scholar
Boccio, JR & Iyengar, V (2003) Iron deficiency: causes, consequences, and strategies to overcome this nutritional problem. Biol Trace Elem Res 94, 1–32.CrossRefGoogle ScholarPubMed
Cai, R, Liu, J, Wang, L, Liang, X, Xiao, B, Su, L, Zhou, Y & Pan, L (2002) Prevalence survey and molecular characterization of alpha and beta thalassemia in Liuzhou city of Guangxi. Zhonghua Liu Xing Bing Xue Za Zhi 23, 281–285.Google ScholarPubMed
Chen, J, Zhao, X & Zhang, X (2005) Studies on the effectiveness of NaFeEDTA-fortified soy sauce in controlling iron deficiency: a population-based intervention trial. Food Nutr Bull 26, 177–186; discussion 187–179.CrossRefGoogle ScholarPubMed
Dallman, PR (1984) Diagnosis of anemia and iron deficiency: analytic and biological variations of laboratory tests. Am J Clin Nutr 39, 937–941.CrossRefGoogle ScholarPubMed
Hallberg, L, Brune, M, Erlandsson, M, Sandberg, AS & Rossander-Hulten, L (1991) Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans. Am J Clin Nutr 53, 112–119.CrossRefGoogle ScholarPubMed
Hallberg, L & Rossander, L (1984) Improvement of iron nutrition in developing countries: comparison of adding meat, soy protein, ascorbic acid, citric acid, and ferrous sulphate on iron absorption from a simple Latin American-type of meal. Am J Clin Nutr 39, 577–583.CrossRefGoogle ScholarPubMed
Harvey, PW, Dexter, PB & Darnton-Hill, I (2000) The impact of consuming iron from non-food sources on iron status in developing countries. Public Health Nutr 3, 375–383.CrossRefGoogle ScholarPubMed
Heath, AL & Fairweather-Tait, SJ (2002) Clinical implications of changes in the modern diet: iron intake, absorption and status. Best Pract Res Clin Haematol 15, 225–241.CrossRefGoogle ScholarPubMed
Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 3–9.CrossRefGoogle ScholarPubMed
Hunt, JR (2002) Moving toward a plant-based diet: are iron and zinc at risk? Nutr Rev 60, 127–134.CrossRefGoogle Scholar
Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 1–2.CrossRefGoogle ScholarPubMed
Jiangsu Bureau of Statistics (2002) Statistical Yearbook of Jiangsu. Beijing: China Statistics Press.Google Scholar
Kant, AK (2004) Dietary patterns and health outcomes. J Am Diet Assoc 104, 615–635.CrossRefGoogle ScholarPubMed
Kim, JO & Mueller, CW (1978) Factor Analysis: Statistical Methods and Practical Issues. Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Li, L, Rao, K, Kong, L, Yao, C, Xiang, H, Zhai, F, Ma, G & Yang, X (2005) A description on the Chinese national nutrition and health survey in 2002. Chinese J Epidemiol 26, 474–484.Google ScholarPubMed
Lopez, MA & Martos, FC (2004) Iron availability: An updated review. Int J Food Sci Nutr 55, 597–606.CrossRefGoogle ScholarPubMed
Nelson, M & Poulter, J (2004) Impact of tea drinking on iron status in the UK: a review. J Hum Nutr Diet 17, 43–54.CrossRefGoogle ScholarPubMed
Newby, PK & Tucker, KL (2004) Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 62, 177–203.CrossRefGoogle ScholarPubMed
Park, SY, Murphy, SP, Wilkens, LR, Yamamoto, JF, Sharma, S, Hankin, JH, Henderson, BE & Kolonel, LN (2005) Dietary patterns using the Food Guide Pyramid groups are associated with sociodemographic and lifestyle factors: the multiethnic cohort study. J Nutr 135, 843–849.CrossRefGoogle ScholarPubMed
Semba, RD & Bloem, MW (2002) The anemia of vitamin A deficiency: epidemiology and pathogenesis. Eur J Clin Nutr 56, 271–281.CrossRefGoogle Scholar
Togo, P, Osler, M, Sorensen, TI & Heitmann, BL (2001) Food intake patterns and body mass index in observational studies. Int J Obes Relat Metab Disord 25, 1741–1751.CrossRefGoogle ScholarPubMed
Wang, L (2005) Report of Chinese National Nutrition and Health Survey in 2002. Beijing: People's Medical Publishing House.Google Scholar
Wang, SW, Wang, LM, Zhang, BH, Wu, GY, Huang, YW, Wang, RX & Zhang, NJ (1987) A survey of Hb Bart in cord blood and the alpha-globin gene in South China. Birth Defects Orig Artic Ser 23, 23–30.Google ScholarPubMed
World Health Organization (2001) Iron Deficiency Anaemia. Assessment, Prevention and Control: A Guide for Programme Managers: WHO/NHD/01.3. Geneva: World Health Organization.Google Scholar
World Health Organization/Food and Agriculture Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation. Geneva: World Health Organization.Google Scholar
Xu, XM, Zhou, YQ & Luo, GX (2004) The prevalence and spectrum of alpha and beta thalassaemia in Guangdong Province: implications for the future health burden and population screening. J Clin Pathol 57, 517–522.CrossRefGoogle ScholarPubMed
Yang, Y (2005) Chinese Food Composition Table 2004. Beijing: Peking University Medical Press.Google Scholar
Zeng, YT & Huang, SZ (1987) Disorders of haemoglobin in China. J Med Genet 24, 578–583.CrossRefGoogle ScholarPubMed
Zhao, W, Hasegawa, K & Chen, J (2002) The use of food-frequency questionnaires for various purposes in China. Public Health Nutr 5, 829–833.CrossRefGoogle ScholarPubMed
Zijp, IM, Korver, O & Tijburg, LB (2000) Effect of tea and other dietary factors on iron absorption. Crit Rev Food Sci Nutr 40, 371–398.CrossRefGoogle ScholarPubMed