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Dietary patterns in middle-aged Irish men and women defined by cluster analysis

Published online by Cambridge University Press:  02 January 2007

R Villegas ,
A Salim ,
MM Collins ,
A Flynn  and
IJ Perry
R Villegas
Affiliation:
Department of Epidemiology and Public Health, Distillery House, North Mall, University College Cork, Cork, Ireland
A Salim
Affiliation:
Department of Epidemiology and Public Health, Distillery House, North Mall, University College Cork, Cork, Ireland
MM Collins
Affiliation:
Department of Epidemiology and Public Health, Distillery House, North Mall, University College Cork, Cork, Ireland
A Flynn
Affiliation:
Department of Epidemiology and Public Health, Distillery House, North Mall, University College Cork, Cork, Ireland
IJ Perry*
Affiliation:
Department of Epidemiology and Public Health, Distillery House, North Mall, University College Cork, Cork, Ireland
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives:

To identify and characterise dietary patterns in a middle-aged Irish population sample and study associations between these patterns, sociodemographic and anthropometric variables and major risk factors for cardiovascular disease.

Design:

A cross-sectional study.

Subjects and methods:

A group of 1473 men and women were sampled from 17 general practice lists in the South of Ireland. A total of 1018 attended for screening, with a response rate of 69%. Participants completed a detailed health and lifestyle questionnaire and provided a fasting blood sample for glucose, lipids and homocysteine. Dietary intake was assessed using a standard food-frequency questionnaire adapted for use in the Irish population. The food-frequency questionnaire was a modification of that used in the UK arm of the European Prospective Investigation into Cancer study, which was based on that used in the US Nurses' Health Study. Dietary patterns were assessed primarily by K-means cluster analysis, following initial principal components analysis to identify the seeds.

Results:

Three dietary patterns were identified. These clusters corresponded to a traditional Irish diet, a prudent diet and a diet characterised by high consumption of alcoholic drinks and convenience foods. Cluster 1 (Traditional Diet) had the highest intakes of saturated fat (SFA), monounsaturated fat (MUFA) and percentage of total energy from fat, and the lowest polyunsaturated fat (PUFA) intake and ratio of polyunsaturated to saturated fat (P:S). Cluster 2 (Prudent Diet) was characterised by significantly higher intakes of fibre, PUFA, P:S ratio and antioxidant vitamins (vitamins C and E), and lower intakes of total fat, MUFA, SFA and cholesterol. Cluster 3 (Alcohol & Convenience Foods) had the highest intakes of alcohol, protein, cholesterol, vitamin B12, vitamin B6, folate, iron, phosphorus, selenium and zinc, and the lowest intakes of PUFA, vitamin A and antioxidant vitamins (vitamins C and E). There were significant differences between clusters in gender distribution, smoking status, physical activity, body mass index, waist circumference and serum homocysteine concentrations.

Conclusion:

In this general population sample, cluster analysis methods yielded two major dietary patterns: prudent and traditional. The prudent dietary pattern is associated with other health-seeking behaviours. Study of dietary patterns will help elucidate links between diet and disease and contribute to the development of healthy eating guidelines for health promotion.

Keywords

Dietary patternsCluster analysisMiddle-aged men and women
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 8 , December 2004 , pp. 1017 - 1024
Copyright
Copyright © The Authors 2004

References

1Hu, FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Current Opinion in Lipidology 2002; 13(1): 3–9.Google Scholar
2Schwerin, HS, Stanton, JL, Smith, JL, Riley, AM Jr, Brett, BE. Food, eating habits, and health: a further examination of the relationship between food eating patterns and nutritional health. American Journal of Clinical Nutrition 1982; 35(Suppl. 5): 1319–25.Google Scholar
3Randall, E, Marshall, JR, Graham, S, Brasure, J. Patterns in food use and their associations with nutrient intakes. American Journal of Clinical Nutrition 1990; 52(4): 739–45.CrossRefGoogle ScholarPubMed
4Tucker, KL, Dallal, GE, Rush, D. Dietary patterns of elderly Boston-area residents defined by cluster analysis. Journal of the American Dietetic Association 1992; 92(12): 1487–91.CrossRefGoogle ScholarPubMed
5Barker, ME, McClean, SI, Strain, JJ, Thompson, KA. Dietary behaviour and health in Northern Ireland: an exploration of biochemical and haematological associations. Journal of Epidemiology and Community Health 1992; 46(2): 151–6.CrossRefGoogle ScholarPubMed
6McCann, SE, Marshall, JR, Brasure, JR, Graham, S, Freudenheim, JL. Analysis of patterns of food intake in nutritional epidemiology: food classification in principal components analysis and the subsequent impact on estimates for endometrial cancer. Public Health Nutrition 2001; 4(5): 989–97.Google Scholar
7Williams, DE, Prevost, AT, Whichelow, MJ, Cox, BD, Day, NE, Wareham, NJ. A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome. British Journal of Nutrition 2000; 83(3): 257–66.CrossRefGoogle ScholarPubMed
8Fung, TT, Rimm, EB, Spiegelman, D, Rifai, N, Tofler, GH, Willett, WC, et al. Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. American Journal of Clinical Nutrition 2001; 73(1): 61–7.Google Scholar
9Hu, FB, Rimm, EB, Stampfer, MJ, Ascherio, A, Spiegelman, D, Willett, WC. Prospective study of major dietary patterns and risk of coronary heart disease in men. American Journal of Clinical Nutrition 2000; 72(4): 912–21.Google Scholar
10Schwerin, HS, Stanton, JL, Riley, AM Jr, Schaefer, AE, Leveille, GA, Elliott, JG, et al. Food eating patterns and health: a reexamination of the Ten-State and HANES I surveys. American Journal of Clinical Nutrition 1981; 34(4): 568–80.CrossRefGoogle Scholar
11Akin, JS, Guilkey, DK, Popkin, BM, Fanelli, MT. Cluster analysis of food consumption patterns of older Americans. Journal of the American Dietetic Association 1986; 86(5): 616–24.CrossRefGoogle ScholarPubMed
12Hulshof, KF, Wedel, M, Lowik, MR, Kok, FJ, Kistmaker, C, Hermus, RJ, et al. Clustering of dietary variables and other lifestyle factors (Dutch Nutritional Surveillance System). Journal of Epidemiology and Community Health 1992; 46(4): 417–24.Google Scholar
13Huijbregts, PP, Feskens, EJ, Kromhout, D. Dietary patterns and cardiovascular risk factors in elderly men: the Zutphen Elderly Study. International Journal of Epidemiology 1995; 24(2): 313–20.CrossRefGoogle ScholarPubMed
14Farchi, G, Mariotti, S, Menotti, A, Seccareccia, F, Torsello, S, Fidanza, F. Diet and 20-y mortality in two rural population groups of middle-aged men in Italy. American Journal of Clinical Nutrition 1989; 50(5): 1095–103.Google Scholar
15Millen, BE, Quatromoni, PA, Gagnon, DR, Cupples, LA, Franz, MM, D'Agonstino, RB. Dietary patterns of men and women suggest targets for health promotion: the Framingham Nutrition Studies. American Journal of Health Promotion 1996; 11(1): 42–52. discussion 52–3CrossRefGoogle ScholarPubMed
16Wirfalt, AK, Jeffery, RW. Using cluster analysis to examine dietary patterns: nutrient intakes, gender, and weight status differ across food pattern clusters. Journal of the American Dietetic Association 1997; 97(3): 272–9.CrossRefGoogle ScholarPubMed
17Pryer, JA, Nichols, R, Elliott, P, Thakrar, B, Brunner, E, Marmot, M. Dietary patterns among a national random sample of British adults. Journal of Epidemiology and Community Health 2001; 55(1): 29–37.CrossRefGoogle ScholarPubMed
18Creagh, D, Neilson, S, Collins, A, Colwell, N, Hinchion, R, Drew, C, et al. Established cardiovascular disease and CVD risk factors in a primary care population of middle-aged Irish men and women. Irish Medical Journal 2002; 95(10): 298–301.Google Scholar
19World Health Organization (WHO). Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications. Geneva: WHO, 1999.Google Scholar
20Ford, ES, Giles, WH, Dietz, WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. Journal of the American Medical Association 2002; 287(3): 356–9.CrossRefGoogle ScholarPubMed
21American Dietetic Association. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20(7): 1183–97.CrossRefGoogle Scholar
22Anderson, KM, Wilson, PW, Odell, PM, Kannel, WB. An updated coronary risk profile. A statement for health professionals. Circulation 1991; 83(1): 356–62.Google Scholar
23Bingham, SA, Gill, C, Welch, A, Cassidy, A, Runswick, SA, Oakes, S, et al. Validation of dietary assessment methods in the UK arm of EPIC using weighed records, and 24-hour urinary nitrogen and potassium and serum vitamin C and carotenoids as biomarkers. International Journal of Epidemiology 1997; 26(Suppl. 1): S137–51.CrossRefGoogle ScholarPubMed
24Friel, S, Gadhainn, N. The National Health and Lifestyle Surveys – Regional Results from the Survey of Lifestyle, Attitudes and Nutrition. Dublin/Galway: Health Promotion Unit, Department of Health and Children/Centre for Health Promotion Studies, National University of Ireland, 1999.Google Scholar
25Friel, S, Kelleher, CC, Nolan, G, Harrington, J. Social diversity of Irish adults nutritional intake. European Journal of Clinical Nutrition 2003; 57(7): 865–75.CrossRefGoogle ScholarPubMed
26Harrington, J. Validation of a Food Frequency Questionnaire as a Tool for Assessing Nutrient Intake. Galway: Department of Health Promotion, University College Galway, 1997.Google Scholar
27Joshipura, KJ, Hu, FB, Manson, JE, Stampfer, MJ, Rimm, EB, Speizer, FE, et al. The effect of fruit and vegetable intake on risk for coronary heart disease. Annals of Internal Medicine 2001; 134(12): 1106–14.CrossRefGoogle ScholarPubMed
28Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA, Southgate, DAT. McCance & Widdowson's The Composition of Foods, 5th ed. Royal Society of Chemistry and Ministry of Agriculture, Fisheries and Food. London: Her Majesty's Stationery Office, 1997.Google Scholar
29Gregory, J, Foster, K, Tyler, H, Wiseman, M. The Dietary and Nutritional Survey of British Adults. London: HMSO, 1990.Google Scholar
30Margetts, BM, Jackson, AA. Interactions between people's diet and their smoking habits: the dietary and nutritional survey of British adults. British Medical Journal 1993; 307(6916): 1381–4.CrossRefGoogle ScholarPubMed