Metabolic syndrome and its relation to dietary patterns among a selected urbanised and semi-urbanised Tibetan population in transition from nomadic to settled living environment

Bibliographic Data

ID15094427
AuthorsWen Peng (0000-0002-7939-676X, Qinghai University, corresponding author), Yan Liu (0000-0002-1612-779X, Qinghai University), Maureen Malowany (Hebrew University of Jerusalem), Hongru Chen (0000-0001-9453-6962, Qinghai University), Xiaodong Su (0009-0009-2126-878X, Qinghai University), Yongnian Liu (0000-0002-4274-4353, Qinghai New Energy (China))
Year2021
Volume24
Issue5
Pages984-992
Publication date2021-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980019004798
PMID32312349
OpenAlexW3017315498
LanguageEN
Citations received4
References cited35

Objective: To explore the scope of metabolic syndrome (MetS) and its relationship to the major dietary patterns among an urbanised and semi-urbanised Tibetan population in transition from nomadic to settled settings. Design: Cross-sectional. Setting: Community-based. Participants: Urbanised and semi-urbanised Tibetan adults ( n 920, aged 18–90 years), who have moved from nomadic to settled living environments, answered questionnaires on food consumption frequency and lifestyle characteristics through structured face-to-face interviews and completed anthropometric measurement and metabolic biomarker tests. Results: MetS prevalence was 30·1 % in males and 32·1 % in females. Low HDL-cholesterol and central obesity were the leading metabolic abnormalities (86·3 and 55·8 %, respectively). Three major dietary patterns – urban, western and pastoral – were identified. Beef/mutton was an important food group for all three identified dietary patterns. In addition, the urban dietary pattern was characterised by frequent consumption of vegetables, tubers/roots and refined carbohydrates; the western pattern was characterised by sweetened drinks, snacks and desserts; and the pastoral pattern featured tsamba (roasted Tibetan barley), Tibetan cheese, butter tea/milk tea and whole-fat dairy foods. Individuals in the highest quintile of urban dietary pattern scores were found to be at a higher risk of developing MetS (OR 2·43, 95 % CI 1·41, 4·18) and central obesity (OR 1·91, 95 % CI 1·16, 3·14) after controlling for potential confounders. Conclusions: MetS was common among urbanised and semi-urbanised Tibetan adult population in transition. The urban dietary pattern, in particular, was a risk factor for MetS. To prevent MetS, nutrition interventions need to be tailored to address the variety of local diet patterns to promote healthy eating

Anthropometry · Confounding · Environmental health · Food group · Geography · Metabolic syndrome · Nutrition transition · Obesity · Overweight · Population · Demography · Diet and metabolism studies · Dietary Effects on Health · Medicine · Nutritional Studies and Diet

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