Dietary Fat Is Associated With Metabolic Syndrome in Japanese Brazilians
- Renata D. Freire1,
- Marly A. Cardoso, PHD2,
- Suely G.A. Gimeno, PHD3,
- Sandra R.G. Ferreira, MD, PHD3 and
- for the Japanese-Brazilian Diabetes Study Group*
- 1Department of Internal Medicine, Division of Endocrinology, Federal University of São Paulo, São Paulo, Brazil
- 2Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
- 3Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil
- Address correspondence and reprint requests to Dr. Sandra R.G. Ferreira, Universidade Federal de São Paulo, Dept. Medicina Preventiva, Rua Botucatu, 740, São Paulo, SP, Brazil 04023-062. E-mail: ferreira{at}medprev.epm.br
Abstract
OBJECTIVE—The aim of this study was to examine the association of nutrient intakes with metabolic syndrome in a Japanese descendant population at high risk for metabolic abnormalities.
RESEARCH DESIGN AND METHODS—In a population-based study of Japanese Brazilians aged ≥30 years, 412 men and 465 women were studied. The diagnosis of metabolic syndrome was based on the National Cholesterol Education Program criteria modified for Asians. Food intake was assessed by a validated food frequency questionnaire.
RESULTS—Men and women showed similar mean ages (55.7 ± 12.7 and 54.4 ± 11.9 years) and 49% (95% CI 44.8–54.6) and 43% (38.4–47.6) had metabolic syndrome, respectively. As expected, clinical parameters were less favorable in the subset of subjects with metabolic syndrome. Men with metabolic syndrome showed higher cholesterol (233.2 ± 116.3 vs. 211.7 ± 5.8 g/day, P < 0.05) and lower carbohydrate (288.5 ± 45.8 vs. 300.1 ± 39.8 g/day, P < 0.001) intakes than those without metabolic syndrome, but no difference was observed among the women. After adjusting for sex, age, smoking, education level, generation, physical activity, total energy, and dietary fiber intake, a positive association between metabolic syndrome and total fat intake was detected. Comparing people in the highest quintile of total fat consumption with those in the lowest quintile, odds ratio (OR) of metabolic syndrome was 5.0 ([95% CI 1.58–16.00]; P < 0.005). In contrast, linoleic acid intake was inversely associated with metabolic syndrome (OR 0.50 [95% CI 0.26–0.98]; P < 0.05). Considering food groups, after adjustments only fried food intake was shown to be associated with increased risk of metabolic syndrome.
CONCLUSIONS—Despite the limitation of such a study design in investigating cause-effect relationships, our findings favor the hypothesis that dietary total fat may increase whereas linoleic acid intake may reduce the risk of metabolic syndrome in Japanese descendants living in Brazil.
Footnotes
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↵* A complete list of Japanese-Brazilian Diabetes Study Group members can be found in the appendix.
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A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances.
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- Accepted April 5, 2005.
- Received February 28, 2005.
- DIABETES CARE
