Dietary patterns and non-communicable disease risk in Indian adults: secondary analysis of Indian Migration Study data

Edward JM Joy, Rosemary Green, Sutapa Agrawal, Lukasz Aleksandrowicz, Liza Bowen, Sanjay Kinra, Jennie I Macdiarmid, Andy Haines, Alan D Dangour

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Abstract

OBJECTIVE: Undernutrition and non-communicable disease (NCD) are important public health issues in India, yet their relationship with dietary patterns is poorly understood. The current study identified distinct dietary patterns and their association with micronutrient undernutrition (Ca, Fe, Zn) and NCD risk factors (underweight, obesity, waist:hip ratio, hypertension, total:HDL cholesterol, diabetes).

DESIGN: Data were from the cross-sectional Indian Migration Study, including semi-quantitative FFQ. Distinct dietary patterns were identified using finite mixture modelling; associations with NCD risk factors were assessed using mixed-effects logistic regression models.

SETTING: India.

SUBJECTS: Migrant factory workers, their rural-dwelling siblings and urban non-migrants. Participants (7067 adults) resided mainly in Karnataka, Andhra Pradesh, Maharashtra and Uttar Pradesh.

RESULTS: Five distinct, regionally distributed, dietary patterns were identified, with rice-based patterns in the south and wheat-based patterns in the north-west. A rice-based pattern characterised by low energy consumption and dietary diversity ('Rice & low diversity') was consumed predominantly by adults with little formal education in rural settings, while a rice-based pattern with high fruit consumption ('Rice & fruit') was consumed by more educated adults in urban settings. Dietary patterns met WHO macronutrient recommendations, but some had low micronutrient contents. Dietary pattern membership was associated with several NCD risk factors.

CONCLUSIONS: Five distinct dietary patterns were identified, supporting sub-national assessments of the implications of dietary patterns for various health, food system or environment outcomes.

Original languageEnglish
Pages (from-to)1963-1972
Number of pages10
JournalPublic Health Nutrition
Volume20
Issue number11
Early online date3 Apr 2017
DOIs
Publication statusPublished - Aug 2017

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Keywords

  • Journal Article
  • dietary patterns
  • finite mixture modelling
  • Indian Migration Study
  • micronutrient malnutrition
  • non-communicable disease risk factors

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Joy, E. JM., Green, R., Agrawal, S., Aleksandrowicz, L., Bowen, L., Kinra, S., Macdiarmid, J. I., Haines, A., & Dangour, A. D. (2017). Dietary patterns and non-communicable disease risk in Indian adults: secondary analysis of Indian Migration Study data. Public Health Nutrition, 20(11), 1963-1972. https://doi.org/10.1017/S1368980017000416