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

Research output: Contribution to journalArticle

13 Citations (Scopus)
7 Downloads (Pure)

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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Micronutrients
Malnutrition
India
Fruit
Logistic Models
Waist-Hip Ratio
Thinness
HDL Cholesterol
Triticum
Siblings
Public Health
Obesity
Oryza
Hypertension
Education
Food
Health

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., ... 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

Dietary patterns and non-communicable disease risk in Indian adults : secondary analysis of Indian Migration Study data. / Joy, Edward JM ; Green, Rosemary; Agrawal, Sutapa; Aleksandrowicz, Lukasz; Bowen, Liza; Kinra, Sanjay; Macdiarmid, Jennie I; Haines, Andy; Dangour, Alan D.

In: Public Health Nutrition, Vol. 20, No. 11, 08.2017, p. 1963-1972.

Research output: Contribution to journalArticle

Joy, EJM, Green, R, Agrawal, S, Aleksandrowicz, L, Bowen, L, Kinra, S, Macdiarmid, JI, Haines, A & Dangour, AD 2017, 'Dietary patterns and non-communicable disease risk in Indian adults: secondary analysis of Indian Migration Study data', Public Health Nutrition, vol. 20, no. 11, pp. 1963-1972. https://doi.org/10.1017/S1368980017000416
Joy, Edward JM ; Green, Rosemary ; Agrawal, Sutapa ; Aleksandrowicz, Lukasz ; Bowen, Liza ; Kinra, Sanjay ; Macdiarmid, Jennie I ; Haines, Andy ; Dangour, Alan D. / Dietary patterns and non-communicable disease risk in Indian adults : secondary analysis of Indian Migration Study data. In: Public Health Nutrition. 2017 ; Vol. 20, No. 11. pp. 1963-1972.
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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.",
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T1 - Dietary patterns and non-communicable disease risk in Indian adults

T2 - secondary analysis of Indian Migration Study data

AU - Joy, Edward JM

AU - Green, Rosemary

AU - Agrawal, Sutapa

AU - Aleksandrowicz, Lukasz

AU - Bowen, Liza

AU - Kinra, Sanjay

AU - Macdiarmid, Jennie I

AU - Haines, Andy

AU - Dangour, Alan D

N1 - Acknowledgements The authors thank the IMS study team members and field staff involved in the generation and processing of IMS data. Financial support: This study forms part of the Sustainable and Healthy Diets in India (SAHDI) project supported by the Wellcome Trust ‘Our Planet, Our Health’ programme (grant number 103932). The Wellcome Trust had no role in the design, analysis or writing of this article. The IMS was funded by Wellcome Trust (grant number GR070797MF). L.A.’s PhD studentship is funded by the Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH).

PY - 2017/8

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N2 - 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.

AB - 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.

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KW - dietary patterns

KW - finite mixture modelling

KW - Indian Migration Study

KW - micronutrient malnutrition

KW - non-communicable disease risk factors

U2 - 10.1017/S1368980017000416

DO - 10.1017/S1368980017000416

M3 - Article

VL - 20

SP - 1963

EP - 1972

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 11

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