Skip to main content Accessibility help
×
Home

Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil

  • Diana Barbosa Cunha (a1), Renan Moritz Varnier Rodrigues de Almeida (a2), Rosely Sichieri (a3) and Rosangela Alves Pereira (a1)

Abstract

Traditional analysis of food intake usually fails to show an association between energy and nutrient intake and indicators of obesity. The analysis of food patterns can contribute to the understanding of the association between eating habits and anthropometric indicators. A population-based cross-sectional study was carried out on a low-income neighbourhood in the Rio de Janeiro metropolitan area, and 1009 subjects between 20 and 65 years of age completed an FFQ. Dietary patterns were identified by means of factor analysis, and their associations with BMI and waist circumference (WC) were ascertained by applying a linear regression analysis. Three main dietary patterns were identified: a mixed pattern, which included cereals, fish and shrimp, vegetables, roots, fruits, eggs, meat and caffeinated beverages; a Western pattern, which consisted of ‘fast foods’, soft drinks, juices, cakes, cookies, milk and dairy, sweets and snacks; a traditional pattern, which included rice, beans, bread, sugar, fats and salad dressings. After adjusting for age and energy intake, we found that the traditional dietary pattern was inversely associated with BMI (β = − 1·14, P < 0·001) and WC (β = − 14·9, P = 0·002) among females. Additionally, a positive association between the Western pattern and WC (β = 12·8, P = 0·02) was observed for females. A diet based on rice and beans may have a protective role against weight gain in women.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author: Dr Rosangela Alves Pereira, fax +55 21 2280 8343, email roapereira@ufrj.br

References

Hide All
1 Rocandio, AM, Ansotegui, L & Arroyo, M (2001) Comparison of dietary intake among overweight and non-overweight schoolchildren. Int J Obes 25, 16511655.
2 Andrade, RG, Pereira, RA & Sichieri, R (2003) Food intake in overweight and normal-weight adolescents in the city of Rio de Janeiro. Cad Saude Publica 19, 14851495.
3 Fung, TT, Rimm, EB, Spiegelman, D, et al. (2001) Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 73, 6167.
4 Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 12.
5 Correa Leite, ML, Nicolosi, A, Cristina, S, et al. (2003) Dietary and nutritional patterns in an elderly rural population in Northern and Southern Italy: (II). Nutritional profiles associated with food behaviours. Eur J Clin Nutr 57, 15221529.
6 Wirfalt, E, Hedblad, B, Gullberg, B, et al. (2001) Food patterns and components of the metabolic syndrome in men and women: a cross-sectional study within the Malmo Diet and Cancer cohort. Am J Epidemiol 154, 11501159.
7 Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.
8 Lin, H, Bermudez, OI & Tucker, KL (2003) Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr 133, 36513657.
9 Newby, PK, Muller, D, Hallfrisch, J, et al. (2003) Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77, 14171425.
10 Monteiro, CA, Conde, WL & Popkin, BM (2007) Income-specific trends in obesity in Brazil: 1975–2003. Am J Public Health 97, 18081812.
11 Levy-Costa, RB, Sichieri, R, Pontes Ndos, S, et al. (2005) Household food availability in Brazil: distribution and trends (1974–2003). Rev Saude Publica 39, 530540.
12 Sichieri, R, Castro, JF & Moura, AS (2003) Factors associated with dietary patterns in the urban Brazilian population. Cad Saude Publica 19, Suppl. 1, S47S53.
13 Marchioni, DM, Latorre Mdo, R, Eluf-Neto, J, et al. (2005) Identification of dietary patterns using factor analysis in an epidemiological study in Sao Paulo. Sao Paulo Med J 123, 124127.
14 IBGE – Instituto Brasileiro de Geografia e Estatística (2004) National Household Budget Survey 2002–2003: Analyses on Household Food Availability and Nutrition Status in Brazil (in Portuguese). IBGE: Rio de Janeiro.
15 IBGE – Instituto Brasileiro de Geografia e Estatística (2000) Demographic Census. IBGE: Rio de Janeiro.
16 Sichieri, R & Everhart, J (1998) Validity of a Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Obes Res 18, 16491659.
17 Gordon, CC, Chumlea, WC & Roche, TG (1988) Stature, recumbent length, and weight. In Anthropometric Standardization Reference Manual, pp. 38 [Lohman, TG, Roche, AF and Martorel, R, editors]. Champaign, IL: Human Kinetics Books.
18 WHO (1990) Diet, Nutrition, and the Prevention of Chronic Diseases. Geneva: World Health Organization.
19 Callaway, CW, Chumlea, WC, Bouchard, C, et al. (1988) Circumferences. In Anthropometric Standardizing Reference Manual, pp. 3954 [Lohman, TG, Roche, AF and Martorel, R, editors]. Champaign, IL: Human Kinetics Inc.
20 Basilevsky, AT (1994) Statistical Factor Analysis and Related Methods – Theory and Application. New York: Wiley Interscience.
21 Cattel, R (1966) The screen test for the number of factors. Multivariate Behav Res 1, 245276.
22 Sichieri, R (2002) Dietary patterns and their associations with obesity in the Brazilian city of Rio de Janeiro. Obes Res 10, 4248.
23 Sugiyama, M, Tang, AC, Wakaki, Y, et al. (2003) Glycemic index of single and mixed meal foods among common Japanese foods with white rice as a reference food. Eur J Clin Nutr 57, 743752.
24 Slavin, JL (2005) Dietary fiber and body weight. Nutrition 21, 411418.
25 Liu, S, Willett, WC, Manson, JE, et al. (2003) Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr 78, 920927.
26 Howarth, NC, Saltzman, E & Roberts, SB (2001) Dietary fiber and weight regulation. Nutr Rev 59, 129139.
27 Brasil, Ministério da Saúde (2006) Guia alimentar para a população brasileira: promovendo a alimentação saudável (Food Guide for the Brazilian Population: promoting Healthy Eating). Brasília: Secretaria de atenção à saúde. pp. 210.
28 Department of Health and Human Services (HHS) and Department of Agriculture (USDA) (2005) Dietary Guidelines for Americans. Washington, DC: United States Department of Agriculture.
29 Department of Health and Human Services (HHS) and Department of Agriculture (USDA) (2001) The Food Guide Pyramid. Washington, DC: United States Department of Agriculture.
30 Sichieri, R, Moura, AS, Genelhu, V, et al. (2007) An 18-mo randomized trial of a low-glycemic-index diet and weight change in Brazilian women. Am J Clin Nutr 86, 707713.
31 Noel, SE, Newby, PK, Ordovas, JM, et al. (2009) A traditional rice and beans pattern is associated with metabolic syndrome in Puerto Rican older adults. J Nutr 139, 13601367.
32 Bezerra, IN & Sichieri, R (2009) Eating out of home and obesity: a Brazilian nationwide survey. Public Health Nutr 12, 20372043.
33 Paradis, AM, Perusse, L & Vohl, MC (2006) Dietary patterns and associated lifestyles in individuals with and without familial history of obesity: a cross-sectional study. Int J Behav Nutr Phys Act 3, 38.
34 Schulze, MB, Fung, TT, Manson, JE, et al. (2006) Dietary patterns and changes in body weight in women. Obesity (Silver Spring) 14, 14441453.
35 Heidemann, C, Schulze, MB, Franco, OH, et al. (2008) Dietary patterns and risk of mortality from cardiovascular disease, cancer, and all causes in a prospective cohort of women. Circulation 118, 230237.
36 Murtaugh, MA, Herrick, JS, Sweeney, C, et al. (2007) Diet composition and risk of overweight and obesity in women living in the southwestern United States. J Am Diet Assoc 107, 13111321.
37 Hoffmann, K, Blaudszun, J, Brunken, C, et al. (2005) Lipid class distribution of fatty acids including conjugated linoleic acids in healthy and cancerous parts of human kidneys. Lipids 40, 10571062.
38 Mishra, GD, McNaughton, SA, Bramwell, GD, et al. (2006) Longitudinal changes in dietary patterns during adult life. Br J Nutr 96, 735744.
39 Pryer, JA, Cook, A & Shetty, P (2001) Identification of groups who report similar patterns of diet among a representative national sample of British adults aged 65 years of age or more. Public Health Nutr 4, 787795.
40 McNaughton, SA, Mishra, GD, Stephen, AM, et al. (2007) Dietary patterns throughout adult life are associated with body mass index, waist circumference, blood pressure, and red cell folate. J Nutr 137, 99105.
41 Varraso, R, Fung, TT, Barr, RG, et al. (2007) Prospective study of dietary patterns and chronic obstructive pulmonary disease among US women. Am J Clin Nutr 86, 488495.
42 Newby, PK, Weismayer, C, Akesson, A, et al. (2006) Longitudinal changes in food patterns predict changes in weight and body mass index and the effects are greatest in obese women. J Nutr 136, 25802587.
43 Wu, K, Hu, FB, Willett, WC, et al. (2006) Dietary patterns and risk of prostate cancer in U.S. men. Cancer Epidemiol Biomarkers Prev 15, 167171.
44 Perrin, AE, Dallongeville, J, Ducimetiere, P, et al. (2005) Interactions between traditional regional determinants and socio-economic status on dietary patterns in a sample of French men. Br J Nutr 93, 109114.
45 Hearty, AP & Gibney, MJ (2009) Comparison of cluster and principal component analysis techniques to derive dietary patterns in Irish adults. Br J Nutr 101, 598608.

Keywords

Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil

  • Diana Barbosa Cunha (a1), Renan Moritz Varnier Rodrigues de Almeida (a2), Rosely Sichieri (a3) and Rosangela Alves Pereira (a1)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed