Association between a dietary pattern high in saturated fatty acids, dietary energy density, and sodium with coronary heart disease

Abu Bakar, Nur Ain Fatinah and Ahmad, Aryati and Musa, Wan Zulaika Wan and Shahril, Mohd Razif and Wan-Arfah, Nadiah and Abdul Majid, Hazreen and Piernas, Carmen and Ramli, Ahmad Wazi and Naing, Nyi Nyi (2022) Association between a dietary pattern high in saturated fatty acids, dietary energy density, and sodium with coronary heart disease. Scientific Reports, 12 (1). ISSN 2045-2322, DOI

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This study aimed to determine the association between dietary pattern (DP) and coronary heart disease (CHD) among high-risk adults as determined by metabolic syndrome (MetS) criteria in Malaysia. This cross-sectional study involved 365 participants with (CHD = 178; non-CHD = 187) who were recruited from selected health clinics. Dietary intake was measured using a 189-item semi-quantitative foods frequency questionnaire (FFQ) whilst anthropometry and clinical data were measured by trained researcher and biochemical data were obtained from medical records. The reduced rank regression (RRR) method was used to derive DPs scores and binary logistic regression was used to assess the associations between identified DPs and CHD. The main DP found in this study was characterised by ``high saturated fatty acid (SFA), high dietary energy density (DED), high sodium''. This DP, which is attributed to high consumption of coconut-based dishes, fast foods and snacks, rice dishes, fat spread, seasoning sauces, salted and processed foods, and low intake of fruits, green leafy vegetables, white rice and other vegetables were associated with CHD (OR:1.32, 95% CI:1.03, 1.69) p value = 0.026 when, adjusted for age, sex, race, education level, household income, family history of CHD, marital status, smoking status, physical activity, stress level and BMI. This study suggests that individuals with a DP of high SFA, high DED, and high sodium have a significantly increased likelihood of having CHD compared to those who do not practice this DP.

Item Type: Article
Funders: Special Research Grant Scheme (SRGS) (Grant No: UniSZA: 2017/SRGS/13)
Uncontrolled Keywords: Perceived stress scale; Physical-activity; Malay version; Risk; Reliability; Increases; Stroke; Health; Adults
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 08 Nov 2023 06:16
Last Modified: 08 Nov 2023 06:16

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