Associations between respiratory diseases and dietary patterns derived by factor analysis and reduced rank regression
Journal
Annals of Nutrition and Metabolism
Journal Volume
68
Journal Issue
4
Pages
306-314
Date Issued
2016
Author(s)
Abstract
Background/Aims: The study aims to identify children's dietary patterns and explore the relationship between dietary patterns and respiratory diseases. Methods: Subjects were 2,397 fourth graders in 14 Taiwanese communities who participated in the Taiwan Children Health Study. This study is based on an evaluation of dietary patterns, performed from April until June 2011. Information pertaining to respiratory disease was obtained by The International Study of Asthma and Allergies in Childhood questionnaire, and dietary intake data obtained by food frequency questionnaire. Factor analysis and reduced rank regression (RRR) were both used to analyze dietary patterns. Results: Using factor analysis, it was found that children on a high-protein, high-fat, Western diet had a significantly higher risk of allergic rhinitis (OR 1.10, 95% CI 1.01-1.20). Lower ORs were noted for current wheezing, ever asthma and bronchitis in children eating a healthy diet than those on a high-protein, high-fat, Western diet. Using RRR, it was found that children on a high-protein, high-fat diet had significantly higher risks of allergic rhinitis (OR 1.17, 95% CI 1.07-1.27), current wheezing (OR 1.23, 95% CI 1.04-1.45) and bronchitis (OR 1.26, 95% CI 1.09-1.46). Conclusions: A diet rich in fat and protein may increase the risk of respiratory disease in children. ? 2016 S. Karger AG, Basel.
Subjects
Children; Dietary pattern; Factor analysis; Reduced rank regression; Respiratory diseases
SDGs
Other Subjects
fat; protein; allergic rhinitis; Article; asthma; bronchitis; child; cohort analysis; cross-sectional study; dairy product; diet; dietary intake; disease association; factorial analysis; fast food; female; food frequency questionnaire; grain; human; information; International Study of Asthma and Allergies in Childhood questionnaire; lipid diet; major clinical study; male; meat; priority journal; prospective study; protein diet; questionnaire; reduced rank regression; regression analysis; respiratory tract disease; risk; Taiwan; Taiwanese; vegetable; Western diet; wheezing; abnormal respiratory sound; allergic rhinitis; asthma; bronchitis; child nutrition; ethnology; factor analysis; family size; nutrition; parent; prevalence; risk factor; school; Asthma; Bronchitis; Child; Child Nutritional Physiological Phenomena; Cohort Studies; Cross-Sectional Studies; Diet, High-Fat; Diet, High-Protein; Factor Analysis, Statistical; Family Characteristics; Female; Humans; Male; Nutrition Surveys; Parents; Prevalence; Prospective Studies; Respiratory Sounds; Rhinitis, Allergic; Risk Factors; Schools; Taiwan
Publisher
S. Karger AG
Type
journal article