Associations between Respiratory Diseases and Dietary Patterns Derived by Factor Analysis and Reduced Rank Regression

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 bas...

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Veröffentlicht in:Annals of nutrition and metabolism 2016-01, Vol.68 (4), p.306-314
Hauptverfasser: Lin, Yong-Pei, Kao, Ya-Chun, Pan, Wen-Harn, Yang, Yao-Hsu, Chen, Yang-Ching, Lee, Yungling Leo
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container_start_page 306
container_title Annals of nutrition and metabolism
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Kao, Ya-Chun
Pan, Wen-Harn
Yang, Yao-Hsu
Chen, Yang-Ching
Lee, Yungling Leo
description 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.
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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. 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Karger AG</publisher><subject>Allergic rhinitis ; Allergies ; Analysis ; Asthma ; Asthma - epidemiology ; Asthma - ethnology ; Asthma - etiology ; Bronchitis ; Bronchitis - epidemiology ; Bronchitis - ethnology ; Bronchitis - etiology ; Child ; Child health ; Child Nutritional Physiological Phenomena - ethnology ; Childhood asthma ; Children ; Children &amp; youth ; Cohort Studies ; Community involvement ; Community participation ; Cross-Sectional Studies ; Diet ; Diet, High-Fat - adverse effects ; Diet, High-Fat - ethnology ; Diet, High-Protein - adverse effects ; Diet, High-Protein - ethnology ; Dietary intake ; Discriminant analysis ; Eating ; Elementary school students ; Epidemiology ; Factor analysis ; Factor Analysis, Statistical ; Family Characteristics ; Female ; Food allergies ; Food habits ; Food intake ; High fat diet ; Humans ; International studies ; Lung diseases ; Male ; Medical research ; Nutrition Surveys ; Original Paper ; Parents ; Prevalence ; Prospective Studies ; Proteins ; Regression analysis ; Respiration ; Respiratory diseases ; Respiratory Sounds - etiology ; Rhinitis ; Rhinitis, Allergic - epidemiology ; Rhinitis, Allergic - ethnology ; Rhinitis, Allergic - etiology ; Risk assessment ; Risk Factors ; Schools ; Taiwan - epidemiology ; Wheezing</subject><ispartof>Annals of nutrition and metabolism, 2016-01, Vol.68 (4), p.306-314</ispartof><rights>2016 S. Karger AG</rights><rights>2016 S. Karger AG, Basel</rights><rights>2016 S. Karger AG, Basel.</rights><rights>COPYRIGHT 2016 S. Karger AG</rights><rights>Copyright S. Karger AG Jul 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-b9f124b4bd7a8828698e100a3437725b988726018cabf20436c34bd8b59aff793</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48514798$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48514798$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,2428,27923,27924,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27347884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Yong-Pei</creatorcontrib><creatorcontrib>Kao, Ya-Chun</creatorcontrib><creatorcontrib>Pan, Wen-Harn</creatorcontrib><creatorcontrib>Yang, Yao-Hsu</creatorcontrib><creatorcontrib>Chen, Yang-Ching</creatorcontrib><creatorcontrib>Lee, Yungling Leo</creatorcontrib><title>Associations between Respiratory Diseases and Dietary Patterns Derived by Factor Analysis and Reduced Rank Regression</title><title>Annals of nutrition and metabolism</title><addtitle>Ann Nutr Metab</addtitle><description>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.</description><subject>Allergic rhinitis</subject><subject>Allergies</subject><subject>Analysis</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - ethnology</subject><subject>Asthma - etiology</subject><subject>Bronchitis</subject><subject>Bronchitis - epidemiology</subject><subject>Bronchitis - ethnology</subject><subject>Bronchitis - etiology</subject><subject>Child</subject><subject>Child health</subject><subject>Child Nutritional Physiological Phenomena - ethnology</subject><subject>Childhood asthma</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Cohort Studies</subject><subject>Community involvement</subject><subject>Community participation</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, High-Fat - adverse effects</subject><subject>Diet, High-Fat - ethnology</subject><subject>Diet, High-Protein - adverse effects</subject><subject>Diet, High-Protein - ethnology</subject><subject>Dietary intake</subject><subject>Discriminant analysis</subject><subject>Eating</subject><subject>Elementary school students</subject><subject>Epidemiology</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Food allergies</subject><subject>Food habits</subject><subject>Food intake</subject><subject>High fat diet</subject><subject>Humans</subject><subject>International studies</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Medical research</subject><subject>Nutrition Surveys</subject><subject>Original Paper</subject><subject>Parents</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Regression analysis</subject><subject>Respiration</subject><subject>Respiratory diseases</subject><subject>Respiratory Sounds - etiology</subject><subject>Rhinitis</subject><subject>Rhinitis, Allergic - epidemiology</subject><subject>Rhinitis, Allergic - ethnology</subject><subject>Rhinitis, Allergic - etiology</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Schools</subject><subject>Taiwan - epidemiology</subject><subject>Wheezing</subject><issn>0250-6807</issn><issn>1421-9697</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90d2L1DAQAPAgireePviuUhAOfajmq8nkcbkPFQ6URZ9L2p3uda_b7mVaZf97R3uu4IMPISTzmwyZEeK5ku-UKsJ7KaW13jj_QCyU1SoPLviHYiF1IXMH0p-IJ0RbKZUGWzwWJ9ob6wHsQkxLoqFu49gOPWUVjj8Q-2yFtG9THId0yC5awkhIWezXfMAx8uWXOI6YOOMCU_sd11l1yK5izQnZso_dgdrZr3A91Rxexf6WD5uERFzpqXjUxI7w2f1-Kr5dXX49_5hff_7w6Xx5nddWFWNehUZpW9lq7SOABhcAlZTRWOO9LqoA4LWTCupYNVpa42rDGKoixKbxwZyKN_O7-zTcTUhjuWupxq6LPQ4TlYp7Uxhemunrf-h2mBL_hVVQtgBw2v1XAbfeQFDA6mxWm9hheYOxG29o6KbfTS6XzrhglQqW4dsZ1mkgStiU-9TuuMGlkuWv0ZbH0bJ9dV96qna4Pso_s2TwYga3MW0wHcEx_-Uc3hKP6W8UCmV9APMTDIWugA</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Lin, Yong-Pei</creator><creator>Kao, Ya-Chun</creator><creator>Pan, Wen-Harn</creator><creator>Yang, Yao-Hsu</creator><creator>Chen, Yang-Ching</creator><creator>Lee, Yungling Leo</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Associations between Respiratory Diseases and Dietary Patterns Derived by Factor Analysis and Reduced Rank Regression</title><author>Lin, Yong-Pei ; Kao, Ya-Chun ; Pan, Wen-Harn ; Yang, Yao-Hsu ; Chen, Yang-Ching ; Lee, Yungling Leo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-b9f124b4bd7a8828698e100a3437725b988726018cabf20436c34bd8b59aff793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Allergic rhinitis</topic><topic>Allergies</topic><topic>Analysis</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - ethnology</topic><topic>Asthma - etiology</topic><topic>Bronchitis</topic><topic>Bronchitis - epidemiology</topic><topic>Bronchitis - ethnology</topic><topic>Bronchitis - etiology</topic><topic>Child</topic><topic>Child health</topic><topic>Child Nutritional Physiological Phenomena - ethnology</topic><topic>Childhood asthma</topic><topic>Children</topic><topic>Children &amp; youth</topic><topic>Cohort Studies</topic><topic>Community involvement</topic><topic>Community participation</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, High-Fat - adverse effects</topic><topic>Diet, High-Fat - ethnology</topic><topic>Diet, High-Protein - adverse effects</topic><topic>Diet, High-Protein - ethnology</topic><topic>Dietary intake</topic><topic>Discriminant analysis</topic><topic>Eating</topic><topic>Elementary school students</topic><topic>Epidemiology</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Food allergies</topic><topic>Food habits</topic><topic>Food intake</topic><topic>High fat diet</topic><topic>Humans</topic><topic>International studies</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Medical research</topic><topic>Nutrition Surveys</topic><topic>Original Paper</topic><topic>Parents</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Proteins</topic><topic>Regression analysis</topic><topic>Respiration</topic><topic>Respiratory diseases</topic><topic>Respiratory Sounds - etiology</topic><topic>Rhinitis</topic><topic>Rhinitis, Allergic - epidemiology</topic><topic>Rhinitis, Allergic - ethnology</topic><topic>Rhinitis, Allergic - etiology</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>Schools</topic><topic>Taiwan - epidemiology</topic><topic>Wheezing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Yong-Pei</creatorcontrib><creatorcontrib>Kao, Ya-Chun</creatorcontrib><creatorcontrib>Pan, Wen-Harn</creatorcontrib><creatorcontrib>Yang, Yao-Hsu</creatorcontrib><creatorcontrib>Chen, Yang-Ching</creatorcontrib><creatorcontrib>Lee, Yungling Leo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of nutrition and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Yong-Pei</au><au>Kao, Ya-Chun</au><au>Pan, Wen-Harn</au><au>Yang, Yao-Hsu</au><au>Chen, Yang-Ching</au><au>Lee, Yungling Leo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between Respiratory Diseases and Dietary Patterns Derived by Factor Analysis and Reduced Rank Regression</atitle><jtitle>Annals of nutrition and metabolism</jtitle><addtitle>Ann Nutr Metab</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>68</volume><issue>4</issue><spage>306</spage><epage>314</epage><pages>306-314</pages><issn>0250-6807</issn><eissn>1421-9697</eissn><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.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>27347884</pmid><doi>10.1159/000447367</doi><tpages>9</tpages></addata></record>
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subjects Allergic rhinitis
Allergies
Analysis
Asthma
Asthma - epidemiology
Asthma - ethnology
Asthma - etiology
Bronchitis
Bronchitis - epidemiology
Bronchitis - ethnology
Bronchitis - etiology
Child
Child health
Child Nutritional Physiological Phenomena - ethnology
Childhood asthma
Children
Children & youth
Cohort Studies
Community involvement
Community participation
Cross-Sectional Studies
Diet
Diet, High-Fat - adverse effects
Diet, High-Fat - ethnology
Diet, High-Protein - adverse effects
Diet, High-Protein - ethnology
Dietary intake
Discriminant analysis
Eating
Elementary school students
Epidemiology
Factor analysis
Factor Analysis, Statistical
Family Characteristics
Female
Food allergies
Food habits
Food intake
High fat diet
Humans
International studies
Lung diseases
Male
Medical research
Nutrition Surveys
Original Paper
Parents
Prevalence
Prospective Studies
Proteins
Regression analysis
Respiration
Respiratory diseases
Respiratory Sounds - etiology
Rhinitis
Rhinitis, Allergic - epidemiology
Rhinitis, Allergic - ethnology
Rhinitis, Allergic - etiology
Risk assessment
Risk Factors
Schools
Taiwan - epidemiology
Wheezing
title Associations between Respiratory Diseases and Dietary Patterns Derived by Factor Analysis and Reduced Rank Regression
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