title: Association of dyslipidemia with intakes of fruit and vegetables and the body fat content of adults clinically selected for a lifestyle modification program.
abstract: To investigate the relationship of dyslipidemia with demographic distribution and patterns of body fat and dietary intakes. From a universe of adults clinically selected for a lifestyle modification program 979 subjects (409 males and 570 females, 52.2 +/- 9.6 years) fulfilled the inclusion criteria. Overnight-fasting plasma was assayed (dry chemistry) for triglycerides (TG), total (TC) and HDL fraction of cholesterol given the non-HDL (n-HDL) fraction by the difference. Anthropometric assessment included body weight (kg), height (m), fat (bioelectrical impedance) and waist circumference (WC). Food intake was assessed by the 24-hour recall questionnaire and the food groups evaluated through recommendations from an adapted food pyramid. The chances of dyslipidemia from other variable changes were determined by logistic regression with p < 0.05. Normal values of BMI and WC were protective against all dyslipidemia markers whereas only hypercholesterolemia was influenced by diet (meat intake >2 servings). Dietary intakes have protective effects against hypertriglyceridemia with whole grains, odds ratio (OR) 0.342 (CI 95%, 0.154-0.760), fruits > or =3 servings (OR 0.523, 0.290-0.941) and vegetables > or =4 servings (OR 0.360, 0.176-0.735). In general total body and abdominal adiposity influenced all dyslipidemia markers while dietary intake of fruits and vegetables protected against triglyceridemia.
authors.affiliation: Department of Public Health, Botucatu School of Medicine, São Paulo State University (UNESP), São Paulo, Brazil.
authors.forename: Mauro Massao
authors.initials: MM
authors.lastname: Takahashi
authors.forename: Erick Prado
authors.initials: EP
authors.lastname: de Oliveira
authors.forename: Fernando
authors.initials: F
authors.lastname: Moreto
authors.forename: Kátia Cristina
authors.initials: KC
authors.lastname: Portero-McLellan
authors.forename: Roberto Carlos
authors.initials: RC
authors.lastname: Burini
mesh_terms: D001837:Body Weights and Measures; D001938:Brazil; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects* / Q000706:statistics & numerical data; D004034:Diet Surveys; D050171:Dyslipidemias / Q000097:blood / Q000209:etiology*; D005215:Fasting / Q000097:blood; D005260:Female; D005638:Fruit; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D040242:Risk Reduction Behavior; D014280:Triglycerides / Q000097:blood; D014675:Vegetables
chemical_list: D014280:Triglycerides; D002784:Cholesterol