Associations of starchy and non-starchy vegetables with risk of metabolic syndrome: evidence from the NHANES 1999-2018

作者全名："Li, Yingrui; Xiong, Bingquan; Zhu, Min; Ren, Yuqian; Lan, Yi; Hu, Tianyang; Wang, Yufan; Yang, Huiping; Liao, Zhiyin; Xiao, Kaihu; She, Qiang"

作者地址："[Li, Yingrui; Xiong, Bingquan; Wang, Yufan; Yang, Huiping; Liao, Zhiyin; Xiao, Kaihu; She, Qiang] Chongqing Med Univ, Dept Cardiol, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400010, Peoples R China; [Zhu, Min] First Peoples Hosp Neijiang, Dept Geriatr, 31 Tuozhong lane,Jiaotong Rd, Neijiang 641000, Sichuan, Peoples R China; [Ren, Yuqian] Chongqing Univ Three Gorges Hosp, Dept Hlth Management Ctr, 165 Xincheng Rd, Chongqing 404000, Peoples R China; [Lan, Yi] Songshan Hosp, Dept Pneumol, 69 Star Rd, Chongqing 401122, Peoples R China; [Hu, Tianyang] Chongqing Med Univ, Dept Precis, Med Ctr, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400010, Peoples R China"

通信作者："She, Q (通讯作者)，Chongqing Med Univ, Dept Cardiol, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400010, Peoples R China."

来源：NUTRITION & METABOLISM

ESI学科分类：AGRICULTURAL SCIENCES

WOS号：WOS:001059535600001

JCR分区：Q2

影响因子：3.9

年份：2023

卷号：20

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Metabolic syndrome; Vegetables; Potatoes; Nutrition; Risk

摘要："Background Higher dietary quality, including increased vegetable consumption, was associated with a reduced risk of metabolic syndrome (MetS). However, specific vegetable consumption in the development of MetS remains obscure. Our study aimed to investigate the correlation between starchy and non-starchy vegetables and MetS. Methods Secondary data analysis from the National Health and Nutrition Examination Survey (NHANES 1999-2018). MetS was defined by National Cholesterol Education Program-Adult treatment Panel III (NCEP ATPIII) and dietary consumption was assessed by trained staff using two 24-h diet recall methods. Weighted logistic regression analysis was carried out to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Subgroup analyses and restricted cubic spline (RCS) regression were performed to further investigate specific vegetable subtypes and MetS. Results This research enrolled 24,646 individuals (11,725 females and 12,921 males), with an average age of 45.84 +/- 0.23 years. Approximately 15,828(64.22%) participants were defined to be with non-MetS and 8818(35.78%) were with MetS. Both total starchy vegetables and potatoes were associated with increased MetS risk, with the corresponding OR per standard deviation (SD) (95%CI, p-trend) being 1.06(1.02-1.11, p-trend = 0.028) and 1.08(1.041.13, p-trend = 0.011), respectively. However, an inverse correlation was found between dark-green vegetables and MetS, and the OR per SD (95%CI, p-trend) was 0.93(0.90-0.97, p-trend = 0.010). Subgroup analyses showed that the positive associations of starchy vegetables and potatoes on MetS risk were stronger in non-Hispanic White participants (p for interaction < 0.050). Conclusion Total starchy vegetables and white potatoes were both associated with an increased risk of MetS, while consumption of dark- green vegetables was negatively associated with MetS risk. These findings might provide a promising and healthy dietary strategy for preventing MetS."

基金机构：We thank the NHANES staff for their excellent work on study design and data collection.

基金资助正文：We thank the NHANES staff for their excellent work on study design and data collection.