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Dietary Patterns Associated with Car...

Estrada Del Campo, Yanire.

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Dietary Patterns Associated with Cardiometabolic Risk for Puerto Ricans with and Without Diabetes, and the Psychosocial Health Correlates of Adherence to the Disease-Related Patterns.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Dietary Patterns Associated with Cardiometabolic Risk for Puerto Ricans with and Without Diabetes, and the Psychosocial Health Correlates of Adherence to the Disease-Related Patterns./
作者:	Estrada Del Campo, Yanire.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	123 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-01, Section: B.
Contained By:	Dissertations Abstracts International82-01B.
標題:	Nutrition. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27963740
ISBN:	9798641470139

Dietary Patterns Associated with Cardiometabolic Risk for Puerto Ricans with and Without Diabetes, and the Psychosocial Health Correlates of Adherence to the Disease-Related Patterns.
Estrada Del Campo, Yanire.

Dietary Patterns Associated with Cardiometabolic Risk for Puerto Ricans with and Without Diabetes, and the Psychosocial Health Correlates of Adherence to the Disease-Related Patterns. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 123 p.

Source: Dissertations Abstracts International, Volume: 82-01, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2020.

This item must not be sold to any third party vendors.

Disparities in cardiovascular disease (CVD) risk, diabetes and poor psychosocial health disproportionately affect Puerto Ricans (PRs), the second largest subgroup of Hispanics/Latinos in the United States. Little is known about what specific food choices contribute to PRs CVD risk by diabetes status; and about how these associate with poor psychosocial health. The purpose of this dissertation was to derive dietary patterns associated with cardiometabolic risk factors for PRs with and without diabetes; to quantify their associations with 2-year changes in cardiometabolic risk; and to understand how psychosocial factors associate with these. Aim 1: we derived reduced rank regression dietary patterns (with waist circumference, systolic blood pressure, triglycerides, LDL and HDL cholesterol as response variables) for each study subgroup. While six food groups (pizza/Mexican foods, meat, white bread, and processed meat (positively) and nuts/seeds and hot cereal (negatively) were associated with cardiometabolic risk in both subgroups, we found other food groups to be uniquely associated with CVD risk based on diabetes status. Using multivariable regression, we examined how a continuous dietary pattern score was associated with change in cardiometabolic risk factors over 2-years. No associations were found for any of the study subgroups. Aim 2: a cross-sectional analysis was conducted using multivariable linear regression to test the association between the dietary pattern and 3 psychosocial health factors (stress, depression, acculturation) by study subgroup. Significant differences in the distribution of population characteristics (i.e. physical activity, female sex, poverty, age, education, systolic blood pressure, and hypertension medication use) were found across quintiles of psychosocial variables for both study groups. No associations were found between dietary pattern and continuous psychosocial factors. However, in secondary analyses using dichotomous predictors, we found that high acculturation was associated with lower dietary pattern score (healthier score) for those without diabetes. In conclusion, our results show that, for PRs, dietary patterns associated with CVD risk differ by diabetes status; and that acculturation is associated with these dietary patterns. Targeting more specific food choices among those with highest CVD risk may help reduce disparities for this understudied Hispanic/Latino population.

ISBN: 9798641470139Subjects--Topical Terms:

517777
Nutrition.
Subjects--Index Terms:

Cardiometabolic risk

Dietary Patterns Associated with Cardiometabolic Risk for Puerto Ricans with and Without Diabetes, and the Psychosocial Health Correlates of Adherence to the Disease-Related Patterns.
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