Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 492819
Title Comparable Dietary Patterns Describe Dietary Behavior across Ethnic Groups in the Netherlands, but Different Elements in the Diet Are Associated with Glycated Hemoglobin and Fasting Glucose Concentrations
Author(s) Dekker, L.H.; Dam, R.M. van; Snijder, M.B.; Vries, J.H.M. de
Source The Journal of Nutrition 145 (2015)8. - ISSN 0022-3166 - p. 1884 - 1891.
DOI https://doi.org/10.3945/jn.114.207472
Department(s) Global Nutrition
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2015
Abstract Background: Ethnic minority populations inWestern societies suffer froma disproportionate burden of type 2 diabetes (T2D). Insight into the role of dietary patterns in T2D may assist public health nutrition efforts in addressing these health disparities. Objective: We explored the association between dietary patterns and biomarkers of T2D in 5 ethnic groups living in Amsterdam, Netherlands. Methods: A total of 3776 men and women aged 18–70 y of Dutch, South Asian Surinamese, African-Surinamese, Turkish, and Moroccan origin from the HELIUS (HEalthy LIfe in an Urban Setting) study were included. Diet was assessed by using a food-frequency questionnaire, and dietary patterns were derived separately per ethnic group. First, food group–based dietary patterns were derived by using principal components analysis and the association with glycated hemoglobin (HbA1c) and plasma fasting glucose was assessed by using multivariable linear regression. Second, biomarker-driven dietary patterns based on HbA1c and fasting glucose concentrations were derived by applying reduced rank regression. Results: Two comparable food group–based dietary patterns were identified in each ethnic group: a ‘‘meat and snack’’ pattern and a ‘‘vegetable’’ pattern. The meat-and-snack pattern derived within the Dutch origin populationwas significantly associated with HbA1c (b = 0.09; 95% CI: 0.00, 0.19) and fasting glucose (b = 0.18; 95% CI: 0.09, 0.26) concentrations. A biomarkerderived pattern characterized by red and processed meat was observed among Dutch-origin participants; however, among ethnic minority groups, this pattern was characterized by other foods including ethnicity-specific foods (e.g., roti, couscous). Conclusions: Although similar food group dietary patterns were derived within 5 ethnic groups, the association of the meat-and-snack pattern with fasting glucose concentrations differed by ethnicity. Taken together with the finding of ethnic differences in biomarker-driven dietary patterns, our results imply that addressing T2D risk in multiethnic populations requires ethnicity-specific approaches.
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