(30-10-12) Western-style fast food intake and cardiometabolic risk in an Eastern country.

Odegaard AO, Koh WP, Yuan JM, Gross MD, Pereira MA.
Source
Division of Epidemiology and Community Health, University of Minnesota School
of Public Health, Minneapolis, 55454, USA. [email protected]
Abstract
BACKGROUND:
Western-style fast food contributes to a dietary pattern portending poor
cardiometabolic health in the United States. With globalization, this way of
eating is becoming more common in developing and recently developed
populations.
METHODS AND RESULTS:
We examined the association of Western-style fast food intake with risk of
incident type 2 diabetes mellitus and coronary heart disease mortality in
Chinese Singaporeans. This analysis included men and women 45 to 74 years of
age who enrolled in the Singapore Chinese Health Study from 1993 to 1998. For
CHD mortality, 52 584 participants were included and 1397 deaths were
identified through December 31, 2009, via registry linkage. For type 2 diabetes
mellitus, 43 176 participants were included and 2252 cases were identified
during the follow-up interview (1999-2004) and validated. Hazard ratios for
incident type 2 diabetes mellitus and coronary heart disease mortality were
estimated with thorough adjustment for demographic, lifestyle, and dietary
factors. Chinese Singaporeans with relatively frequent intake of Western-style
fast food items (??2 times per week) had an increased risk of developing type 2
diabetes mellitus (hazard ratio, 1.27; 95% confidence interval, 1.03-1.54) and
dying of coronary heart disease (hazard ratio, 1.56; 95% confidence interval,
1.18-2.06) relative to their peers with little or no reported intake. These
associations were not materially altered by adjustments for overall dietary
pattern, energy intake, and body mass index.
CONCLUSIONS:
Western-style fast food intake is associated with increased risk of developing
type 2 diabetes mellitus and of coronary heart disease mortality in an Eastern
population. These findings suggest the need for further attention to global
dietary acculturation in the context of ongoing epidemiological and nutrition
transitions.


Source: Circulation. 2012 Jul 10;126(2):182-8. Epub 2012 Jul 2.

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