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The relationship amongst dietary patterns and cardiovascular risk factors in Chinese adults

Hamid, Mash (2017)
Ph.D. thesis, University of Birmingham.

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Abstract

China is facing epidemic of cardiovascular disease propelled by obesity, hypertension, dyslipidaemia, and hyperglycaemia. Epidemiological studies are continuing to show an increase in the prevalence of the aforementioned cardiovascular disease risk factors in the Chinese and studies are yet to shown signs of abating. Diet is able to affect the cardiovascular function by influencing the risk factors but very little is known about the diets of the Chinese. This thesis identified three dietary patterns (Non-nut and Non-cruciferous Vegetable, High Protein-High Fat, Omnivorous) using principal component factor analysis and examined the cross-sectional relationships with hyperglycaemia, hypertension, and metabolic syndrome in 20,146 middle-aged and older Chinese adults. The Non-nut and Non-cruciferous Vegetable diet was adversely associated with hyperglycaemia and the metabolic syndrome but showed no association with hypertension. The High Protein-High Fat diet was associated with reduced risk of hyperglycaemia and hypertension but exhibited no relationship with the metabolic syndrome. The Omnivorous diet was inversely associated with hyperglycaemia and the metabolic syndrome but demonstrated an adverse association with hypertension. In addition, the thesis developed a conceptual model and highlighted the putative mechanisms mediating the relationships between the High Protein-High Fat diet and cardiovascular disease risk factors using the structural equation model.

Type of Work:Ph.D. thesis.
Supervisor(s):Thomas, G. Neil and Taheri, Shahrad and Hemming, Karla
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:School of Health and Population Sciences, Department of Public Health, Epidemiology and Biostatistics
Additional Information:

Publications resulting from research:

Stradling C. Hamid M. Fisher K. Taheri S. Thomas GN. (2013) A Review of Dietary Influences on Cardiovascular Health: Part 1: The Role of Dietary Nutrients. Cardiovascular & Hematological Disordorders Drug Targets. 13: p. 208-30.
http://dx.doi.org/10.2174/1871529X13666131129102632

Stradling C. Hamid, M. Taheri S. Thomas, GN. (2014) A Review of Dietary Influences on Cardiovascular Health: Part 2: Dietary Patterns. Cardiovascular & Hematological Disordorders Drug Targets. 14: p. 50-63.
http://dx.doi.org/10.2174/1871529X14666140701095426

Subjects:DS Asia
RA0421 Public health. Hygiene. Preventive Medicine
RC Internal medicine
Institution:University of Birmingham
ID Code:7458
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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