TABLE 4.
Overall and gender-stratified associations of diet clusters with anthropometric and blood markers of cardiometabolic risk among the Maternal and Infant Nutrition Intervention in Matlab (MINIMat) adolescents.
Marker | Diet clusters | All (N = 2,253) | Boys (N = 1,079) | Girls (N = 1,174) | |||
β (95% CI) | P | β (95% CI) | P | β (95% CI) | P | ||
Ln WC Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | 0.005 (−0.007, 0.016) | 0.435 | 0.007 (−0.009, 0.024) | 0.376 | 0.003 (−0.014, 0.019) | 0.766 | |
Meat-dominant | −0.005 (−0.017, 0.007) | 0.434 | −0.003 (−0.021, 0.015) | 0.720 | −0.006 (−0.022, 0.011) | 0.517 | |
High-variety | 0.003 (−0.010, 0.015) | 0.674 | 0.007 (−0.010, 0.025) | 0.402 | −0.002 (−0.020, 0.016) | 0.835 | |
Ln WC Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | 0.002 (−0.009, 0.013) | 0.724 | 0.009 (−0.007, 0.025) | 0.281 | −0.003 (−0.019, 0.014) | 0.739 | |
Meat-dominant | −0.007 (−0.019, 0.004) | 0.221 | −0.004 (−0.021, 0.014) | 0.669 | −0.009 (−0.025, 0.007) | 0.284 | |
High-variety | −0.004 (−0.016, 0.009) | 0.567 | 0.002 (−0.015, 0.019) | 0.840 | −0.008 (−0.026, 0.009) | 0.356 | |
SBP Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | 0.473 (−0.403, 1.348) | 0.290 | −0.007 (−1.332, 1.317) | 0.992 | −0.120 (−1.290, 1.049) | 0.840 | |
Meat-dominant | −0.051 (−0.975, 0.873) | 0.913 | −0.221 (−1.674, 1.231) | 0.765 | −0.432 (−1.596, 0.733) | 0.467 | |
High-variety | 1.049 (0.121, 1.976) | 0.027 | 0.815 (−0.577, 2.206) | 0.251 | 0.171 (−1.072, 1.415) | 0.787 | |
SBP Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.130 (−1.002, 0.742) | 0.770 | 0.047 (−1.275, 1.369) | 0.944 | −0.169 (−1.346, 1.008) | 0.778 | |
Meat-dominant | −0.405 (−1.319, 0.508) | 0.384 | −0.263 (−1.713, 1.188) | 0.722 | −0.443 (−1.614, 0.728) | 0.458 | |
High-variety | 0.356 (−0.570, 1.281) | 0.451 | 0.602 (−0.796, 2.001) | 0.398 | 0.098 (−1.155, 1.350) | 0.878 | |
Ln TG Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.076 (−0.121, −0.032) | <0.001 | −0.089 (−0.155, −0.023) | 0.008 | −0.007 (−0.069, 0.054) | 0.814 | |
Meat-dominant | −0.049 (−0.096, −0.002) | 0.041 | −0.076 (−0.148, −0.004) | 0.039 | −0.003 (−0.063, 0.058) | 0.932 | |
High-variety | −0.067 (−0.114, −0.020) | 0.005 | −0.052 (−0.121, 0.017) | 0.140 | −0.038 (−0.102, 0.027) | 0.257 | |
Ln TG Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.045 (−0.089, 0.00007) | 0.050 | −0.089 (−0.155, −0.022) | 0.009 | 0.001 (−0.060, 0.062) | 0.974 | |
Meat-dominant | −0.031 (−0.077, 0.016) | 0.196 | −0.076 (−0.149, −0.004) | 0.039 | 0.006 (−0.055, 0.067) | 0.846 | |
High-variety | −0.032 (−0.079, 0.015) | 0.181 | −0.053 (−0.122, 0.017) | 0.140 | −0.026 (−0.091, −0.032) | 0.439 | |
TC Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.078 (−0.151, −0.005) | 0.037 | −0.025 (−0.121, 0.071) | 0.614 | −0.005 (−0.113, 0.103) | 0.924 | |
Meat-dominant | −0.081 (−0.158, −0.003) | 0.040 | −0.064 (−0.170, 0.041) | 0.229 | −0.034 (−0.142, 0.073) | 0.527 | |
High-variety | −0.070 (−0.147, 0.007) | 0.077 | −0.026 (−0.127, 0.074) | 0.606 | 0.009 (−0.105, 0.124) | 0.875 | |
TC Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.019 (−0.091, 0.053) | 0.610 | −0.024 (−0.120, 0.071) | 0.615 | −0.009 (−0.118, 0.010) | 0.864 | |
Meat-dominant | −0.044 (−0.120, 0.031) | 0.248 | −0.060 (−0.165, 0.045) | 0.262 | −0.029 (−0.136, 0.079) | 0.600 | |
High-variety | −0.013 (−0.089, 0.064) | 0.746 | −0.032 (−0.133, 0.070) | 0.539 | 0.006 (−0.109, 0.121) | 0.921 | |
LDL Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.041 (−0.103, 0.022) | 0.202 | 0.007 (−0.073, 0.088) | 0.855 | 0.016 (−0.078, 0.110) | 0.743 | |
Meat-dominant | −0.049 (−0.115, 0.017) | 0.146 | −0.025 (−0.113, 0.063) | 0.579 | −0.019 (−0.112, 0.074) | 0.685 | |
High-variety | −0.035 (−0.101, 0.031) | 0.296 | 0.008 (−0.076, 0.092) | 0.850 | 0.022 (−0.077, 0.122) | 0.657 | |
LDL Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | 0.006 (−0.056, 0.067) | 0.860 | 0.008 (−0.072, 0.087) | 0.853 | 0.009 (−0.085, 0.103) | 0.854 | |
Meat-dominant | −0.021 (−0.085, 0.044) | 0.531 | −0.021 (−0.109, 0.066) | 0.631 | −0.017 (−0.110, 0.077) | 0.728 | |
High-variety | 0.007 (−0.058, 0.072) | 0.844 | −0.003 (−0.087, 0.082) | 0.952 | 0.016 (−0.084, 0.115) | 0.759 | |
HDL Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | 0.002 (−0.022, 0.026) | 0.867 | 0.003 (−0.033, 0.039) | 0.876 | −0.005 (−0.040, 0.029) | 0.761 | |
Meat-dominant | −0.011 (−0.036, 0.015) | 0.402 | −0.016 (−0.055, 0.023) | 0.429 | −0.009 (−0.043, 0.025) | 0.593 | |
High-variety | −0.006 (−0.031, 0.020) | 0.664 | −0.023 (−0.061, 0.014) | 0.228 | 0.010 (−0.026, 0.047) | 0.573 | |
HDL Adjusted1 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.00001 (−0.025, 0.025) | 0.998 | 0.002 (−0.034, 0.038) | 0.913 | −0.007 (−0.042, 0.028) | 0.691 | |
Meat-dominant | −0.011 (−0.036, 0.015) | 0.418 | −0.013 (−0.053, 0.026) | 0.498 | −0.010 (−0.044, 0.024) | 0.558 | |
High-variety | −0.006 (−0.032, 0.020) | 0.646 | −0.016 (−0.054, 0.022) | 0.408 | 0.008 (−0.029, 0.045) | 0.673 | |
Ln HOMA-IR Crude model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.103 (−0.188, −0.018) | 0.017 | −0.092 (−0.222, 0.037) | 0.163 | −0.008 (−0.121, 0.104) | 0.884 | |
Meat-dominant | −0.087 (−0.176, 0.002) | 0.057 | −0.072 (−0.214, 0.070) | 0.322 | −0.054 (−0.165, 0.057) | 0.342 | |
High-variety | −0.033 (−0.122, 0.057) | 0.476 | 0.019 (−0.117, 0.156) | 0.781 | 0.003 (−0.116, 0.122) | 0.958 | |
Ln HOMA-IR Adjusted2 model | Traditional | Ref | Ref | Ref | |||
Fish-dominant | −0.055 (−0.138, 0.027) | 0.189 | −0.090 (−0.218, 0.038) | 0.170 | −0.026 (−0.135, 0.082) | 0.634 | |
Meat-dominant | −0.052 (−0.139, 0.034) | 0.236 | −0.068 (−0.209, 0.072) | 0.340 | −0.040 (−0.148, 0.068) | 0.464 | |
High-variety | −0.028 (−0.116, 0.059) | 0.527 | −0.016 (−0.152, 0.120) | 0.814 | −0.043 (−0.158, 0.072) | 0.464 |
Ref, reference category; Ln, natural-log transformed variable where the base of the log was 2.71828; b, regression coefficient; WC, waist circumference; SBP, systolic blood pressure; TG, triglyceride; TC, total cholesterol; LDL, low-density lipoprotein; HDL, high-density lipoprotein; HOMA-IR, insulin resistance from Homeostasis Model Assessment.
1Adjusted for gender, household wealth, and maternal education.
2Additionally adjusted for sample storage time, that showed a negative correlation with fasting insulin level (Spearman’s ρ = −0.2, P < 0.001). Statistically significant coefficients are presented in bold.