TY - JOUR
T1 - Association between acculturation and metabolic syndrome in Hispanic adults mediated by fruits intake
AU - Liu, Jialiang
AU - Fulda, Kimberly G.
AU - Tao, Meng Hua
N1 - Funding Information:
The work was supported by the National Institute on Minority Health and Health Disparities of the National Institute of Health under Award U54MD006882.
Publisher Copyright:
© The Author(s) 2021.
PY - 2021/12/16
Y1 - 2021/12/16
N2 - Objectives: Hispanic adults in the USA tend to have a disproportionate prevalence of metabolic syndrome (MetS) as compared to other races. Design: We examined whether the association between acculturation and MetS and its components are mediated by the intake of fruit in Hispanics. Setting: Data from the National Health and Nutrition Examination Surveys 2009-2016 were used in this study. Participants: A total of 2078 Hispanics aged ≥ 20 years were included in this analysis. Results: The mediating role of total fruit intake was assessed using multivariable-adjusted logistic structural equation models with the bootstrapping method by estimating indirect (IE) and direct (DE) effects from acculturation to MetS. High acculturation was associated with increased odds of MetS (adjusted OR = 1·20, 95 % CI 1·04, 1·39), central obesity (OR = 1·24, 95 % CI 1·07, 1·44) and high blood pressure (OR = 1·16, 95 % CI 1·02, 1·32) among Hispanic adults. Total fruits intake partially mediated the associations of acculturation with MetS (ORIE = 1·02, 95 % CI 1·00, 1·03) and central obesity (ORIE = 1·02, 95 % CI 1·00, 1·03), whereas fully mediated the association between acculturation and high blood pressure (ORIE = 1·03, 95 % CI 1·01, 1·06). Moreover, intake of total fruits fully mediated the acculturation-MetS association among Mexican Americans (ORIE = 1·02, 95 % CI 1·00, 1·05). Conclusions: Our findings suggested that increasing fruit consumption may reduce the impact of high acculturation on MetS development in Hispanic adults. Further studies are needed to confirm these findings.
AB - Objectives: Hispanic adults in the USA tend to have a disproportionate prevalence of metabolic syndrome (MetS) as compared to other races. Design: We examined whether the association between acculturation and MetS and its components are mediated by the intake of fruit in Hispanics. Setting: Data from the National Health and Nutrition Examination Surveys 2009-2016 were used in this study. Participants: A total of 2078 Hispanics aged ≥ 20 years were included in this analysis. Results: The mediating role of total fruit intake was assessed using multivariable-adjusted logistic structural equation models with the bootstrapping method by estimating indirect (IE) and direct (DE) effects from acculturation to MetS. High acculturation was associated with increased odds of MetS (adjusted OR = 1·20, 95 % CI 1·04, 1·39), central obesity (OR = 1·24, 95 % CI 1·07, 1·44) and high blood pressure (OR = 1·16, 95 % CI 1·02, 1·32) among Hispanic adults. Total fruits intake partially mediated the associations of acculturation with MetS (ORIE = 1·02, 95 % CI 1·00, 1·03) and central obesity (ORIE = 1·02, 95 % CI 1·00, 1·03), whereas fully mediated the association between acculturation and high blood pressure (ORIE = 1·03, 95 % CI 1·01, 1·06). Moreover, intake of total fruits fully mediated the acculturation-MetS association among Mexican Americans (ORIE = 1·02, 95 % CI 1·00, 1·05). Conclusions: Our findings suggested that increasing fruit consumption may reduce the impact of high acculturation on MetS development in Hispanic adults. Further studies are needed to confirm these findings.
KW - Acculturation
KW - Hispanics
KW - Mediation analysis
KW - Metabolic syndrome
KW - Total fruits intake
UR - http://www.scopus.com/inward/record.url?scp=85112838153&partnerID=8YFLogxK
U2 - 10.1017/S1368980021003530
DO - 10.1017/S1368980021003530
M3 - Article
C2 - 34392859
AN - SCOPUS:85112838153
SN - 1368-9800
VL - 24
SP - 6472
EP - 6476
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 18
ER -