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Food intake patterns and gallbladder disease in Mexican Americans

Published online by Cambridge University Press:  02 January 2007

Marilyn Tseng ,
Robert F DeVellis ,
Kurt R Maurer ,
Meena Khare ,
Lenore Kohlmeier ,
James E Everhart  and
Robert S Sandler
Marilyn Tseng*
Affiliation:
Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA
Robert F DeVellis
Affiliation:
Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC 27599, USA
Kurt R Maurer
Affiliation:
National Center for Health Statistics, Hyattsville, MD 20782, USA
Meena Khare
Affiliation:
National Center for Health Statistics, Hyattsville, MD 20782, USA
Lenore Kohlmeier
Affiliation:
Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA Department of Nutrition, University of North Carolina, Chapel Hill, NC 27599, USA
James E Everhart
Affiliation:
National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA
Robert S Sandler
Affiliation:
Division of Digestive Diseases and Nutrition, Department of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
*
*Corresponding author: Email m-tseng@fccc.edu
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Abstract

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Objective

Results of previous studies on diet and gallbladder disease (GBD), defined as having gallstones or having had surgery for gallstones, have been inconsistent. This research examined patterns of food intake in Mexican Americans and their associations with GBD.

Design

Cross-sectional.

Subjects

The study population included 4641 Mexican Americans aged 20–74 years who participated in the 1988–94 third National Health and Nutrition Examination Survey (NHANES III). GBD was diagnosed by ultrasound. Food intake patterns were identified by principal components analysis based on food frequency questionnaire responses. Component scores representing the level of intake of each pattern were categorized into quartiles, and prevalence odds ratios (POR) were estimated relative to the lowest quartile along with 95% confidence intervals (CI).

Results

There were four distinct patterns in women (vegetable, high calorie, traditional, fruit) and three in men (vegetable, high calorie, traditional). After age adjustment, none were associated with GBD in women. However, men in the third (POR = 0.42, 95%CI 0.21–0.85) and fourth (POR = 0.53, 95%CI 0.28–1.01) quartiles of the traditional intake pattern were half as likely to have GBD as those in the lowest quartile.

Conclusions

These findings add to a growing literature suggesting dietary intake patterns can provide potentially useful and relevant information on diet–disease associations. Nevertheless, methods to do so require further development and validation.

Keywords

CholelithiasisMexican AmericansDietFactor analysisNHANES III
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 2 , June 2000 , pp. 233 - 243
Copyright
Copyright © CABI Publishing 2000

References

1Muhrbeck, O, Ahlberg, J.Prevalence of gallstone disease in a Swedish population. Scand. J. Gastroenterol. 1995; 30: 1125–8.CrossRefGoogle Scholar
2Rhomberg, HP, Judmair, G, Lochs, A.How common are gall stones?. BMJ 1984; 289: 1002.CrossRefGoogle Scholar
3Attili, AF, Carulli, N, Roda, E, et al. . Prevalence data of the Multicenter Italian Study on Cholelithiasis (MICOL). Am. J. Epidemiol. 1995; 141: 158–65.CrossRefGoogle Scholar
4Hanis, CL, Hewett-Emmett, D, Kubrusly, LF. An ultrasound survey of gallbladder disease among Mexican Americans in Starr County, Texas: frequencies and risk factors. Ethnicity Dis. 1993; 3: 32–43.Google ScholarPubMed
5Maurer, KR, Everhart, JE, Ezzati, TM, et al. . Prevalence of gallstone disease in Hispanic populations in the United States. Gastroenterology 1989; 96: 487–92.CrossRefGoogle ScholarPubMed
6Sampliner, RE, Bennett, PH, Comess, LJ, Rose, RA, Burch, TA. Gallbladder disease in Pima Indians: demonstration of high prevalence and early onset by cholecystography. N. Engl. J. Med. 1970; 283: 1358–64.CrossRefGoogle ScholarPubMed
7Hayes, KC, Livingston, A, Trautwein, EA. Dietary impact on biliary lipids and gallstones. Annu. Rev. Nutr. 1992; 12: 299–326.CrossRefGoogle ScholarPubMed
8Heaton, KW. The role of diet in the aetiology of cholelithiasis. In: Capocaccia, L, Ricci, G, Angelico, F, Angelico, M, Attili, AF, eds. Epidemiology and Prevention of Gallstone Disease. Lancaster: MTP Press, 1984.Google Scholar
9Heaton, KW, The epidemiology of gallstones and suggested aetiology. Clin. Gastroenterol. 1973; 2: 67–83.CrossRefGoogle ScholarPubMed
10Nakayama, F, Miyake, H.Changing state of gallstone disease in Japan. Am. J. Surg. 1970; 120: 794–9.CrossRefGoogle ScholarPubMed
11Reid, SM, Fullmer, SD, Pettigrew, KD, et al. . Nutrient intake of Pima Indian women: relationships to diabetes mellitus and gallbladder disease. Am. J. Clin. Nutr. 1971; 24: 1281–9.CrossRefGoogle ScholarPubMed
12Scragg, KR, Calvert, GD, Oliver, JR. Plasma lipids and insulin in gall stone disease: a case–control study. BMJ 1984; 289: 521–5.CrossRefGoogle ScholarPubMed
13Pixley, F, Mann, J.Dietary factors in the aetiology of gall stones: a case–control study. Gut 1988; 29: 1511–15.CrossRefGoogle ScholarPubMed
14Jørgensen, T, Jørgensen, LM. Gallstones and diet in a Danish population. Scand. J. Gastroenterol. 1989; 24: 821–6.CrossRefGoogle Scholar
15Diehl, AK, Haffner, SM, Knapp, JA, Hazuda, HP, Stern, MP. Dietary intake and the prevalence of gallbladder disease in Mexican Americans. Gastroenterology 1989; 97: 1527–33.CrossRefGoogle ScholarPubMed
16Maclure, KM, Hayes, KC, Colditz, GA, Stampfer, MJ, Speizer, FE, Willett, WC. Weight, diet, and the risk of symptomatic gallstones in middle-aged women. N. Engl. J. Med. 1989; 321: 563–9.CrossRefGoogle ScholarPubMed
17Maclure, KM, Hayes, KC, Colditz, GA, Stampfer, MJ, Willett, WC. Dietary predictors of symptom-associated gallstones in middle-aged women. Am. J. Clin. Nutr. 1990; 52: 916–22.CrossRefGoogle ScholarPubMed
18Sichieri, R, Everhart, JE, Roth, H.A prospective study of hospitalization with gallstone disease among women: role of dietary factors, fasting period, and dieting. Am. J. Public Health 1991; 81: 880–4.CrossRefGoogle ScholarPubMed
19Moerman, CJ, Smeets, FWM, Kromhout, D.Dietary risk factors for clinically diagnosed gallstones in middle-aged men. Ann. Epidemiol. 1994; 4: 248–54.CrossRefGoogle ScholarPubMed
20Sama, C, Morselli Labate, AM, Cornia, GL, et al. . Dietary habit and cholelithiasis: results of an epidemiological study. Hepatology 1985; 5: 984.Google Scholar
21Alessandrini, A, Busco, MA, Gatti, E, Rossi, PA. Dietary fibres and cholesterol gallstones: a case control study. Ital. J. Gastroenterol. 1982; 14: 156–8.Google Scholar
22Diehl, AK, Haffner, SM, Hazuda, HP, Stern, MP. Coronary risk factors and clinical gallbladder disease: an approach to the prevention of gallstones? Am. J. Public Health 1987; 77: 841–5.CrossRefGoogle Scholar
23La Vecchia, C, Decarli, A, Ferraroni, M, Negri, E.Alcohol drinking and prevalence of self-reported gallstone disease in the 1983 Italian National Health Survey. Epidemiology 1994; 5: 533–6.Google ScholarPubMed
24Kono, S, Shinchi, K, Ikeda, N, Yanai, F, Imanishi, K.Prevalence of gallstone disease in relation to smoking, alcohol use, obesity, and glucose tolerance: a study of self-defense officials in Japan. Am. J. Epidemiol. 1992; 136: 787–94.CrossRefGoogle ScholarPubMed
25Kono, S, Shinchi, K, Todoroki, I, et al. . Gallstone disease among Japanese men in relation to obesity, glucose intolerance, exercise, alcohol use, and smoking. Scand. J. Gastroenterol. 1995; 30: 372–6.CrossRefGoogle ScholarPubMed
26Friedman, GD, Kannel, WB, Dawber, TR. The epidemiology of gallbladder disease: observations in the Framingham study. J. Chron. Dis. 1966; 19: 273–92.CrossRefGoogle ScholarPubMed
27Klatsky, AL, Friedman, GD, Siegelaub, AB. Alcohol use and cardiovascular disease: the Kaiser–Permanente experience. Circulation 1981; 64 (Suppl. III): 32–41.Google ScholarPubMed
28Kato, I, Nomura, A, Stemmermann, GN, Chyou, PH. Prospective study of clinical gallbladder disease and its association with obesity, physical activity, and other factors. Dig. Dis. Sci. 1992; 37: 784–90.CrossRefGoogle ScholarPubMed
29Wheeler, M, Hills, LL, Laby, B.Cholelithiasis: a clinical and dietary survey. Gut 1970; 11: 430–7.CrossRefGoogle ScholarPubMed
30Pastides, H, Tzonou, A, Trichopoulos, D, et al. . A case–control study of the relationship between smoking, diet, and gallbladder disease. Arch. Intern. Med. 1990; 150: 1409–12.CrossRefGoogle ScholarPubMed
31La Vecchia, C, Negri, E, D'Avanzo, B, Franceschi, SBoyle, P.Risk factors for gallstone disease requiring surgery. Int. J. Epidemiol. 1991; 20: 209–15.CrossRefGoogle ScholarPubMed
32Randall, E, Marshall, JR, Graham, S, Brasure, J.Patterns in food use and their associations with nutrient intakes. Am. J. Clin. Nutr. 1990; 52: 739–45.CrossRefGoogle ScholarPubMed
33US Department of Health Human Services (DHHS), National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988–1994, NHANES III Household Adult Data File (CD-ROM). Public Use Data File Documentation No. 77560. Hyattsville, MD: Centers for Disease Control and Prevention, 1996.Google Scholar
34US Department of Health Human Services (DHHS), National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988–1994, NHANES III Examination Data File (CD-ROM). Public Use Data File Documentation No. 76200. Hyattsville, MD: Centers for Disease Control and Prevention, 1996.Google Scholar
35Everhart, JE, Khare, M, Hill, M, Maurer, KR. Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology 1999; 117: 632–9.CrossRefGoogle ScholarPubMed
36US Department of Health Human Services (DHHS), National Center for Health Statistics. Plan and Operation of the Third National Health and Nutrition Examination Survey, 1988–94. Vital and Health Statistics, Series 1(32). Hyattsville, MD: Centers for Disease Control and Prevention, 1994.Google Scholar
37Fleiss, JL. Statistical Methods for Rates and Proportions. New York: John Wiley and Sons, 1981.Google Scholar
38Kleinbaum, DG, Kupper, LL, Muller, KE. Applied Regression Analysis and Other Multivariable Methods. Belmont, CA: Duxbury Press, 1988.Google Scholar
39Kline, P. An Easy Guide to Factor Analysis. New York: Routledge, 1994.Google Scholar
40Cronbach, LJ, Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16: 297–334.CrossRefGoogle Scholar
41Kleinbaum, DG, Kupper, LL, Morgenstern, H. Epidemiologic Research: Principles and Quantitative Methods. New York: Van Nostrand Reinhold, 1982.Google Scholar
42WHO Expert Committee. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Tech. Rep. Ser. 1995; 854: 1–452.Google Scholar
43Schwerin, HS, Stanton, JL, Riley, AM Jr, et al. Food eating patterns and health: a reexamination of the Ten-State and HANES I surveys. Am. J. Clin. Nutr. 1981; 34: 568–80.CrossRefGoogle Scholar
44Nicklas, TA, Webber, LS, Thompson, B, Berenson, GS. A multivariate model for assessing eating patterns and their relationship to cardiovascular risk factors: the Bogalusa Heart Study. Am. J. Clin. Nutr. 1989; 49: 1320–7.CrossRefGoogle ScholarPubMed
45Randall, E, Marshall, JR, Graham, S, Brasure, J.High-risk health behaviors associated with various dietary patterns. Nutr. Cancer 1991; 16: 135–51.CrossRefGoogle ScholarPubMed
46Wolff, CB, Wolff, HK. Maternal eating patterns and birth weight of Mexican American infants. Nutr. Health. 1995; 10: 121–34.CrossRefGoogle ScholarPubMed
47Gittelsohn, J, Wolever, TMS, Harris, SB, Harris-Giraldo, R, Hanley, AJG, Zinman, B.Specific patterns of food consumption and preparation are associated with diabetes and obesity in a native Canadian community. J. Nutr. 1998; 128: 541–7.CrossRefGoogle Scholar
48Slattery, M, Boucher, K, Caan, B, et al. Eating patterns and risk of colon cancer. Am. J. Epidemiol. 1998; 148: 4–16.CrossRefGoogle ScholarPubMed
49Akin, JS, Guilkey, DK, Popkin, BM, Fanelli, MT. Cluster analysis of food consumption patterns of older Americans. J. Am. Diet. Assoc. 1986; 86: 616–24.CrossRefGoogle ScholarPubMed
50Hulshof, KFAM, Wedel, M, Löwik, MRH, et al. Clustering of dietary variables and other lifestyle factors (Dutch Nutritional Surveillance System). J. Epidemiol. Community Health 1992; 46: 417–24.CrossRefGoogle ScholarPubMed
51Tucker, KL, Dallal, GE, Rush, D.Dietary patterns of elderly Boston-area residents defined by cluster analysis. J. Am. Diet. Assoc. 1992; 92: 1487–91.CrossRefGoogle ScholarPubMed
52Margetts, BM, Campbell, NA, Armstrong, BK. Summarizing dietary patterns using multivariate analysis. J. Hum. Nutr. 1981; 35: 281–6.Google ScholarPubMed
53Patterson, RE, Haines, PS, Popkin, BM. Diet quality index: capturing a multidimensional behavior. J. Am. Diet. Assoc. 1994; 94: 57–64.CrossRefGoogle ScholarPubMed
54Randall, E, Nichaman, MZ, Contant, CF. Diet diversity and nutrient intake. J. Am. Diet. Assoc. 1985; 85: 830–6.CrossRefGoogle ScholarPubMed
55Martinez, M, Marshall, J, Sechrest, L.Invited commentary: factor analysis and the search for objectivity. Am. J. Epidemiol. 1998; 148: 17–19.CrossRefGoogle ScholarPubMed
56Hu, F, Rimm, E, Smith-Warner, S, et al. . Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am. J. Clin. Nutr. 1999; 69: 243–9.CrossRefGoogle ScholarPubMed
57Pixley, F, Wilson, D, McPherson, K, Mann, J.Effect of vegetarianism on development of gall stones in women. BMJ 1985; 291: 11–12.CrossRefGoogle ScholarPubMed
58Kratzer, W, Kächele, V, Mason, RA, et al. Gallstone prevalence in relation to smoking, alcohol, coffee consumption, and nutrition. Scand. J. Gastroenterol. 1997; 32: 953–8.CrossRefGoogle ScholarPubMed
59Scragg, KR, McMichael, AJ, Baghurst, PA. Diet, alcohol, and relative weight in gall stone disease: a case–control study. BMJ 1984; 288: 1113–19.CrossRefGoogle ScholarPubMed
60Ortega, RM, Fernández-Azuela, M, Encinas-Sotillos, A, Andrés, P, López-Sobaler, AM. Differences in diet and food habits between patients with gallstones and controls. J. Am. Coll. Nutr. 1997; 16: 88–95.CrossRefGoogle ScholarPubMed
61Attili, AF. Dietary habits and cholelithiasis. In: Capocaccia, L, Ricci, G, Angelico, F, Angelico, M, Attili, AF, eds. Epidemiology and Prevention of Gallstone Disease. Lancaster, UK: MTP Press, 1984; 175–81.CrossRefGoogle Scholar
62Misciagna, G, Leoci, C, Guerra, V, et al. . Epidemiology of cholelithiasis in southern Italy. Eur. J. Gastroenterol. Hepatol. 1996; 8: 585–93.CrossRefGoogle ScholarPubMed
63Linos, AD, Daras, V, Linos, DA, Kekis, V, Tsoukas, MM, Golematis, V.Dietary and other risk factors in the aetiology of cholelithiasis: a case control study. HPB Surg 1989; 1: 221–7.CrossRefGoogle ScholarPubMed
64Nervi, F, Covarrubias, C, Bravo, P, et al. Influence of legume intake on biliary lipids and cholesterol saturation in young Chilean men. Gastroenterology 1989; 96: 825–30.CrossRefGoogle ScholarPubMed
65Hood, KA, Gleeson, D, Ruppin, DC, Dowling, RH. Gall stone recurrence and its prevention: the British/Belgian Gall Stone Study Group's post-dissolution trial. Gut 1993; 9: 1277–88.CrossRefGoogle Scholar
66Jørgensen, T.Gall stones in a Danish population. Relation to weight, physical activity, smoking, coffee consumption, and diabetes mellitus. Gut 1989; 30: 528–34.CrossRefGoogle Scholar
67Leitzmann, MF, Giovannucci, E, Rimm, EB, Stampfer, MJ, Willett, WC. Physical activity and the risk of gallstone disease in men. Ann. Intern. Med. 1998; 128: 415–25.CrossRefGoogle ScholarPubMed
68Appel, L, Moore, T, Obarzanek, E, et al. A clinical trial of the effects of dietary patterns on blood pressure. N. Engl. J. Med. 1997; 336: 1117–24.CrossRefGoogle ScholarPubMed
69Lanza, E, Schatzkin, A, Ballard-Barbash, R, et al. . The Polyp Prevention Trial II: dietary intervention program and participant baseline dietary characteristics. Cancer Epidemiol. Biomarkers Prev. 1996; 5: 385–92.Google ScholarPubMed