Meal preparation and cleanup time and cardiometabolic risk over 14 years in the Study of Women's Health Across the Nation (SWAN)

PREVENTIVE MEDICINE

卷:71

Article

Appelhans, Bradley M.^1,2  Segawa, Eisuke¹  Janssen, Imke¹  Nackers, Lisa M.¹  Kazlauskaite, Rasa^1,3  Baylin, Ana⁴  Burns, John W.²  Powell, Lynda H.^1,2,3,5  Kravitz, Howard M.^1,6 

[1] Rush Univ, Med Ctr, Dept Prevent Med, Chicago, IL 60612 USA

[2] Rush Univ, Med Ctr, Dept Behav Sci, Chicago, IL 60612 USA

[3] Rush Univ, Med Ctr, Dept Internal Med, Chicago, IL 60612 USA

[4] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA

[5] Rush Univ, Med Ctr, Dept Pharmacol, Chicago, IL 60612 USA

[6] Rush Univ, Med Ctr, Dept Psychiat, Chicago, IL 60612 USA

关键词: Cardiovascular disease risk;    Meal preparation;    Metabolic syndrome;    Midlife women;    Type 2 diabetes;    Waist circumference;   

DOI  :  10.1016/j.ypmed.2014.11.025

来源: Elsevier

【 摘 要 】

Objective. To determine whether baseline levels and longitudinal changes in meal preparation and cleanup time are associated with changes in cardiometabolic risk factors in midlife women. Methods. Subjects were 2755 midlife women enrolled in the Study of Women's Health Across the Nation, a multi-ethnic, longitudinal cohort study in the United States. The five diagnostic components of the metabolic syndrome and meal preparation/cleanup time were assessed repeatedly across 14 years of follow-up (spanning 1996-2011) at seven U.S. sites. Mixed-effects logistic and ordered logistic models tested associations between meal preparation/cleanup time and odds of meeting criteria for metabolic syndrome and its individual diagnostic components. Results. Women who spent more time preparing and cleaning up meals at baseline, or demonstrated greater increases in this activity, had greater increases over time in their odds of having metabolic syndrome and in the number of metabolic syndrome components for which they met criteria. Adjusted associations were observed between meal preparation/cleanup time and hypertension, impaired fasting glucose, hypertriglyceridemia, and low high-density lipoprotein cholesterol, but not abdominal obesity. Conclusions. In midlife women, greater meal preparation/cleanup time is associated with the development of an adverse cardiometabolic risk profile. Public health interventions should place greater emphasis on cooking healthfully, not just cooking frequently. (C) 2014 Elsevier Inc. All rights reserved.

【 授权许可】

Free