Javascript is not activated in your browser. This website needs javascript activated to work properly.

A Western dietary pattern is prospectively associated with cardio-metabolic traits and incidence of the metabolic syndrome

  • Isabel Drake
  • Emily Sonestedt
  • Ulrika Ericson
  • Peter Wallström
  • Marju Orho-Melander
Publishing year: 2018-05-28
Language: English
Pages: 1168-1176
Publication/Series: British Journal of Nutrition
Volume: 119
Issue: 10
Document type: Journal article
Publisher: Cambridge University Press

Abstract english

The aim of this study was to derive dietary patterns associated with cardio-metabolic traits and to examine whether these predict prospective changes in these traits and incidence of the metabolic syndrome (iMetS). Subjects from the Malmö Diet and Cancer Study cardiovascular cohort without cardio-metabolic disease and related drug treatments at baseline (n 4071; aged 45-67 years, 40 % men) were included. We applied reduced rank regression on thirty-eight foods to derive patterns that explain variation in response variables measured at baseline (waist circumference, TAG, HDL-and LDL-cholesterol, systolic and diastolic blood pressure, fasting glucose and insulin). Patterns were examined in relation to change in cardio-metabolic traits and iMetS in subjects who were re-examined after 16·7 years (n 2704). Two dietary patterns ('Western' and 'Drinker') were retained and explained 3·2 % of the variation in response variables. The 'Western' dietary pattern was inversely associated with HDL-cholesterol and positively with all other response variables (both at baseline and follow-up), but there was no association with LDL at follow-up. After adjustment for potential confounders, the 'Western' dietary pattern was associated with higher risk of iMetS (hazard ratio Q4 v. Q1: 1·47; 95 % CI 1·23, 1·77; P trend=1·5×10-5). The 'Drinker' dietary pattern primarily explained variation in HDL and was not associated with iMetS. In conclusion, this study supports current food-based dietary guidelines suggesting that a 'Western' dietary pattern with high intakes of sugar-sweetened beverages and red and processed meats and low intakes of wine, cheese, vegetables and high-fibre foods is associated with detrimental effects on cardio-metabolic health.


  • Nutrition and Dietetics
  • Cardio-metabolic traits
  • Cohorts
  • Dietary patterns
  • Metabolic syndrome
  • Reduced rank regression


  • Diabetes - Cardiovascular Disease
  • Nutrition Epidemiology
  • ISSN: 0007-1145
Emily Sonestedt
E-mail: emily [dot] sonestedt [at] med [dot] lu [dot] se

Associate senior lecturer

Nutrition Epidemiology

+46 40 39 13 25

+46 73 700 71 45


Jan Waldenströms gata 35, CRC 60:13, Malmö


Crafoords vetenskapslunch

Kan våra gener göra oss tjocka?

Tyngre träningssnack


Lund University Diabetes Centre, CRC, SUS Malmö, Jan Waldenströms gata 35, House 91:12. SE-214 28 Malmö. Telephone: +46 40 39 10 00