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Associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults: a cross-sectional study in the China Health and Nutrition Survey.
Am J Clin Nutr. 2017 02; 105(2):503-512.AJ

Abstract

BACKGROUND

Although a high prevalence of anemia and related disease burden have been documented in China, limited evidence is available on the current population-level iron status and risk factors for iron imbalance.

OBJECTIVE

We explored the associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults.

DESIGN

Our study population consisted of 7672 adults aged 18-65 y from the 2009 China Health and Nutrition Survey. Diet was assessed with the use of 3 consecutive 24-h dietary recalls. Serum ferritin, serum transferrin receptor, and hemoglobin concentrations were measured.

RESULTS

The geometric means ± SDs for ferritin concentrations were 135.9 ± 2.7 ng/mL in men and 42.7 ± 3.1 ng/mL in women. After adjustment for potential risk factors, including high-sensitivity C-reactive protein concentration, the association between age and ferritin concentration was inverse in men (P-trend < 0.001) and positive in women (P-trend < 0.001). We observed a positive association between body mass index (in kg/m[2]) and ferritin concentration in both men and women (both P-trends < 0.001). Dietary phytate intake was inversely associated with ferritin concentration in men (P-trend = 0.002) but not in women. Red meat consumption was positively associated with ferritin concentration both in men (P-trend = 0.002) and in older women (P-trend = 0.009). Lower intakes of grains and higher intakes of pork and poultry were associated with higher ferritin concentrations (all P-trends ≤ 0.05) in men but not in women. We observed variations in ferritin concentrations across different geographic regions (both P ≤ 0.01).

CONCLUSIONS

Serum ferritin concentrations varied across different sociodemographic, lifestyle, and dietary factors in this Chinese population. A higher intake of red meat was associated with higher ferritin concentrations in men and older women.

Authors+Show Affiliations

Cornell University College of Human Ecology, Ithaca, NY.Departments of Nutrition and. Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; and. Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.Departments of Nutrition and. Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; and. Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.Departments of Nutrition and.Departments of Nutrition and dow471@mail.harvard.edu. Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; and.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28031193

Citation

Hu, Peter J., et al. "Associations of Dietary, Lifestyle, and Sociodemographic Factors With Iron Status in Chinese Adults: a Cross-sectional Study in the China Health and Nutrition Survey." The American Journal of Clinical Nutrition, vol. 105, no. 2, 2017, pp. 503-512.
Hu PJ, Ley SH, Bhupathiraju SN, et al. Associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults: a cross-sectional study in the China Health and Nutrition Survey. Am J Clin Nutr. 2017;105(2):503-512.
Hu, P. J., Ley, S. H., Bhupathiraju, S. N., Li, Y., & Wang, D. D. (2017). Associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults: a cross-sectional study in the China Health and Nutrition Survey. The American Journal of Clinical Nutrition, 105(2), 503-512. https://doi.org/10.3945/ajcn.116.136861
Hu PJ, et al. Associations of Dietary, Lifestyle, and Sociodemographic Factors With Iron Status in Chinese Adults: a Cross-sectional Study in the China Health and Nutrition Survey. Am J Clin Nutr. 2017;105(2):503-512. PubMed PMID: 28031193.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults: a cross-sectional study in the China Health and Nutrition Survey. AU - Hu,Peter J, AU - Ley,Sylvia H, AU - Bhupathiraju,Shilpa N, AU - Li,Yanping, AU - Wang,Dong D, Y1 - 2016/12/28/ PY - 2016/04/21/received PY - 2016/11/29/accepted PY - 2016/12/30/pubmed PY - 2017/6/28/medline PY - 2016/12/30/entrez KW - China KW - anemia KW - diet KW - ferritin KW - iron stores KW - lifestyle SP - 503 EP - 512 JF - The American journal of clinical nutrition JO - Am J Clin Nutr VL - 105 IS - 2 N2 - BACKGROUND: Although a high prevalence of anemia and related disease burden have been documented in China, limited evidence is available on the current population-level iron status and risk factors for iron imbalance. OBJECTIVE: We explored the associations of dietary, lifestyle, and sociodemographic factors with iron status in Chinese adults. DESIGN: Our study population consisted of 7672 adults aged 18-65 y from the 2009 China Health and Nutrition Survey. Diet was assessed with the use of 3 consecutive 24-h dietary recalls. Serum ferritin, serum transferrin receptor, and hemoglobin concentrations were measured. RESULTS: The geometric means ± SDs for ferritin concentrations were 135.9 ± 2.7 ng/mL in men and 42.7 ± 3.1 ng/mL in women. After adjustment for potential risk factors, including high-sensitivity C-reactive protein concentration, the association between age and ferritin concentration was inverse in men (P-trend < 0.001) and positive in women (P-trend < 0.001). We observed a positive association between body mass index (in kg/m[2]) and ferritin concentration in both men and women (both P-trends < 0.001). Dietary phytate intake was inversely associated with ferritin concentration in men (P-trend = 0.002) but not in women. Red meat consumption was positively associated with ferritin concentration both in men (P-trend = 0.002) and in older women (P-trend = 0.009). Lower intakes of grains and higher intakes of pork and poultry were associated with higher ferritin concentrations (all P-trends ≤ 0.05) in men but not in women. We observed variations in ferritin concentrations across different geographic regions (both P ≤ 0.01). CONCLUSIONS: Serum ferritin concentrations varied across different sociodemographic, lifestyle, and dietary factors in this Chinese population. A higher intake of red meat was associated with higher ferritin concentrations in men and older women. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/28031193/Associations_of_dietary_lifestyle_and_sociodemographic_factors_with_iron_status_in_Chinese_adults:_a_cross_sectional_study_in_the_China_Health_and_Nutrition_Survey_ DB - PRIME DP - Unbound Medicine ER -