Association between dietary patterns and dyslipidemia in adults from the Henan Rural Cohort Study.

Background and Objectives: The aim of the study was to explore the association between dietary patterns and lipid levels in Henan rural area. Methods and Study Design: Fasting blood samples, information on dietary intakes (with food frequency questionnaires) and other data were collected from the Henan Rural Cohort Study. Principal component analysis was used to identify the dietary patterns. Binary logistic regression and restricted cubic spline regression models were performed to obtain odds ratios (ORs) and 95% confidence intervals (95%CI). The study recruited 38,983 available participants aged from 18 to 79 from rural areas in Henan province. Results: The study showed that, three patterns were identified by higher factor loadings: namely the ＂meat＂ (high intakes of red meat, white meat and fish), ＂grain-egg-nut complex＂ (high intakes of nuts, milk, eggs, grains and beans), and ＂vegetables-staple food-fruits＂ pattern (high intakes of vegetables, staple food and fruits). ＂Grain-egg-nut complex＂ pattern was significantly positively related to the risk of dyslipidemia (OR: 1.10; 95% CI: 1.05-1.16, p＜0.05). The multivariable- adjusted ORs across tertiles of each dietary pattern were significantly associated with each component of dyslipidemia indexes. Conclusions: Grain-egg-nut complex dietary pattern was positively associated with dyslipidemia. All three dietary patterns were associated with blood lipid profiles aberrations.