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ABSTRACT: Objectives
Recent data relating to the association between spicy food intake frequency and abdominal obesity are limited, especially in low-income areas. Therefore, the study explored the relationship between spicy food intake frequency and abdominal obesity, and assessed the role of energy intake as a mediator of these associations in a rural Chinese adult population.Design
Cross-sectional study.Setting
Rural Chinese adult population.Participants
Subjects from Henan Rural Cohort Study (n=28 773).Primary outcome measures
The effects of spicy food intake frequency on abdominal obesity were analysed by restricted cubic spline and logistic regression, and the mediation effect was analysed using the bootstrap method.Results
The adjusted percentages of abdominal obesity were 47.32%, 51.93%, 50.66% and 50.29% in the spicy food intake subgroups of never, 1-2 day/week, 3-5 day/week and 6-7 day/week, respectively. An inverse U-shaped association was found between spicy food intake frequency and abdominal obesity (p<0.01). Compared with subjects who never consumed spicy food, the adjusted ORs (95% CIs) in the 1-2 day/week, 3-5 day/week and 6-7 day/week subgroups were 1.186 (1.093, 1.287), 1.127 (1.038, 1.224) and 1.104 (1.044, 1.169), respectively. Furthermore, the increased odd of abdominal obesity related to more frequent spicy food intake was mediated by higher fat energy intake; the direct and indirect effects were 1.107 (1.053, 1.164) and 1.007 (1.003, 1.012), respectively.Conclusions
The data indicated that spicy food intake increased the risk of abdominal obesity, and fat energy intake may be a mediator of this association in rural Chinese populations. Clarifying the mechanisms will facilitate the development of novel preventive and therapeutic approaches for abdominal obesity.Trial registration number
ChiCTR-OOC-15006699.
SUBMITTER: Yang K
PROVIDER: S-EPMC6858110 | biostudies-literature | 2019 Nov
REPOSITORIES: biostudies-literature
Yang Kaili K Li Yuqian Y Xue Yuan Y Wang Ling L Liu Xiaotian X Tu Runqi R Dong Xiaokang X Mao Zhenxing Z Li Wenjie W Wang Chongjian C
BMJ open 20191110 11
<h4>Objectives</h4>Recent data relating to the association between spicy food intake frequency and abdominal obesity are limited, especially in low-income areas. Therefore, the study explored the relationship between spicy food intake frequency and abdominal obesity, and assessed the role of energy intake as a mediator of these associations in a rural Chinese adult population.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>Rural Chinese adult population.<h4>Participants</h4>Subjects from He ...[more]