Please use this identifier to cite or link to this item: https://doi.org/10.1159/000530948
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dc.titleA Dietary Pattern for High Estimated Total Fat Amount Is Associated with Enhanced Allergy Sensitization and Atopic Diseases among Singapore/Malaysia Young Chinese Adults
dc.contributor.authorLim, Jun Jie
dc.contributor.authorReginald, Kavita
dc.contributor.authorSay, Yee-How
dc.contributor.authorLiu, Mei Hui
dc.contributor.authorChew, Fook Tim
dc.date.accessioned2023-08-01T00:53:00Z
dc.date.available2023-08-01T00:53:00Z
dc.date.issued2023-06-30
dc.identifier.citationLim, Jun Jie, Reginald, Kavita, Say, Yee-How, Liu, Mei Hui, Chew, Fook Tim (2023-06-30). A Dietary Pattern for High Estimated Total Fat Amount Is Associated with Enhanced Allergy Sensitization and Atopic Diseases among Singapore/Malaysia Young Chinese Adults. International Archives of Allergy and Immunology. ScholarBank@NUS Repository. https://doi.org/10.1159/000530948
dc.identifier.issn1018-2438
dc.identifier.issn1423-0097
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/243790
dc.description.abstractIntroduction: Frequent dietary patterns for fast food diets are suggested to be a risk factor for atopic disease development. Excessive dietary fats in fast foods are postulated to promote low-grade chronic inflammation. However, no studies in Asia have yet to characterize the dietary pattern for high-fat foods with atopic diseases. Thus, this study aims to assess the association between dietary fats with the prevalence of atopic diseases in an allergic cohort. Methods: Through an investigator-administered questionnaire that follows the International Study of Asthma and Allergies in Childhood (ISAAC) protocol, we evaluated the eating habits, lifestyle behaviours, sociodemographics, and atopic symptoms, and history among 11,494 young Chinese adults in Singapore and Malaysia. A skin prick test (SPT) for common house dust mites was also conducted to determine the atopic (allergic) status. We identified 1,550 atopic dermatitis (AD), 1,301 allergic asthma (AS), and 3,757 allergic rhinitis (AR) atopic cases. We derived a novel dietary index, Diet Quality based on Total Fat Amount (DQTFA), to examine the association between eating patterns for estimated total fat amount with various atopic outcomes. Results: There was a preponderance of subjects having positive SPT reaction (69.0%) with the prevalence of AR being the highest (32.7%), then AD (13.5%), and AS (11.3%). Additionally, there is a significantly higher proportion of subjects with an atopy background and atopic diseases consume diets with a high estimated mean fat amount. The adherence to a dietary pattern of the higher estimated total fat amount was shown to be strongly associated with all atopic diseases and exhibited dose-dependent responses in the univariate analysis. These associations remained significant even with the adjustments for age, gender, body mass index, use of alcohol, sedentary lifestyles, and physical activity. A dietary pattern for high-fat amount is more strongly associated with AS (adjusted odds ratio [AOR]: 1.524; 95% confidence interval [CI]: 1.216–1.725; p < 0.001) and AR (AOR: 1.294; 95% CI: 1.107–1.512; p < 0.001) compared to AD (AOR: 1.278; 95% CI: 1.049–1.559; p < 0.05). Finally, it was shown that having either one of the atopic comorbidities was strongly associated with a dietary pattern of high-fat amounts (AOR: 1.360; 95% CI: 1.161–1.594; p < 0.001). Conclusion: Our findings altogether provide initial evidence that the dietary pattern of a diet high in fat amount is associated with an increased risk of atopy and atopic diseases in young Chinese adults in Singapore and Malaysia. Balancing the consumption of dietary fats and changing personal dietary habits by choosing foods of the lower fat amount may reduce the associated odds of atopic diseases.
dc.publisherS. Karger AG
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceKarger 2023
dc.subjectAtopic disease
dc.subjectDiet
dc.subjectDietary patterns
dc.subjectEpidemiology
dc.subjectEthnic group
dc.subjectChinese adults
dc.typeArticle
dc.contributor.departmentBIOLOGICAL SCIENCES
dc.contributor.departmentDEAN'S OFFICE (SCIENCE)
dc.description.doi10.1159/000530948
dc.description.sourcetitleInternational Archives of Allergy and Immunology
dc.published.statePublished
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