Western-Style Fast Food Intake and Cardio-Metabolic Risk in an Eastern Country
Background—Western-style fast food contributes to a dietary pattern portending poor cardio-metabolic health in the US. With globalization, this way of eating is becoming more common in developing and recently developed populations.
Methods and Results—We examined the association of western-style fast food intake with risk of incident type 2 diabetes (T2D) and coronary heart disease (CHD) mortality in Chinese Singaporeans. This analysis included men and women aged 45-74 who enrolled in the Singapore Chinese Health Study from 1993-1998. For CHD mortality 52,584 participants were included and 1,397 deaths were identified through 12/31/2009 via registry linkage. For T2D 43,176 participants were included and 2,252 cases were identified during the follow-up interview (1999-2004) and validated. Hazard ratios for incident T2D and CHD mortality were estimated with thorough adjustment for demographic, lifestyle and dietary factors. Chinese Singaporeans with relatively frequent intake of western-style fast food items (≥ 2 times per week) had an increased risk of developing type 2 diabetes (HR=1.27, 95% CI= 1.03-1.54) and dying from CHD (HR=1.56, 95% CI= 1.18-2.06) relative to their peers with little or no reported intake. These associations were not materially altered by adjustments for overall dietary pattern, energy intake, and body mass index.
Conclusions—Western-style fast food intake is associated with increased risk of developing type 2 diabetes and of CHD mortality in an eastern population. These findings suggest the need for further attention to global dietary acculturation in the context of ongoing epidemiologic and nutrition transitions.
- Received December 1, 2011.
- Accepted May 2, 2012.
- Copyright © 2012, American Heart Association, Inc. All rights reserved. Unauthorized use prohibited