作者: Frank B. Hu
DOI: 10.1161/CIRCULATIONAHA.108.808493
关键词: Disease risk 、 Epidemiology 、 Cohort study 、 Developing country 、 Consumption (economics) 、 Biotechnology 、 Globalization 、 Medicine 、 Food Patterns 、 Urbanization 、 Environmental health
摘要: Radical dietary shifts in many developed and developing nations are supplanting traditional patterns of eating with a Western diet high animal products refined carbohydrates low whole grains, fruits, vegetables. In China, for example, consumption increased by nearly 40% between 1989 1997,1 fast-food sales more than doubled 1999 2005.2 Furthermore, soft drinks has soared the United States worldwide.3 Article p 1929 Fueled urbanization advent global economy, these changes most rapid dramatic course human history. The term “Coca-colonization,” reference to ubiquitous presence Coca-Cola, Pepsi, McDonald’s, describes world that is moving toward common diet, one accompanied sedentary lifestyles associated risk chronic disease.4 But few epidemiological studies have directly linked diverse populations cultures disease outcomes. In this issue Circulation , Iqbal et al5 assessed myocardial infarction (MI) INTERHEART study, standardized case-control study involving participants from 52 countries. Using principle-component analysis technique, authors identified 3 major largely consistent across different populations: Oriental (high intake tofu soy other sauces), fried foods, salty snacks, eggs, meat), prudent fruit vegetables). Consistent previous single within-population cohort studies,6,7 found an inverse association pattern score MI significant positive MI. was not significantly risk. …