{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:18:44Z","timestamp":1785417524014,"version":"3.56.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":90,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n To examine the association between dietary patterns and metabolic syndrome (MetS) in western China, which has not been previously reported.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n A population based cross-sectional study design. Dietary intake was assessed using a semi-quantitative FFQ. Principal component analysis identified dietary patterns and multivariate logistic regression evaluated their associations with MetS.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Population-based Cohort Study of Chronic Diseases in Xinjiang (PCCDX), conducted in 2022.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n \n A total of 3208 individuals from PCCDX (mean age: 53\u00b71 (\n sd<\/jats:sc>\n 10\u00b78) years; 49\u00b71 % male).\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n MetS was diagnosed in 1762 participants (54\u00b79 %). Four distinct dietary patterns were identified, with the refined grain\u2013animal products dietary pattern being the dominant one. After adjusting for general demographic and lifestyle factors, a higher score in the refined grain\u2013animal product pattern was associated with an increased risk of MetS. The OR for the second, third and fourth quartiles of the dietary score were 1\u00b707 (95 % CI: 0\u00b7860, 1\u00b7322), 1\u00b714 (0\u00b7923, 1\u00b7413) and 1\u00b748 (1\u00b7189, 1\u00b7853), with a statistically significant trend (\n P<\/jats:italic>\n = 0\u00b7003). Higher dietary scores in this pattern were also associated with increased risks of elevated waist circumference, high TAG and low HDL cholesterol (\n P<\/jats:italic>\n < 0\u00b705). Mediation analysis showed that visceral fat percentage partially mediated the association between the refined grain\u2013animal product dietary pattern and low HDL-cholesterol, accounting for 17\u00b72 % of the total effect (indirect effect = 0\u00b7005,\n P<\/jats:italic>\n = 0\u00b7006). The other three dietary patterns showed no significant associations with MetS or its components.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n This study highlights the high prevalence of MetS in western China and links a refined grains-animal products diet to poorer metabolic health, emphasising the need for region-specific dietary strategies.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1368980026102316","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T08:16:43Z","timestamp":1775031403000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Dietary patterns in Xinjiang, Western China and associations with metabolic syndrome: a population-based study"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8770-3838","authenticated-orcid":false,"given":"Qian","family":"Zhao","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"},{"name":"The First Affiliated Hospital of Xinjiang Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Wang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zulipiye","family":"Xier","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Yang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Liu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aboduhapaer","family":"Tuersunjiang","sequence":"additional","affiliation":[{"name":"Luopu County Hanggui Town Health Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Peng","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Ning","family":"Yang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People\u2019s Hospital of Xinjiang Uygur Autonomous Region"},{"name":"Xinjiang Key Laboratory of Cardiovascular Homeostasis and Regeneration Research"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,1]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026102316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T08:24:16Z","timestamp":1783326256000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980026102316\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1368980026102316"],"URL":"https:\/\/doi.org\/10.1017\/s1368980026102316","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e139"}}