Associations between respiratory diseases and dietary patterns derived by factor analysis and reduced rank regression

Yong Pei Lin, Ya Chun Kao, Wen Harn Pan, Yao Hsu Yang, Yang Ching Chen, Yungling Leo Lee

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4 Citations (Scopus)


Background/Aims: The study aims to identify children's dietary patterns and explore the relationship between dietary patterns and respiratory diseases. Methods: Subjects were 2,397 fourth graders in 14 Taiwanese communities who participated in the Taiwan Children Health Study. This study is based on an evaluation of dietary patterns, performed from April until June 2011. Information pertaining to respiratory disease was obtained by The International Study of Asthma and Allergies in Childhood questionnaire, and dietary intake data obtained by food frequency questionnaire. Factor analysis and reduced rank regression (RRR) were both used to analyze dietary patterns. Results: Using factor analysis, it was found that children on a high-protein, high-fat, Western diet had a significantly higher risk of allergic rhinitis (OR 1.10, 95% CI 1.01-1.20). Lower ORs were noted for current wheezing, ever asthma and bronchitis in children eating a healthy diet than those on a high-protein, high-fat, Western diet. Using RRR, it was found that children on a high-protein, high-fat diet had significantly higher risks of allergic rhinitis (OR 1.17, 95% CI 1.07-1.27), current wheezing (OR 1.23, 95% CI 1.04-1.45) and bronchitis (OR 1.26, 95% CI 1.09-1.46). Conclusions: A diet rich in fat and protein may increase the risk of respiratory disease in children.

Original languageEnglish
Pages (from-to)306-314
Number of pages9
JournalAnnals of Nutrition and Metabolism
Issue number4
Publication statusPublished - Jul 1 2016



  • Children
  • Dietary pattern
  • Factor analysis
  • Reduced rank regression
  • Respiratory diseases

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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