OBJECTIVE: It is unknown whether dietary patterns or macronutrient composition contribute to the observed differences in rates of overweight and obesity among Hispanic and non-Hispanic white women in the United States. We assessed the association of dietary patterns and macronutrient composition with overweight and obesity in Hispanic and non-Hispanic white women. DESIGN: Cross-sectional analysis of dietary data from a case-control study of breast cancer. PARTICIPANTS: Population-based control participants (871 Hispanic and 1,599 non-Hispanic white women) from the southwestern United States who completed the diet and other components of the interview and whose anthropometric measurements were available. MAIN OUTCOME MEASURES: Body mass index (BMI; calculated as kg\/m(2)), weight status (overweight, BMI 25 to 29.9; obese, BMI>30). STATISTICAL ANALYSES PERFORMED: Dietary patterns were defined using factor analysis. Associations of dietary patterns and macronutrient composition with overweight and obesity as compared with normal weight were assessed with logistic regression. RESULTS: Hispanic women reported consuming more energy, a greater proportion of energy from fat and vegetable protein, less alcohol, and less energy from animal protein compared with non-Hispanic white women. Western and dieter patterns were associated with higher prevalence of overweight and obesity; the Prudent dietary pattern was associated with a 29% lower prevalence of overweight and a halving of the prevalence of obesity similarly in Hispanic and non-Hispanic white women. Higher proportions of energy from protein (odds ratio [OR] 1.81, 95% confidence interval [CI] 1.28 to 2.56) and animal protein (OR 2.10 95% CI 1.47 to 2.98) were associated with a greater risk of overweight; greater proportions of energy from fat (OR 2.28, 95% CI 1.27 to 4.08), protein (3.55 95% CI 2.38 to 5.29), or animal protein (3.44 95% CI 2.31 to 5.14) were associated with higher risk of obesity among non-Hispanic white women only. CONCLUSIONS: A Western dietary pattern was associated with greater risk and a Prudent diet with reduced risk of overweight and obesity. To reduce risk of overweight and obesity, Hispanic women should maintain healthful aspects of a native Hispanic diet, and non-Hispanic white women should replace animal protein with vegetable protein.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-45461","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Division of Clinical Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA. maureen.murtaugh@hsc.edu","annee":"2007","mois":"8","numero":"107:8","page":"1311-21","auteurs":[{"ID":45456,"post_author":"0","post_date":"2018-12-04 03:41:56","post_date_gmt":"2018-12-04 02:41:56","post_content":"","post_title":"Byers","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"byers","to_ping":"","pinged":"","post_modified":"2018-12-04 03:41:56","post_modified_gmt":"2018-12-04 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