Browsing by Author "Lambert, Estelle Vicki"

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    Consumption of Monounsaturated Fatty Acids Is Associated with Improved Cardiometabolic Outcomes in Four African-Origin Populations Spanning the Epidemiologic Transition
    (Multidisciplinary Digital Publishing Institute, 2021-07-16) Mehta, Supal; Ruth Dugas, Lara; Choo-Kang, Candice; Bovet, Pascal; Forrester, Terrence; Bedu-Addo, Kweku; Lambert, Estelle Vicki; Plange-Rhule, Jacob; Riesen, Walter; Korte, Wolfgang; Luke, Amy
    Long-chain omega-3 PUFAs, specifically eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are of increasing interest because of their favorable effect on cardiometabolic risk. This study explores the association between omega 6 and 3 fatty acids intake and cardiometabolic risk in four African-origin populations spanning the epidemiological transition. Data are obtained from a cohort of 2500 adults aged 25–45 enrolled in the Modeling the Epidemiologic Transition Study (METS), from the US, Ghana, Jamaica, and the Seychelles. Dietary intake was measured using two 24 h recalls from the Nutrient Data System for Research (NDSR). The prevalence of cardiometabolic risk was analyzed by comparing the lowest and highest quartile of omega-3 (EPA+ DHA) consumption and by comparing participants who consumed a ratio of arachidonic acid (AA)/EPA + DHA ≤ 4:1 and >4:1. Data were analyzed using multiple variable logistic regression adjusted for age, gender, activity, calorie intake, alcohol intake, and smoking status. The lowest quartile of EPA + DHA intake is associated with cardiometabolic risk 2.16 (1.45, 3.2), inflammation 1.59 (1.17, 2.16), and obesity 2.06 (1.50, 2.82). Additionally, consuming an AA/EPA + DHA ratio of >4:1 is also associated with cardiometabolic risk 1.80 (1.24, 2.60), inflammation 1.47 (1.06, 2.03), and obesity 1.72 (1.25, 2.39). Our findings corroborate previous research supporting a beneficial role for monounsaturated fatty acids in reducing cardiometabolic risk.
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    Participation in a health promotion programme and healthcare costs : cross-sectional research of the Discovery Vitality programme
    (2010) Patel, Deepak N; Lambert, Estelle Vicki
    To examine the association between 1) the levels of participation in an incentive based health promotion program (study1), 2) the level of engagement with the fitness related activities (Study2) and medical claims and hospital admission amongst adult members of a major health insurer.