A Lebanese dietary pattern promotes better diet quality among older adults: findings from a national cross-sectional study

Jomaa, Lamis; Hwalla, Nahla; Itani, Leila; Chamieh, Marie Claire; Sibai, Abla Mehio; Naja, Farah

doi:10.1186/s12877-016-0258-6

Cited by 32 publications

(32 citation statements)

References 61 publications

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“…In our study, the fieldworkers who conducted data collection had received extensive training to reduce judgemental verbal and non-verbal communication in order to minimize any social desirability bias. The FFQ and the IPAQ used in the present study were not validated in our population; however, these tools were previously used in dietary and physical assessment studies among Lebanese adults and the findings of these studies yielded plausible associations with obesity, MetS, diabetes and metabolic health ( 29 , 42 , 50 , 53 – 59 ) . Finally, the present study was confined to the urban setting of the Greater Beirut area; hence, findings pertinent to the consumption levels of foods may not be representative of less urban settings in the country.…”

Section: Discussionmentioning

confidence: 96%

A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults

Nasreddine

Tamim

Itani

et al. 2017

Public Health Nutr.

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ObjectiveTo (i) estimate the consumption of minimally processed, processed and ultra-processed foods in a sample of Lebanese adults; (ii) explore patterns of intakes of these food groups; and (iii) investigate the association of the derived patterns with cardiometabolic risk.DesignCross-sectional survey. Data collection included dietary assessment using an FFQ and biochemical, anthropometric and blood pressure measurements. Food items were categorized into twenty-five groups based on the NOVA food classification. The contribution of each food group to total energy intake (TEI) was estimated. Patterns of intakes of these food groups were examined using exploratory factor analysis. Multivariate logistic regression analysis was used to evaluate the associations of derived patterns with cardiometabolic risk factors.SettingGreater Beirut area, Lebanon.SubjectsAdults ≥18 years (n 302) with no prior history of chronic diseases.ResultsOf TEI, 36·53 and 27·10 % were contributed by ultra-processed and minimally processed foods, respectively. Two dietary patterns were identified: the ‘ultra-processed’ and the ‘minimally processed/processed’. The ‘ultra-processed’ consisted mainly of fast foods, snacks, meat, nuts, sweets and liquor, while the ‘minimally processed/processed’ consisted mostly of fruits, vegetables, legumes, breads, cheeses, sugar and fats. Participants in the highest quartile of the ‘minimally processed/processed’ pattern had significantly lower odds for metabolic syndrome (OR=0·18, 95 % CI 0·04, 0·77), hyperglycaemia (OR=0·25, 95 % CI 0·07, 0·98) and low HDL cholesterol (OR=0·17, 95 % CI 0·05, 0·60).ConclusionsThe study findings may be used for the development of evidence-based interventions aimed at encouraging the consumption of minimally processed foods.

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Section: Discussionmentioning

confidence: 96%

A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults

Nasreddine

Tamim

Itani

et al. 2017

Public Health Nutr.

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“…In fact, there are conflicting results in the studies evaluating the association between the SES and the dietary habits, which may be due to the disparities between developing and industrialized countries [36]. Studies conducted in Lebanon on older adults showed that subjects with higher income made healthier choices in their dietary pattern, thus having the purchasing power needed to access healthier food [37]. However, when evaluating the SES with childhood and adolescent's obesity and dietary habits, Nasreddine et al showed that in middle-income countries such as Lebanon, pediatric obesity appears to be predominant among high-income families [38].…”

Section: Discussionmentioning

confidence: 99%

Breakfast Intake and Factors Associated with Adherence to the Mediterranean Diet among Lebanese High School Adolescents

Mounayar

Jreij

Hachem

et al. 2019

Journal of Nutrition and Metabolism

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The Mediterranean diet has shown to have positive health impacts on metabolic diseases and cognitive performance. However, Mediterranean countries have witnessed a decreased adherence during the past years and the adoption of a more westernized dietary pattern. The aim of this study was to evaluate the association of Mediterranean diet adherence with sociodemographic, lifestyle, and anthropometric factors among Lebanese high school adolescents. Specifically, we aimed to analyse in this group the association between low adherence and breakfast intake. A cross-sectional survey was carried out on randomly selected students (268 boys and 332 girls), aged between 15 and 18 years old, from private and public schools in Beirut and Mount Lebanon. Data were obtained from self-administered questionnaires and anthropometric measurements. The Mediterranean Diet Quality Index for children and adolescents was used to assess the adherence to the Mediterranean diet. The results showed a high percentage of adolescents having a low adherence (43%), with girls (64.2%) having a significant (p<0.001) higher adherence than boys (35.8%). Furthermore, the study proved that a lower adherence to the Mediterranean diet was significantly associated with a higher risk of obesity (15.5%), breakfast skipping (69.4%), and an unhealthy breakfast options (17.4%). Younger adolescents (47.4%), students from public schools (92.6%), and students with the highest grades (25.3%) had a significantly higher adherence to the Mediterranean diet than those from private schools (7.4%) and older adolescents (18.9%). In conclusion, results should plead for an increased awareness in Lebanese schools, supporting students to be more adherent to the Mediterranean diet, in order to prevent a further increase in metabolic diseases later in adulthood.

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“…Crowding index (CI), defined as the average number of people per room, excluding the kitchen and bathroom, was used as a proxy for socioeconomic status, whereby a lower CI was associated with a higher socio economic status [ 22 ]. Earlier investigations showed that CI was associated with adherence to certain dietary patterns in Lebanon [ 19 , 23 , 15 ].The lifestyle factors considered in this study were related to smoking and physical activity. Physical activity was assessed using the short Arabic version of the International Physical Activity Questionnaire [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

Environmental footprints of food consumption and dietary patterns among Lebanese adults: a cross-sectional study

Naja

Jomaa

Itani

et al. 2018

Nutr J

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BackgroundFollowing the release of the Sustainable Development Goals, dietary patterns and guidelines are being revised for their effect on the environment in addition to their health implications. The objective of this study was to evaluate and compare the Environmental Footprints (EFPs) of food consumption patterns among Lebanese adults.MethodsFor this study, data for adults aged > 18 years (n = 337) were drawn from a previous national survey conducted in Lebanon (2008–2009), where dietary intake was assessed using a 61-item Food Frequency Questionnaire. Dietary patterns previously derived in the study sample included: Western, Lebanese-Mediterranean and High-Protein. In this study, food consumption and dietary patterns were examined for their EFPs including water use, energy use, and greenhouse gas (GHG) emissions, using review of life cycle analyses.ResultsIn the study population, the EFPs of food consumption were: water use: 2571.62 ± 1259.45 L/day; energy use: 37.34 ± 19.98 MJ/day and GHGs: 4.06 ± 1.93 kg CO2 eq / day. Among the three dietary patterns prevalent in the study population, the Lebanese-Mediterranean diet had the lowest water use and GHG per 1000 Kcal (Water (L/Kg): 443.61 ± 197.15, 243.35 ± 112.0, 264.72 ± 161.67; GHG (KG CO2 eq/day) 0.58 ± 0.32, 0.38 ± 0.24, 0.57 ± 0.37, for the Western, Lebanese-Mediterranean and High- Protein, respectively). The scores of the High-Protein dietary pattern were associated with higher odds of the three EFPs, whereas the Lebanese-Mediterranean dietary pattern was associated with lower odds of energy use. Furthermore, scores of the Western pattern were associated with higher water use.ConclusionsThe findings of this study showed that, among Lebanese adults, the Western and High-Protein dietary patterns had high EFPs, whereas the Lebanese-Mediterranean dietary pattern had lower water use and GHG emissions. Coupled to our earlier findings of the Lebanese-Mediterranean pattern’s beneficial effects on health, the findings of this study lend evidence for the notion that what is healthy for people may also be healthy for ecosystems and highlight the need for nutrition recommendations to take into consideration the nexus of water, food, energy, in addition to health.Electronic supplementary materialThe online version of this article (10.1186/s12937-018-0393-3) contains supplementary material, which is available to authorized users.

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A Lebanese dietary pattern promotes better diet quality among older adults: findings from a national cross-sectional study

Cited by 32 publications

References 61 publications

A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults

A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults

Breakfast Intake and Factors Associated with Adherence to the Mediterranean Diet among Lebanese High School Adolescents

Environmental footprints of food consumption and dietary patterns among Lebanese adults: a cross-sectional study

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