Association of nutrient patterns and metabolic syndrome and its components in adults living in Tehran, Iran

Shahinfar, Hossein; Akbarzade, Zahra; Djafari, Farhang; Shab‐Bidar, Sakineh

doi:10.1007/s40200-020-00607-z

Cited by 11 publications

(13 citation statements)

References 68 publications

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“…Furthermore, it has been shown that adherence to a diet loaded with antioxidants resulted in a lower level of HDL concentrations (17).…”

Section: Discussionmentioning

confidence: 99%

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Positive Association Between Nutrient Adequacy and Component of Metabolic Syndrome: Outcome of a Cross-sectional Study

Jibril

Ghorbaninejad

Sheikhhossein

et al. 2021

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ObjectiveMetabolic syndrome (MetS) is a multifactorial disease and its exact causes are not completely clear. Micronutrients such as vitamin A, vitamin D, zinc, and magnesium have been reported to play a role in the improvement of MetS components. We therefore aimed to investigate the association of nutrient adequacy with MetS components.ResultsOf the 850 study subjects, the mean BMI and waist circumference were 27.87 kg/m2 and 92.08 cm respectively, with prevalence of metabolic syndrome at 12.12%. Compared with the least quartile, participants in the highest quartile had a significantly higher scores for general (p=0004) and abdominal (p=0.003) obesity. Overall adequacy of nutrients significantly increased across the quartiles. Energy and all nutrient intakes except for dietary fiber, vitamin B3, and iron were observed to significantly differ among the study groups. In this study, we observed no association between nutrient adequacy and the overall measure of MetS. However, we found a significant positive correlation between the nutrient adequacy and waist circumference, even after all potential covariates were controlled for (p<0.001).

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“…Furthermore, it has been shown that adherence to a diet loaded with antioxidants resulted in a lower level of HDL concentrations (17).…”

Section: Discussionmentioning

confidence: 99%

“…While some studies have found signi cant association between micronutrient intakes with MetS or its components (16)(17)(18), others have reported no association (19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Positive Association Between Nutrient Adequacy and Component of Metabolic Syndrome: Outcome of a Cross-sectional Study

Jibril

Ghorbaninejad

Sheikhhossein

et al. 2021

Preprint

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“…While, other studies reported there is no association between DASH/MED diet on lipid pro le (24,25). To the best of our knowledge, there is a limited number of studies that assessed the relation between dietary patterns and lipid pro le especially in Middle East countries such as Iran that conducted in populations with a limited sample size (24,(26)(27)(28). As the DASH and the MED patterns both have identi ed as health-protective diet, we hypothesized that they could have a good effect on blood lipids including total cholesterol (TC), triglyceride (TG), LDL, high-density lipoprotein (HDL), and LDL/HDL ratio; however, as food groups highly suggested with the MED and the DASH are different, lipid-modifying effects of these diets could be different especially in Middle East region that dietary habit, prevalence and the features of lipid disorders, are different from other parts of the world.…”

Section: Introductionmentioning

confidence: 99%

The Mediterranean Diet and Dietary Approach to Stop Hypertension (DASH)-style Diet Are Differently Associated With Lipid Profile in a Large Sample of Iranian Adults: Shahedieh Cohort Study

Panbehkar‐Jouybari

Mollahosseini

Salehi‐Abargouei

et al. 2021

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Background: The association between the Mediterranean diet (MED) or dietary approach to stop hypertension (DASH) and cardiovascular disease (CVD) risk factors is well-documented. Nevertheless, a consistent relationship in the Middle East population has yet to be identified. Thus, we aimed to investigate the association between DASH/MED and blood lipids in Iranian adults.Methods: We followed 4740 participants 35-70 years (mean: 50.0) of the Shahedieh cohort study in Yazd, Iran. Participants provided dietary and blood lipid data through a validated semi-quantitative food frequency questionnaire, and blood samples were taken after a fasted state. We used binary logistic regression to examine the association between DASH/MED scores and blood lipids.Results: The DASH diet could reduce the level of total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), and LDL/HDL (high-density lipoprotein) ratio (P: 0.01; third vs. the first tertile). While the MED diet could increase the HDL level (P: 0.01). In Binary logistic regression, higher adherence to DASH diet shown 19% lower odds of high TC level (OR: 0.81; 95 %CI: 0.69–0.95) and 18% lower odds of high LDL/HDL ratio (OR: 0.82; 95 %CI: 0.70–0.96). Besides, high adherence to the MED diet was associated with lower odds of LDL/HDL ratio (OR: 0.85; 95 %CI: 0.72–0.99).Conclusion: Our findings suggest that the DASH diet and the MED diet respectively might have a protective effect on TC, TG, LDL, LDL/HDL ratio, and HDL, and the LDL/HDL ratio, subsequently on CVDs risk. Further epidemiological studies are needed to confirm our findings.

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“…Some studies, however, have found no link between the DASH/MED diet and lipid profile [17,18]. To the best of our knowledge, there are a limited number of studies that investigated the association between these dietary patterns and lipid profiles in Middle East countries such as Iran and most of them had a limited sample size [17,[19][20][21]. We hypothesized that the DASH and MED patterns could have a positive effect on blood lipids with different lipid-modifying since food groups of the MED and DASH vary.…”

Section: Introductionmentioning

confidence: 99%

The Mediterranean diet and dietary approach to stop hypertension (DASH)-style diet are differently associated with lipid profile in a large sample of Iranian adults: a cross-sectional study of Shahedieh cohort

et al. 2021

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Background The association between the Mediterranean diet (MED) or dietary approach to stop hypertension (DASH) and cardiovascular disease (CVD) risk factors is well-documented. Nevertheless, a consistent relationship with the Middle East population has yet to be known. Thus, we aimed to investigate the association between DASH/MED and blood lipids in Iranian adults. Methods Four thousand seven hundred forty participants, aged 35–70 years (mean: 50.0) participated in the Shahedieh cohort study in Yazd, Iran, were followed from 2016 until now. Participants provided dietary and blood lipid data through a validated semi-quantitative food frequency questionnaire, and blood samples were taken after a fasted state. We used binary logistic regression to examine the association between DASH/MED scores and blood lipids. Results In the participants who ingested a DASH-like diet the third vs. the first tertile of total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL) levels, and LDL/HDL (high-density lipoprotein) ratio reduced significantly (P < 0.01). While in the participants who ingested the MED-like diet the HDL level increased significantly( 52.8 ± 12. 3 vs. 51.6 ± 11.6, P < 0.01). In Binary logistic regression, higher adherence to the DASH diet showed 19 % lower odds of high TC level (OR: 0.81; 95 %CI: 0.69–0.95) and 18 % lower odds of high LDL/HDL ratio (OR: 0.82; 95 %CI: 0.70–0.96). Besides, high adherence to the MED diet was associated with lower odds of LDL/HDL ratio (OR: 0.85; 95 %CI: 0.72–0.99). Conclusions Our findings suggest that TC, TG, LDL, LDL/HDL ratio, and HDL improved in participants who ingested a DASH-like diet and the LDL/HDL ratio improved in participants who ingested MED-like diet and, subsequently they might have a protective effect on CVDs risk. Further epidemiological studies are needed to confirm our findings.

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Association of nutrient patterns and metabolic syndrome and its components in adults living in Tehran, Iran

Cited by 11 publications

References 68 publications

Positive Association Between Nutrient Adequacy and Component of Metabolic Syndrome: Outcome of a Cross-sectional Study

Positive Association Between Nutrient Adequacy and Component of Metabolic Syndrome: Outcome of a Cross-sectional Study

The Mediterranean Diet and Dietary Approach to Stop Hypertension (DASH)-style Diet Are Differently Associated With Lipid Profile in a Large Sample of Iranian Adults: Shahedieh Cohort Study

The Mediterranean diet and dietary approach to stop hypertension (DASH)-style diet are differently associated with lipid profile in a large sample of Iranian adults: a cross-sectional study of Shahedieh cohort

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