Dietary diversity score is associated with cardiovascular risk factors and serum adiponectin concentrations in patients with metabolic syndrome

Abstract

BackgroundMetabolic syndrome is associated with cardio-metabolic risk factors and lipid abnormalities. Previous studies evaluated the dietary habits and nutrient intakes among patients with metabolic syndrome; however the association between metabolic risk factors and adiponectin with dietary diversity score (DDS) in patients with metabolic syndrome has not been evaluated yet. Therefore the aim of the current study was to evaluate these relationships among patients with metabolic syndrome.MethodsOne hundred sixty patients with metabolic syndrome were recruited in the study. The anthropometric parameters including weight, height, waist circumference and hip circumference were measured. Serum adiponectin concentration was measured by enzyme- linked immunosorbent assay method (ELISA). Lipid profile and fasting serum glucose concentrations (FSG) were also measured with enzymatic colorimetric methods. Blood pressure was also measured and DDS was calculated using the data obtained from food frequency questionnaire (FFQ).ResultsSubjects in lower DDS categorizes had significantly lower energy and fiber intake; whereas mean protein intake of subjects in the highest quartile was significantly higher than second quartile. Higher prevalence of obesity was also observed in the top quartiles (P < 0.001). Subjects in the lower quartiles had higher serum triglyceride concentrations and systolic blood pressure (SBP) values and lower serum adiponectin concentrations compared with subjects in higher DDS categorizes (P < 0.05). The prevalence of metabolic syndrome components among patients in lower DDS quartiles was significantly higher (P < 0.05).ConclusionOur study found a lower serum triglyceride and SBP and higher serum adiponectin concentrations in top quartiles of DDS. The findings clarify the possible preventive role of higher dietary diversity score against metabolic syndrome. However, for further confirming the findings, more studies are warranted.

Melhora Do Estilo De Vida Reduz O Índice De Castelli 1 Em Indivíduos Com Síndrome Metabólica

“…Logo, a adoção de hábitos de vida considerados saudáveis, como prática regular de DISCUSSÃO Neste estudo, as intervenções em grupo e individual mostraram efeito na redução do IC-1 em indivíduos com SM. Assim, o impacto positivo reforça a importância da modificação do estilo de vida na prevenção, controle e tratamento dos fatores de risco cardiometabólicos, conforme também relatos na literatura [22][23][24][25][26] .…”

“…Assim, estes achados demonstram que uma alimentação equilibrada e a adesão a uma vida fisicamente ativa são metas fundamentais para indivíduos com SM e constituem dois eixos fundamentais no processo de modificação do estilo de vida para a melhora dos fatores de risco modificáveis para DCV 22,26 . Estudos têm comprovado que o exercício físico possui um importante papel na manutenção da estrutura e função vascular 8 , e a inadequação alimentar já se mostrou impactar de forma significativamente negativa sobre mortalidade cardiovascular 8,24,27 .…”

The intake assessment of diverse dietary patterns on childhood hypertension: alleviating the blood pressure and lipidemic factors with low-sodium seafood rich in omega-3 fatty acids

“…It refers to the nutritional adequacy and dietary diversity so that a higher DDS indicates a more protective effect against CVDs [15]. It has been shown that there was a strong correlation between dietary diversity and the arterial wall index, as well as the prevalence of HBP and obesity [15,16]. The dietary diversity assessment in children to reduce HTN complications should be critically conducted.…”

Differences in eating patterns of middle school students living in urban and rural areas located in the Masovian Voivodeship

“…Recurrence of the research results with use of this questionnaire, lets us to consider it as useful measurement tool, which is reliable source of information about frequency and quantity of food customarily consumed [24]. That's why in foreign literature similar questionnaires constitute commonly used research tool [1,5,14,25].…”