Healthy eating index and metabolically healthy obesity in U.S. adolescents and adults

Camhi, Sarah M.; Evans, E. Whitney; Hayman, Laura L.; Lichtenstein, Alice H.; Must, Aviva

doi:10.1016/j.ypmed.2015.04.023

Cited by 81 publications

(93 citation statements)

References 40 publications

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“…Consistent with the findings from the previous research [13,15,18], the association between high diet quality and metabolic health was not apparent in older age group, although in our analysis MDS was marginally significant with being more likely to be MHO phenotype in age-, gender-, and race/ethnicity-adjusted model. These findings suggest that other factors such as physical activity might be more important than diet in relation to metabolic abnormalities among older adults [36], which is supported by the fact that age-related changes in body composition, especially increase in visceral fat, may elevate the risk of cardiometabolic disease [37].…”

Section: Discussionsupporting

confidence: 91%

“…The age distribution of this study was similar to the older age group in our study in which no significant association of high dietary quality with metabolic health existed. Camhi et al demonstrated that Healthy Eating Index 2005 scores were higher in MHO women aged 19e44 years compared with MUO women, but no difference was found in adults 45e85 years based on NHANES 2007e2010 data [13]. Suliga et al evaluated a normal weight Polish population aged 37e66 using the prudent dietary pattern, characterized by a high consumption of fish and whole grains, and a low consumption of refined grains, sugar, sweets and cold cured meat, and found that higher scores of the prudent dietary pattern were associated with lower odds of MONW phenotype [17].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is reported that the association between Mediterranean diet and atherothrombotic biomarkers is largely different between men <45 years and men !45 years as well as premenopausal and postmenopausal women [23]. Another study showed that the Healthy Eating Index score was associated with MHO phenotype only in younger age group [13].…”

Section: Introductionmentioning

confidence: 99%

“…However, these reports have been limited to MHO phenotype [13], especially without considering dietary pattern [14], or with specific age groups [15]. A few studies have reported associations in MONW phenotype in non-US population [16], but with limited generalizability [17].…”

Section: Introductionmentioning

confidence: 99%

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Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

et al. 2017

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

et al. 2017

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“…Selain itu, komponen kecukupan juga memiliki hubungan korelasi negatif dengan kadar trigliserida. Hasil ini sesuai dengan penelitian tentang healthy eating index pada kelompok remaja dan dewasa obesitas di US yang menyatakan bahwa variasi dan kecukupan konsumsi kelompok buah-buahan, biji-bijian, padi-padian, dan daging atau ikan memberikan pengaruh baik terhadap profi l metabolik wanita obesitas (28). Variasi sumber makanan yang dikonsumsi memiliki pengaruh pada jenis karbohidrat dan lemak yang terdapat pada makanan yang diasup.…”

Section: Bahasanunclassified

Sindrom metabolik pada remaja obes: prevalensi dan hubungannya dengan kualitas diet

Dieny

Widyastuti

Fitranti

2015

Jurnal Gizi Klinik Indonesia

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Background: The increasing prevalence of adolescents obesity in the last decade have an impact on the increased prevalence of adolescents metabolic syndrome (MetS grades of Nasima and Kesatrian Junior High School in Semarang. Blood pressure (BP) and waist circumference (WC) measurements, as well as blood samples for measurement of fasting blood glucose (FBG), triglyceride (TG) and HDL cholesterol (HDL-C) were conducted to determine the number of risk factors experienced by the subject. Diet quality was measured through assessment of food consumption using a food frequency questionnaire (FFQ). Pearson and Spearman's test was used to determine the correlation between diet quality and MetS risk factors. Results: The majority of obese adolescents (96.5%) had a low-quality of diet. There were 31.6% subjects experienced pre-metabolic syndrome and 68.4% had MetS, with the prevalence of MetS was higher in male subjects. The diet quality, variety, adequacy scores and fi ber intake of pre-metabolic syndrome group were higher than MetS group. Variety and adequacy scores had signifi cant negative correlation with p=0.004; p=0.006, respectively

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Phenotyping obesity: A focus on metabolically healthy obesity and metabolically unhealthy normal weight

Agius,

Pace,

Fava

2023

Diabetes Metabolism Res

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Over the past 4 decades, research has shown that having a normal body weight does not automatically imply preserved metabolic health and a considerable number of lean individuals harbour metabolic abnormalities typically associated with obesity. Conversely, excess adiposity does not always equate with an abnormal metabolic profile. In fact, evidence exists for the presence of a metabolically unhealthy normal weight (MUHNW) and a metabolically healthy obese (MHO) phenotype. It has become increasingly recognised that different fat depots exert different effects on the metabolic profile of each individual by virtue of their location, structure and function, giving rise to these different body composition phenotypes. Furthermore, other factors have been implicated in the aetiopathogenesis of the body composition phenotypes, including genetics, ethnicity, age and lifestyle/behavioural factors. Even though to date both MHO and MUHNW have been widely investigated and documented in the literature, studies report different outcomes on long‐term cardiometabolic morbidity and mortality. Future large‐scale, observational and population‐based studies are required for better profiling of these phenotypes as well as to further elucidate the pathophysiological role of the adipocyte in the onset of metabolic disorders to allow for better risk stratification and a personalised treatment paradigm.

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Healthy eating index and metabolically healthy obesity in U.S. adolescents and adults

Cited by 81 publications

References 40 publications

Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

Sindrom metabolik pada remaja obes: prevalensi dan hubungannya dengan kualitas diet

Phenotyping obesity: A focus on metabolically healthy obesity and metabolically unhealthy normal weight

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