Metabolic syndrome and its associated factors in Shiraz Heart Study (A cohort-based cross-sectional study)

Sayadi, Mehrab; Zibaeenezhad, Mohammad Javad; Khademian, Fatemeh; Mashhadiagha, Amirali; Motazedian, Nasrin

doi:10.5603/dk.a2021.0044

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Shiraz Heart Study (SHS) is the first cardiovascular-oriented cohort, which is conducted in Iran 9. Previous views on this cohort have revealed a 45.5% prevalence (95% CI 44.4% to 46.7%) of metabolic syndrome in Shiraz adult population 19. This study aimed to determine the correlation between HTN with central and total obesity indicators, including BMI, WHR and WHtR.…”

Section: Introductionmentioning

confidence: 99%

“… 9 Previous views on this cohort have revealed a 45.5% prevalence (95% CI 44.4% to 46.7%) of metabolic syndrome in Shiraz adult population. 19 This study aimed to determine the correlation between HTN with central and total obesity indicators, including BMI, WHR and WHtR. The novel aspect of our paper is that we merge these findings with soft lean mass data to assess the role of SLM in this regard.…”

Section: Introductionmentioning

confidence: 99%

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Can anthropometric indices predict the chance of hypertension? A multicentre cross-sectional study in Iran

et al. 2022

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ObjectivesThis study aims to assess the prevalence of hypertension (HTN), and determine the relationship between HTN and anthropometric indices including fat distribution, body mass index (BMI), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) in Shiraz Heart Study.SettingIn this cross-sectional study, subjects were enrolled in 25 clinics in Shiraz. I.R. Iran between 2019 and 2021.ParticipantsA total number of 7225 individuals were selected, aged between 40 and 70 years of whom 52.3% were female. Among the people living in Shiraz, individuals living far from clinics, cases of mental or physical disabilitiy and documented cardiovascular diseases were excluded.Primary and secondary outcome measuresPrimary outcome: The association of body composition, WHR, WHtR and BMI with HTN.Secondary outcome: The sensitivity and specificity of the WHtR for the prediction of HTN.ResultsHTN prevalence was 19.3%. Obesity prevalence was estimated to be 28.5%. WHR and lean body mass showed a significant association with HTN (p<0.05). Receiver operating characteristic for WHtR yielded an area under the curve of 0.62 (95% CI 0.61 to 0.64) and 0.63 (95% CI 0.62 to 0.65) for males and females, respectively. The optimal threshold value yielded 0.54 in men and 0.61 in women. The sensitivity was 72.3% and 73.9% in women and men, with specificity of 48.4% and 44.3%, respectively.ConclusionHTN had a meaningful association with all the noted anthropometric indices. WHtR performed well as a predictor of HTN.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can anthropometric indices predict the chance of hypertension? A multicentre cross-sectional study in Iran

et al. 2022

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“…This is a common phenomenon, particularly in Asian countries. 1,2 In recent years, MetS has become more prevalent, probably due to changes in lifestyle, social and economic status, and eating habits. 3 As mentioned, MetS is more widespread in the Asia-Pacific region, with the lowest and highest percentages among Filipinos (11.9%) and Pakistan (49.0%), respectively.…”

Section: Introductionmentioning

confidence: 99%

Metabolic Syndrome in Celiac Disease: What Does Following a One-Year Gluten-Free Diet Bring?

Motazedian,

Sayadi,

Mashhadiagha

et al. 2023

Middle East J Dig Dis

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Background: Metabolic syndrome (MetS) is a set of conditions that occur together and increase the risk of cardiovascular disease. Previous studies have linked a gluten-free diet (GFD) to obesity and MetS in some populations. However, others have suggested that weight gain is usually regulated only in underweight individuals with celiac disease (CD). Owing to the lack of sufficient data and the importance of GFD in controlling cardiovascular disease, we surveyed the prevalence of MetS and its components before and after a year of GFD in patients referred to the main celiac clinic in southern Iran. Methods: This was a repeated cross-sectional study conducted on 69 patients with a definite diagnosis of cardiovascular disease who were on follow-up and registered at the Shiraz Celiac Clinic. Demographic, anthropometric, and laboratory measurements at the time of diagnosis and one year after the GFD were extracted from their medical records. Results: The participants’ mean age was 35.53, and 68.1% were women. The prevalence of MetS increased from 5.8% to 11.6% after a year of the GFD; however, this increase was not statistically significant. Waist circumference (WC) and serum triglyceride levels were significantly elevated during the study period. Conclusion: A GFD may contribute to the development of MetS in patients with cardiovascular disease; however, the rate of MetS is still lower than that in the general population. It is critical to educate patients about these potential risks and encourage them to have a healthy lifestyle that includes a balanced diet and physical activity.

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Association of Dietary Patterns with Metabolic Syndrome among Middle‐Aged Adults in Shiraz, Iran: Shiraz Heart Study (SHS)

Motazedian,

Zibaeenezhad,

Sayadi

et al. 2024

Journal of Nutrition and Metabolism

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Introduction. Metabolic syndrome (MetS) is a noncommunicable disease with a high burden, including the development of type 2 diabetes mellitus, cardiovascular events, and death. It is characterized by abdominal obesity, elevated blood pressure, increased fasting plasma glucose levels, hypertriglyceridemia, and reduced levels of high‐density lipoprotein (HDL) cholesterol. MetS is preventable by modifying lifestyle and dietary patterns, which are major contributing factors. This research aimed to investigate the dietary patterns of the Shiraz Heart Study (SHS) and their associations with the occurrence of MetS and its components among middle‐aged residents of Shiraz. Methods. Based on data from the Shiraz Heart Study (SHS), a prospective cohort study, the nutritional status of 1,675 participants was assessed using a food frequency questionnaire (FFQ). Three food patterns were extracted from the analysis named as vegan, western, and carbohydrate. Subjects were categorized into three levels for three major dietary patterns: low, moderate, and high, based on their adherence to each pattern. After adjusting the effect of co‐founder variables, the relationship between dietary patterns, and the risk of developing MetS was analyzed. Results. Of the 1,675 participants, 728 (43.5%) of them were male. The prevalence of MetS was 47.2%. Multivariate logistic regression analysis showed that high adherence to the vegan pattern was negatively associated with the occurrence of MetS (P value <0.001), while low adherence to the western pattern was also negatively associated (P value <0.05). Conclusion. Healthier diets, such as vegan diets, are significantly related to lower rates of MetS among the 40–70‐year‐old people in Shiraz, Iran.

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Metabolic syndrome and its associated factors in Shiraz Heart Study (A cohort-based cross-sectional study)

Cited by 4 publications

References 22 publications

Can anthropometric indices predict the chance of hypertension? A multicentre cross-sectional study in Iran

Can anthropometric indices predict the chance of hypertension? A multicentre cross-sectional study in Iran

Metabolic Syndrome in Celiac Disease: What Does Following a One-Year Gluten-Free Diet Bring?

Association of Dietary Patterns with Metabolic Syndrome among Middle‐Aged Adults in Shiraz, Iran: Shiraz Heart Study (SHS)

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