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Journal of Diabetes & Metabolic Disorders
Published in: Journal of Diabetes & Metabolic Disorders 2/2020

01-12-2020 | Obesity | Research article

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

Authors: Hossein Shahinfar, Zahra Akbarzade, Farhang Djafari, Sakineh Shab-Bidar

Published in: Journal of Diabetes & Metabolic Disorders | Issue 2/2020

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Abstract

Purpose

Identification of nutrient patterns (NPs) may be helpful to evaluate the overall quality of diet and its relation to metabolic syndrome (MetS). We investigated the association of major nutrient patterns with MetS and its components among apparently healthy adults living in Tehran.

Methods

We included 522 adults (24–83 years old) who referred to health centers in Tehran. Fasting blood samples were collected to measure glycemic indicators and lipid profile. Principal component analysis (PCA) based on the 26 nutrient items were applied. Metabolic syndrome was defined based on the guidelines of the National Cholesterol Education Program Adult Treatment Panel III (ATP III).

Results

Three major nutrient patterns were identified: “Mono and disaccharides pattern”, “Macronutrient pattern” and “Antioxidant pattern”. After controlling for potential confounders, serum HDL (p < 0.001) increased across tertiles of “Antioxidant pattern”. A significant inverse association was observed between adherence to “Antioxidant pattern” and odds of MetS (OR: 2.36, 95% CI: 1.51, 3.69) in crude model which was disappeared after adjusting for age, sex, education, physical activity, smoking, marital status, energy and BMI. Moreover, we found that adherence to “Antioxidant pattern” was inversely related to odds of reduced levels of serum high density lipoprotein (HDL) (OR: 0.09, 95% CI: 0.02, 0.35). No association was found between “Mono and disaccharides pattern”, “Macronutrient pattern”, MetS and its components.

Conclusions

In general, adherence to “Antioxidant pattern “resulted in lower level of HDL concentrations. More studies are needed to investigate the possible causal relationship of these results.
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Metadata
Title
Association of nutrient patterns and metabolic syndrome and its components in adults living in Tehran, Iran
Authors
Hossein Shahinfar
Zahra Akbarzade
Farhang Djafari
Sakineh Shab-Bidar
Publication date
01-12-2020
Publisher
Springer International Publishing
Keywords
Obesity
Obesity
Published in
Journal of Diabetes & Metabolic Disorders / Issue 2/2020
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-020-00607-z

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Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

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