Adherence to healthy eating index-2015 and metabolic syndrome in a large sample of Iranian adults

Purpose Dietary intake is a modifiable risk factor for metabolic syndrome (MetS). Therefore, this study aims to evaluate the association between the Healthy Eating Index-2015 (HEI-2015) and MetS. Design/methodology/approach MetS was diagnosed among 2,326 adults. Dietary intake was assessed by a vali...

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Veröffentlicht in:Nutrition and food science 2021-06, Vol.51 (4), p.749-762
Hauptverfasser: Hassani Zadeh, Shirin, Nadjarzadeh, Azadeh, Mirzaei, Masoud, Salehi-Abargouei, Amin, Hosseinzadeh, Mahdieh
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container_end_page 762
container_issue 4
container_start_page 749
container_title Nutrition and food science
container_volume 51
creator Hassani Zadeh, Shirin
Nadjarzadeh, Azadeh
Mirzaei, Masoud
Salehi-Abargouei, Amin
Hosseinzadeh, Mahdieh
description Purpose Dietary intake is a modifiable risk factor for metabolic syndrome (MetS). Therefore, this study aims to evaluate the association between the Healthy Eating Index-2015 (HEI-2015) and MetS. Design/methodology/approach MetS was diagnosed among 2,326 adults. Dietary intake was assessed by a validated food frequency questionnaire. The HEI-2015 was administered to assess the diet qualities. Multivariate logistic regression was also used to evaluate the relationship of HEI-2015 with MetS and its components. Findings The odds of MetS was lower in women who were in the third quintile of HEI-2015 compared with those in the first quintile after adjusting for age and energy intake (OR: 0.62, CI: 0.41 to 0.93). In addition, moderate adherence to HEI-2015 reduced the odds of high fasting blood glucose levels in both men and women (OR men: 0.30, CI: 0.11 to 0.85 OR women: 0.34, CI: 0.14 to 0.79). However, these relations were not linear. Adherence to HEI-2015 had no significant relationship with the prevalence of MetS and its components in the whole population. Originality/value A significant relationship was observed between moderate adherence to HEI-2015 and fasting blood glucose in both men and women. Moreover, moderate adherence to this dietary pattern decreased the prevalence of MetS in women.
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Therefore, this study aims to evaluate the association between the Healthy Eating Index-2015 (HEI-2015) and MetS. Design/methodology/approach MetS was diagnosed among 2,326 adults. Dietary intake was assessed by a validated food frequency questionnaire. The HEI-2015 was administered to assess the diet qualities. Multivariate logistic regression was also used to evaluate the relationship of HEI-2015 with MetS and its components. Findings The odds of MetS was lower in women who were in the third quintile of HEI-2015 compared with those in the first quintile after adjusting for age and energy intake (OR: 0.62, CI: 0.41 to 0.93). In addition, moderate adherence to HEI-2015 reduced the odds of high fasting blood glucose levels in both men and women (OR men: 0.30, CI: 0.11 to 0.85 OR women: 0.34, CI: 0.14 to 0.79). However, these relations were not linear. Adherence to HEI-2015 had no significant relationship with the prevalence of MetS and its components in the whole population. Originality/value A significant relationship was observed between moderate adherence to HEI-2015 and fasting blood glucose in both men and women. 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ispartof Nutrition and food science, 2021-06, Vol.51 (4), p.749-762
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source Emerald A-Z Current Journals
subjects Accuracy
Adults
Blood
Blood pressure
Body mass index
Cardiovascular disease
Cholesterol
Chronic illnesses
Diabetes
Diet
Dietary guidelines
Dietary intake
Eating
Eating behavior
Energy intake
Evaluation
Fasting
Fatty acids
Food
Food intake
Glucose
Grain
Laboratories
Lipoproteins
Men
Metabolic disorders
Metabolic syndrome
Nutrition research
Obesity
Proteins
Questionnaires
Risk analysis
Risk factors
Seafood
Triglycerides
Women
title Adherence to healthy eating index-2015 and metabolic syndrome in a large sample of Iranian adults
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