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 |
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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. |
doi_str_mv | 10.1108/NFS-04-2020-0146 |
format | Article |
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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.</description><identifier>ISSN: 0034-6659</identifier><identifier>EISSN: 1758-6917</identifier><identifier>DOI: 10.1108/NFS-04-2020-0146</identifier><language>eng</language><publisher>Bradford: Emerald Publishing Limited</publisher><subject>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</subject><ispartof>Nutrition and food science, 2021-06, Vol.51 (4), p.749-762</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited 2020</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-3d40cd961ad97b54095c2eb4bd45167ffca54b5c078de24da09253f90c3e8d4e3</citedby><cites>FETCH-LOGICAL-c311t-3d40cd961ad97b54095c2eb4bd45167ffca54b5c078de24da09253f90c3e8d4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/NFS-04-2020-0146/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,776,780,961,11615,27903,27904,52667</link.rule.ids></links><search><creatorcontrib>Hassani Zadeh, Shirin</creatorcontrib><creatorcontrib>Nadjarzadeh, Azadeh</creatorcontrib><creatorcontrib>Mirzaei, Masoud</creatorcontrib><creatorcontrib>Salehi-Abargouei, Amin</creatorcontrib><creatorcontrib>Hosseinzadeh, Mahdieh</creatorcontrib><title>Adherence to healthy eating index-2015 and metabolic syndrome in a large sample of Iranian adults</title><title>Nutrition and food science</title><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.</description><subject>Accuracy</subject><subject>Adults</subject><subject>Blood</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Chronic illnesses</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Dietary guidelines</subject><subject>Dietary intake</subject><subject>Eating</subject><subject>Eating behavior</subject><subject>Energy intake</subject><subject>Evaluation</subject><subject>Fasting</subject><subject>Fatty acids</subject><subject>Food</subject><subject>Food intake</subject><subject>Glucose</subject><subject>Grain</subject><subject>Laboratories</subject><subject>Lipoproteins</subject><subject>Men</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Proteins</subject><subject>Questionnaires</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Seafood</subject><subject>Triglycerides</subject><subject>Women</subject><issn>0034-6659</issn><issn>1758-6917</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkEtLAzEUhYMoWKt7lwHXsTeTx8wsS7FaKLpQ1yGT3GmnzKMmU7D_3pS6EVzdxfnOufARcs_hkXMoZq_LdwaSZZABAy71BZnwXBVMlzy_JBMAIZnWqrwmNzHuALgSPJ8QO_dbDNg7pONAt2jbcXukaMem39Cm9_idJrmitve0w9FWQ9s4Go-9D0OHiaCWtjZskEbb7VukQ01XwfaNTYk_tGO8JVe1bSPe_d4p-Vw-fSxe2PrtebWYr5kTnI9MeAnOl5pbX-aVklAql2ElKy8V13ldO6tkpRzkhcdMegtlpkRdghNYeIliSh7Ou_swfB0wjmY3HEKfXpoEpo1S5zpRcKZcGGIMWJt9aDobjoaDOYk0SaQBaU4izUlkqszOFeww2Nb_1_ijXvwAcq9zew</recordid><startdate>20210602</startdate><enddate>20210602</enddate><creator>Hassani Zadeh, Shirin</creator><creator>Nadjarzadeh, Azadeh</creator><creator>Mirzaei, Masoud</creator><creator>Salehi-Abargouei, Amin</creator><creator>Hosseinzadeh, Mahdieh</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7X2</scope><scope>7XB</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>L6V</scope><scope>M0K</scope><scope>M2O</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>Q9U</scope></search><sort><creationdate>20210602</creationdate><title>Adherence to healthy eating index-2015 and metabolic syndrome in a large sample of Iranian adults</title><author>Hassani Zadeh, Shirin ; Nadjarzadeh, Azadeh ; Mirzaei, Masoud ; Salehi-Abargouei, Amin ; Hosseinzadeh, Mahdieh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-3d40cd961ad97b54095c2eb4bd45167ffca54b5c078de24da09253f90c3e8d4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accuracy</topic><topic>Adults</topic><topic>Blood</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiovascular disease</topic><topic>Cholesterol</topic><topic>Chronic illnesses</topic><topic>Diabetes</topic><topic>Diet</topic><topic>Dietary guidelines</topic><topic>Dietary intake</topic><topic>Eating</topic><topic>Eating behavior</topic><topic>Energy intake</topic><topic>Evaluation</topic><topic>Fasting</topic><topic>Fatty acids</topic><topic>Food</topic><topic>Food intake</topic><topic>Glucose</topic><topic>Grain</topic><topic>Laboratories</topic><topic>Lipoproteins</topic><topic>Men</topic><topic>Metabolic disorders</topic><topic>Metabolic syndrome</topic><topic>Nutrition research</topic><topic>Obesity</topic><topic>Proteins</topic><topic>Questionnaires</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Seafood</topic><topic>Triglycerides</topic><topic>Women</topic><toplevel>online_resources</toplevel><creatorcontrib>Hassani Zadeh, Shirin</creatorcontrib><creatorcontrib>Nadjarzadeh, Azadeh</creatorcontrib><creatorcontrib>Mirzaei, Masoud</creatorcontrib><creatorcontrib>Salehi-Abargouei, Amin</creatorcontrib><creatorcontrib>Hosseinzadeh, Mahdieh</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Engineering Collection</collection><collection>Agricultural Science Database</collection><collection>Research Library</collection><collection>Engineering Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>ProQuest Central Basic</collection><jtitle>Nutrition and food science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassani Zadeh, Shirin</au><au>Nadjarzadeh, Azadeh</au><au>Mirzaei, Masoud</au><au>Salehi-Abargouei, Amin</au><au>Hosseinzadeh, Mahdieh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to healthy eating index-2015 and metabolic syndrome in a large sample of Iranian adults</atitle><jtitle>Nutrition and food science</jtitle><date>2021-06-02</date><risdate>2021</risdate><volume>51</volume><issue>4</issue><spage>749</spage><epage>762</epage><pages>749-762</pages><issn>0034-6659</issn><eissn>1758-6917</eissn><abstract>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.</abstract><cop>Bradford</cop><pub>Emerald Publishing Limited</pub><doi>10.1108/NFS-04-2020-0146</doi><tpages>14</tpages></addata></record> |
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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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