A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study

Purpose This study tried at identifying lifestyle patterns in a sample of Lebanese adults and investigating their association with metabolically healthy overweight and obesity (MHOv/O). Methods This study used data from a community-based survey of Lebanese adults living in Greater Beirut ( n  = 305)...

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Veröffentlicht in:European journal of nutrition 2020-08, Vol.59 (5), p.2145-2158
Hauptverfasser: Naja, Farah, Itani, Leila, Nasrallah, Mona P., Chami, Hassan, Tamim, Hani, Nasreddine, Lara
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container_issue 5
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container_title European journal of nutrition
container_volume 59
creator Naja, Farah
Itani, Leila
Nasrallah, Mona P.
Chami, Hassan
Tamim, Hani
Nasreddine, Lara
description Purpose This study tried at identifying lifestyle patterns in a sample of Lebanese adults and investigating their association with metabolically healthy overweight and obesity (MHOv/O). Methods This study used data from a community-based survey of Lebanese adults living in Greater Beirut ( n  = 305). Dietary intake was assessed using an 80-item food frequency questionnaire. MHOv/O was defined as having one or none of the following metabolic abnormalities: triglycerides ≥ 150 mg/dL; systolic blood pressure ≥ 130 mmHg; diastolic blood pressure ≥ 85 mmHg; fasting blood glucose ≥ 100 mg/dL; HDL-cholesterol 
doi_str_mv 10.1007/s00394-019-02063-9
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Methods This study used data from a community-based survey of Lebanese adults living in Greater Beirut ( n  = 305). Dietary intake was assessed using an 80-item food frequency questionnaire. MHOv/O was defined as having one or none of the following metabolic abnormalities: triglycerides ≥ 150 mg/dL; systolic blood pressure ≥ 130 mmHg; diastolic blood pressure ≥ 85 mmHg; fasting blood glucose ≥ 100 mg/dL; HDL-cholesterol &lt; 40 mg/dL for men and &lt; 50 mg/dL for women. 201 subjects were overweight/obese and 98 had MHOv/O. Factor analysis was implemented to derive lifestyle patterns. Results Two lifestyle patterns were identified: the unhealthy lifestyle pattern, which included foods such as fast food and soft drinks and was characterized by alcohol consumption and cigarette smoking. Eating at home loaded negatively on this pattern. The healthy lifestyle pattern was characterized by positive loadings of food groups such as milk and dairy products, fruits, vegetables and legumes. Sleep difficulties loaded negatively on this pattern, while vigorous and moderate physical activity loaded positively. Multiple logistic regression analyses showed that subjects belonging to the 3rd tertile of the healthy pattern scores had higher odds of MHOv/O as compared to those in the 1st tertile (OR 2.33, CI 1.04–4.81). Conclusions Findings of this study provided evidence on the combined effect of lifestyle patterns in relation to cardiometabolic abnormalities and highlighted the importance of focusing on ‘holistic’ lifestyle pattern modifications in designing and implementing prevention interventions in overweight and obese subjects.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-019-02063-9</identifier><identifier>PMID: 31363827</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Beverages ; Blood pressure ; Body weight ; Chemistry ; Chemistry and Materials Science ; Cholesterol ; Cigarette smoking ; Cross-sectional studies ; Dairy products ; Dietary intake ; Factor analysis ; Food ; High density lipoprotein ; Legumes ; Lifestyles ; Nutrition ; Obesity ; Original Contribution ; Overweight ; Phenotypes ; Physical activity ; Sleep ; Triglycerides</subject><ispartof>European journal of nutrition, 2020-08, Vol.59 (5), p.2145-2158</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-8c88b0ff8f6559afbc7583abef7b4c3583a22de421cc40b46f1c5117b78f4d43</citedby><cites>FETCH-LOGICAL-c375t-8c88b0ff8f6559afbc7583abef7b4c3583a22de421cc40b46f1c5117b78f4d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-019-02063-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-019-02063-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31363827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naja, Farah</creatorcontrib><creatorcontrib>Itani, Leila</creatorcontrib><creatorcontrib>Nasrallah, Mona P.</creatorcontrib><creatorcontrib>Chami, Hassan</creatorcontrib><creatorcontrib>Tamim, Hani</creatorcontrib><creatorcontrib>Nasreddine, Lara</creatorcontrib><title>A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose This study tried at identifying lifestyle patterns in a sample of Lebanese adults and investigating their association with metabolically healthy overweight and obesity (MHOv/O). Methods This study used data from a community-based survey of Lebanese adults living in Greater Beirut ( n  = 305). Dietary intake was assessed using an 80-item food frequency questionnaire. MHOv/O was defined as having one or none of the following metabolic abnormalities: triglycerides ≥ 150 mg/dL; systolic blood pressure ≥ 130 mmHg; diastolic blood pressure ≥ 85 mmHg; fasting blood glucose ≥ 100 mg/dL; HDL-cholesterol &lt; 40 mg/dL for men and &lt; 50 mg/dL for women. 201 subjects were overweight/obese and 98 had MHOv/O. Factor analysis was implemented to derive lifestyle patterns. Results Two lifestyle patterns were identified: the unhealthy lifestyle pattern, which included foods such as fast food and soft drinks and was characterized by alcohol consumption and cigarette smoking. Eating at home loaded negatively on this pattern. The healthy lifestyle pattern was characterized by positive loadings of food groups such as milk and dairy products, fruits, vegetables and legumes. Sleep difficulties loaded negatively on this pattern, while vigorous and moderate physical activity loaded positively. Multiple logistic regression analyses showed that subjects belonging to the 3rd tertile of the healthy pattern scores had higher odds of MHOv/O as compared to those in the 1st tertile (OR 2.33, CI 1.04–4.81). Conclusions Findings of this study provided evidence on the combined effect of lifestyle patterns in relation to cardiometabolic abnormalities and highlighted the importance of focusing on ‘holistic’ lifestyle pattern modifications in designing and implementing prevention interventions in overweight and obese subjects.</description><subject>Beverages</subject><subject>Blood pressure</subject><subject>Body weight</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Cholesterol</subject><subject>Cigarette smoking</subject><subject>Cross-sectional studies</subject><subject>Dairy products</subject><subject>Dietary intake</subject><subject>Factor analysis</subject><subject>Food</subject><subject>High density lipoprotein</subject><subject>Legumes</subject><subject>Lifestyles</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Original Contribution</subject><subject>Overweight</subject><subject>Phenotypes</subject><subject>Physical activity</subject><subject>Sleep</subject><subject>Triglycerides</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kc1u1DAURi0EoqXtC7BAlth0E_Bf7IRdVVFAqsSm-8h2rhtXnjjYDlXegMfGnSmDxIKVr-TzffbVQegtJR8oIepjJoT3oiG0bwgjkjf9C3RKBZeNZLR9eZyJOkFvcn4ghDAu6Wt0wimXvGPqFP26whPoUKYNB-8gly0AXnQpkGbsM9Y5R-t1gRE_-jJhjXdQtInBWx3CdgwvE8yxbAtgP-P4E9Ij-PupYD2POBrIgPW4hpI_1QabYs5NBlt8nHXAuazjdo5eOR0yXDyfZ-ju5vPd9dfm9vuXb9dXt43lqi1NZ7vOEOc6J9u2185Y1XZcG3DKCMufZsZGEIxaK4gR0lHbUqqM6pwYBT9Dl4faJcUfa9132PlsIQQ9Q1zzwJhUgnDJuoq-_wd9iGuqH95TUvaE07ZS7EDtt0rghiX5nU7bQMnwpGk4aBqqpmGvaehr6N1z9Wp2MB4jf7xUgB-AXK_me0h_3_5P7W9fHJ_p</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Naja, Farah</creator><creator>Itani, Leila</creator><creator>Nasrallah, Mona P.</creator><creator>Chami, Hassan</creator><creator>Tamim, Hani</creator><creator>Nasreddine, Lara</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200801</creationdate><title>A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study</title><author>Naja, Farah ; 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Methods This study used data from a community-based survey of Lebanese adults living in Greater Beirut ( n  = 305). Dietary intake was assessed using an 80-item food frequency questionnaire. MHOv/O was defined as having one or none of the following metabolic abnormalities: triglycerides ≥ 150 mg/dL; systolic blood pressure ≥ 130 mmHg; diastolic blood pressure ≥ 85 mmHg; fasting blood glucose ≥ 100 mg/dL; HDL-cholesterol &lt; 40 mg/dL for men and &lt; 50 mg/dL for women. 201 subjects were overweight/obese and 98 had MHOv/O. Factor analysis was implemented to derive lifestyle patterns. Results Two lifestyle patterns were identified: the unhealthy lifestyle pattern, which included foods such as fast food and soft drinks and was characterized by alcohol consumption and cigarette smoking. Eating at home loaded negatively on this pattern. The healthy lifestyle pattern was characterized by positive loadings of food groups such as milk and dairy products, fruits, vegetables and legumes. Sleep difficulties loaded negatively on this pattern, while vigorous and moderate physical activity loaded positively. Multiple logistic regression analyses showed that subjects belonging to the 3rd tertile of the healthy pattern scores had higher odds of MHOv/O as compared to those in the 1st tertile (OR 2.33, CI 1.04–4.81). Conclusions Findings of this study provided evidence on the combined effect of lifestyle patterns in relation to cardiometabolic abnormalities and highlighted the importance of focusing on ‘holistic’ lifestyle pattern modifications in designing and implementing prevention interventions in overweight and obese subjects.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31363827</pmid><doi>10.1007/s00394-019-02063-9</doi><tpages>14</tpages></addata></record>
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subjects Beverages
Blood pressure
Body weight
Chemistry
Chemistry and Materials Science
Cholesterol
Cigarette smoking
Cross-sectional studies
Dairy products
Dietary intake
Factor analysis
Food
High density lipoprotein
Legumes
Lifestyles
Nutrition
Obesity
Original Contribution
Overweight
Phenotypes
Physical activity
Sleep
Triglycerides
title A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study
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