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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2267403628</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2267403628</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-8c88b0ff8f6559afbc7583abef7b4c3583a22de421cc40b46f1c5117b78f4d43</originalsourceid><addsrcrecordid>eNp9kc1u1DAURi0EoqXtC7BAlth0E_Bf7IRdVVFAqsSm-8h2rhtXnjjYDlXegMfGnSmDxIKVr-TzffbVQegtJR8oIepjJoT3oiG0bwgjkjf9C3RKBZeNZLR9eZyJOkFvcn4ghDAu6Wt0wimXvGPqFP26whPoUKYNB-8gly0AXnQpkGbsM9Y5R-t1gRE_-jJhjXdQtInBWx3CdgwvE8yxbAtgP-P4E9Ij-PupYD2POBrIgPW4hpI_1QabYs5NBlt8nHXAuazjdo5eOR0yXDyfZ-ju5vPd9dfm9vuXb9dXt43lqi1NZ7vOEOc6J9u2185Y1XZcG3DKCMufZsZGEIxaK4gR0lHbUqqM6pwYBT9Dl4faJcUfa9132PlsIQQ9Q1zzwJhUgnDJuoq-_wd9iGuqH95TUvaE07ZS7EDtt0rghiX5nU7bQMnwpGk4aBqqpmGvaehr6N1z9Wp2MB4jf7xUgB-AXK_me0h_3_5P7W9fHJ_p</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2266690315</pqid></control><display><type>article</type><title>A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study</title><source>Springer Nature - Complete Springer Journals</source><creator>Naja, Farah ; Itani, Leila ; Nasrallah, Mona P. ; Chami, Hassan ; Tamim, Hani ; Nasreddine, Lara</creator><creatorcontrib>Naja, Farah ; Itani, Leila ; Nasrallah, Mona P. ; Chami, Hassan ; Tamim, Hani ; Nasreddine, Lara</creatorcontrib><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 < 40 mg/dL for men and < 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 < 40 mg/dL for men and < 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 ; Itani, Leila ; Nasrallah, Mona P. ; Chami, Hassan ; Tamim, Hani ; Nasreddine, Lara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-8c88b0ff8f6559afbc7583abef7b4c3583a22de421cc40b46f1c5117b78f4d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Beverages</topic><topic>Blood pressure</topic><topic>Body weight</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Cholesterol</topic><topic>Cigarette smoking</topic><topic>Cross-sectional studies</topic><topic>Dairy products</topic><topic>Dietary intake</topic><topic>Factor analysis</topic><topic>Food</topic><topic>High density lipoprotein</topic><topic>Legumes</topic><topic>Lifestyles</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Original Contribution</topic><topic>Overweight</topic><topic>Phenotypes</topic><topic>Physical activity</topic><topic>Sleep</topic><topic>Triglycerides</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>PubMed</collection><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>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</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>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naja, Farah</au><au>Itani, Leila</au><au>Nasrallah, Mona P.</au><au>Chami, Hassan</au><au>Tamim, Hani</au><au>Nasreddine, Lara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A healthy lifestyle pattern is associated with a metabolically healthy phenotype in overweight and obese adults: a cross-sectional study</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>59</volume><issue>5</issue><spage>2145</spage><epage>2158</epage><pages>2145-2158</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>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 < 40 mg/dL for men and < 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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source | Springer Nature - Complete Springer Journals |
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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