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The Association Between Adherence to Diet Quality Index and Cardiometabolic Risk Factors in Overweight and Obese Women: A Cross-Sectional Study Publisher Pubmed



Mohamadi A1 ; Shiraseb F1 ; Mirzababaei A1 ; Akbarysedigh A2 ; Ghorbani M3 ; Clark CCT4 ; Aali Y1 ; Mirzaei K1
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  2. 2. Department of Clinical Nutrition, School of Nutritional Science Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Community Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. Centre for Intelligent Healthcare, Coventry University, Coventry, United Kingdom

Source: Frontiers in Public Health Published:2023


Abstract

Background: Obesity and overweight status increase the risk of cardiovascular disease. Diet quality can also predict the risk of cardiovascular diseases in obese and overweight patients. Therefore, in this study, we sought to examine the relationship between diet quality index (DQI) and cardiometabolic risk factors in obese and overweight women. Method: A cross-sectional study was conducted on 197 Iranian women with a Body Mass Index (BMI) > 25, 18–48 years, and recruited from 20 Tehran Health Centers. Nutrition intake and DQI were assessed using a 147-item semi-quantitative food frequency questionnaire (FFQ). Additionally, anthropometric measurements, body composition, biochemical evaluations, and cardiometabolic risk factors were evaluated. Results: There was an association between DQI and waist-to-hip ratio (WHR), atherogenic index of plasma (AIP), and CHOLINDEX in obese women, after adjusting for potential confounders. Whereas, there were no significant associations of the tertiles of DQI compared with the first tertile in other cardiometabolic risk factors, before and after adjustment. Conclusion: This study provides evidence that dietary intake and DQI are associated with cardiometabolic risk factors and that dietary modification may be a predictor for reducing WHR, AIP, and CHOLINDEX. However, more research is needed to develop a DQI that reflects changes in cardiometabolic risk factors by considering women's eating habits and patterns. Copyright © 2023 Mohamadi, Shiraseb, Mirzababaei, AkbarySedigh, Ghorbani, Clark, Aali and Mirzaei.
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