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The Association Between Nutrient Patterns and Metabolic Syndrome Among Iranian Adults: Cross-Sectional Analysis of Shahedieh Cohort Study Publisher Pubmed



Sadeghi O1, 2 ; Sadeghi A1, 3 ; Mozaffarikhosravi H4, 5 ; Shokri A6
Authors
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Authors Affiliations
  1. 1. Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  5. 5. Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, PO Box 8915173160, Yazd, Iran
  6. 6. Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

Source: Public Health Nutrition Published:2021


Abstract

Objective: To assess the association between patterns of nutrient intake and metabolic syndrome (MetS) in a large sample of Iranian adults. Design: Baseline data from the Shahedieh cohort study were used in the current cross-sectional study. Dietary intakes were assessed through the use of a validated semi-quantitative FFQ. Nutrient patterns (NP) were derived using factor analysis. The MetS was defined according to criteria introduced from the National Cholesterol Education Program Adult Treatment Panel III, modified for Iranian adults. Setting: Yazd, Iran. Participants: A total of 7325 Iranian adults aged between 30 and 75 years. Results: Three NP were identified. A significant positive association was found between adherence to semi-plant NP (characterised by the high intakes of P; vitamins B1, B3, B6 and B5; Se; Mg; Fe; protein; Cr; Cu; fibre; biotin; Mn; Zn and Na) and odds of MetS (OR 1·68, 95 % CI 1·43, 1·98). However, after adjusting for potential confounders, this association became non-significant. In addition, after taking potential confounders into account, individuals in the highest quintile of the semi-animal NP, rich in Ca; K; vitamins B2, B12, A, D, K and C; SFA; dietary cholesterol and trans-fatty acid, were 26 % more likely to have MetS compared with those in the lowest quintile (OR 1·26, 95 % CI 1·05, 1·51). No significant association was seen between adherence to the high-carbohydrate/low-fat NP and odds of MetS. Conclusions: We found that adherence to a semi-animal NP was associated with increased odds of MetS. © The Authors 2020.
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