Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Adherence to Lifelines Diet Score and Risk Factors of Metabolic Syndrome Among Overweight and Obese Adults: A Cross-Sectional Study Publisher



Akhavanfar R1 ; Hojati A2 ; Kahrizi MS3 ; Farhangi MA4 ; Ardekani AM5
Authors
Show Affiliations
Authors Affiliations
  1. 1. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Community Nutrition, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  5. 5. Endocrinoligy and Metabolism Research Center, Institute of Basic and Clinical Physiology Science and Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran

Source: Frontiers in Nutrition Published:2022


Abstract

Background: Metabolic syndrome (MetS) is one of the most significant public health issues worldwide, and diet quality is an important controllable environmental factor influencing the incidence of MetS. Numerous dietary scores have been established to assess compliance with dietary recommendations or eating patterns, many of which are not entirely food-based. Hence, Lifelines Diet Score (LLDS) was developed in response to the shortcomings of existing tools. This study aimed to assess any possible links between total food quality and cardiometabolic risk factors among overweight and obese adults. Methods: This cross-sectional study included 338 overweight and obese individuals [body mass index (BMI) > 25 kg/m2] aged 20–50 years in Tabriz, Iran. To collect dietary data, we used a validated semi-quantitative Food Frequency Questionnaire (FFQ) for Iranian population. Enzymatic-colorimetric methods were used to assess serum glucose and lipids, and enzyme-linked immunosorbent assay (ELISA) kits were used to measure insulin levels. In addition, the Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) and Quantitative Insulin Sensitivity Check Index (QUICKI) were calculated. Results: BMI and hip circumference (HC) were significantly different (P < 0.05) amongst LLDS tertiles. Adherence to the highest tertile of LLDS was associated with lower SBP, and the subjects in higher LLDS tertiles significantly had lower systolic blood pressure (SBP) (P = 0.04). Triglyceride (TG) levels were also lower in the third tertile of LLDS with a near-significant P-value (P = 0.05). Conclusion: According to our results, a higher diet quality score, determined by LLDS, can be associated with a lower risk of MetS. Further experimental and longitudinal studies are needed to better understand this relationship. Copyright © 2022 Akhavanfar, Hojati, Kahrizi, Farhangi and Ardekani.
Related Docs
View other Related Docs
1. Association Between Plant-Based Diets and Metabolic Syndrome in Obese Adults From Iran: A Cross-Sectional Study, BMC Endocrine Disorders (2023)
2. Adherence to Healthy Eating Index-2010 Is Inversely Associated With Metabolic Syndrome and Its Features Among Iranian Adult Women, European Journal of Clinical Nutrition (2017)
3. Dietary Insulin Index and Load and Cardiometabolic Risk Factors Among People With Obesity: A Cross-Sectional Study, BMC Endocrine Disorders (2023)
4. Adherence to a Healthy Diet and Odds of Metabolic Syndrome: A Cross-Sectional Study, Clinical Nutrition ESPEN (2023)
5. Association Between Lifelines Diet Score With Odds of Nonalcoholic Fatty Liver Disease and Some Novel Anthropometric Indices Among Adults: A Case–Control Study, Frontiers in Nutrition (2024)
6. Dietary Choline and Betaine Intake, Cardio-Metabolic Risk Factors and Prevalence of Metabolic Syndrome Among Overweight and Obese Adults, BMC Endocrine Disorders (2023)
7. The Relationship Between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review, International Journal of Preventive Medicine (2024)
8. Dietary Pro-Oxidant Score (Pos) and Cardio-Metabolic Panel Among Obese Individuals: A Cross-Sectional Study, BMC Endocrine Disorders (2023)
Experts (# of related papers)
View all Related Experts
Roya Kelishadi (208)
Nizal Sarrafzadegan (129)
Other Related Docs
9. Evaluating the Association Between the Mediterranean-Dash Intervention for Neurodegenerative Delay (Mind) Diet, Mental Health, and Cardio-Metabolic Risk Factors Among Individuals With Obesity, BMC Endocrine Disorders (2023)
10. Healthy Eating Index and Cardiovascular Risk Factors Among Iranian Elderly Individuals, ARYA Atherosclerosis (2017)
11. Dietary Glycemic Index and Glycemic Load Mediate the Effect of Cartpt Rs2239670 Gene Polymorphism on Metabolic Syndrome and Metabolic Risk Factors Among Adults With Obesity, BMC Endocrine Disorders (2022)
12. Dietary Energy Density, Metabolic Parameters, and Blood Pressure in a Sample of Adults With Obesity, BMC Endocrine Disorders (2023)
13. Healthy Eating Index and Cardiovascular Risk Factors Among Iranians, Journal of the American College of Nutrition (2013)
14. Ultra-Processed Food Intake in Relation to Metabolic Health Status in Iranian Adolescents With Overweight and Obesity, Nutrition and Metabolism (2024)
15. How Is Healthy Eating Index-2015 Related to Risk Factors for Cardiovascular Disease in Patients With Type 2 Diabetes, Frontiers in Nutrition (2023)
16. Association Between Alternative Healthy Eating Index (Ahei) With Metabolic Health Status in Adolescents With Overweight and Obesity, BMC Public Health (2024)
17. Validity and Reproducibility of a Semi-Quantitative Food Frequency Questionnaire for Iranian Adults, Nutrition and Dietetics (2021)
18. Interactions of Bdnf Val66met and Dietary Indices in Relation to Metabolic Markers Among Patient With Type 2 Diabetes Mellitus: A Cross-Sectional Study, Journal of Health, Population and Nutrition (2023)
19. Interaction Between Cetp Taq1b Polymorphism and Hei, Dqi and Dpi on Metabolic Biomarkers in Patients With Type 2 Diabetes, Journal of Human Nutrition and Dietetics (2022)
20. Trend Impact Analysis (Tia) of Community-Based Futures Study for Pediatric Obesity in Iran, BMC Pediatrics (2023)
21. The Prevalence of Impaired Fasting Glucose and Type 2 Diabetes in a Population-Based Sample of Overweight/Obese Children in the Middle East, Pediatric Diabetes (2010)
22. The Relationship Between Diet Quality Index and Components of Metabolic Syndrome, Journal of Health System Research (2024)
23. Association Between Dietary Insulin Index and Load With Obesity in Adults, European Journal of Nutrition (2020)
24. The Relation Between Dietary Phytochemical Index and Metabolic Health Status in Overweight and Obese Adolescents, Scientific Reports (2023)
25. Association Between Major Dietary Patterns and Metabolic Health Status in Overweight and Obese Adolescents, Nutrition (2022)
26. Assessing Body Shape Index As a Risk Predictor for Cardiovascular Diseases and Metabolic Syndrome Among Iranian Adults, Nutrition (2014)
27. Consumption of Energy-Dense Diets in Relation to Cardiometabolic Abnormalities Among Iranian Women, Public Health Nutrition (2012)
28. Association of Quality and Quantity of Macronutrients Intake With Obesity, New Anthropometric Indices, Lipid Accumulation, and Blood Lipid Risk Index in Tehranian Women, Food Science and Nutrition (2024)
29. Dietary Energy Density and the Metabolic Syndrome Among Iranian Women, European Journal of Clinical Nutrition (2011)
30. The Association Between Dietary Habits and Metabolic Syndrome: Findings From the Shahedieh-Cohort Study, BMC Nutrition (2022)
31. Longitudinal Association of Metabolic Syndrome and Dietary Patterns: A 13-Year Prospective Population-Based Cohort Study, Nutrition, Metabolism and Cardiovascular Diseases (2018)
32. The Association of Dietary Choline and Betaine and Anthropometric Measurements Among Iranian Children: A Cross-Sectional Study, BMC Pediatrics (2021)
33. Dietary Patterns, Insulin Resistance, and Prevalence of the Metabolic Syndrome in Women, American Journal of Clinical Nutrition (2007)
34. Obesity and Associated Lifestyle Behaviours in Iran: Findings From the First National Non-Communicable Disease Risk Factor Surveillance Survey, Public Health Nutrition (2008)
35. Association of Glycaemic Index and Glycaemic Load With Metabolic Syndrome in an Iranian Adult Population: Isfahan Healthy Heart Program, Nutrition and Dietetics (2017)
36. Low-Carbohydrate-Diet Score and Metabolic Syndrome: An Epidemiologic Study Among Iranian Women, Nutrition (2015)
37. Association Between Plant-Based Diets and Metabolic Health Status in Adolescents With Overweight and Obesity, Scientific Reports (2022)
38. Adherence to Dietary Approaches to Stop Hypertension (Dash) and Mediterranean Dietary Patterns in Relation to Cardiovascular Risk Factors in Older Adults, Clinical Nutrition ESPEN (2020)
39. Total Dietary Fiber Intake Is Inversely Associated With Metabolically Unhealthy Status in Adolescents With Excess Weight, Nutrition Research (2024)
40. Dietary Total, Plant and Animal Protein Intake in Relation to Metabolic Health Status in Overweight and Obese Adolescents, Scientific Reports (2022)
41. The Relationship Between Low-Carbohydrate Diet Score, Dietary Insulin Index and Load With Obesity in Healthy Adults, Eating and Weight Disorders (2022)
42. Adherence to the Healthy Eating Index and Alternative Healthy Eating Index Dietary Patterns and Mortality From All Causes, Cardiovascular Disease and Cancer: A Meta-Analysis of Observational Studies, Journal of Human Nutrition and Dietetics (2017)
43. The Association of Dietary Carbohydrate Quality and Quantity With Obesity Among Iranian Adolescents: A Case-Control Study, BMC Pediatrics (2024)
44. Association of Dietary Pattern and Metabolic Syndrome in 15- to 49-Years-Old Women, Journal of Isfahan Medical School (2015)
45. The Characteristics of Pre-Diabetic Patients Associated With Body Composition and Cardiovascular Disease Risk Factors in the Iranian Population, Journal of Research in Medical Sciences (2016)
46. Association of Dietary Insulin Index and Dietary Insulin Load With Metabolic Health Status in Iranian Overweight and Obese Adolescents, Frontiers in Nutrition (2022)
47. Predictors of Metabolic Syndrome in the Iranian Population: Waist Circumference, Body Mass Index, or Waist to Hip Ratio?, Cholesterol (2013)
48. Diet in Relation to Metabolic, Sleep and Psychological Health Status (Dimets): Protocol for a Cross-Sectional Study, BMJ Open (2023)
49. Adherence to Mediterranean Diet and Its Association With Metabolic Health Status in Overweight and Obese Adolescents, International Journal of Clinical Practice (2022)
50. Dietary Glycemic Index and Insulin Index in Association With Incident Type 2 Diabetes Mellitus in Adults, British Journal of Nutrition (2025)