与正常体重对照组相比，患有/未患有代谢综合征的肥胖/超重个体的饮食质量。
Diet quality in obese/overweight individuals with/without metabolic syndrome compared to normal weight controls.
作者信息
Yosaee Somaye, Esteghamati Alireza, Nazari Nasab Mahdiyeh, Khosravi Ahmad, Alinavaz Mina, Hosseini Banafshe, Djafarian Kurosh
机构信息
PhD candidate of Nutrition, Department of Clinical Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran, & PhD candidate of Nutrition, Evaz school of health, Larestan School of Medical Sciences, Larestan, Iran.
Professor, Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Med J Islam Repub Iran. 2016 May 25;30:376. eCollection 2016.
BACKGROUND
Metabolic syndrome (MetS) is a serious public health concern worldwide; however, the pathogenesis of this disease has not been yet cleared. This study aimed to compare diet quality in obese/overweight participants with/without metabolic syndrome with normal weight controls.
METHODS
This was a comparative study on 147 Iranian adults under treatment at the Endocrinology Center of Tehran University of Medical Sciences. They were assigned into three groups (normal weight, obese weight with/without MetS) according to the inclusion- exclusion criteria. Metabolic syndrome was defined according to the NCEP ATPIII consensus criteria. Healthy Eating Index Data were obtained from the validated FFQ to determine the diet quality index scores, using the Healthy Eating Index-2010.
RESULTS
Our findings demonstrated that FBS, TG, SBP, WC and weight were higher among MetS patients compared to the both weight matched and non-weight matched participants, while HDL-c was lowest in this group (p<0.05). A statistically significant difference was found between healthy weight controls and obese/overweight participants with/without MetS in HEI-2010, and 9 of the 12 HEI-2010 components score (p<0.05).
CONCLUSION
Our study revealed that low diet quality was a risk factor in developing MetS.
背景
代谢综合征（MetS）是全球范围内严重的公共卫生问题；然而，该疾病的发病机制尚未明确。本研究旨在比较患有/未患有代谢综合征的肥胖/超重参与者与正常体重对照组的饮食质量。
方法
这是一项针对147名在德黑兰医科大学内分泌中心接受治疗的伊朗成年人的比较研究。根据纳入-排除标准，他们被分为三组（正常体重、患有/未患有MetS的肥胖体重）。代谢综合征根据美国国家胆固醇教育计划成人治疗组第三次报告（NCEP ATPIII）共识标准进行定义。使用健康饮食指数-2010，从经过验证的食物频率问卷（FFQ）中获取健康饮食指数数据，以确定饮食质量指数得分。
结果
我们的研究结果表明，与体重匹配和非体重匹配的参与者相比，MetS患者的空腹血糖（FBS）、甘油三酯（TG）、收缩压（SBP）、腰围（WC）和体重更高，而该组的高密度脂蛋白胆固醇（HDL-c）最低（p<0.05）。在健康体重对照组与患有/未患有MetS的肥胖/超重参与者之间，健康饮食指数-2010（HEI-2010）以及HEI-2010的12个组成部分得分中的9个存在统计学显著差异（p<0.05）。
结论
我们的研究表明，低饮食质量是发生MetS的一个危险因素。
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