Khayyatzadeh Sayyed Saeid, Moohebati Mohsen, Mazidi Mohsen, Avan Amir, Tayefi Maryam, Parizadeh Seyed Mohammad Reza, Ebrahimi Mahmoud, Heidari-Bakavoli Alireza, Azarpazhooh Mahmoud Reza, Esmaily Habibollah, Ferns Gordon A, Nematy Mohsen, Safarian Mohammad, Ghayour-Mobarhan Majid
Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Eur J Clin Invest. 2016 Oct;46(10):840-52. doi: 10.1111/eci.12666.
The prevalence of metabolic syndrome (MetS) is increasing globally. It is associated with a significant risk of developing type 2 diabetes mellitus and cardiovascular disease.
The relationship between adherence to several different dietary patterns and the presence of MetS was explored in an Iranian population sample of 5764 subjects.
We observed that the prevalence of MetS was 13% and 18% in men and women, respectively. There were three main dietary patterns: the first pattern was characterized by protein, carbohydrate, starch, glucose, fructose, sucrose, maltose, dietary fibre, potassium, calcium, magnesium, phosphorus, iron, zinc, manganese, thiamine, riboflavin, carotene, vitamin c and lactose; second representative of fat, saturated fat, monounsaturated fat, polyunsaturated fat, cholesterol, sodium, calcium, zinc, phosphorus, iodine, vitamin D, chloride, betaine, niacin; third consisting of copper, selenium, vitamin A, riboflavin, vitamin B12. In this dietary pattern, individuals in first quintile had a higher consumption of total fat, saturated fatty acid, monounsaturated fatty acid, polyunsaturated fatty acid, cholesterol and vitamin A. In the second pattern, individuals in the fifth quintile ate less carbohydrate, dietary fibre, glucose, Fructose, potassium compared to first quintile. We found that individuals in the first quintile in pattern 3 had higher intakes of protein, zinc and calcium compared to other quintiles.
We have found that a nutrient pattern which mostly characterized by dietary protein, carbohydrate, starch, glucose, fructose, sucrose, maltose was associated with a higher risk of MetS in both genders, while a pattern which was represent of copper, selenium, Vitamin A, riboflavin, vitamin B12 was associated with greater odds of Mets, in women.
代谢综合征(MetS)在全球的患病率正在上升。它与患2型糖尿病和心血管疾病的重大风险相关。
在一个有5764名受试者的伊朗人群样本中,探讨了坚持几种不同饮食模式与代谢综合征存在之间的关系。
我们观察到,男性和女性的代谢综合征患病率分别为13%和18%。有三种主要饮食模式:第一种模式的特征是蛋白质、碳水化合物、淀粉、葡萄糖、果糖、蔗糖、麦芽糖、膳食纤维、钾、钙、镁、磷、铁、锌、锰、硫胺素、核黄素、胡萝卜素、维生素C和乳糖;第二种模式以脂肪、饱和脂肪、单不饱和脂肪、多不饱和脂肪、胆固醇、钠、钙、锌、磷、碘、维生素D、氯、甜菜碱、烟酸为代表;第三种模式由铜、硒、维生素A、核黄素、维生素B12组成。在这种饮食模式中,第一五分位数的个体总脂肪、饱和脂肪酸、单不饱和脂肪酸、多不饱和脂肪酸、胆固醇和维生素A的摄入量较高。在第二种模式中,第五五分位数的个体与第一五分位数相比,碳水化合物、膳食纤维、葡萄糖、果糖、钾的摄入量较少。我们发现,与其他五分位数相比,第三种模式中第一五分位数的个体蛋白质、锌和钙的摄入量较高。
我们发现,一种主要以膳食蛋白质、碳水化合物、淀粉、葡萄糖、果糖、蔗糖、麦芽糖为特征的营养模式与男女患代谢综合征的较高风险相关,而一种以铜、硒、维生素A、核黄素、维生素B12为代表的模式与女性患代谢综合征的几率较高相关。