Saraf-Bank S, Haghighatdoost F, Esmaillzadeh A, Larijani B, Azadbakht L
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Eur J Clin Nutr. 2017 Mar;71(3):425-430. doi: 10.1038/ejcn.2016.173. Epub 2016 Sep 28.
BACKGROUND/OBJECTIVES: Nowadays, metabolic syndrome (MetS) is deemed as a major public health challenge in both developed and developing countries. Therefore, the aim of this study was to determine the association between Healthy Eating Index-2010 (HEI-2010) score and MetS and its features among Iranian female nurses.
SUBJECTS/METHODS: This cross-sectional study was performed among 1036 Iranian women. A validated, self-administered, dish-based, semiquantitative food frequency questionnaire was used to assess the habitual intake of participants. HEI-2010 score was used to assess diet quality of participants. MetS was defined based on the guidelines of the National Cholesterol Education Program Adult Treatment Panel III (ATP III). Multivariate logistic regression adjusted for potential confounders was used to assess the relation between HEI-2010 and MetS.
After adjusting for potential confounders, participants in the highest quartile of HEI-2010 had the lowest risk of MetS compared with those in the first quartile (odds ratio: 0.72; 95% confidence interval: 0.50-0.96). Furthermore, the risk of MetS features including abdominal obesity, high blood pressure, high serum triacylglycerol and low serum high-density lipoprotein-cholesterol significantly decreased across HEI-2010 quartiles (P<0.05).
Higher HEI-2010 scores were inversely associated with lower risk of MetS and its components among Iranian women.
背景/目的：如今，代谢综合征（MetS）在发达国家和发展中国家均被视为一项重大的公共卫生挑战。因此，本研究旨在确定伊朗女性护士中2010年健康饮食指数（HEI - 2010）得分与代谢综合征及其特征之间的关联。
对象/方法：本横断面研究在1036名伊朗女性中进行。采用一份经过验证的、自行填写的、基于菜肴的半定量食物频率问卷来评估参与者的习惯性摄入量。HEI - 2010得分用于评估参与者的饮食质量。代谢综合征根据美国国家胆固醇教育计划成人治疗小组第三次报告（ATP III）的指南来定义。使用针对潜在混杂因素进行调整的多变量逻辑回归来评估HEI - 2010与代谢综合征之间的关系。
在对潜在混杂因素进行调整后，与处于第一四分位数的参与者相比，处于HEI - 2010最高四分位数的参与者患代谢综合征的风险最低（比值比：0.72；95%置信区间：0.50 - 0.96）。此外，在HEI - 2010各四分位数中，代谢综合征特征（包括腹型肥胖、高血压、高血清甘油三酯和低血清高密度脂蛋白胆固醇）的风险显著降低（P<0.05）。
在伊朗女性中，较高的HEI - 2010得分与较低的代谢综合征及其组成成分风险呈负相关。
