饮食质量与肥胖相关代谢风险之间的关联。
The association between diet quality and obesity-related metabolic risks.
作者信息
Abdurahman Ahmed Abdulahi, Bule Mohammed, Azadbakhat Leyla, Fallahyekta Masoume, Parouhan Ali, Qorbani Mostefa, Dorosty Ahmad Reza
机构信息
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
International Campus, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Hum Antibodies. 2020;28(1):1-9. doi: 10.3233/HAB-190387.
BACKGROUND
The aim of this study was to examine the association between dietary quality measured by inflammatory potential of a diet and Alternative Healthy Eating Index-2010 (AHEI-2010), and obesity-related metabolic risks in a representative sample of Iranian obese adults.
METHOD
This cross-sectional study was conducted on 300 obese adults. Dietary intake was assessed using a validated 168-item semi-quantitative food frequency questionnaire (FFQ). Diet quality was measured using AHEI-2010 and Empirical Dietary Inflammatory Pattern (EDIP) scores.
RESULTS
Those in the upper quartile of AHEI-2010 were associated with lower serum level of triglycerides (TG), and higher body mass index (BMI), compared to participants in the lower quartile. Those in the higher quartile of EDIP score were associated with higher serum level of TG. Greater adherence to AHEI-2010 had 70% lower odds of high fasting blood glucose (FBG), compared with those in the first quartile [Q4 vs Q1: OR, 0.3 (95% CI: 0.1-0.8), p trend = 0.02] Those in the highest quartile of EDIP score had a 60% higher odds of high diastolic blood pressure, compared with those in the lowest quartile [Q4 vs Q1: OR, 2.4 (95% CI: 1.1-5.5), p trend = 0.05] after controlling for potential covariates.
CONCLUSIONS
High diet quality incorporating more anti-inflammatory diet may have a potential benefit in reducing obesity-related metabolic risks.
背景
本研究旨在探讨以饮食的炎症潜能衡量的饮食质量与2010年替代健康饮食指数（AHEI - 2010）之间的关联，以及在伊朗肥胖成年人的代表性样本中与肥胖相关的代谢风险。
方法
本横断面研究对300名肥胖成年人进行。使用经过验证的168项半定量食物频率问卷（FFQ）评估饮食摄入量。使用AHEI - 2010和经验性饮食炎症模式（EDIP）评分来衡量饮食质量。
结果
与处于AHEI - 2010最低四分位数的参与者相比，处于AHEI - 2010最高四分位数的参与者血清甘油三酯（TG）水平较低，体重指数（BMI）较高。EDIP评分处于较高四分位数的参与者血清TG水平较高。与处于第一四分位数的参与者相比，更严格遵循AHEI - 2010的人空腹血糖（FBG）升高的几率低70%[第四四分位数（Q4）与第一四分位数（Q1）：比值比（OR），0.3（95%置信区间：0.1 - 0.8），p趋势 = 0.02]。在控制潜在协变量后，EDIP评分处于最高四分位数的参与者舒张压升高的几率比处于最低四分位数的参与者高60%[Q4与Q1：OR，2.4（95%置信区间：1.1 - 5.5），p趋势 = 0.05]。
结论
包含更多抗炎饮食的高质量饮食可能对降低肥胖相关的代谢风险具有潜在益处。
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