Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences, American University of Beirut, Riad El Solh, PO Box 11-0236, 1107 2020, Beirut, Lebanon.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, PO Box 11-5020, 1107 2809, Beirut, Lebanon.
Eur J Nutr. 2020 Aug;59(5):2145-2158. doi: 10.1007/s00394-019-02063-9. Epub 2019 Jul 30.
This study tried at identifying lifestyle patterns in a sample of Lebanese adults and investigating their association with metabolically healthy overweight and obesity (MHOv/O).
This study used data from a community-based survey of Lebanese adults living in Greater Beirut (n = 305). Dietary intake was assessed using an 80-item food frequency questionnaire. MHOv/O was defined as having one or none of the following metabolic abnormalities: triglycerides ≥ 150 mg/dL; systolic blood pressure ≥ 130 mmHg; diastolic blood pressure ≥ 85 mmHg; fasting blood glucose ≥ 100 mg/dL; HDL-cholesterol < 40 mg/dL for men and < 50 mg/dL for women. 201 subjects were overweight/obese and 98 had MHOv/O. Factor analysis was implemented to derive lifestyle patterns.
Two lifestyle patterns were identified: the unhealthy lifestyle pattern, which included foods such as fast food and soft drinks and was characterized by alcohol consumption and cigarette smoking. Eating at home loaded negatively on this pattern. The healthy lifestyle pattern was characterized by positive loadings of food groups such as milk and dairy products, fruits, vegetables and legumes. Sleep difficulties loaded negatively on this pattern, while vigorous and moderate physical activity loaded positively. Multiple logistic regression analyses showed that subjects belonging to the 3rd tertile of the healthy pattern scores had higher odds of MHOv/O as compared to those in the 1st tertile (OR 2.33, CI 1.04-4.81).
Findings of this study provided evidence on the combined effect of lifestyle patterns in relation to cardiometabolic abnormalities and highlighted the importance of focusing on 'holistic' lifestyle pattern modifications in designing and implementing prevention interventions in overweight and obese subjects.
本研究旨在识别黎巴嫩成年人样本中的生活方式模式，并研究其与代谢健康超重和肥胖（MHOv/O）的关系。
本研究使用了一项基于社区的黎巴嫩成年人在大贝鲁特（n=305）生活的调查数据。膳食摄入通过 80 项食物频率问卷进行评估。MHOv/O 定义为存在以下一种或多种代谢异常：甘油三酯≥150mg/dL；收缩压≥130mmHg；舒张压≥85mmHg；空腹血糖≥100mg/dL；HDL-胆固醇<40mg/dL 男性和<50mg/dL 女性。201 名受试者超重/肥胖，98 名受试者 MHOv/O。实施因子分析以得出生活方式模式。
确定了两种生活方式模式：不健康的生活方式模式，包括快餐和软饮料等食物，其特点是饮酒和吸烟。在家吃饭对这种模式产生负面影响。健康的生活方式模式的特点是积极加载食物组，如牛奶和奶制品、水果、蔬菜和豆类。睡眠困难对这种模式产生负面影响，而剧烈和适度的身体活动则产生积极影响。多因素逻辑回归分析表明，与第 1 三分位相比，属于健康模式得分第 3 三分位的受试者发生 MHOv/O 的几率更高（OR 2.33，CI 1.04-4.81）。
本研究的结果提供了关于生活方式模式与心血管代谢异常之间的综合效应的证据，并强调了在超重和肥胖受试者中设计和实施预防干预措施时关注“整体”生活方式模式改变的重要性。
