Azadbakht Leila, Akbari Fahime, Qorbani Mostafa, Esmaeil Motlagh Mohammad, Ardalan Gelayol, Heshmat Ramin, Daneshzad Elnaz, Kelishadi Roya
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Cardiovasc Thorac Res. 2019;11(2):138-146. doi: 10.15171/jcvtr.2019.24. Epub 2019 Jun 30.
This cross-sectional study aimed to assess the association between cardiovascular disease (CVD) risk factors and dinner consumption in a nationally representative sample of Iranian adolescents. The present study was conducted on 5642 adolescents aged 10-18 years old in 27 provinces in Iran. The subjects were included applying by multistage random cluster sampling. Participants who ate ≥5 dinners during a week were considered as a dinner consumer. Among 5642 subjects, 1412 (25%) did not consume dinner. Dinner consumers were less likely to be overweight or obese ( < 0.001) and abdominally obese ( < 0.001) as well as to have an abnormal level of HDL-C ( = 0.02). Dinner skipper youths had a higher risk for overweight or obesity (odds ratio [OR]: 1.62; 95% CI: 1.39-1.89) and abdominal obesity (OR: 1.59; 95% CI: 1.36-1.85) which remained significant after adjusting confounding factors ( <0001). No relationship was observed between dinner consumption and the rest of the CVD risk factors, neither in crude nor in adjusted models. A higher proportion of dinner-consumer adolescents had no CVD risk factors in comparison to dinner-skipper subjects (31.1% vs. 28%). Eating dinner might be inversely associated with some CVD risk factors among Iranian adolescents. Further prospective studies will need to prove this theory.
这项横断面研究旨在评估在具有全国代表性的伊朗青少年样本中,心血管疾病(CVD)风险因素与晚餐摄入之间的关联。本研究对伊朗27个省份的5642名10 - 18岁青少年进行。通过多阶段随机整群抽样纳入研究对象。每周吃≥5次晚餐的参与者被视为晚餐食用者。在5642名研究对象中,1412名(25%)不吃晚餐。晚餐食用者超重或肥胖(<0.001)、腹部肥胖(<0.001)以及高密度脂蛋白胆固醇(HDL - C)水平异常(=0.02)的可能性较小。不吃晚餐的青少年超重或肥胖(优势比[OR]:1.62;95%置信区间[CI]:1.39 - 1.89)和腹部肥胖(OR:1.59;95% CI:1.36 - 1.85)的风险更高,在调整混杂因素后仍具有显著性(<0.001)。在未调整和调整后的模型中,均未观察到晚餐摄入与其他CVD风险因素之间存在关联。与不吃晚餐的青少年相比,吃晚餐的青少年中无CVD风险因素的比例更高(31.1%对28%)。在伊朗青少年中,吃晚餐可能与某些CVD风险因素呈负相关。需要进一步的前瞻性研究来证实这一理论。