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伊朗成年人营养模式与代谢综合征及其组分的关联

Association of Nutrient Patterns with Metabolic Syndrome and Its Components in Iranian Adults.

作者信息

Akbarzade Zahra, Amini Mohammad Reza, Djafari Farhang, Yarizadeh Habib, Mohtashaminia Fatemeh, Majdi Maryam, Bazshahi Elham, Djafarian Kurosh, Clark Cain C T, Shab-Bidar Sakineh

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14167-53955, Iran.

Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS) 14167-53955, Tehran, Iran.

出版信息

Clin Nutr Res. 2020 Oct 30;9(4):318-331. doi: 10.7762/cnr.2020.9.4.318. eCollection 2020 Oct.

Abstract

We aimed to examine the association between nutrient patterns and metabolic syndrome (MetS) in Iranian adults. In a cross-sectional study of 850 self-certified healthy women and men aged 20-59 years old, dietary data were assessed using three 24-hour recall. Anthropometric measures were done and blood samples were collected to measure serum fasting serum glucose and lipid profile. The MetS was defined using the International Diabetes Federation. Major nutrient patterns were identified using principle competent analysis. In the first nutrient pattern, the individuals in the fifth quintile had a higher intake of vitamins B, B, B, B, B, B, zinc, iron, saturated fatty acids (SFAs), and protein. In the second nutrient pattern, individuals in the first quintile had lower consumption of zinc, SFAs, vitamin E, α-tocopherol, oleic acid, polyunsaturated fatty acids, β-carotene, linolenic acid, and monounsaturated fatty acids, compared to the fifth quintile. Furthermore, in the third nutrient pattern, the individuals in the fifth quintile had a higher intake of potassium, magnesium, phosphorous, calcium, protein, carbohydrate, vitamin C, and folate compared to other quintiles. We identified the second pattern had an indirect association with systolic and diastolic blood pressure, triglycerides, fasting blood sugar (p < 0.001 for all), and total cholesterol (p = 0.04) when it was controlled for body weight. Our findings showed that nutrient patterns may have an association with MetS components with mediating body weight.

摘要

我们旨在研究伊朗成年人营养模式与代谢综合征(MetS)之间的关联。在一项针对850名年龄在20至59岁之间自我认证为健康的女性和男性的横断面研究中,通过三次24小时膳食回顾来评估饮食数据。进行了人体测量并采集血样以测量空腹血清葡萄糖和血脂谱。采用国际糖尿病联盟的标准来定义代谢综合征。使用主成分分析确定主要营养模式。在第一种营养模式中,处于第五分位数的个体对维生素B、B、B、B、B、B、锌、铁、饱和脂肪酸(SFA)和蛋白质的摄入量较高。在第二种营养模式中,与第五分位数相比,处于第一分位数的个体对锌、SFA、维生素E、α-生育酚、油酸、多不饱和脂肪酸、β-胡萝卜素、亚麻酸和单不饱和脂肪酸的摄入量较低。此外,在第三种营养模式中,与其他分位数相比,处于第五分位数的个体对钾、镁、磷、钙、蛋白质、碳水化合物、维生素C和叶酸的摄入量较高。我们发现,在控制体重后,第二种模式与收缩压、舒张压、甘油三酯、空腹血糖(所有p<0.001)和总胆固醇(p = 0.04)存在间接关联。我们的研究结果表明,营养模式可能通过介导体重与代谢综合征各组分存在关联。

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