Akbarzade Zahra, Djafarian Kurosh, Clark Cain C T, Lesani Azadeh, Shahinfar Hossein, Shab-Bidar Sakineh
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
J Cardiovasc Thorac Res. 2020;12(4):269-279. doi: 10.34172/jcvtr.2020.45. Epub 2020 Nov 28.
Findings of studies on the association between evening meal and obesity are inconclusive. Thus, we sought to investigate the association between major dietary patterns at evening meal and obesity among apparently healthy adults in Tehran. This cross-sectional research was conducted using 833 adult men and women who lived in Tehran (age range: 20-59 years). Their dietary intake was evaluated by three, 24-h dietary recalls(24hDRs), and major patterns were identified using exploratory factor analysis. The association between major dietary patterns at dinner with general and central obesity was assessed using logistic regression analysis. We identified 3 major dietary patterns at dinner including "prudent", "potatoes and eggs" and"Western" patterns. There was no significant relationship between prudent and general obesity (OR:0.76, 95% CI = 0.21, 1.15, P value = 0.20), and, a significant association was not observed between potatoes and eggs and general obesity (OR: 0.89, 95% CI = 0.60, 1.32, P value = 0.57) also, there was no significant relationship between Western dietary pattern and general obesity in this study (OR: 0.95,95% CI = 0.63, 1.43, P value = 0.82). Further analyses showed that there was no significant relationship between central obesity with any of the dietary patterns. The results of this study do not support a possible relationship between major dietary patterns at dinner with general and central obesity. However, the presented findings should be confirmed in prospective studies.
关于晚餐与肥胖之间关联的研究结果尚无定论。因此,我们试图调查德黑兰表面健康的成年人晚餐时主要饮食模式与肥胖之间的关联。这项横断面研究使用了833名居住在德黑兰的成年男性和女性(年龄范围:20 - 59岁)。通过三次24小时饮食回顾来评估他们的饮食摄入量,并使用探索性因素分析确定主要模式。使用逻辑回归分析评估晚餐时主要饮食模式与全身肥胖和中心性肥胖之间的关联。我们确定了晚餐时的3种主要饮食模式,包括“谨慎型”、“土豆和蛋类型”以及“西方型”模式。谨慎型模式与全身肥胖之间无显著关系(比值比:0.76,95%置信区间 = 0.21, 1.15,P值 = 0.20),并且土豆和蛋类型模式与全身肥胖之间也未观察到显著关联(比值比:0.89,95%置信区间 = 0.60, 1.32,P值 = 0.57),此外,在本研究中西方饮食模式与全身肥胖之间也无显著关系(比值比:0.95,95%置信区间 = 0.63, 1.43,P值 = 0.82)。进一步分析表明,中心性肥胖与任何一种饮食模式之间均无显著关系。本研究结果不支持晚餐时主要饮食模式与全身肥胖和中心性肥胖之间存在可能的关系。然而,所呈现的研究结果应在前瞻性研究中得到证实。