伊朗年轻护士中坚果和豆类食用与代谢综合征之间缺乏关联。

Lack of association between nuts and legumes consumption and metabolic syndrome in young Iranian nurses.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Department of Nutrition, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

Clin Nutr ESPEN. 2021 Dec;46:173-178. doi: 10.1016/j.clnesp.2021.10.017. Epub 2021 Oct 24.

DOI:10.1016/j.clnesp.2021.10.017

PMID:34857192

Abstract

BACKGROUND

Most studies have investigated the association between dietary pattern and risk of metabolic syndrome. Limited studies have examined the association between nuts and legumes as a food group and metabolic syndrome. This study explored the association between nuts and legumes and components of metabolic syndrome in Iranian nurses.

METHODS

This cross-sectional study included a representative sample of 420 female nurses of Isfahan who were randomly selected. Nuts and legumes consumption was assessed using a validated dish-based semi quantitative food frequency questionnaire (FFQ). Metabolic syndrome was defined by the National Cholesterol Education Program's Adult Treatment Panel III (ATP III). Linear and logistic regression tests were used to study the association between nuts and legumes consumption and metabolic syndrome and its components.

RESULTS

Mean age of study participants was 35 years. The prevalence of the metabolic syndrome among study participants was 3.6%. Consumption of nuts and legumes was not associated with waist circumference either before (β = -0.01, P = 0.24) or after adjusting for potential confounders (β = -0.18, P = 0.41). The same findings were also observed for diastolic blood pressure (DBP) (β = 0.001, P = 0.42), serum triglyceride (TG) (β = 0.07, P = 0.32), high-density lipoprotein cholesterol (HDL-C) (β = 0.008, P = 0.65) and fasting blood sugar (FBS) (β = -0.001, P = 0.94). We failed to find a significant association between consumption of nuts and legumes and systolic blood pressure (SBP) after adjusting for confounders (β = 0.002, P = 0.38). Individuals in the highest category of nuts and legume consumption did not had elevated odds for metabolic syndrome after adjusting for potential confounders (OR = 0.89, 95% CI = 0.08-9.80, P = 0.93).

CONCLUSIONS

Nuts and legumes consumption was not associated with metabolic syndrome or its components. Prospective studies are needed to investigate further this association.

摘要

背景

大多数研究都探讨了饮食模式与代谢综合征风险之间的关系。有限的研究调查了坚果和豆类作为一个食物组与代谢综合征之间的关系。本研究旨在探讨伊朗护士中坚果和豆类与代谢综合征各组成部分之间的关系。

方法

这是一项横断面研究，纳入了随机抽取的 420 名伊朗女护士的代表性样本。使用经过验证的基于餐盘的半定量食物频率问卷（FFQ）评估坚果和豆类的摄入量。代谢综合征的定义采用美国国家胆固醇教育计划成人治疗专家组 III（ATP III）标准。线性和逻辑回归检验用于研究坚果和豆类的摄入量与代谢综合征及其各组分之间的关系。

结果

研究参与者的平均年龄为 35 岁。研究参与者的代谢综合征患病率为 3.6%。无论是否调整潜在混杂因素，坚果和豆类的摄入量与腰围均无相关性（β= -0.01，P= 0.24）。同样，在调整混杂因素后，舒张压（DBP）（β= 0.001，P= 0.42）、血清甘油三酯（TG）（β= 0.07，P= 0.32）、高密度脂蛋白胆固醇（HDL-C）（β= 0.008，P= 0.65）和空腹血糖（FBS）（β= -0.001，P= 0.94）的结果也相似。在调整混杂因素后，我们发现坚果和豆类的摄入量与收缩压（SBP）之间也没有显著关联（β= 0.002，P= 0.38）。在调整潜在混杂因素后，最高类别的坚果和豆类摄入量与代谢综合征的发生几率升高无关（OR= 0.89，95%CI= 0.08-9.80，P= 0.93）。