健康/不健康的饮食模式与超重/肥胖女性的静息代谢率状况有关。
The healthy/unhealthy dietary pattern is associated with resting metabolic rate status among women with overweight/obesity.
机构信息
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O. Box 14155-6117, Tehran, Iran.
Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran.
出版信息
BMC Endocr Disord. 2022 Feb 21;22(1):45. doi: 10.1186/s12902-022-00958-z.
BACKGROUND
Although various dietary patterns have been indicated to be associated with the resting metabolic rate [RMR], limited data are available in this field. This study was therefore focused on the association between dietary patterns and resting metabolic rate among participants with overweight and obesity.
METHODS
This cross-sectional study was conducted on 304 women with overweight or obesity (BMI ≥ 25 kg/m), aged 18-50. Anthropometric assessments, physical activity and biochemical measurements were assessed. RMR was also measured by means of indirect calorimetry. Dietary intake of participants was evaluated by 147-item semi-quantitative food frequency questionnaire [FFQ].
RESULTS
There was a significant association between higher adherence to the healthy dietary pattern [HDP] and RMR (P = 0.05), intakes of protein (P = 0.003), minerals (P = 0.001) as well as fat free mass [FFM] (P = 0.002), bone mineral content (P = 0.001), skeletal muscle mass (P = 0.001), soft lean mass (P = 0.002) and visceral fat area (P = 0.05). Also, there was a considerable association between higher adherence to the unhealthy dietary pattern [UHDP] and fasting blood sugar [FBS] (P = 0.05). Using multinomial logistic regression has been shown that the medium adherence to the HDP was marginally significant with decreased resting metabolic rate [Dec. RMR] group in crude model (OR: 0.54; 95% CI: 0.28-1.05, P = 0.07). After controlling for various confounders such as age, FFM, physical activity, and energy intake, the association between Dec. RMR group and the lowest quartile of the HDP (OR: 0.36; 95% CI: 0.14-0.91, P = 0.03) became significant as well as the association between Dec. RMR group and medium adherence to the HDP (OR: 0.42; 95% CI: 0.18-0.97, P = 0.04). The medium adherence to the UHDP in crude model was also significant with increased resting metabolic rate [Inc. RMR] group (OR: 2.59; 95% CI: 1.01-6.65, P = 0.04).
CONCLUSIONS
Our study showed that there are significant associations between dietary patterns and RMR status.
背景
尽管各种饮食模式已被证明与静息代谢率[RMR]有关，但该领域的数据有限。因此，本研究专注于超重和肥胖人群中饮食模式与静息代谢率之间的关系。
方法
这是一项横断面研究，共纳入 304 名超重或肥胖（BMI≥25kg/m）的女性，年龄在 18-50 岁之间。评估了人体测量评估、身体活动和生化测量。通过间接热量法测量 RMR。通过 147 项半定量食物频率问卷[FFQ]评估参与者的饮食摄入。
结果
较高的健康饮食模式[HDP]依从性与 RMR 呈显著相关（P=0.05），蛋白质（P=0.003）、矿物质（P=0.001）以及去脂体重[FFM]（P=0.002）、骨矿物质含量（P=0.001）、骨骼肌质量（P=0.001）、瘦体软组织质量（P=0.002）和内脏脂肪面积（P=0.05）。此外，较高的不健康饮食模式[UHDP]依从性与空腹血糖[FBS]呈显著相关（P=0.05）。多变量逻辑回归显示，在粗模型中，HDP 中等依从性与静息代谢率降低[Dec. RMR]组呈边缘显著相关（OR：0.54；95%CI：0.28-1.05，P=0.07）。在控制年龄、FFM、身体活动和能量摄入等各种混杂因素后，Dec. RMR 组与 HDP 最低四分位的关联（OR：0.36；95%CI：0.14-0.91，P=0.03）以及 Dec. RMR 组与 HDP 中等依从性的关联（OR：0.42；95%CI：0.18-0.97，P=0.04）变得显著。在粗模型中，UHDP 中等依从性与静息代谢率升高[Inc. RMR]组也呈显著相关（OR：2.59；95%CI：1.01-6.65，P=0.04）。
结论
我们的研究表明，饮食模式与 RMR 状态之间存在显著关联。
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