Department of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX, USA.
Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Food Sci Nutr. 2023 Mar;74(2):291-301. doi: 10.1080/09637486.2023.2187328. Epub 2023 Mar 17.
Plant-based diets (PBDs) have gained a positive reputation among experts as a solution to combat the epidemic of MetS. A total of 2225 healthy Iranian individuals aged 35-70 years were considered eligible to be included in this cross-sectional investigation. Various dietary, anthropometric, and biochemical assessments were conducted using standard, valid methods/tools. Relevant PBD scores were calculated using three a posteriori indices, including the overall plant-based diet index (PDI), healthful PDI (hPDI), and unhealthful PDI (uPDI). Our findings showed that women with the highest adherence to hPDI had a lower chance of MetS. Also, participants in the top tertiles of hPDI were more likely to have a lower risk of low serum HDL-c and abnormal glucose homeostasis. Additionally, a significant increasing trend was observed for low serum HDL-c across tertiles of uPDI. Our observations suggest that healthful-rich plant foods may have a protective effect against MetS, especially in women.
植物性饮食（PBD）在专家中获得了积极的声誉，被认为是对抗代谢综合征流行的一种解决方案。共有 2225 名年龄在 35-70 岁的伊朗健康个体被认为符合本横断面研究的纳入标准。使用标准、有效的方法/工具对各种饮食、人体测量和生化指标进行了评估。使用三个事后指标计算了相关的 PBD 评分，包括整体植物性饮食指数（PDI）、健康 PDI（hPDI）和不健康 PDI（uPDI）。我们的研究结果表明，hPDI 依从性最高的女性患代谢综合征的几率较低。此外，hPDI 最高三分位的参与者患低血清高密度脂蛋白胆固醇和异常葡萄糖稳态的风险较低。此外，随着 uPDI 三分位的升高，低血清高密度脂蛋白胆固醇呈显著升高趋势。我们的观察结果表明，富含健康植物性食物可能对代谢综合征具有保护作用，尤其是对女性。
