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伊朗超重和肥胖女性的饮食模式与内脏脂肪指数、甘油三酯-葡萄糖指数、炎症和身体成分的关系。

The association between dietary pattern and visceral adiposity index, triglyceride-glucose index, inflammation, and body composition among Iranian overweight and obese women.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), P.O. Box: 14155-6117, Tehran, Iran.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Science, Tehran, Iran.

出版信息

Sci Rep. 2023 Aug 13;13(1):13162. doi: 10.1038/s41598-023-39653-x.

Abstract

The aim of the present study was to investigate the association between dietary patterns, derived through latent class analysis (LCA), with visceral adiposity index (VAI), Triglyceride-Glucose Index (TyG), inflammation biomarkers, and body composition in overweight and obese Iranian women. For this cross-sectional study, dietary exposure was assessed using a validated 147-item semi-quantitative food frequency questionnaire (FFQ). Dietary patterns were derived through LCA. Binary logistic was performed to test the associations of dietary patterns with VAI, TyG, inflammation biomarkers, and body composition. Health centers in Tehran, Iran. 376 obese and overweight women, aged > 18 years. Two dietary patterns were identified using LCA modeling: healthy and unhealthy. Women in the unhealthy class were characterized by higher consumption of fast food, sweetened beverages, grains, unhealthy oils, butter and margarine, and snacks. Compared with the healthy class, the unhealthy class was associated with an increased risk of higher fasting blood sugar (FBS) (OR = 6.07; 95% CI: 1.33-27.74, P value = 0.02), c-reactive protein (CRP) (OR = 1.72; 95% CI: 1.05-2.80; P value = 0.02), and lower fat free mass index (FFMI) (OR = 0.56; 95% CI: 0.35-0.88, P value = 0.01), after adjusting for confounders. We found that adherence to an unhealthy dietary pattern was associated with decreased FFMI and increased FBS and CRP using LCA, but not with the rest of the variables. Further studies should be conducted to confirm the veracity of these findings.

摘要

本研究旨在探讨通过潜在类别分析(LCA)得出的饮食模式与内脏脂肪指数(VAI)、甘油三酯-葡萄糖指数(TyG)、炎症生物标志物和超重和肥胖伊朗女性身体成分之间的关系。在这项横断面研究中,使用经过验证的 147 项半定量食物频率问卷(FFQ)评估饮食暴露情况。通过 LCA 得出饮食模式。使用二元逻辑回归检验饮食模式与 VAI、TyG、炎症生物标志物和身体成分的关联。伊朗德黑兰的健康中心。376 名年龄大于 18 岁的肥胖和超重女性。通过 LCA 建模确定了两种饮食模式:健康和不健康。不健康类别的女性的特点是快餐、含糖饮料、谷物、不健康的油、黄油和人造黄油以及零食的摄入量较高。与健康类别的女性相比,不健康类别的女性与较高的空腹血糖(FBS)(OR=6.07;95%CI:1.33-27.74,P 值=0.02)、C 反应蛋白(CRP)(OR=1.72;95%CI:1.05-2.80;P 值=0.02)的风险增加有关,并且体脂率(FFMI)较低(OR=0.56;95%CI:0.35-0.88,P 值=0.01),在调整混杂因素后。我们发现,通过 LCA 得出的不健康饮食模式与降低的 FFMI 和升高的 FBS 和 CRP 有关,但与其余变量无关。应进行进一步的研究以确认这些发现的真实性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d2d/10423716/0867e782eb0a/41598_2023_39653_Fig1_HTML.jpg

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