Heidari Shahin, Kahnooji Mahmood, Ayoobi Fatemeh, Khalili Parvin, Ghaseminasab-Parizi Maryam, Soltani Lida
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Internal Medicine, School of Medicine, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical, Rafsanjan, Iran.
Sci Rep. 2025 Mar 27;15(1):10579. doi: 10.1038/s41598-025-90086-0.
The rapid increase in metabolic syndrome (MetS) as a major public health problem may be attributed to changes in population behavior patterns in modern society, including nutritional habits and physical activity. Therefore, this study investigated the association between dietary diversity score (DDS) and adult metabolic syndrome. In this cross-sectional study, 9715 participants aged 35-70 years from the Rafsanjan Cohort Study (RCS) were included. Demographic, medical, and habitual histories were collected. DDS was calculated using a food frequency questionnaire (FFQ). All analyses were performed using Stata 14, with p-values < 0.05. Based on the DDS, subjects were divided into four groups (quartiles). The multivariate-adjusted model showed that the risk of MetS increased by 18% in the third quartile and by 25% in the fourth quartile (OR: 1.18; 98% CI: 1.02-1.36 and OR: 1.25; 98% CI: 1.06-1.48, respectively). Additionally, an increased risk of high serum triglyceride levels was observed in the third quartile (OR: 1.19; 98% CI: 1.05-1.35). The results suggest that there is a relationship between DDS and metabolic syndrome, although this relationship changed after adjusting for confounders.
代谢综合征（MetS）作为一个主要的公共卫生问题迅速增加，这可能归因于现代社会人群行为模式的变化，包括饮食习惯和身体活动。因此，本研究调查了饮食多样性得分（DDS）与成人代谢综合征之间的关联。在这项横断面研究中，纳入了来自拉夫桑詹队列研究（RCS）的9715名年龄在35至70岁之间的参与者。收集了人口统计学、医学和习惯史。使用食物频率问卷（FFQ）计算DDS。所有分析均使用Stata 14进行，p值<0.05。根据DDS，受试者被分为四组（四分位数）。多变量调整模型显示，第三四分位数中MetS的风险增加了18%，第四四分位数中增加了25%（OR分别为：1.18；98%CI：1.02 - 1.36和OR：1.25；98%CI：1.06 - 1.48）。此外，在第三四分位数中观察到高血清甘油三酯水平的风险增加（OR：1.19；98%CI：1.05 - 1.35）。结果表明，DDS与代谢综合征之间存在关联，尽管在调整混杂因素后这种关系发生了变化。
