Relationship between major dietary patterns and metabolic syndrome among individuals with impaired glucose tolerance
Relationship between major dietary patterns and metabolic syndrome among individuals with impaired glucose tolerance
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DOI：
10.1016/j.nut.2010.03.006
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发表时间：
2010-10-01
期刊：
影响因子：
4.4
通讯作者：
Zare, Maryam
中科院分区：
文献类型：
--
作者：
Amini, Massoud;Esmaillzadeh, Ahmad;Zare, Maryam
目的：饮食习惯与代谢综合征的患病率有关，在这一领域，葡萄糖耐量受损个体的数据有限。这项研究的重点是主要的饮食模式和代谢综合征的患病率之间的关联在个人与受损glucose tolerance.Methods：这项横断面研究是在425名受试者35至55岁。饮食数据收集使用食物频率问卷。血压，腰围，葡萄糖，甘油三酯，高密度脂蛋白胆固醇和代谢综合征的定义是基于成人治疗小组III guidelines.Results：五个主要的饮食模式被发现：西方模式（多吃甜食、黄油、苏打水、蛋黄酱、糖、饼干、羊尾巴、氢化脂肪和鸡蛋），谨慎的饮食模式（富含鱼、豌豆、蜂蜜、坚果、果汁、干果、植物油、肝脏和有机肉类、椰子，氢化脂肪和非叶类蔬菜含量低），素食模式（富含土豆、豆类、富含维生素C的水果、大米、绿色叶菜类、富含维生素A的水果）、一种是高脂乳制品模式（高脂酸奶和高脂牛奶含量高，低脂酸奶、豌豆和面包含量低），另一种是鸡肉和植物模式（鸡肉、富含维生素A的水果、绿色多叶蔬菜和蛋黄酱含量高，牛肉、肝脏和有机肉类含量低）。在调整混杂变量后，西方模式与三酰甘油（比值比1.76，95%置信区间1.01-3.07）和血压（比值比2.62，95%置信区间1.32-5.23）升高的几率更大相关。谨慎的模式与低高密度脂蛋白胆固醇水平的患病率呈正相关（比值比0.55，95%置信区间0.31-0.96）。素食饮食模式与空腹血糖水平异常的风险呈负相关（比值比2.26，95%可信区间1.25-4.06）。结论：主要饮食模式与代谢综合征的风险显著相关。(C)2010年爱思唯尔公司All rights reserved.
Objective: Dietary habits have been associated with the prevalence of the metabolic syndrome and limited data are available in this field for individuals with impaired glucose tolerance. This study focused on the association between major dietary patterns and prevalence of the metabolic syndrome in individuals with impaired glucose tolerance.Methods: This cross-sectional study was done in 425 subjects 35 to 55 y of age. Dietary data were collected using a food-frequency questionnaire. Blood pressure, waist circumference, glucose, triacylglycerols, and high-density lipoprotein cholesterol were measured and metabolic syndrome was defined based on Adult Treatment Panel Ill guidelines.Results: Five major dietary patterns were found: a western pattern (high in sweets, butter, soda, mayonnaise, sugar, cookies, tail of a lamb, hydrogenated fat, and eggs), a prudent pattern (high in fish, peas, honey, nuts, juice, dry fruits, vegetable oil, liver and organic meat, and coconuts and low in hydrogenated fat and non-leafy vegetables), a vegetarian pattern (high in potatoes, legumes, fruits rich in vitamin C, rice, green leafy vegetables, and fruits rich in vitamin A), a high-fat dairy pattern (high in high-fat yogurt and high-fat milk and low in low-fat yogurt, peas, and bread), and a chicken and plant pattern (high in chicken, fruits rich in vitamin A, green leafy vegetables, and mayonnaise and low in beef, liver, and organic meat). After adjusting for confounding variables, the western pattern was associated with greater odds of having increased triacylglycerol (odds ratio 1.76, 95% confidence interval 1.01-3.07) and blood pressure (odds ratio 2.62, 95% confidence interval 1.32-5.23). The prudent pattern was positively associated with a prevalence of low high-density lipoprotein cholesterol levels (odds ratio 0.55, 95% confidence interval 0.31-0.96). The vegetarian dietary pattern was inversely associated with a risk of an abnormal fasting blood glucose level (odds ratio 2.26, 95% confidence interval 1.25-4.06).Conclusion: Major dietary patterns were significantly associated with the risk of metabolic syndrome. (C) 2010 Elsevier Inc. All rights reserved.