Dietary Quality Index and Cardiometabolic Risk Factors among Adult Women
-
Behzad Zamani
,
Elnaz Daneshzad
,
Manije Darooghegi Mofrad
,
Nazli Namazi
,
Bagher Larijani
,
Nick Bellissimo
,
Leila Azadbakht
Abstract
Background: The prevalence of cardiovascular disease is dramatically increasing particularly in developing countries. Among the different factors, diet has an important role in the pathogenesis of these diseases. This study aimed to assess the relationship between dietary quality index-international (DQI-I) and cardiovascular risk factors in adult Iranian women.
Methods: This was a cross-sectional study of 371 participants, aged 20-50 yr, and recruited from 10 health centers from health centers affiliated with Tehran University of Medical Sciences (TUMS), Tehran, Iran in 2018. Usual dietary intake was evaluated by a validated and reliable 168-items food frequency questionnaire (FFQ). To assess overall quality of diet, the Dietary Quality Index-International (DQI) was used. Anthropometric measurements, blood pressure, and fasting blood of samples were taken to assess biochemical parameters related to cardiovascular disease.
Results: The results of linear regression showed that DQI-I score was inversely and directly associated with serum level of total cholesterol (TC) (0.27, confidence interval (CI): 0.13-0.58; P<0.001) and high-density lipoprotein cholesterol (HDL-C) (2.53, CI: 1.42-4.52; P=0.001), respectively. However, there was no significant association between DQI-I and other cardiovascular risk factors.
Conclusion: A greater DQI-I score was associated with preferable lipid profile including TC and HDL-C. Future large-scale, prospective cohort or clinical studies are required to confirm these findings.
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16. Kim J, Cho Y, Park Y, et al (2013). Association of Dietary Quality Indices with Glycemic Status in Korean Patients with Type 2 Diabetes. Clin Nutr Res, 2(2):100-106.
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20. Asghari G, Mirmiran P, Rashidkhani B, et al (2012). The association between diet quality indices and obesity: Tehran Lipid and Glucose Study. Arch Iran Med, 15(10):599-605.
21. Gregory CO, McCullough ML, Ramirez-Zea M, et al (2009). Diet scores and cardio-metabolic risk factors among Guatemalan young adults. Br J Nutr, 101(12):1805-11.
22. Tooze JA, Kipnis V, Buckman DW, et al(2010). A mixed‐effects model approach for estimating the distribution of usual intake of nutrients: The NCI method. Stat Med, 29(27):2857-68.
23. Tabibian S, Daneshzad E, Bellissimo N, et al (2018). Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women. Nutr Diet,75(5):481-487.
24. GARMAROUDI GR, Moradi A (2010). Socio-economic status in Iran: a study of measurement index. Payesh-Health Monitor, 9 (2): 137-144.
25. Grundy SM (2016). Does Dietary Cholesterol Matter? Curr Atheroscler Rep, 18(11):68.
26. Schwingshackl L, Hoffmann G (2013). Comparison of effects of long-term low-fat vs high-fat diets on blood lipid levels in overweight or obese patients: a systematic review and meta-analysis. J Acad Nutr Diet, 113(12):1640-61.
27. Kim K, Vance TM, Chun OK (2016). Greater Total Antioxidant Capacity from Diet and Supplements Is Associated with a Less Atherogenic Blood Profile in U.S. Adults. Nutrients, 8(1):15.
28. Lamb MJ, Griffin SJ, Sharp SJ, et al (2017). Fruit and vegetable intake and cardiovascular risk factors in people with newly diagnosed type 2 diabetes. Eur J Clin Nutr, 71(1):115-121.
29. Pasiakos SM, Lieberman HR, Fulgoni VL, et al (2015). Higher-protein diets are associated with higher HDL cholesterol and lower BMI and waist circumference in US adults. J Nutr, 145(3):605-14.
30. Zhou Q, Wu J, Tang J, et al (2015). Beneficial Effect of Higher Dietary Fiber Intake on Plasma HDL-C and TC/HDL-C Ratio among Chinese Rural-to-Urban Migrant Workers. Int J Environ Res Public Health, 12(5):4726-38.
31. Yanai H, Katsuyama H, Hamasaki H, et al (2014). Effects of Carbohydrate and Dietary Fiber Intake, Glycemic Index and Glycemic Load on HDL Metabolism in Asian Populations. J Clin Med Res, 6(5):321-6.
32. Yanai H, Katsuyama H, Hamasaki H, et al (2015). Effects of Dietary Fat Intake on HDL Metabolism. J Clin Med Res, 7(3):145-9.
33. Hooper L, Al-Khudairy L, Abdelhamid AS, et al (2018). Omega-6 fats for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev, 7(7):CD011094.
2. Ninomiya JK, L'Italien G, Criqui MH, Whyte JL, et al (2004). Association of the metabolic syndrome with history of myocardial infarction and stroke in the Third National Health and Nutrition Examination Survey. Circulation, 109(1):42-6.
3. de Padua Mansur A, Favarato D Mortalidade por Doenças Cardiovasculares no Brasil e na Região Metropolitana de São Paulo: Atualização 2011.
4. Sardarinia M, Akbarpour S, Lotfaliany M, et al (2016). Risk Factors for Incidence of Cardiovascular Diseases and All-Cause Mortality in a Middle Eastern Population over a Decade Follow-up: Tehran Lipid and Glucose Study. PLoS One, 11(12):e0167623.
5. Mozaffarian D, Appel LJ, Van Horn L (2011). Components of a cardioprotective diet: new insights. Circulation, 123(24):2870-2891.
6. Wang X, Ouyang Y, Liu J, et al (2014). Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. Bmj, 349:g4490.
7. Souza RG, Gomes AC, Naves MM, et al (2015). Nuts and legume seeds for cardiovascular risk reduction: scientific evidence and mechanisms of action. Nutr Rev, 73(6):335-47.
8. Azadbakht L, Esmaillzadeh A (2009). Red meat intake is associated with metabolic syndrome and the plasma C-reactive protein concentration in women. J Nutr, 139(2):335-9.
9. Odegaard AO, Koh WP, Yuan JM, et al (2012). Western-style fast food intake and cardiometabolic risk in an Eastern country. Circulation, 126(2):182-8.
10. Hu FB (2002). Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol, 13(1):3-9.
11. Fransen HP, Ocké MC (2008). Indices of diet quality. Curr Opin Clin Nutr Metab Care, 11(5):559-65.
12. Alkerwi A, Vernier C, Crichton GE, et al (2015). Cross-comparison of diet quality indices for predicting chronic disease risk: findings from the Observation of Cardiovascular Risk Factors in Luxembourg (ORISCAV-LUX) study. Br J Nutr, 113(2):259-69.
13. Haghighatdoost F, Sarrafzadegan N, Mohammadifard N, et al (2013). Healthy eating index and cardiovascular risk factors among Iranians. J Am Coll Nutr, 32(2):111-21.
14. Salehi-Abargouei A, Maghsoudi Z, Shirani F, et al (2013). Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases--incidence: a systematic review and meta-analysis on observational prospective studies. Nutrition, 29(4):611-8.
15. Kim S, Haines PS, Siega-Riz AM, et al (2003). The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr, 133(11):3476-84.
16. Kim J, Cho Y, Park Y, et al (2013). Association of Dietary Quality Indices with Glycemic Status in Korean Patients with Type 2 Diabetes. Clin Nutr Res, 2(2):100-106.
17. Shin MK, Kim YS, Kim JH, et al (2015). Dietary Patterns and Their Associations with the Diet Quality Index-International (DQI-I) in Korean Women with Gestational Diabetes Mellitus. Clin Nutr Res, 4(4):216-24.
18. Kim J, Lee Y, Kye S, et al (2017). Diet quality and osteosarcopenic obesity in community-dwelling adults 50 years and older. Maturitas, 104:73-79.
19. Asghari G, Mirmiran P, Hosseni-Esfahani F,et al (2013). Dietary quality among Tehranian adults in relation to lipid profile: findings from the Tehran Lipid and Glucose Study. J Health Popul Nutr, 31(1):37-48.
20. Asghari G, Mirmiran P, Rashidkhani B, et al (2012). The association between diet quality indices and obesity: Tehran Lipid and Glucose Study. Arch Iran Med, 15(10):599-605.
21. Gregory CO, McCullough ML, Ramirez-Zea M, et al (2009). Diet scores and cardio-metabolic risk factors among Guatemalan young adults. Br J Nutr, 101(12):1805-11.
22. Tooze JA, Kipnis V, Buckman DW, et al(2010). A mixed‐effects model approach for estimating the distribution of usual intake of nutrients: The NCI method. Stat Med, 29(27):2857-68.
23. Tabibian S, Daneshzad E, Bellissimo N, et al (2018). Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women. Nutr Diet,75(5):481-487.
24. GARMAROUDI GR, Moradi A (2010). Socio-economic status in Iran: a study of measurement index. Payesh-Health Monitor, 9 (2): 137-144.
25. Grundy SM (2016). Does Dietary Cholesterol Matter? Curr Atheroscler Rep, 18(11):68.
26. Schwingshackl L, Hoffmann G (2013). Comparison of effects of long-term low-fat vs high-fat diets on blood lipid levels in overweight or obese patients: a systematic review and meta-analysis. J Acad Nutr Diet, 113(12):1640-61.
27. Kim K, Vance TM, Chun OK (2016). Greater Total Antioxidant Capacity from Diet and Supplements Is Associated with a Less Atherogenic Blood Profile in U.S. Adults. Nutrients, 8(1):15.
28. Lamb MJ, Griffin SJ, Sharp SJ, et al (2017). Fruit and vegetable intake and cardiovascular risk factors in people with newly diagnosed type 2 diabetes. Eur J Clin Nutr, 71(1):115-121.
29. Pasiakos SM, Lieberman HR, Fulgoni VL, et al (2015). Higher-protein diets are associated with higher HDL cholesterol and lower BMI and waist circumference in US adults. J Nutr, 145(3):605-14.
30. Zhou Q, Wu J, Tang J, et al (2015). Beneficial Effect of Higher Dietary Fiber Intake on Plasma HDL-C and TC/HDL-C Ratio among Chinese Rural-to-Urban Migrant Workers. Int J Environ Res Public Health, 12(5):4726-38.
31. Yanai H, Katsuyama H, Hamasaki H, et al (2014). Effects of Carbohydrate and Dietary Fiber Intake, Glycemic Index and Glycemic Load on HDL Metabolism in Asian Populations. J Clin Med Res, 6(5):321-6.
32. Yanai H, Katsuyama H, Hamasaki H, et al (2015). Effects of Dietary Fat Intake on HDL Metabolism. J Clin Med Res, 7(3):145-9.
33. Hooper L, Al-Khudairy L, Abdelhamid AS, et al (2018). Omega-6 fats for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev, 7(7):CD011094.
| Files | ||
| Issue | Vol 50 No 8 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v50i8.6819 | |
| Keywords | ||
| Dietary quality index-international (DQI) Risk factors Cardiovascular diseases Iranian women | ||
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How to Cite
1.
Zamani B, Daneshzad E, Darooghegi Mofrad M, Namazi N, Larijani B, Bellissimo N, Azadbakht L. Dietary Quality Index and Cardiometabolic Risk Factors among Adult Women. Iran J Public Health. 2021;50(8):1713-1721.
