Original Article

Major dietary patterns in in obese/overweight patient with/without metabolic syndrome compared to normal weight subjects

Abstract

Background: The term metabolic syndrome (MetS) refers to one of the most challenging public health issue in worldwide; however diet modification is considered as the first step in management and treatment of MetS and its components. In the present study we investigated major dietary patterns in patients with MetS compared to weight matched and normal weight control subjects.
Methods: In a case-control study 147 Iranian adults from the Endocrinology Center of Tehran University of Medical Sciences were recruited. Subjects were divided in to 3 groups, according to MetS definition and BMI cutoffs.  NCEP ATP III criteria were used for identifying subjects with MetS. FFQ was used for assessment of dietary intake.
Results: Two dietary patterns were identified; Western dietary pattern and traditional dietary pattern. Compared with participants in lowest quartile, subjects with highest quartile of traditional dietary pattern and lowest quartile of western dietary pattern had significantly lower BMI, WC, weight, fat mass, abdominal fat, SBP, DBP, FBS and TG and higher HDL cholesterol and fat free mass (p<0.05).
Conclusion: Our findings indicated that western dietary pattern can be considered as a risk factor for metabolic syndrome and its components.

Grundy SM, Cleeman JI, Daniels SR, Donato KA,Eckel RH, Franklin BA, et al. Diagnosis andmanagement of the metabolic syndrome: anAmerican Heart Association/National Heart,Lung, and Blood Institute scientific statement:Executive Summary. Crit Pathw Cardiol.2005;4(4):198-203.

Zainuddin LR, Isa N, Muda WM, Mohamed HJ.The prevalence of metabolic syndrome accordingto various definitions and hypertriglyceridemicwaistin malaysian adults. Int J Prev Med2011;2(4):229-37.

Wilson PW, D'Agostino RB, Parise H, Sullivan L,Meigs JB. Metabolic syndrome as a precursor ofcardiovascular disease and type 2 diabetesmellitus. Circulation. 2005 ;112(20):3066-72.

Mensah GA, Mokdad AH, Ford E, Narayan KM,Giles WH, Vinicor F, et al. Obesity, metabolicsyndrome, and type 2 diabetes: emergingepidemics and their cardiovascular implications.Cardiol Clin. 2004;22(4):485-504.

Park YW, Zhu S, Palaniappan L, Heshka S,Carnethon MR, Heymsfield SB. The metabolicsyndrome: prevalence and associated risk factorfindings in the US population from the ThirdNational Health and Nutrition ExaminationSurvey, 1988-1994. Arch Intern Med. 2003;163(4):427-36.

Grundy SM. Metabolic syndrome pandemic.Arterioscler Thromb Vasc Biol. 2008;28(4):629-36.

Zabetian A, Hadaegh F, Azizi F. Prevalence ofmetabolic syndrome in Iranian adult population,concordance between the IDF with the ATPIIIand the WHO definitions. Diabetes Res ClinPract. 2007;77(2):251-7.

Fereidoun Azizi M, Farzad Hadaegh M, DavoodKhalili M, Alireza Esteghamati M, FarhadHosseinpanah M, Alireza Delavari M, et al.Appropriate Definition of Metabolic Syndromeamong Iranian Adults: Report of the IranianNational Commit-tee of Obesity. Arch Iran Med.2010;13(5):426.

Hanley AJ, Karter AJ, Festa A, D’Agostino R,Wagenknecht LE, Savage P, et al. Factor Analysisof Metabolic Syndrome Using Directly MeasuredInsulin Sensitivity The Insulin ResistanceAtherosclerosis Study. Diabetes. 2002;51(8):2642-7.

Alberti KGM, Zimmet P, Shaw J, Group IETFC.The metabolic syndrome—a new worldwidedefinition. The Lancet. 2005;366(9491):1059-62.

Vega GL. Obesity, the metabolic syndrome, andcardiovascular disease. Am Heart J.2001;142(6):1108-16.

Grundy SM, Hansen B, Smith SC, Cleeman JI,Kahn RA. Clinical management of metabolicsyndrome report of the American HeartAssociation/National Heart, Lung, and BloodInstitute/American Diabetes Association conference on scientific issues related tomanagement. Circulation. 2004;109(4):551-6.

Esmaillzadeh A, Kimiagar M, Mehrabi Y,Azadbakht L, Hu FB, Willett WC. Dietarypatterns, insulin resistance, and prevalence of themetabolic syndrome in women. Am J Clin Nutr.2007;85(3):910-8.

Hu FB. Dietary pattern analysis: a new directionin nutritional epidemiology. Curr Opin Lipidol.2002;13(1):3-9.

Newby P, Tucker KL. Empirically derived eatingpatterns using factor or cluster analysis: a review.Nutr Rev. 2004;62(5):177-203.

Wirfält E, Hedblad B, Gullberg B, Mattisson I,Andrén C, Rosander U, et al. Food patterns andcomponents of the metabolic syndrome in menand women: a cross-sectional study within theMalmö Diet and Cancer cohort. Am J Epidemiol.2001;154(12):1150-9.

Sonnenberg L, Pencina M, Kimokoti R,Quatromoni P, Nam BH, D'Agostino R, et al.Dietary patterns and the metabolic syndrome inobese and non‐obese Framingham women. ObesRes. 2005;13(1):153-62.

Williams DE, Prevost AT, Whichelow MJ, CoxBD, Day NE, Wareham NJ. A cross-sectionalstudy of dietary patterns with glucose intoleranceand other features of the metabolic syndrome. Br JNutr. 2000;83(03):257-66.

Baik I, Lee M, Jun N-R, Lee J-Y, Shin C. Ahealthy dietary pattern consisting of a variety of

food choices is inversely associated with thedevelopment of metabolic syndrome. Nutr ResPrac. 2013;7(3):233-41.

Lutsey PL, Steffen LM, Stevens J. Dietary Intakeand the development of the metabolic syndromethe Atherosclerosis Risk in Communities Study.Circulation. 2008;117(6):754-61.

Noel SE, Newby P, Ordovas JM, Tucker KL. Atraditional rice and beans pattern is associatedwith metabolic syndrome in Puerto Rican olderadults. J Nutr. 2009; 139(7):1360-7.

Song Y, Joung H. A traditional Korean dietarypattern and metabolic syndrome abnormalities.Nutr Metab Cardiovasc Dis. 2012;22(5):456-62.

Zemel M, Richards J, Mathis S, Milstead A,Gebhardt L, Silva E. Dairy augmentation of totaland central fat loss in obese subjects. Int J Obes(Lond). 2005;29(4):391-7.

Wien M, Sabate J, Ikle D, Cole S, Kandeel F.Almonds vs complex carbohydrates in a weightreduction program. Int J Obes (Lond).A2003;27(11):1365-72.

Files
IssueVol 2, No 1 (Winter 2016) QRcode
SectionOriginal Article(s)
Keywords
Metabolic syndrome obesity dietary pattern overweight diet

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Yosaee S, Hosseinzadeh Z, Esteghamati A, Nazarinasab M, Khosravi A, Akbari-Fakhrabadi M, Djafarian K. Major dietary patterns in in obese/overweight patient with/without metabolic syndrome compared to normal weight subjects. J Nutr Sci & Diet. 2016;2(1):9-14.