Tehran University of Medical Sciences Journal of Nutritional Sciences and Dietetics 2 1 2016 01 16 Major dietary patterns in in obese/overweight patient with/without metabolic syndrome compared to normal weight subjects 9 14 EN Somaye Yosaee Ewaz School of Health, Larestan University of Medical Sciences, Larestan, Iran Zarrintaj Hosseinzadeh Department of Social of deputy, Zanjan University of Medical Sciences, Zanjan, Iran Alireza Esteghamati Endocrinology and Metabolism Research Center, Vali-Asr Hospital, Tehran University of Medical Sciences,Tehran, Iran Mahdiyeh Nazarinasab Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of MedicalSciences, Tehran, Iran Ahmad Khosravi Department of Nutritional Sciences, School of Public Health, Iran University of Medical Sciences, Tehran, Iran Maryam Akbari-Fakhrabadi Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Kurosh Djafarian Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of MedicalSciences, Tehran, Iran 2015 11 08 2016 05 29 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. https://jnsd.tums.ac.ir/index.php/jnsd/article/view/21 https://jnsd.tums.ac.ir/index.php/jnsd/article/download/21/29