Exploring metabolic syndrome and dietary quality in Iranian adults: a cross-sectional study

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dc.contributor.authorNamkhah, Zahra
dc.contributor.authorIrankhah, Kiyavash
dc.contributor.authorSarviha, Sina
dc.contributor.authorSobhani, Seyyed R.
dc.date.accessioned2024-11-18T17:01:11Z
dc.date.available2024-11-18T17:01:11Z
dc.date.issued2024-10-23
dc.date.updated2024-11-01T04:31:16Z
dc.description.abstractAbstract Background Metabolic syndrome (MetS) is a cluster of cardiovascular risk factors affecting a quarter of the global population, with diet playing a significant role in its progression. The aim of this study is to compare the effectiveness of the Dietary Diabetes Risk Reduction Score (DDRRS) and the Macronutrient Quality Index (MQI) scoring systems in assessing the diet-related risk of metabolic syndrome. Methods In this cross-sectional study, data from 7431 individuals aged between 30 and 70 years, obtained from the Mashhad Cohort Study, were utilized to evaluate the risk factors of metabolic syndrome. A valid semi-quantitative food frequency questionnaire was used to assess participants’ dietary intake. The MQI was calculated based on carbohydrate, fat, and healthy protein components, while the DDRRS was also computed. Anthropometric measurements and blood samples were taken to determine the presence of metabolic syndrome. Logistic regression analyses were conducted to assess the association between MQI and DDRRS with metabolic syndrome and its components. Results According to the crude model, we observed lower odds of MetS in the highest quartile of DDRRS and MQI compared to the lowest quartile (P-trend < 0.001). This trend persisted in the fully adjusted models, revealing odds ratios of 0.399 (95% CI: 0.319-0.500) and 0.597 (95% CI: 0.476–0.749) for DDRRS and MQI, respectively. After controlling for all potential confounders, we observed lower odds of central obesity in the highest quartile of MQI (OR: 0.818, 95% CI: 0.676–0.989, P-trend = 0.027). Furthermore, we found that the odds of high triglyceride levels were lower in the highest quartile of DDRRS compared to the lowest quartile (OR: 0.633, 95% CI: 0.521, 0.770, P-trend < 0.001). Conclusion In conclusion, our study indicates that greater adherence to both DDRRS and MQI is linked to a decreased risk of metabolic syndrome and its components. These findings hold significant implications for public health and the development of personalized nutrition strategies.
dc.identifier.citationBMC Nutrition. 2024 Oct 23;10(1):143
dc.identifier.doi10.1186/s40795-024-00948-5
dc.identifier.urihttp://hdl.handle.net/1993/38668
dc.language.isoeng
dc.language.rfc3066en
dc.publisherBMC
dc.rights.holderThe Author(s)
dc.subjectMetabolic syndrome
dc.subjectDietary diabetes risk reduction score
dc.subjectMacronutrient quality index
dc.subjectIran
dc.titleExploring metabolic syndrome and dietary quality in Iranian adults: a cross-sectional study
dc.typeJournal Article
local.author.affiliationFaculty of Agricultural and Food Sciences::Department of Food and Human Nutritional Sciences
oaire.citation.issue143
oaire.citation.titleBMC Nutrition
oaire.citation.volume10
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