Association of diet quality and food insecurity with metabolic syndrome in obese adults

Background: The link between diet quality, food insecurity (FI), and metabolic syndrome (MetS) remains unclear in obese adults. The aim of this study was to examine the association of diet quality and FI with MetS in obese Iranian adults. Methods: This cross-sectional study was conducted on 300 obes...

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Autores principales:	Ahmed Abdurahman, Mohammed Bule, Masoume Fallahyekt, Maryem Abshirini, Leila Azadbakht, Mostafa Qorbani, A R Dorosty
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	diet quality food security metabolic syndrome obesity Medicine R
Acceso en línea:	https://doaj.org/article/9500a0131d3f45c3a683e72100fb236e
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spelling	oai:doaj.org-article:9500a0131d3f45c3a683e72100fb236e2021-11-12T10:11:33ZAssociation of diet quality and food insecurity with metabolic syndrome in obese adults2008-78022008-821310.4103/ijpvm.IJPVM_191_19https://doaj.org/article/9500a0131d3f45c3a683e72100fb236e2021-01-01T00:00:00Zhttp://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=138;epage=138;aulast=Abdurahmanhttps://doaj.org/toc/2008-7802https://doaj.org/toc/2008-8213Background: The link between diet quality, food insecurity (FI), and metabolic syndrome (MetS) remains unclear in obese adults. The aim of this study was to examine the association of diet quality and FI with MetS in obese Iranian adults. Methods: This cross-sectional study was conducted on 300 obese adults. Dietary intake was assessed using a validated 168-item food frequency questionnaire. Diet quality and FI were measured using the Diet Quality Index-International (DQI-I) and an adapted USDA2000 household food security status questionnaire, respectively. MetS was defined according to the International Diabetes Federation diagnostic criteria. Association was determined using logistic regression analysis adjusting for potential confounders. Results: MetS subjects had lower DQI-I score than subjects without MetS (67.5 ± 8.7 vs 71.5 ± 7.4, P = 0.05). The prevalence of food insecurity was 48.6% (95% confidence interval (CI): 41.2, 56.1) in MetS subjects and 39.4% (95% CI: 29.4, 49.9) in subjects without MetS. After adjustment, participants in the fourth quartile of DQI-I score had 70% lower odds of MetS (Adjusted odds ratio [AOR], 0.3; 95% CI: 0.1–0.7), 70% lower odds of hypertriglyceridemia (AOR, 0.3; 95% CI: 0.2–0.7) and 60% lower risk of reduced high-density lipoprotein [HDL] (AOR, 0.4; 95% CI: 0.2–0.9) compared with the first quartile. Obese food insecure adults had 60% higher odds of high blood pressure (AOR, 1.6; 95% CI: 1.0–2.6) and 70% higher odds of hypertriglyceridemia (AOR, 1.7; 95% CI: 1.0–2.8) compared with food-secure obese adults. There was no statistically significant interaction observed between DQI-I and food insecurity on MetS. Conclusions: Lower DQI-I score and food insecurity were associated with an increased risk of MetS and some features such as hypertriglyceridemia, reduced HDL, and high blood pressure in obese Iranian adults.Ahmed AbdurahmanMohammed BuleMasoume FallahyektMaryem AbshiriniLeila AzadbakhtMostafa QorbaniA R DorostyWolters Kluwer Medknow Publicationsarticle diet qualityfood securitymetabolic syndromeobesity MedicineRENInternational Journal of Preventive Medicine, Vol 12, Iss 1, Pp 138-138 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diet quality food security metabolic syndrome obesity Medicine R
spellingShingle	diet quality food security metabolic syndrome obesity Medicine R Ahmed Abdurahman Mohammed Bule Masoume Fallahyekt Maryem Abshirini Leila Azadbakht Mostafa Qorbani A R Dorosty Association of diet quality and food insecurity with metabolic syndrome in obese adults
description	Background: The link between diet quality, food insecurity (FI), and metabolic syndrome (MetS) remains unclear in obese adults. The aim of this study was to examine the association of diet quality and FI with MetS in obese Iranian adults. Methods: This cross-sectional study was conducted on 300 obese adults. Dietary intake was assessed using a validated 168-item food frequency questionnaire. Diet quality and FI were measured using the Diet Quality Index-International (DQI-I) and an adapted USDA2000 household food security status questionnaire, respectively. MetS was defined according to the International Diabetes Federation diagnostic criteria. Association was determined using logistic regression analysis adjusting for potential confounders. Results: MetS subjects had lower DQI-I score than subjects without MetS (67.5 ± 8.7 vs 71.5 ± 7.4, P = 0.05). The prevalence of food insecurity was 48.6% (95% confidence interval (CI): 41.2, 56.1) in MetS subjects and 39.4% (95% CI: 29.4, 49.9) in subjects without MetS. After adjustment, participants in the fourth quartile of DQI-I score had 70% lower odds of MetS (Adjusted odds ratio [AOR], 0.3; 95% CI: 0.1–0.7), 70% lower odds of hypertriglyceridemia (AOR, 0.3; 95% CI: 0.2–0.7) and 60% lower risk of reduced high-density lipoprotein [HDL] (AOR, 0.4; 95% CI: 0.2–0.9) compared with the first quartile. Obese food insecure adults had 60% higher odds of high blood pressure (AOR, 1.6; 95% CI: 1.0–2.6) and 70% higher odds of hypertriglyceridemia (AOR, 1.7; 95% CI: 1.0–2.8) compared with food-secure obese adults. There was no statistically significant interaction observed between DQI-I and food insecurity on MetS. Conclusions: Lower DQI-I score and food insecurity were associated with an increased risk of MetS and some features such as hypertriglyceridemia, reduced HDL, and high blood pressure in obese Iranian adults.
format	article
author	Ahmed Abdurahman Mohammed Bule Masoume Fallahyekt Maryem Abshirini Leila Azadbakht Mostafa Qorbani A R Dorosty
author_facet	Ahmed Abdurahman Mohammed Bule Masoume Fallahyekt Maryem Abshirini Leila Azadbakht Mostafa Qorbani A R Dorosty
author_sort	Ahmed Abdurahman
title	Association of diet quality and food insecurity with metabolic syndrome in obese adults
title_short	Association of diet quality and food insecurity with metabolic syndrome in obese adults
title_full	Association of diet quality and food insecurity with metabolic syndrome in obese adults
title_fullStr	Association of diet quality and food insecurity with metabolic syndrome in obese adults
title_full_unstemmed	Association of diet quality and food insecurity with metabolic syndrome in obese adults
title_sort	association of diet quality and food insecurity with metabolic syndrome in obese adults
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/9500a0131d3f45c3a683e72100fb236e
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Association of diet quality and food insecurity with metabolic syndrome in obese adults

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