Nutrition and Diabetes, Cardiovascular and Chronic Kidney Diseases: Findings from 20 Years of the Tehran Lipid and Glucose Study

Overview

Journal Int J Endocrinol Metab

Publisher Brieflands

Specialty Endocrinology

Date 2018 Dec 26

PMID 30584447

Citations 7

Authors

Firoozeh Hosseini-Esfahani

Nazanin Moslehi

Golaleh Asghari

Somayeh Hosseinpour-Niazi

Zahra Bahadoran

Emad Yuzbashian

Parvin Mirmiran

Fereidoun Azizi

Affiliations

Soon will be listed here.

Abstract

Context: The high prevalence of chronic diseases can be prevented or managed by specific changes in lifestyle patterns of individuals of which dietary factors is emphasized. The objective of this study was to review all findings of the Tehran Lipid and Glucose Study regarding validity and reliability of food frequency questionnaire (FFQ), evaluating dietary quality and association of dietary factors in relation to diabetes, dysglycemia, cardiovascular (CVD) and chronic kidney disease (CKD).

Evidence Acquisition: Related documents were searched through PubMed and Scopus databases, in English language from 2000 to 2017. Finally, 52 relevant documents were eligible for inclusion in this review.

Results: The FFQ proved to be an acceptable tool for assessing nutrient and food group intakes and rank individuals accurately according to the levels of their dietary intakes. After 8 years of follow-up, the western dietary pattern (DP) was fairly stable but there was instability of traditional Iranian DP. DPs of over two-thirds of Tehranian populations were not in accordance with the dietary recommendations. Higher dietary scores of variety and healthy DPs were also associated with reduced odds of dysglycemia. The main dietary factor related to increased risk of CVD in our population was western DP. Patterns of amino acid intakes may contribute to the development of CVD. Higher intakes of several micronutrients and macronutrients, DPs and some vegetables decrease the risk of CKD. In conclusion DPs of most Tehranian adults need improvement.

Conclusions: This review showed that higher adherence to healthy food choices was associated with reduced odds of dysglycemia and CVD. Dietary sources of renal-protective nutrients should be encouraged among the general population.

Citing Articles

Total fat intake and fatty acid patterns and prediabetes regression: differential effects across phenotypes in a population-based cohort.

Bahadoran Z, Kashani Z, Mahdavi M, Mirmiran P, Azizi F Eur J Med Res. 2025; 30(1):110.

PMID: 39962610 PMC: 11834172. DOI: 10.1186/s40001-025-02337-5.

Association of ideal cardiovascular health metrics with incident low estimated glomerular filtration rate: More than a decade follow-up in the Tehran Lipid and Glucose Study (TLGS).

Alizadeh F, Tohidi M, Hasheminia M, Hosseini-Esfahani F, Azizi F, Hadaegh F PLoS One. 2024; 19(2):e0282773.

PMID: 38300917 PMC: 10833558. DOI: 10.1371/journal.pone.0282773.

Dietary oxalate-calcium balance and the incidence of hypertension and chronic kidney disease: a prospective study among an Asian population.

Mirmiran P, Bahadoran Z, Azizi F Nutr Metab (Lond). 2022; 19(1):74.

PMID: 36329523 PMC: 9632065. DOI: 10.1186/s12986-022-00709-w.

Resemblance of nutrient intakes in three generations of parent-offspring pairs: Tehran lipid and Glucose Study.

Mirmiran P, Zahedi A, Koochakpour G, Hosseini-Esfahani F, Akbarzadeh M, Daneshpour M PLoS One. 2022; 17(4):e0266941.

PMID: 35427388 PMC: 9012390. DOI: 10.1371/journal.pone.0266941.

Dietary oxalate to calcium ratio and incident cardiovascular events: a 10-year follow-up among an Asian population.

Bahadoran Z, Mirmiran P, Azizi F Nutr J. 2022; 21(1):21.

PMID: 35346210 PMC: 8962525. DOI: 10.1186/s12937-022-00773-1.

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