The Association Between Adherence to Diet Quality Index and Cardiometabolic Risk Factors in Overweight and Obese Women: a Cross-sectional Study

Overview

Journal Front Public Health

Specialty Public Health

Date 2023 Jul 31

PMID 37521997

Authors

Azam Mohamadi

Farideh Shiraseb

Atieh Mirzababaei

Assa AkbarySedigh

Moloud Ghorbani

Cain C T Clark

Yasaman Aali

Khadijeh Mirzaei

Affiliations

Soon will be listed here.

Abstract

Background: Obesity and overweight status increase the risk of cardiovascular disease. Diet quality can also predict the risk of cardiovascular diseases in obese and overweight patients. Therefore, in this study, we sought to examine the relationship between diet quality index (DQI) and cardiometabolic risk factors in obese and overweight women.

Method: A cross-sectional study was conducted on 197 Iranian women with a Body Mass Index (BMI) > 25, 18-48 years, and recruited from 20 Tehran Health Centers. Nutrition intake and DQI were assessed using a 147-item semi-quantitative food frequency questionnaire (FFQ). Additionally, anthropometric measurements, body composition, biochemical evaluations, and cardiometabolic risk factors were evaluated.

Results: There was an association between DQI and waist-to-hip ratio (WHR), atherogenic index of plasma (AIP), and CHOLINDEX in obese women, after adjusting for potential confounders. Whereas, there were no significant associations of the tertiles of DQI compared with the first tertile in other cardiometabolic risk factors, before and after adjustment.

Conclusion: This study provides evidence that dietary intake and DQI are associated with cardiometabolic risk factors and that dietary modification may be a predictor for reducing WHR, AIP, and CHOLINDEX. However, more research is needed to develop a DQI that reflects changes in cardiometabolic risk factors by considering women's eating habits and patterns.

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