Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa
Abstract The relationship between Mediterranean diet and obesity-related markers is a matter of debate. We investigated the association between adherence to the Mediterranean diet and anthropometric indices, body composition, and cardiometabolic risk factors in Iranian population. The cross-sectiona...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-41935-3 |
| _version_ | 1827711364236312576 |
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| author | Milad Bagheri Mehran Nouri Reza Homayounfar Masoumeh Akhlaghi |
| author_facet | Milad Bagheri Mehran Nouri Reza Homayounfar Masoumeh Akhlaghi |
| author_sort | Milad Bagheri |
| collection | DOAJ |
| description | Abstract The relationship between Mediterranean diet and obesity-related markers is a matter of debate. We investigated the association between adherence to the Mediterranean diet and anthropometric indices, body composition, and cardiometabolic risk factors in Iranian population. The cross-sectional study was performed on data of 3386 participants from Fasa PERSIAN cohort study. The Mediterranean diet score (MDS) was calculated based on consumption of 11 food groups (unrefined cereals, potatoes, fruits, vegetables, legumes, fish, red meat, poultry, dairy, olive oil, and alcoholic beverages). The association between MDS and cardiometabolic risk factors was examined by linear regression analysis. MDS was inversely associated with waist circumference (β = − 1.11; P = 0.033), waist-to-hip ratio (β = − 0.007; P = 0.011), waist-to-height ratio (β = − 0.009; P = 0.015), fasting glucose (β = − 3.59; P = 0.001), and HDL-cholesterol (β = − 0.96; P = 0.031) in unadjusted model. After adjusting for energy intake, the associations of MDS with markers of abdominal obesity and HDL-cholesterol disappeared. In fully adjusted model, MDS showed inverse relationships with waist-to-hip ratio (β = − 0.005; P = 0.037) and fasting glucose (β = − 2.71; P = 0.013). In conclusion, MDS showed an inverse relationship with fasting glucose and waist-to-hip ratio. Since energy intake increased along with increasing MDS, adherence to the Mediterranean diet may associate with lower abdominal obesity and better glycemic control if an energy-controlled Mediterranean diet is used. |
| first_indexed | 2024-03-10T17:53:36Z |
| format | Article |
| id | doaj.art-2e4359eaa1854f7fae134fd8e7462c24 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-10T17:53:36Z |
| publishDate | 2023-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-2e4359eaa1854f7fae134fd8e7462c242023-11-20T09:14:52ZengNature PortfolioScientific Reports2045-23222023-09-011311910.1038/s41598-023-41935-3Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in FasaMilad Bagheri0Mehran Nouri1Reza Homayounfar2Masoumeh Akhlaghi3Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesNon-Communicable Diseases Research Center, Fasa University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesAbstract The relationship between Mediterranean diet and obesity-related markers is a matter of debate. We investigated the association between adherence to the Mediterranean diet and anthropometric indices, body composition, and cardiometabolic risk factors in Iranian population. The cross-sectional study was performed on data of 3386 participants from Fasa PERSIAN cohort study. The Mediterranean diet score (MDS) was calculated based on consumption of 11 food groups (unrefined cereals, potatoes, fruits, vegetables, legumes, fish, red meat, poultry, dairy, olive oil, and alcoholic beverages). The association between MDS and cardiometabolic risk factors was examined by linear regression analysis. MDS was inversely associated with waist circumference (β = − 1.11; P = 0.033), waist-to-hip ratio (β = − 0.007; P = 0.011), waist-to-height ratio (β = − 0.009; P = 0.015), fasting glucose (β = − 3.59; P = 0.001), and HDL-cholesterol (β = − 0.96; P = 0.031) in unadjusted model. After adjusting for energy intake, the associations of MDS with markers of abdominal obesity and HDL-cholesterol disappeared. In fully adjusted model, MDS showed inverse relationships with waist-to-hip ratio (β = − 0.005; P = 0.037) and fasting glucose (β = − 2.71; P = 0.013). In conclusion, MDS showed an inverse relationship with fasting glucose and waist-to-hip ratio. Since energy intake increased along with increasing MDS, adherence to the Mediterranean diet may associate with lower abdominal obesity and better glycemic control if an energy-controlled Mediterranean diet is used.https://doi.org/10.1038/s41598-023-41935-3 |
| spellingShingle | Milad Bagheri Mehran Nouri Reza Homayounfar Masoumeh Akhlaghi Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa Scientific Reports |
| title | Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa |
| title_full | Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa |
| title_fullStr | Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa |
| title_full_unstemmed | Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa |
| title_short | Association between adherence to the Mediterranean diet with cardiometabolic risk factors: a cross-sectional study on PERSIAN cohort study in Fasa |
| title_sort | association between adherence to the mediterranean diet with cardiometabolic risk factors a cross sectional study on persian cohort study in fasa |
| url | https://doi.org/10.1038/s41598-023-41935-3 |
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