Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults

Abstract Background In the current study, we aimed to investigate the association of dietary inflammation scores (DIS) and lifestyle inflammation scores (LIS) with the risk of metabolic syndrome (MetS) in a prospective population-based study. Methods A total of 1625 participants without MetS were re...

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Main Authors: Hossein Farhadnejad, Karim Parastouei, Hosein Rostami, Parvin Mirmiran, Fereidoun Azizi
Format: Article
Language:English
Published: BMC 2021-03-01
Series:Diabetology & Metabolic Syndrome
Subjects:
Online Access:https://doi.org/10.1186/s13098-021-00648-1
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author Hossein Farhadnejad
Karim Parastouei
Hosein Rostami
Parvin Mirmiran
Fereidoun Azizi
author_facet Hossein Farhadnejad
Karim Parastouei
Hosein Rostami
Parvin Mirmiran
Fereidoun Azizi
author_sort Hossein Farhadnejad
collection DOAJ
description Abstract Background In the current study, we aimed to investigate the association of dietary inflammation scores (DIS) and lifestyle inflammation scores (LIS) with the risk of metabolic syndrome (MetS) in a prospective population-based study. Methods A total of 1625 participants without MetS were recruited from among participants of the Tehran Lipid and Glucose Study(2006–2008) and followed a mean of 6.1 years. Dietary data of subjects were collected using a food frequency questionnaire at baseline to determine LIS and DIS. Multivariable logistic regression models, were used to calculate the odds ratio (ORs) and 95 % confidence interval (CI) of MetS across tertiles of DIS and LIS. Results Mean ± SD age of individuals (45.8 % men) was 37.5 ± 13.4 years. Median (25–75 interquartile range) DIS and LIS for all participants was 0.80 (− 2.94, 3.64) and 0.48 (− 0.18, − 0.89), respectively. During the study follow-up, 291 (17.9 %) new cases of MetS were identified. Based on the age and sex-adjusted model, a positive association was found between LIS (OR = 7.56; 95% CI 5.10–11.22, P for trend < 0.001) and risk of MetS, however, the association of DIS and risk of MetS development was not statistically significant (OR = 1.30;95% CI 0.93–1.80, P for trend = 0.127). In the multivariable model, after adjustment for confounding variables, including age, sex, body mass index, physical activity, smoking, and energy intake, the risk of MetS is increased across tertiles of DIS (OR = 1.59; 95% CI 1.09–2.33, P for trend = 0.015) and LIS(OR = 8.38; 95% CI 5.51–12.7, P for trend < 0.001). Conclusions The findings of the current study showed that greater adherence to LIS and DIS, determined to indicate the inflammatory potential of diet and lifestyle, are associated with increased the risk of MetS.
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spelling doaj.art-7969228fd320456a89608d83c0b9102e2022-12-21T22:55:48ZengBMCDiabetology & Metabolic Syndrome1758-59962021-03-0113111010.1186/s13098-021-00648-1Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adultsHossein Farhadnejad0Karim Parastouei1Hosein Rostami2Parvin Mirmiran3Fereidoun Azizi4Health Research Center, Life Style Institute, Baqiyatallah University of Medical SciencesHealth Research Center, Life Style Institute, Baqiyatallah University of Medical SciencesHealth Research Center, Life Style Institute, Baqiyatallah University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesAbstract Background In the current study, we aimed to investigate the association of dietary inflammation scores (DIS) and lifestyle inflammation scores (LIS) with the risk of metabolic syndrome (MetS) in a prospective population-based study. Methods A total of 1625 participants without MetS were recruited from among participants of the Tehran Lipid and Glucose Study(2006–2008) and followed a mean of 6.1 years. Dietary data of subjects were collected using a food frequency questionnaire at baseline to determine LIS and DIS. Multivariable logistic regression models, were used to calculate the odds ratio (ORs) and 95 % confidence interval (CI) of MetS across tertiles of DIS and LIS. Results Mean ± SD age of individuals (45.8 % men) was 37.5 ± 13.4 years. Median (25–75 interquartile range) DIS and LIS for all participants was 0.80 (− 2.94, 3.64) and 0.48 (− 0.18, − 0.89), respectively. During the study follow-up, 291 (17.9 %) new cases of MetS were identified. Based on the age and sex-adjusted model, a positive association was found between LIS (OR = 7.56; 95% CI 5.10–11.22, P for trend < 0.001) and risk of MetS, however, the association of DIS and risk of MetS development was not statistically significant (OR = 1.30;95% CI 0.93–1.80, P for trend = 0.127). In the multivariable model, after adjustment for confounding variables, including age, sex, body mass index, physical activity, smoking, and energy intake, the risk of MetS is increased across tertiles of DIS (OR = 1.59; 95% CI 1.09–2.33, P for trend = 0.015) and LIS(OR = 8.38; 95% CI 5.51–12.7, P for trend < 0.001). Conclusions The findings of the current study showed that greater adherence to LIS and DIS, determined to indicate the inflammatory potential of diet and lifestyle, are associated with increased the risk of MetS.https://doi.org/10.1186/s13098-021-00648-1DietLifestyleInflammationMetabolic syndromeMetSAdult
spellingShingle Hossein Farhadnejad
Karim Parastouei
Hosein Rostami
Parvin Mirmiran
Fereidoun Azizi
Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
Diabetology & Metabolic Syndrome
Diet
Lifestyle
Inflammation
Metabolic syndrome
MetS
Adult
title Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
title_full Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
title_fullStr Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
title_full_unstemmed Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
title_short Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults
title_sort dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in iranian adults
topic Diet
Lifestyle
Inflammation
Metabolic syndrome
MetS
Adult
url https://doi.org/10.1186/s13098-021-00648-1
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AT karimparastouei dietaryandlifestyleinflammatoryscoresareassociatedwithincreasedriskofmetabolicsyndromeiniranianadults
AT hoseinrostami dietaryandlifestyleinflammatoryscoresareassociatedwithincreasedriskofmetabolicsyndromeiniranianadults
AT parvinmirmiran dietaryandlifestyleinflammatoryscoresareassociatedwithincreasedriskofmetabolicsyndromeiniranianadults
AT fereidounazizi dietaryandlifestyleinflammatoryscoresareassociatedwithincreasedriskofmetabolicsyndromeiniranianadults