Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women

Tabibian, Saeideh; Daneshzad, Elnaz; Bellissimo, Nick; Brett, Neil R.; Motlagh, Ahmadreza Dorosty; Azadbakht, Leila

doi:10.1111/1747-0080.12440

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…In the best of our knowledge, this is the first study evaluated the relationship of DASH diet and obesity in both urban and suburb region of Iranian adults as a middle eastern country. In line with our findings, Tabibian and colleagues showed that more adherence of the DASH diet could reduce the odds of obesity in women (Tabibian et al , 2018). Also, findings of another study showed more adherence of Chinese adults to the DASH diet was associated with lower odds of obesity (Cheung et al , 2018).…”

Section: Discussionsupporting

confidence: 92%

“…Previous studies among different number of Iranian adult women; 48 women with obesity [17], 60 women with polycystic ovary syndrome [18], 227 [19], 267 [20], and 420 [21] healthy women emphasized that more adherence to the DASH diet signi cantly could reduce the risk of obesity. Also, another studies among 60 Iranian [17], 211 Chinese [22], 1493 Irish [23] adults besides a meta-analysis [16] con rmed this result.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies were conducted among different number of Iranian adult women; 48 women with obesity (Razavi Zade et al , 2016), 60 women with polycystic ovary syndrome (Azadi‐Yazdi et al , 2017), 227 (Tabibian et al , 2018), 267 (Shaker-Hosseini and Ghodrati, 2017) and 420 (Saneei et al , 2015) healthy women emphasized that more adherence to the DASH diet significantly could reduce the risk of obesity. Also, another studies among 60 Iranian (Razavi Zade et al , 2016), 211 Chinese (Cheung et al , 2018), 1,493 Irish (Phillips et al , 2019) adults besides a meta-analysis (Soltani et al , 2016) confirmed this result.…”

Section: Introductionmentioning

confidence: 99%

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Dietary approach to stop hypertension and obesity among Iranian adults: Yazd health study-TAMYZ and Shahedieh cohort

Sarkhosh-Khorasani

Mozaffari‐Khosravi

Nadjarzadeh

et al. 2022

NFS

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Purpose Established data revealed a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. There are conflicting data regarding the association between adherence of dietary approach to stop hypertension (DASH) and obesity. Therefore, this study aims to investigate this relationship among a large sample of Iranian adults. Design/methodology/approach This cross-sectional study was performed by 10,693 individuals; 6750 individuals related to Yazd Health Study living in the urban area and 3943 individuals related to Shahedieh cohort study living in the suburb area. Dietary intake was evaluated by using a validated food frequency questionnaire. In all participants, anthropometric indices including body mass index were measured. The DASH score was considered using gender-specific quintiles of DASH items. To evaluate the relationship of DASH diet and obesity, multivariate logistic regression analysis was used. Findings By adjusting confounders, participants in highest quintiles of DASH diet were compared to the lowest have lower odds of obesity in suburb area (odds ratio [OR]: 0.78; 95% confidence interval [CI]: 0.63, 0.96), in urban (OR: 0.71; 95% CI: 0.52, 0.99) and in whole population of both studies (OR: 0.75; 95% CI: 0.63, 0.90). Besides, more compliance of women to this diet in urban (OR: 0.64; 95% CI: 0.48, 0.85) and population of both studies (OR: 0.77; 95% CI: 0.62, 0.96) were associated with reduced odds of central obesity. Research limitations/implications Considering this study limitations, the following can be mentioned: in this cross-sectional study, the causal relationship between DASH diet and obesity could not be assessed. Consequently, further prospective studies are required in this area. Second, although a valid food frequency questionnaire was used, but there was a measurement error and an error in the classification of people participating in the study. Moreover, we cannot reject the possibility of residual confounding bias because unknown or unmeasured confounders may exist that affected our results. Finally, our participants with odds of obesity might have been advised to reduce their fat intake, which led them to alter their dietary habits. However, such possibility cannot be resolved in a cross-sectional study. Originality/value DASH dietary pattern could decrease odds of obesity in both urban and suburb area and central obesity in urban area only. Further prospective studies are needed for causal conclusion.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dietary approach to stop hypertension and obesity among Iranian adults: Yazd health study-TAMYZ and Shahedieh cohort

Sarkhosh-Khorasani

Mozaffari‐Khosravi

Nadjarzadeh

et al. 2022

NFS

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“…Several studies have documented the influence of FI on adherence to a GFD using self-report questionnaires (e.g., Celiac Dietary Adherence Test (CDAT)) and observational methods [41][42][43]. Other studies have reported the association between FI and adherence to Mediterranean and DASH diets [13,44,45]. Low socioeconomic status may also be associated with FI, and therefore poor adherence to the Mediterranean diet [13].…”

Section: Discussionmentioning

confidence: 99%

The influence of a gluten-free diet on health-related quality of life in individuals with celiac disease

et al. 2021

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Background Adherence to a gluten-free diet (GFD) and food insecurity (FI) may influence health-related quality of life (HRQOL) in individuals with celiac disease (CD). This study aimed to investigate the association between adherence to a GFD, FI, and HRQOL in individuals with CD. Methods This cross-sectional study included 97 adults (mean age: 34 ± 9 years) diagnosed with CD. The participants were on a GFD for more than 6 months. Sociodemographic characteristics and medical history were assessed. Adherence to a GFD, FI, and HRQOL were assessed using validated questionnaires. Results Most participants (73%) adhered to a GFD, and 62% were experiencing FI. Individuals with CD faced difficulty in accessing GF foods due to the high cost (90%) and limited availability (79%). The mean overall HRQOL score was 60. Scores on the physical and mental health domains were 69 and 47, respectively. Adherence to a GFD was significantly associated with FI (P = 0.02), while there was no association between adherence to a GFD and HRQOL measures (P > 0.05). Participants facing FI had lower scores in emotional well-being and mental health domains, and overall HRQOL (P < 0.05). Conclusions The findings of the present study demonstrate that FI influences adherence to a GFD, and that FI is associated with HRQOL in terms of both emotional well-being and mental health.

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“…Physical activity level was evaluated using a 3-day physical activity recall and estimated in metabolic equivalent hours per day (MET-h/day) ( 23 ). A validated questionnaire was used to assess socioeconomic status (SES) of participants ( 24 ).…”

Section: Methodsmentioning

confidence: 99%

Dietary Quality Index and Cardiometabolic Risk Factors among Adult Women

Zamani¹,

Daneshzad²,

Mofrad³

et al. 2021

ijph

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Background: The prevalence of cardiovascular disease is dramatically increasing particularly in developing countries. Among the different factors, diet has an important role in the pathogenesis of these diseases. This study aimed to assess the relationship between dietary quality index-international (DQI-I) and cardiovascular risk factors in adult Iranian women. Methods: This was a cross-sectional study of 371 participants, aged 20-50 yr, and recruited from 10 health centers from health centers affiliated with Tehran University of Medical Sciences (TUMS), Tehran, Iran in 2018. Usual dietary intake was evaluated by a validated and reliable 168-items food frequency questionnaire (FFQ). To assess overall quality of diet, the Dietary Quality Index-International (DQI) was used. Anthropometric measurements, blood pressure, and fasting blood of samples were taken to assess biochemical parameters related to cardiovascular disease. Results: The results of linear regression showed that DQI-I score was inversely and directly associated with serum level of total cholesterol (TC) (0.27, confidence interval (CI): 0.13-0.58; P<0.001) and high-density lipoprotein cholesterol (HDL-C) (2.53, CI: 1.42-4.52; P=0.001), respectively. However, there was no significant association between DQI-I and other cardiovascular risk factors. Conclusion: A greater DQI-I score was associated with preferable lipid profile including TC and HDL-C. Future large-scale, prospective cohort or clinical studies are required to confirm these findings.

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Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women

Abstract: Adherence to the DASH diet is associated with a reduced risk of overweight and obesity, based on body mass index, in both food secure and insecure Iranian women.

Cited by 7 publications

References 29 publications

Dietary approach to stop hypertension and obesity among Iranian adults: Yazd health study-TAMYZ and Shahedieh cohort

Dietary approach to stop hypertension and obesity among Iranian adults: Yazd health study-TAMYZ and Shahedieh cohort

The influence of a gluten-free diet on health-related quality of life in individuals with celiac disease

Dietary Quality Index and Cardiometabolic Risk Factors among Adult Women

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