Association Between Dietary Diabetes Risk Reduction Score and Chronic Kidney Disease in Adults: Tehran Lipid and Glucose Study

Asghari, Golaleh; Mirmiran, Parvin; Ramezan, Marjan; Farhadnejad, Hossein; Tahmasebinejad, Zhaleh; Azizi, Fereidoun

doi:10.21203/rs.3.rs-31857/v1

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…Also, in the total population, higher whole grain intake was associated with an increased level of HDL-C. The findings of the present study are comparable with the results of several previous studies that investigated the possible association of HEI with CVD risk factors and metabolic abnormalities risk (Ziaee et al, 2021;Shah et al, 2010;Saraf-Bank et al, 2017;Monfort-Pires et al, 2014;Huffman et al, 2011;Daneshzad et al, 2019;Asghari et al, 2012a;Zeinalabedini et al, 2023;Firouzabadi et al, 2023;Ahmadijoo et al, 2023); these previous studies have reported the controversial findings on the possible relationship between HEI and the risk of cardiometabolic disorders. Contrary to our results, some studies supported the beneficial role of a diet with a high HEI score in reducing the risk of metabolic disorders; however, similar to our study, some studies did not observe significant results.…”

Section: Discussionsupporting

confidence: 88%

“…Various studies have recently focused on the potential role of HEI, as a suitable diet quality evaluation approach, in the prediction of chronic diseases (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017;Ziaee et al, 2021;Monfort-Pires et al, 2014;Daneshzad et al, 2019). Although three previous studies reported the beneficial relation of HEI score with the risk of metabolic syndrome (MetS) (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017), there are many controversial results on the possible relationship between HEI and risk of cardiometabolic disorders (Ziaee et al, 2021;Shah et al, 2010;Saraf-Bank et al, 2017;Monfort-Pires et al, 2014;Huffman et al, 2011;Daneshzad et al, 2019; NFS 54,3 Asghari et al, 2012a). Daneshzad et al (2019) observed that higher adherence to HEI score was negatively related to mean BS level but did not show any significant association with lipid profile levels or anthropometric factors.…”

Section: Introductionmentioning

confidence: 99%

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The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

Moradiani,

Movahedi,

Djazayery

2024

NFS

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Purpose This study aims to assess the association of Healthy Eating Index (HEI) with levels of fasting blood sugar (FBS) and lipid profile in normoglycemic and elevated FBS patients. Design/methodology/approach This case-control study was conducted on 144 participants, namely, 72 normoglycemic subjects (FBS < 100 mg/dl) and 72 high-glycemic patients (FBS ≥ 100 mg/dl) aged 20–60 years of age, who were selected from the nutrition and diet clinics in Tehran city. The dietary intake was collected by using a validated food frequency questionnaire to determine the HEI score. Findings The mean±SD age and body mass index of participants were 47.1 ± 12.7 years and 29.6 ± 6.0 kg/m2, respectively. The median (interquartile range) of HEI scores in the normoglycemic group and the high-glycemia group were 19.34 (15.24–24.31) and 16.53 (13.35–24.07), respectively. In the overall population, the findings of the multi-variable linear regression model indicated a positive association between the HEI score and high-density lipoprotein-cholesterol (HDL-C) (ß = 0.34; 95%CI: 0.05–0.64, P = 0.01). However, there is no significant association between HEI and HDL-C in normoglycemic (ß = 0.19; 95%CI: −0.31, 0.69, P = 0.45) and hyperglycemic subjects (ß = 0.28; 95%CI: −0.10–0.66, P = 0.15). Furthermore, the association of HEI with levels of FBS, triglycerides (TGs) and low-density lipoprotein-cholesterol (LDL-C) was not significant in any of the analyzed groups, including the total population, normoglycemic individuals and hyperglycemic subjects. Originality/value This study was the first study to assess the role of HEI and its components with levels of FBS and lipid profile in normoglycemic and hyperglycemic individuals in Iran. The findings suggested that higher adherence to HEI may be associated with an increase in the HDL-C level. However, HEI could not predict FBS, TGs and LDL-C levels in the adult population.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

Moradiani,

Movahedi,

Djazayery

2024

NFS

View full text Add to dashboard Cite

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“…A limited number of studies have been performed regarding the DRRS and disease association; such as risk of type 2 diabetes [34], breast cancer, pancreatic cancer, and hepatocellular carcinoma [40][41][42][43]. In addition, in a study of Iran, a negative association between higher adherence to DRRS and components of metabolic syndrome has been revealed [35]; again, the same authors identified same results in patients with chronic kidney diseases (CKD) [44]. As mentioned above, there are limited number of studies showing the beneficial effects of higher adherence to DRRS and incident metabolic disorders; and further studies should be performed to identify its possible beneficial effects in different disease statuses.…”

Section: Introductionmentioning

confidence: 92%

A high Diabetes Risk Reduction Score (DRRS) is associated with a better cardio-metabolic profile among obese individuals

et al. 2023

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Background Dietary indices and scores are valuable predictive markers against chronic diseases. Several previous studies have revealed the beneficial effects of diabetes risk reduction score (DRRS) against diabetes and cancer incidence. However, its association with metabolic abnormalities among obese individuals have not been revealed before. In the current study, we aimed to investigate the association between DRRS and metabolic risk factors among obese individuals. Methods In the current cross-sectional study, 342 obese individuals [Body mass index (BMI) ≥ 30 kg/m2] aged 20–50 years were included. Dietary intake was assessed by a validated semi-quantitative food frequency questionnaire (FFQ) of 168 food items and DRRS was calculated. Metabolic syndrome (MetS) was defined based on the guidelines of the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III). Enzymatic methods were used to assess serum lipids, glucose, and insulin concentrations. Blood pressure was measured by a sphygmomanometer and body composition with bioelectrical impedance analysis (BIA). Results Those with a higher adherence to DRRS had a significantly higher intake of energy, fiber, and lower protein compared with those in the lower quartiles. Moreover, lower intakes of trans fats, meat, sugar sweetened beverages (SSB), and glycemic index (GI) with higher intakes of fruits, cereal fiber, polyunsaturated fatty acids/ saturated fatty acids (PUFA/ SFA) ratio, coffee, and nuts were observed in the highest versus lowest DRRS categories. Lower systolic blood pressure, diastolic blood pressure, triglyceride and, higher high-density lipoprotein values were observed in higher DRRS categories. Logistic regression analysis showed that hypertension was significantly associated with adherence to DRRS among obese individuals, the odds ratio (OR) was 0.686 (95% confidence interval [CI], 0.26–0.84) after adjustment for potential confounders. But the risk of other components of MetS was not significantly associated with higher quartiles of adherence to DRRS. Also, a non-significantly lower prevalence of MetS was observed in the higher quartile of DRRS. Conclusions According to the results of the current study, higher DRRS was associated with lower blood pressure, modified serum lipids, and lower Mets prevalence. Further studies in different populations are warranted for better generalization of the obtained findings.

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Association Between Dietary Diabetes Risk Reduction Score and Chronic Kidney Disease in Adults: Tehran Lipid and Glucose Study

Cited by 2 publications

References 35 publications

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

A high Diabetes Risk Reduction Score (DRRS) is associated with a better cardio-metabolic profile among obese individuals

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