The relation of Dietary diversity score and food insecurity to metabolic syndrome features and glucose level among pre-diabetes subjects

Gholizadeh, Farhad; Moludi, Jalal; Yagin, Ned Lotfi; Alizadeh, Mohammad; Nachvak, Seyed Mostafa; Abdollahzad, Hadi; Mirzaei, Khadijeh; Mostafazadeh, Mostafa

doi:10.1016/j.pcd.2018.03.003

Cited by 33 publications

(26 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A finding from the NHANES study in the United States supports this finding, dietary diversity score has an inverse association with indicators of body adiposity in both sexes and indicated that healthy food varieties can protect against excess adiposity [29]. Furthermore, a cross-sectional study among Iranian women aged 18 to 28 years old found that a higher dietary diversity quartile was associated with lower odds of both general and abdominal obesity [30] and another study among Iranian adults with pre-diabetes revealed that DDS was inversely associated with metabolic syndrome [31]. Moreover, a study among urban South Indians showed that increased intake of fruits and vegetables could play a protective role against obesity-associated metabolic risk factors [32].…”

Section: Plos Onementioning

confidence: 79%

Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

et al. 2020

View full text Add to dashboard Cite

Background Globally, the prevalence of obesity is on the rise and has nearly tripled since 1975. In Ethiopia, despite not having well-documented evidence, abdominal obesity has been increasing dramatically, particularly in urban settings. Therefore, this study is intended to determine the prevalence and risk factors of abdominal obesity among adults in Dilla town, Ethiopia. Methods A community-based cross-sectional study was conducted between January and February 2018 in Dilla Town. A multi-stage sampling technique was employed to recruit 663 adults. The study was conducted in accordance with the World Health Organization (WHO) STEP wise approach. Waist circumference was measured using a flexible metric tape midway between the lowest rib and iliac crest with the participant standing at the end of gentle expiration. Abdominal obesity was determined using the International Diabetes Federation cutoff. A logistic regression model was fitted to identify risk factors of abdominal obesity. Adjusted odds ratio (AOR) with corresponding 95% confidence interval (CI) was calculated to show the strength of association. Results A total of 634 adults participated in the study with a response rate of 95.6%. This study revealed that 155 (24.4%) [95% CI: (21.50, 27.80)] adults were abdominally obese. Higher odds of being abdominally obese were noted among adults with a high [

show abstract

Section: Plos Onementioning

confidence: 79%

Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In a cross-sectional study among Iranian female youth aged 18–28 years old (n = 289), they found that higher diversity score was associated with lower odds of both general (BMI ≥ 30 kg/m 2 ) and abdominal obesity (waist circumference ≥ 88 cm) compared to lower diversity scores [ 13 ]. Another cross-sectional study from Iran showed that DDS was inversely associated with metabolic syndrome [ 33 ]. However, other studies had also found a positive association between diet diversity and obesity [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Association between dietary diversity and obesity in the Filipino Women’s Diet and Health Study (FiLWHEL): A cross-sectional study

et al. 2018

View full text Add to dashboard Cite

BackgroundDietary diversity—eating a more varied diet, may be one of the important components of a healthy diet. We aimed to examine whether dietary diversity score was associated with lower prevalence of obesity.MethodsThis is a cross-sectional study of 402 married immigrant participants enrolled in the Filipino Women’s diet and health study (FiLWHEL). Dietary information was obtained using the 24-hour recall method. Anthropometric measurements including height, weight, and waist circumference were directly measured. Dietary diversity score was calculated by summing up the reported number of food groups and additional scores for diversity within food groups were derived. We defined general obesity as body mass index (BMI) of ≥25 kg/m2 and abdominal obesity as waist circumference of ≥80 cm. We calculated odds ratios and 95% confidence intervals using the multivariable logistic regression accounting for several potential confounders.ResultsDietary diversity score was inversely associated with abdominal and general obesity; odds ratios (95% confidence intervals) were 0.49 (0.30–0.82) (p for trend = 0.009) for abdominal obesity and 0.47 (0.28–0.81) (p for trend = 0.008) for general obesity when we compared the third tertile of diversity scores with the first tertile. In the analyses of diversity within food groups, greater diversity in other vegetables was associated with 49% or 50% lower prevalence of abdominal or general obesity, respectively. Furthermore, poultry diversity score was associated with 56% lower prevalence of general obesity.ConclusionOur study suggests the evidence that high dietary diversity appears to be related to low prevalence of obesity.

show abstract

“…However, the role of a varied diet on chronic disease development is still uncertain. Some studies have suggested that dietary diversity (DD) contributes to high energy consumption and has a positive association with a poor quality diet, increasing the risk of MetS in older adults [13,14,15,16]; other researchers have reported that DD is a key component of high-quality diets, being associated with nutrient adequacy [17] and reducing the rates of CVD [18] and MetS [19] in the overall population.…”

Section: Introductionmentioning

confidence: 99%

Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis

et al. 2019

View full text Add to dashboard Cite

Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55–75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80–39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55–18.65), fruits OR = 11.62 (95% CI 6.81–19.81), dairy products OR = 6.54 (95% CI 4.64–9.22) and protein foods OR = 6.60 (95% CI 1.96–22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s.

show abstract

The relation of Dietary diversity score and food insecurity to metabolic syndrome features and glucose level among pre-diabetes subjects

Cited by 33 publications

References 38 publications

Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

Association between dietary diversity and obesity in the Filipino Women’s Diet and Health Study (FiLWHEL): A cross-sectional study

Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis

Contact Info

Product

Resources

About