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- Title
The association of dietary diabetes risk reduction score and its components with risk of metabolic syndrome incident in Tehranian adults.
- Authors
Mirmiran, Parvin; Farhadnejad, Hossein; Teymoori, Farshad; Asghari, Golaleh; Parastouei, Karim; Azizi, Fereidoun
- Abstract
Background: Evidence of possible beneficial effects of dietary diabetes risk reduction score (DDRRS) on reducing the risk of various chronic diseases such as metabolic syndrome (MetS) are limited. This is a prospective, population-based cohort study, which aimed to investigate the relationship of the DDRRS and its components with MetS incident in Iranian adults. Methods: Individuals without MetS (n=3561) were recruited from participants of the Tehran Lipid and Glucose Study (2009-2011) and followed for a mean of 6.01 years. A validated food frequency questionnaire was used to determine the DDRRS using based on eight components, including higher intakes of cereal fiber, nuts, coffee, and polyunsaturated: saturated fat ratio and lower intakes of red or processed meats, sugar-sweetened beverages, trans fatty acids, and low glycemic index. We used the multivariable logistic regression analysis to determine the odds ratio (ORs) and 95 % confidence interval (CI) of MetS across the tertiles of DDRRS. Results: The mean (SD) age of individuals was 38.1(12.6) years at baseline. Median (25-75 interquartile range) DDRRS for all participants was 20(18-22). During the study follow-up, 682(19.1 %) new cases of MetS were reported. Based on the age and sex-adjusted model, participants in highest tertile of DDRRS had lower risk of MetS in compared with the lowest one (OR=0.64;95 %CI:0.52-0.79, P for trend=0.001). In the multivariable adjusted model, after adjustment for all possible confounding variables, the risk of MetS is decreased across tertiles of DDRRS (OR=0.60;95 %CI:0.48-0.75, P for trend=0.001). Also, higher scores of some DDRRS components including red and processed meat, sugar sweetened beverages, and coffee were related to decreased incidence of MetS. Conclusions: The results of this study revealed that greater adherence to DDRRS can be associated with decreased risk of MetS in Iranian adult.
- Subjects
IRAN; METABOLIC syndrome risk factors; FOOD habits; CONFIDENCE intervals; MULTIVARIATE analysis; DIABETES; METABOLIC syndrome; QUESTIONNAIRES; DESCRIPTIVE statistics; LOGISTIC regression analysis; ODDS ratio; LONGITUDINAL method; ADULTS
- Publication
BMC Endocrine Disorders, 2021, Vol 21, Issue 1, p1
- ISSN
1472-6823
- Publication type
Article
- DOI
10.1186/s12902-021-00872-w