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The association between low-carbohydrate diet score and metabolic syndrome among Iranian adults.

Public health nutrition
December 1, 2021
Zohreh Sadat Sangsefidi et al. (5 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to assess the relationship between adherence to a low-carbohydrate diet (LCD) and the prevalence of metabolic syndrome (Mets) in Iranian adults.

Results Summary

Higher adherence to LCD was associated with a significantly lower chance of Mets, particularly in men, and reduced abdominal obesity and low HDL cholesterol levels. The study found inverse relationships between LCD score and Mets components.

Population

Iranian adults (2074 participants from the Yazd Health Study and Taghzieh Mardom-e-Yazd study).

Effective Dosage

Not specified (LCD score calculated based on deciles of energy percentages from macronutrients).

Duration

Not specified (cross-sectional study).

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-carbohydrate diet (LCD)
decrease
metabolic syndrome (Mets)
all participants
OR: 0.68, 95% CI (0.50, 0.92)
had a significant lower chance of
#1
low-carbohydrate diet (LCD)
decrease
metabolic syndrome (Mets)
men
OR: 0.54, 95% CI (0.34, 0.86)
had a significant lower chance of
#2
low-carbohydrate diet (LCD)
decrease
metabolic syndrome (Mets)
women
OR: 0.53, 95% CI (0.34, 0.82)
had a significant lower chance of
#3
low-carbohydrate diet (LCD)
decrease
abdominal obesity
men
by 47% (OR: 0.53, 95% CI (0.28, 0.99))
reduced
#4
low-carbohydrate diet (LCD)
decrease
low HDL cholesterol
all participants
OR: 0.74, 95% CI: 0.56-0.99
significant inverse relation was observed between
#5
low-carbohydrate diet (LCD)
decrease
low HDL cholesterol
men
OR: 0.63, 95% CI: 0.40-0.98
significant inverse relation was observed between
#6
Abstract

OBJECTIVE: Assessing the relationship between low-carbohydrate diet (LCD) score and metabolic syndrome (Mets) in Iranian adults. DESIGN: Cross-sectional study. SETTING: Yazd Health Study and Taghzieh Mardom-e-Yazd study. PARTICIPANTS: Data of 2074 participants were used. Dietary intakes were assessed by a validated semi-quantitative FFQ. LCD score was calculated for each person by summing up the assigned scores to deciles of energy percentages from macronutrients. Mets was evaluated using National Cholesterol Education Program Adult Treatment Panel III. Eventually, association between LCD score and Mets was examined using logistic regression. RESULTS: Total Mets prevalence was approximately 40·5 %. After adjustment for confounders, subjects in the higher quartile of LCD score had a significant lower chance of Mets than lower quartile among all participants (Q4 v. Q1: OR: 0·68, 95 % CI (0·50, 0·92)) and separately in men (Q4 v. Q1: OR: 0·54, 95 % CI (0·34, 0·86)) and women (Q2 v. Q1: OR: 0·53, 95 % CI (0·34, 0·82)). Furthermore, more LCD adherence in men reduced abdominal obesity by 47 % (Q3 v. Q1: OR: 0·53, 95 % CI (0·28, 0·99)). A significant inverse relation was also observed between low HDL cholesterol and LCD score in all participants (Q4 versus Q1 OR: 0·74, 95% CI: 0·56-0·99) and separately in men (Q4 versus Q1 OR: 0·63, 95% CI: 0·40-0·98). CONCLUSIONS: More adherence to LCD might be related to lower chance of Mets and some of its components such as low HDL-cholesterol and abdominal obesity specially in men. Further studies are required to confirm the findings.

Medical Subject Headings (MeSH)
AdultCross-Sectional StudiesDietDiet, Carbohydrate-RestrictedFemaleHumansIranMaleMetabolic SyndromeObesity, AbdominalRisk Factors
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations11
Citations/Year2.8
Relative Citation Ratio1.19
NIH Percentile56.8%
Research Impact Scores
APT Score0.75
Weight Score2.30
Normalized Score0.64
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