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Article type: Research Article
Authors: Cheraghian, Bahmana | Karandish, Majidb | Hashemi, Seyed Jalalc | Zendehdel, Mohadesehd | Rahimi, Zahrae | Mousavi, Reihanehb; d; *
Affiliations: [a] Hearing Research Center, Clinical Sciences Research Institute, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [b] Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [c] Alimentary Tract Research Center, Clinical Sciences Research Institute, The School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [d] Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [e] Hearing Research Center, Clinical Sciences Research Institute, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Correspondence: [*] Corresponding author: Reihaneh Mousavi, Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Tel.: +00986133738285; E-mail: [email protected].; https://orcid.org/0000-0002-8442-6687.
Abstract: BACKGROUND:Dietary diversity score (DDS) is recognized as an essential factor of a high-quality diet. OBJECTIVE:To evaluate the relationship between DDS and cardiometabolic risk factors in hypertensive patients. METHODS:In this cross-sectional study, 972 hypertensive patients (322 males and 650 females) aged 35–70y participated were recruited. Dietary intake was evaluated using a semi-quantitative food frequency questionnaire and DDS was calculated. Metabolic syndrome was defined according to the IDF/AHA criteria. The anthropometric parameters, fasting blood sugar, lipid profile, and liver enzymes were measured. RESULTS:Male subjects who assigned to the top DDS tertile had 51% lower risk of having low serum HDL-C (OR: 0.49; 95% CI: 0.24–0.96) in the crude model. A similar association was observed for men in the second tertile of DDS after adjusting for covariates (OR: 0.47; 95% CI: 0.23–0.97). A significant inverse association was found between vegetable diversity score and odds of hyperglycemia in the male group in the adjusted model (OR: 0.44; 95% CI: 0.22–0.91). The vegetable diversity score was inversely associated with 67% decreased metabolic syndrome risk in the adjusted model (OR: 0.33; 95% CI: 0.15–0.70). CONCLUSION:These findings clarify the possible preventive role of higher DDS against metabolic syndrome.
Keywords: Cardiometabolic risk factors, dietary diversity score, hypertension, metabolic syndrome
DOI: 10.3233/MNM-210556
Journal: Mediterranean Journal of Nutrition and Metabolism, vol. 15, no. 1, pp. 47-57, 2022
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