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Nutrient patterns in relation to metabolic health status in overweight and obese adolescents

The association between dietary nutrient patterns (NPs) and metabolic health status has not been investigated in adolescents. This study aimed to evaluate the relationship between NPs and metabolic health status in Iranian adolescents with overweight and obesity. In this cross-sectional study, 203 o...

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Autores principales: Rouhani, Parisa, Mirzaei, Saeideh, Asadi, Ali, Akhlaghi, Masoumeh, Saneei, Parvane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812990/
https://www.ncbi.nlm.nih.gov/pubmed/36599920
http://dx.doi.org/10.1038/s41598-023-27510-w
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author Rouhani, Parisa
Mirzaei, Saeideh
Asadi, Ali
Akhlaghi, Masoumeh
Saneei, Parvane
author_facet Rouhani, Parisa
Mirzaei, Saeideh
Asadi, Ali
Akhlaghi, Masoumeh
Saneei, Parvane
author_sort Rouhani, Parisa
collection PubMed
description The association between dietary nutrient patterns (NPs) and metabolic health status has not been investigated in adolescents. This study aimed to evaluate the relationship between NPs and metabolic health status in Iranian adolescents with overweight and obesity. In this cross-sectional study, 203 obese/overweight adolescents were selected using a multistage mass random sampling method. To assess usual dietary intakes, a validated food frequency questionnaire was applied. Data of anthropometric and blood pressure were collected. Insulin, lipid profile, and glucose levels were determined using fasting blood samples. Two approaches [International Diabetes Federation (IDF) and a combination of IDF with Homeostasis Model Assessment Insulin Resistance (HOMA-IR)] were applied to identify metabolically healthy obese and metabolically unhealthy obese (MUO) adolescents. Participants had a mean age of 13.9 ± 1.61 years and 52.2% of them were girls. Three NPs were identified and labeled as "high minerals and vitamins" (NP1), "high carbohydrate" (NP2) and "high fat and sodium" (NP3). After adjustments for all potential confounders, no significant association was observed between higher adherence to NP1 and NP2 and odds of MUO; however, greater adherence to "high fat and sodium" NP was associated with higher odds of being MUO based on IDF (OR = 3.12; 95% CI 1.19, 8.09) and IDF/HOMA-IR (OR = 2.81; 95% CI 1.02, 7.74) definitions. Stratified analysis revealed that these associations were stronger in boys (versus girls) and obese (versus overweight) adolescents. In conclusion, high adherence to a "high fat and sodium" nutrient pattern was related to elevated chance of being MUO in Iranian adolescents, especially in boys and obese individuals. Therefore, less consumption of trans fatty acids, saturated fatty acids and sodium could be recommended to prevent MUO prevalence especially in boys with obesity.
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spelling pubmed-98129902023-01-06 Nutrient patterns in relation to metabolic health status in overweight and obese adolescents Rouhani, Parisa Mirzaei, Saeideh Asadi, Ali Akhlaghi, Masoumeh Saneei, Parvane Sci Rep Article The association between dietary nutrient patterns (NPs) and metabolic health status has not been investigated in adolescents. This study aimed to evaluate the relationship between NPs and metabolic health status in Iranian adolescents with overweight and obesity. In this cross-sectional study, 203 obese/overweight adolescents were selected using a multistage mass random sampling method. To assess usual dietary intakes, a validated food frequency questionnaire was applied. Data of anthropometric and blood pressure were collected. Insulin, lipid profile, and glucose levels were determined using fasting blood samples. Two approaches [International Diabetes Federation (IDF) and a combination of IDF with Homeostasis Model Assessment Insulin Resistance (HOMA-IR)] were applied to identify metabolically healthy obese and metabolically unhealthy obese (MUO) adolescents. Participants had a mean age of 13.9 ± 1.61 years and 52.2% of them were girls. Three NPs were identified and labeled as "high minerals and vitamins" (NP1), "high carbohydrate" (NP2) and "high fat and sodium" (NP3). After adjustments for all potential confounders, no significant association was observed between higher adherence to NP1 and NP2 and odds of MUO; however, greater adherence to "high fat and sodium" NP was associated with higher odds of being MUO based on IDF (OR = 3.12; 95% CI 1.19, 8.09) and IDF/HOMA-IR (OR = 2.81; 95% CI 1.02, 7.74) definitions. Stratified analysis revealed that these associations were stronger in boys (versus girls) and obese (versus overweight) adolescents. In conclusion, high adherence to a "high fat and sodium" nutrient pattern was related to elevated chance of being MUO in Iranian adolescents, especially in boys and obese individuals. Therefore, less consumption of trans fatty acids, saturated fatty acids and sodium could be recommended to prevent MUO prevalence especially in boys with obesity. Nature Publishing Group UK 2023-01-04 /pmc/articles/PMC9812990/ /pubmed/36599920 http://dx.doi.org/10.1038/s41598-023-27510-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Rouhani, Parisa
Mirzaei, Saeideh
Asadi, Ali
Akhlaghi, Masoumeh
Saneei, Parvane
Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title_full Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title_fullStr Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title_full_unstemmed Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title_short Nutrient patterns in relation to metabolic health status in overweight and obese adolescents
title_sort nutrient patterns in relation to metabolic health status in overweight and obese adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812990/
https://www.ncbi.nlm.nih.gov/pubmed/36599920
http://dx.doi.org/10.1038/s41598-023-27510-w
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