[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Indexing Sources::
Editorial Board::
Executive Members::
Articles Archive::
Instruction to Authors::
Peer-Review::
Contact Us::
Site Facilities::
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 18, Issue 3 (10-2016) ::
J Gorgan Univ Med Sci 2016, 18(3): 58-70 Back to browse issues page
Relation between pattern of nutrient intake and obesity in Isfahanian Adults: SEPAHAN study
R Fallah Mashkani1 , A Salehi-Abargouei2 , A Esmaillzadeh * 3, L Azadbakht4 , A Hassanzadeh Keshteli5 , A Feizi6 , P Adibi7
1- M.Sc Student in Nutrition, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Sciences, University of Medical Sciences, Isfahan, Iran.
2- Assistant professor, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Sciences, University of Medical Sciences, Isfahan, Iran.
3- Professor, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Sciences, University of Medical Sciences, Isfahan, Iran. , esmaillzadeh@hlth.mui.ac.ir
4- Professor, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Sciences, University of Medical Sciences, Isfahan, Iran.
5- General Physician, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
6- Associate Professor, Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
7- Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Keywords: Anthropometry, Obesity, Diet, Nutrient intake, Fat accumulation
Full-Text [PDF 901 kb] [English Abstract]   (13668 Downloads)     |   Abstract (HTML)  (11799 Views)
Type of Study: Original Articles | Subject: Nutrition
Abstract:   (1022 Views)

Background and Objective: The growing evidence suggest on the association between dietary patterns and obesity. This study was done to determine the relation between pattern of nutrient intake and obesity in Isfahanian adults.

Methods: In this descriptive - analytical study, dietary data were collected using a semi-quantitative food frequency questionnaire in 8,691 subjects aged 18-55 years. Complete data of 6,724 and 5,203 adults were available for general and abdominal obesity, respectively. Daily intakes of 38 nutrients and bioactive compounds were calculated for each participant. Factor analysis was applied to derive major nutrient patterns.

Results: Three major nutrient patterns were identified: 1) pattern high in fatty acids, cholesterol, vitamin B12, vitamin E, zinc, choline, protein, pyridoxine, phosphorus, and pantothenic acid; 2) high in thiamine, betaine, starch, folate, iron, selenium, niacin, calcium, and manganese; and 3) high in glucose, fructose, sucrose, vitamin C, potassium, dietary fiber, copper and vitamin K. Men in the highest quintile of the second pattern were less likely to be generally obese in the fully adjusted model (95% CI: 0.20-0.76, OR: 0.39, P<0.05). After adjustment for potential confounders, a significant positive association was observed between the third pattern and general obesity among men (95% CI: 1.04-3.04, OR: 1.77, P<0.05), but it was not in women (95% CI: 0.74-1.88, OR: 1.18, P>0.05).

Conclusion: Nutrient patterns were significantly associated with general, but not abdominal obesity in the male Iranians participating in SEPAHAN study.

References
1. Jacobs DR Jr, Steffen LM. Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr. 2003 Sep; 78(3 Suppl):508S-513S.
2. Freisling H, Fahey MT, Moskal A, Ocké MC, Ferrari P, Jenab M, et al. Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries. J Nutr. 2010 Jul; 140(7):1280-6. doi: 10.3945/jn.110.121152 3. World Health Organization. WHO Media center. Obesity and overweight. Geneva. 2016.
3. World Health Organization. WHO Media center. Obesity and overweight. Geneva. 2016.
4. Kilpi F, Webber L, Musaigner A, Aitsi-Selmi A, Marsh T, Rtveladze K, et al. Alarming predictions for obesity and non-communicable diseases in the Middle East. Public Health Nutr. 2014 May; 17(5):1078-86. doi: 10.1017/S1368980013000840
5. Esteghamati A, Khalilzadeh O, Mohammad K, Meysamie A, Rashidi A, Kamgar M, et al. Secular trends of obesity in Iran between 1999 and 2007: National Surveys of Risk Factors of Non-communicable Diseases. Metab Syndr Relat Disord. 2010 Jun; 8(3):209-13. doi: 10.1089/met.2009.0064
6. Moleres A, Ochoa MC, Rendo-Urteaga T, Martínez-González MA, Azcona San Julián MC, Martínez JA, et al. Dietary fatty acid distribution modifies obesity risk linked to the rs9939609 polymorphism of the fat mass and obesity-associated gene in a Spanish case-control study of children. Br J Nutr. 2012 Feb; 107(4):533-8. doi: 10.1017/S0007114511003424
7. Youn S, Woo HD, Cho YA, Shin A, Chang N, Kim J. Association between dietary carbohydrate, glycemic index, glycemic load, and the prevalence of obesity in Korean men and women. Nutr Res. 2012 Mar; 32(3):153-9. doi: 10.1016/j. nutres.2011.12.009
8. Merchant AT, Anand SS, Vuksan V, Jacobs R, Davis B, Teo K, et al. Protein intake is inversely associated with abdominal obesity in a multi-ethnic population. J Nutr. 2005 May; 135(5):1196-201.
9. Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr. 2003 Nov; 78(5):920-7.
10. García OP, Ronquillo D, Caamaño Mdel C, Camacho M, Long KZ, Rosado JL. Zinc, vitamin A, and vitamin C status are associated with leptin concentrations and obesity in Mexican women: results from a cross-sectional study. Nutr Metab (Lond). 2012 Jun; 9(1):59. doi: 10.1186/1743-7075-9-59
11. Zhou SS, Li D, Zhou YM, Sun WP, Liu QG. B-vitamin consumption and the prevalence of diabetes and obesity among the US adults: population based ecological study. BMC Public Health. 2010 Dec; 10:746. doi: 10.1186/1471-2458-10-746
12. Saneei P, Salehi-Abargouei A, Esmaillzadeh A. Serum 25-hydroxy vitamin D levels in relation to body mass index: a systematic review and meta-analysis. Obes Rev. 2013 May; 14(5):393-404. doi: 10.1111/obr.12016
13. Huang L, Xue J, He Y, Wang J, Sun C, Feng R, et al. Dietary calcium but not elemental calcium from supplements is associated with body composition and obesity in Chinese women. PLoS One. 2011; 6(12):e27703. doi: 10.1371/journal.pone.0027703
14. Adibi P, Hassanzadeh Keshteli H, Esmaillzadeh A, Afshar H, Roohafza H, Bagherian-Sararoudi R, et al. The study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN): overview of methodology. Journal of Research Medical Sciences. 2012; 17(2): S291-S297.
15. Willett W. Nutritional epidemiology. 3rd ed. New York: Oxford University Press. 2013; pp: 1-552.
16. Keshteli A, Esmaillzadeh A, Rajaie S, Askari G, Feinle-Bisset C, Adibi P. A Dish-based Semi-quantitative Food Frequency Questionnaire for Assessment of Dietary Intakes in Epidemiologic Studies in Iran: Design and Development. Int J Prev Med. 2014 Jan; 5(1):29-36.
17. Ghaffarpour M, Houshiar-Rad A, Kianfar H. The manual for household measures, cooking yields factors and edible portion of foods. 1st ed. Tehran: Nashre Olume Keshavarzy. 1999; pp: 1-40.
18. U.S. Department of Agriculture ARS. USDA National Nutrient Database for Standard Reference. Release 28. 2016. Available at: http://www.ars.usda.gov/Services/docs.htm?docid=8964
19. Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. Bmj. 1995 Jul; 311 (6998): 158-61.
20. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002 Dec; 106(25):3143-421.
21. NICE Clinical Guidelines. No 61. The General Practice Physical Activity Questionnaire (GPPAQ). London: Royal College of Nursing (UK). 2008 Feb.
22. Kim J-o, Mueller CW. Factor analysis : statistical methods and practical issues. 1st ed. London: Sage, Newbury Park, Calif. 1978; pp: 1-88.
23. Craig SA. Betaine in human nutrition. Am J Clin Nutr. 2004 Sep; 80(3):539-49.
24. Mahabir S, Ettinger S, Johnson L, Baer DJ, Clevidence BA, Hartman TJ, et al. Measures of adiposity and body fat distribution in relation to serum folate levels in postmenopausal women in a feeding study. Eur J Clin Nutr. 2008 May; 62(5):644-50.
25. Mojtabai R. Body mass index and serum folate in childbearing age women. Eur J Epidemiol. 2004; 19(11):1029-36.
26. McClung JP, Karl JP. Iron deficiency and obesity: the contribution of inflammation and diminished iron absorption. Nutr Rev. 2009 Feb; 67(2):100-4. doi: 10.1111/j.1753-4887.2008. 00145.x
27. Alasfar F, Ben-Nakhi M, Khoursheed M, Kehinde EO, Alsaleh M. Selenium is significantly depleted among morbidly obese female patients seeking bariatric surgery. Obes Surg. 2011 Nov; 21(11): 1710-3. doi: 10.1007/s11695-011-0458-2
28. Song Q, Sergeev IN. Calcium and vitamin D in obesity. Nutr Res Rev. 2012 Jun; 25(1):130-41. doi: 10.1017/ S0954422412000029
29. Li D, Sun WP, Zhou YM, Liu QG, Zhou SS, Luo N, et al. Chronic niacin overload may be involved in the increased prevalence of obesity in US children. World J Gastroenterol. 2010 May; 16(19): 2378-87.
30. National Institutes of Health. Dietary reference intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington (DC): National Academies Press (US). 1998; pp: 1-592.
31. Hu FB. Plant-based foods and prevention of cardiovascular disease: an overview. Am J Clin Nutr. 2003 Sep;78(3 Suppl):544S-551S.
32. Rezazadeh A, Rashidkhani B. The association of general and central obesity with major dietary patterns of adult women living in Tehran, Iran. J Nutr Sci Vitaminol (Tokyo). 2010; 56(2):132-8.
33. Paradis AM, Godin G, Pérusse L, Vohl MC. Associations between dietary patterns and obesity phenotypes. Int J Obes (Lond). 2009 Dec; 33(12):1419-26. doi: 10.1038/ijo.2009.179
34. Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J Nutr. 2008 Feb; 138(2):358-63.
35. Jain N, Minhajuddin AT, Neeland IJ, Elsayed EF, Vega GL, Hedayati SS. Association of urinary sodium-to-potassium ratio with obesity in a multiethnic cohort. Am J Clin Nutr. 2014 May; 99(5):992-8. doi: 10.3945/ajcn.113.077362
36. Shea MK, Booth SL, Gundberg CM, Peterson JW, Waddell C, Dawson-Hughes B, et al. Adulthood obesity is positively associated with adipose tissue concentrations of vitamin K and inversely associated with circulating indicators of vitamin K status in men and women. J Nutr. 2010 May; 140(5): 1029-34. doi: 10.3945/jn.109.118380
37. Lovejoy JC, Sainsbury A; Stock Conference 2008 Working Group. Sex differences in obesity and the regulation of energy homeostasis. Obes Rev. 2009 Mar; 10(2):154-67. doi: 10.1111/j. 1467-789X.2008.00529.x
38. Beer-Borst S, Hercberg S, Morabia A, Bernstein MS, Galan P, Galasso R, et al. Dietary patterns in six european populations: results from EURALIM, a collaborative European data harmonization and information campaign. Eur J Clin Nutr. 2000 Mar; 54(3):253-62.
39. O'Doherty Jensen K, Holm L. Preferences, quantities and concerns: socio-cultural perspectives on the gendered consumption of foods. Eur J Clin Nutr. 1999 May; 53(5):351-9.
40. Marks GC, Hughes MC, van der Pols JC. Relative validity of food intake estimates using a food frequency questionnaire is associated with sex, age, and other personal characteristics. J Nutr. 2006 Feb; 136(2): 459-65.
41. Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, et al. Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires : the Eating at America's Table Study. Am J Epidemiol. 2001 Dec; 154(12):1089-99.
42. Hosseini-Esfahani F, Bahadoran Z, Mirmiran P, Hosseinpour-Niazi S, Hosseinpanah F, Azizi F. Dietary fructose and risk of metabolic syndrome in adults: Tehran Lipid and Glucose study. Nutr Metab (Lond). 2011 Jul; 8(1):50. doi: 10.1186/1743-7075-8-50
43. Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W, et al. Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16587 US men. Am J Clin Nutr. 2003 Oct; 78(4):719-27.
44. Fung GJ, Steffen LM, Zhou X, Harnack L, Tang W, Lutsey PL, et al. Vitamin D intake is inversely related to risk of developing metabolic syndrome in African American and white men and women over 20 y: the Coronary Artery Risk Development in Young Adults study. Am J Clin Nutr. 2012 Jul; 96(1):24-9. doi: 10.3945/ajcn.112.036863
45. Jia WP, Lu JX, Xiang KS, Bao YQ, Lu HJ, Chen L. Prediction of abdominal visceral obesity from body mass index, waist circumference and waist-hip ratio in Chinese adults: receiver operating characteristic curves analysis. Biomed Environ Sci. 2003 Sep; 16(3):206-11.
46. Rankinen T, Kim SY, Pérusse L, Després JP, Bouchard C. The prediction of abdominal visceral fat level from body composition and anthropometry: ROC analysis. Int J Obes Relat Metab Disord. 1999 Aug; 23(8):801-9.
47. Wu HY, Xu SY, Chen LL, Zhang HF. Waist to height ratio as a predictor of abdominal fat distribution in men. Chin J Physiol. 2009 Dec; 52(6):441-5.
48. Moskal A, Pisa PT, Ferrari P, Byrnes G, Freisling H, Boutron-Ruault MC, et al. Nutrient patterns and their food sources in an International Study Setting: report from the EPIC study. PLoS One. 2014 Jun; 9(6):e98647. doi: 10.1371/journal.pone.0098647
49. Martínez ME, Marshall JR, Sechrest L. Invited commentary: Factor analysis and the search for objectivity. Am J Epidemiol. 1998 Jul; 148(1):17-9.
Send email to the article author


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fallah Mashkani R, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L, Hassanzadeh Keshteli A, Feizi A et al . Relation between pattern of nutrient intake and obesity in Isfahanian Adults: SEPAHAN study. J Gorgan Univ Med Sci 2016; 18 (3) :58-70
URL: http://goums.ac.ir/journal/article-1-2837-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 18, Issue 3 (10-2016) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.05 seconds with 36 queries by YEKTAWEB 4652