:: Volume 21, Issue 1 (3-2019) ::
J Gorgan Univ Med Sci 2019, 21(1): 76-86 Back to browse issues page
Association between dietary acid load with weight status, dietray quality index (DQI), mean adequacy ratio and energy density among women
Somaye Fatahi1 , Mostafa Qorbani2 , Leila Azadbakht * 3
1- M.Sc in Nutrition, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
2- Assistant Professor, Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
3- Professor, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran; Professor, Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Professor, Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran , l-azadbakht@sina.tums.ac.ir
Abstract:   (9556 Views)
Background and Objective: Dietary acid load affects acid–base homeostasis, which may be associated with overweight and obesity as well as dietary quality index international (DQI-I), mean adequacy ratio (MAR), energy density (ED). This study was done to determine the association between dietary acid load with weight status and dietary quality indices among women.
Methods: This descriptive-analytic study was randomly performed on 306 women aged 20 to 55years. Dietary acid load was calculated by potential renal acid load (PRAL), net endogenous acid production (NEAP) and dietary acid load (DAL). DQI-I, MAR, ED were estimated for the participants.
Results: The probability of obesity (95% CI=0.97-5.50, OR=2.33, P=0.04), as well as abdominal adiposity (95% CI=1.21-4.50, OR=2.4, P=0.005) was significantly increased with tertile of DAL (P<0.05). While even after control of confounder variables, other dietary acid load indices (PRAL and NEAP) showed no significant association between dietary acid load and obesity, overweight or abdominal obesity. Also ,with increasing dietary acid load scores, DQI-I and MAR significantly decreased whereas energy density showed a significant increased across tertile categories of dietary acid load indices (P<0.05).
Conclusion: DAL was associated with increased risk of obesity and abdominal obesity. PRAL, NEAP and DAL were good indicators of diet quality indices.
 
Keywords: Dietary acid load, Diet quality, Overweight, Obesity, Woman
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Type of Study: Original Articles | Subject: Nutrition
References
1. Malnick SD, Knobler H. The medical complications of obesity. QJM. 2006 Sep; 99(9): 565-79. doi: 10.1093/qjmed/hcl085
2. Fung TT, Schulze M, Manson JE, Willett WC, Hu FB. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med. 2004 Nov; 164(20): 2235-40.
3. Salas-Salvadó J, Martinez-González MÁ, Bulló M, Ros E. The role of diet in the prevention of type 2 diabetes. Nutr Metab Cardiovasc Dis. 2011 Sep; 21(2): B32-48. doi: 10.1016/j.numecd.2011.03.009
4. Williams RS, Heilbronn LK, Chen DL, Coster AC, Greenfield JR, Samocha-Bonet D. Dietary acid load, metabolic acidosis and insulin resistance - Lessons from cross-sectional and overfeeding studies in humans. Clin Nutr. 2016 Oct; 35(5): 1084-90. doi: 10.1016/j.clnu.2015.08.002
5. Carrera-Bastos P, Fontes-Villalba M, O'Keefe JH, Lindeberg S, Cordain L. The western diet and lifestyle and diseases of civilization. Res Rep Clin cardiol. 2011; 2: 15-35. https://doi.org/10.2147/RRCC.S16919
6. Remer T, Manz F. Estimation of the renal net acid excretion by adults consuming diets containing variable amounts of protein. Am J Clin Nutr. 1994 Jun; 59(6): 1356-61. doi: 10.1093/ajcn/59.6.1356
7. Remer T, Dimitriou T, Manz F. Dietary potential renal acid load and renal net acid excretion in healthy, free-living children and adolescents. Am J Clin Nutr. 2003 May; 77(5): 1255-60. doi: 10.1093/ajcn/77.5.1255
8. Han E, Kim G, Hong N, Lee YH, Kim DW, Shin HJ, et al. Association between dietary acid load and the risk of cardiovascular disease: nationwide surveys (KNHANES 2008-2011). Cardiovasc Diabetol. 2016 Aug; 15(1): 122. doi: 10.1186/s12933-016-0436-z
9. Fagherazzi G, Vilier A, Bonnet F, Lajous M, Balkau B, Boutron-Rualt MC, et al. Dietary acid load and risk of type 2 diabetes: the E3N-EPIC cohort study. Diabetologia. 2014 Feb; 57(2): 313-20. doi: 10.1007/s00125-013-3100-0
10. Vezzoli G, Dogliotti E, Terranegra A, Arcidiacono T, Macrina L, Tavecchia M, et al. Dietary style and acid load in an Italian population of calcium kidney stone formers. Nutr Metab Cardiovasc Dis. 2015 Jun; 25(6): 588-93. doi: 10.1016/j.numecd.2015.03.005
11. Haghighatdoost F, Najafabadi MM, Bellissimo N, Azadbakht L. Association of dietary acid load with cardiovascular disease risk factors in patients with diabetic nephropathy. Nutrition. 2015 May; 31(5): 697-702. doi: 10.1016/j.nut.2014.11.012
12. Bahadoran Z, Mirmiran P, Khosravi H, Azizi F. Associations between dietary acid-base load and cardiometabolic risk factors in adults: the Tehran lipid and glucose study. Endocrinol Metab (Seoul). 2015 Jun; 30(2): 201-7. doi: 10.3803/EnM.2015.30.2.201
13. Moghadam SK, Bahadoran Z, Mirmiran P, Tohidi M, Azizi F. Association between dietary acid load and insulin resistance: Tehran Lipid and Glucose Study. Prev Nutr Food Sci. 2016; 21(2): 104-109. doi: 10.3746/pnf.2016.21.2.104
14. Kim S, Haines PS, Siega-Riz AM, Popkin BM. The diet quality index-international (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003 Nov; 133(11): 3476-84. doi: 10.1093/jn/133.11.3476
15. Ashouri M, Jahangosha F, Hassanzadeh A, Esmaillzadeh A. [Dietary energy density in relation to obesity]. Health System Research. 2011; 7(1): 13-24. [Article in Persian]
16. Xu H, Jia T, Huang X, Risérus U, Cederholm T, Arnlöv J, et al. Dietary acid load, insulin sensitivity and risk of type 2 diabetes in community-dwelling older men. Diabetologia. 2014 Aug; 57(8): 1561-68. doi: 10.1007/s00125-014-3275-z
17. Khosravi-Boroujeni H, Sarrafzadegan N, Mohammadifard N, Sajjadi F, Maghroun M, Asgari S, et al. White rice consumption and CVD risk factors among Iranian population. J Health Popul Nutr. 2013 Jun; 31(2): 252-61.
18. Feldman HA, McKinlay SM. Cohort versus cross-sectional design in large field trials: precision, sample size, and a unifying model. Stat Med. 1994 Jan; 13(1): 61-78.
19. Willett WC, Sampson L, Stampfer MJ, Rosner B, Bain C, Witschi J, et al. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol. 1985 Jul; 122(1): 51-65.
20. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. 2000.
21. Verbraecken J, Van de Heyning P, De Backer W, Van Gaal L. Body surface area in normal-weight, overweight, and obese adults. A comparison study. Metabolism. 2006 Apr; 55(4): 515-24. doi: 10.1016/j.metabol.2005.11.004
22. Tur JA, Romaguera D, Pons A. The diet quality index-international (DQI-I): is it a useful tool to evaluate the quality of the Mediterranean diet? Br J Nutr. 2005 Mar; 93(3): 369-76.
23. Hatløy A, Torheim LE, Oshaug A. Food variety-a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr. 1998 Dec; 52(12): 891-98.
24. Azadbakht L, Mirmiran P, Hosseini F, Azizi F. Diet quality status of most Tehranian adults needs improvement. Asia Pac J Clin Nutr. 2005; 14(2): 163-68.
25. Iwase H, Tanaka M, Kobayashi Y, Wada S, Kuwahata M, Kido Y, et al. Lower vegetable protein intake and higher dietary acid load associated with lower carbohydrate intake are risk factors for metabolic syndrome in patients with type 2 diabetes: Post-hoc analysis of a cross-sectional study. J Diabetes Investig. 2015 Jul; 6(4): 465-72. doi: 10.1111/jdi.12326
26. Rebholz CM, Coresh J, Grams ME, Steffen LM, Anderson CA, Appel LJ, et al. Dietary acid load and incident chronic kidney disease: results from the ARIC study. Am J Nephrol. 2015; 42(6): 427-35. doi: 10.1159/000443746
27. Murakami K, Sasaki S, Takahashi Y, Uenishi K; Japan Dietetic Students' Study for Nutrition and Biomarkers Group. Association between dietary acid-base load and cardiometabolic risk factors in young Japanese women. Br J Nutr. 2008 Sep; 100(3): 642-51. doi: 10.1017/S0007114508901288
28. Krupp D, Shi L, Maser-Gluth C, Pietzarka M, Remer T. 11β Hydroxysteroid dehydrogenase type 2 and dietary acid load are independently associated with blood pressure in healthy children and adolescents. Am J Clin Nutr. 2013 Mar; 97(3): 612-20. doi: 10.3945/ajcn.112.047829
29. Engberink MF, Bakker SJ, Brink EJ, van Baak MA, van Rooij FJ, Hofman A, et al. Dietary acid load and risk of hypertension: the Rotterdam Study. Am J Clin Nutr. 2012 Jun; 95(6): 1438-44. doi: 10.3945/ajcn.111.022343
30. Wahl P, Zinner C, Achtzehn S, Bloch W, Mester J. Effect of high- and low-intensity exercise and metabolic acidosis on levels of GH, IGF-I, IGFBP-3 and cortisol. Growth Horm IGF Res. 2010 Oct; 20(5): 380-85. doi: 10.1016/j.ghir.2010.08.001
31. Rylander R, Remer T, Berkemeyer S, Vormann J. Acid-base status affects renal magnesium losses in healthy, elderly persons. J Nutr. 2006 Sep; 136(9): 2374-77. doi: 10.1093/jn/136.9.2374
32. Hotamisligil GS, Shargill NS, Spiegelman BM. Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. Science. 1993 Jan; 259(5091): 87-91.
33. Robey IF. Examining the relationship between diet-induced acidosis and cancer. Nutr Metab (Lond). 2012 Aug; 9(1): 72. doi: 10.1186/1743-7075-9-72.
34. Asghari G, Mirmiran P, Hosseni-Esfahani F, Nazeri P, Mehran M, Azizi F. Dietary quality among Tehranian adults in relation to lipid profile: findings from the Tehran Lipid and Glucose Study. J Health Popul Nutr. 2013 Mar; 31(1): 37-48.
35. Poupin N, Calvez J, Lassale C, Chesneau C, Tomé D. Impact of the diet on net endogenous acid production and acid-base balance. Clin Nutr. 2012 Jun; 31(3): 313-21. doi: 10.1016/j.clnu.2012.01.006
36. Hashemi Kani A, Alavian SM, Esmaillzadeh A, Adibi P, Azadbakht L. Dietary quality indices and biochemical parameters among patients with non alcoholic fatty liver disease (NAFLD). Hepat Mon. 2013 Jul; 13(7): e10943. doi: 10.5812/hepatmon.10943
37. Frassetto LA, Todd KM, Morris RC Jr, Sebastian A. Estimation of net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Am J Clin Nutr. 1998 Sep; 68(3): 576-83. doi: 10.1093/ajcn/68.3.576
38. Mendoza JA, Drewnowski A, Christakis DA. Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adults. Diabetes Care. 2007 Apr; 30(4): 974-79. doi: 10.2337/dc06-2188
39. Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, Tohill BC, et al. Low-energy-density diets are associated with high diet quality in adults in the United States. J Am Diet Assoc. 2006 Aug; 106(8): 1172-80. doi: 10.1016/j.jada.2006.05.013
40. Bes-Rastrollo M, van Dam RM, Martinez-Gonzalez MA, Li TY, Sampson LL, Hu FB. Prospective study of dietary energy density and weight gain in women. Am J Clin Nutr. 2008 Sep; 88(3): 769-77. doi: 10.1093/ajcn/88.3.769


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