The association between carbohydrate quality index and nutrient adequacy in Iranian adults

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mena Farazi ◽  
Ahmad Jayedi ◽  
Zahra Noruzi ◽  
Fatemeh Dehghani Firouzabadi ◽  
Elaheh Asgari ◽  
...  
Keyword(s):  
Glycemic Index ◽  
Quality Index ◽  
Cross Sectional Study ◽  
Total Carbohydrate ◽  
Cross Sectional ◽  
Content Type ◽  
Nutrient Adequacy ◽  
Carbohydrate Quality ◽  
And Gender ◽  
Three Components

Purpose This paper aims to evaluate the association between carbohydrate quality index (CQI) and nutrient adequacy in Iranian adults. Design/methodology/approach A total of 268 men and women with ages ranged from 18 to 70 years were evaluated in a cross-sectional study. The CQI was calculated by adding together the three components, namely, the ratio of solid to total carbohydrate, dietary fiber and glycemic index. The scores of three components were summed to calculate the CQI, with a higher score indicating a higher dietary carbohydrate quality. The odds ratios (ORs) of nutrient adequacy ratio (NAR), defined as the ratio of intake of a nutrient to the age- and gender-specific recommended dietary allowance, for the intake of energy and 10 nutrients across quartiles of the CQI were calculated by logistic regression analysis and expressed with 95% confidence intervals (CIs). Findings CQI ranged between 3 to 15 (mean ± SD: 9 ± 1.9). Being in top versus bottom quartile of the CQI was associated with a higher NAR of folic acid (OR: 3.20, 95% CI: 1.06–9.62; P-trend: <0.001), vitamin A (OR: 3.66; 95% CI: 1.46–9.17; P-trend: <0.001), magnesium (OR: 5.94; 95% CI; 1.71–20.53; P-trend: <0.001), vitamin C (OR: 7.85; 95% CI; 2.99–20.59; P-trend: <0.001). Originality/value A higher CQI was associated with greater micronutrient consumption adequacy in Iranian adults. The results suggest that increasing the consumption of total fiber and solid carbohydrates and decreasing the glycemic index of the diet and liquid carbohydrates can improve micronutrient intake adequacy.

scholarly journals Association between carbohydrate quality index and general and central obesity in adults: a population-based study in Iran

2021 ◽  
Author(s):  
Nasim Janbozorgi ◽  
Kurosh Djafarian ◽  
Saba Mohammadpour ◽  
Mahtab Zareie Abyane ◽  
Mahdi Zameni ◽  
...  
Keyword(s):  
Glycemic Index ◽  
Quality Index ◽  
Central Obesity ◽  
Glycemic Load ◽  
Population Based ◽  
Cross Sectional Study ◽  
Dietary Carbohydrates ◽  
Total Carbohydrate ◽  
Cross Sectional ◽  
Carbohydrate Quality

Introduction: To determine whether dietary carbohydrates quality index (CQI), glycemic index, and glycemic load is associated with general and abdominal obesity. Methods: 850 participants, 20 to 59 years old, were enrolled in a cross-sectional study from five Tehran districts through health houses. The 168 items in the semi--quantitative food frequency questionnaire were used to assess dietary intake. The CQI was calculated by using the following four components: glycemic index, total fiber, solid carbohydrate to total carbohydrate ratio, and whole grains: total grains ratio. Results: After adjusting for confounding factors, the chance of obesity in men (OR=0.38, 95% CI 0.15to 0.95; P=0.04) measured by waist circumference (WC) was significantly lower in the fourth quintile of CQI in comparison with the first quintile. In addition, OR for obesity in men (OR=2.53, 95% CI0.52 to 1.37; P=0.04) was significantly 2.5 times higher among those in the fourth quintile of glycemic index compared with those in the lowest quintile. There was no significant association between dietary carbohydrates with general obesity in men and women. Conclusion: In summary, dietary CQI is significantly inversely related to central obesity in men,according to this study. Additionally, adherence to a diet with a higher glycemic index in men is positively associated with central obesity.

scholarly journals Determinants of enrolment in the NHIS for women in Ghana – a cross sectional study

2018 ◽  
Vol 45 (9) ◽  
pp. 1318-1334 ◽  
Author(s):  
Anthony Kusi ◽  
Ama Fenny ◽  
Daniel Kojo Arhinful ◽  
Felix Ankomah Asante ◽  
Divya Parmar
Keyword(s):  
Social Exclusion ◽  
Social Systems ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Power Relationships ◽  
Wealth Status ◽  
Cross Sectional ◽  
Content Type ◽  
And Gender ◽  
Almost All

Purpose The National Health Insurance Scheme (NHIS) was introduced in 2005 to provide equitable access to healthcare. Furthermore, concessions were made for pregnant women, yet inequities in access continue to exist. The purpose of this paper is to explore whether dimensions of social exclusion explain why some groups of women are not benefitting from the scheme. Design/methodology/approach Data were collected from 4,050 representative households in five districts. Logistic regression is used to examine the factors that determine enrolment of women under the NHIS. Findings The study sample consists of a sub-sample of 3,173 women out of whom 58 per cent were insured. The majority (64.9 per cent) of the women were in the reproductive age (15–45 years). The results show that wealth status, age, health status, locality, perception about the quality of care at health facilities and perception of the NHIS, are the key factors that determine enrolment into the scheme. Practical implications By conceptualising social exclusion as the multi-dimensional processes driven by unequal power relationships which lead to differential inclusion and exclusion in social systems, the study provides evidence to show that certain groups of women are systemically excluded from participating in the NHIS. Social implications With women dominating the informal sector of Ghana’s economy which is often characterised by relatively low incomes, these inequities in access need to be addressed. Originality/value Although gender equality incorporates discussions on issues affecting men and women this paper focusses on women in Ghana due to disadvantaged position in which many of them find themselves in terms of access to resources. Almost all of the identified barriers in previous studies have been worsened by gender with women generally facing greater difficulties in accessing adequate care. Few of these papers have taken account the specific health needs and gender-specific constraints of women in the NHIS. The authors aim to fill this gap by using a social exclusion lens to explore whether Ghanaian women (i.e. 15 years and above) are participating in the NHIS and examine the processes by which exclusion occurs and what explains the patterns observed.

High performance work systems, cultures and gender demography

2014 ◽  
Vol 36 (6) ◽  
pp. 693-707 ◽  
Author(s):  
Shaun Pichler ◽  
Arup Varma ◽  
Andrew Yu ◽  
Gerard Beenen ◽  
Shahin Davoudpour
Keyword(s):  
High Performance ◽  
Longitudinal Research ◽  
Cross Sectional Study ◽  
Future Research ◽  
Cross Sectional ◽  
Work Systems ◽  
Content Type ◽  
High Performance Work Systems ◽  
And Gender ◽  
The Relationship

Purpose – The purpose of this paper is to develop and test hypotheses about the independent relationships between high-performance work systems (HPWS) and high-performance work cultures (HPWC) and employee turnover. Given the growth of women in the workforce, the authors also develop competing predictions about how organizational gender demography (i.e. a higher percentage of women) may either strengthen or weaken the relationship of HPWSs to turnover. Design/methodology/approach – A survey of 171 human resource (HR) executives across organizations of various sizes and industries in the Chicago metropolitan area in the USA was conducted. Findings – The authors found that HPWS and HPWC are associated with lower turnover, though the relationship between HPWC and turnover was stronger. Results also indicate that HPWS are more strongly related to lower turnover among organizations that employ relatively more women. Research limitations/implications – The results indicates that HPWS may not be universalistic in terms of their effectiveness specifically as related to turnover. This was a cross-sectional study; it would be useful for future research to use a longitudinal research design. Practical implications – The findings suggest that organizations should consider how their cultures, use of high-performance work practices, and gender demography are related to important HR metrics such as turnover. Social implications – This paper represents an important contribution to understanding the importance and implications of changes in the workforce demographic characteristics. Originality/value – This is the first study to integrate an organizational demography perspective with HPWS.

scholarly journals Association between Carbohydrate Quality Index and general and abdominal obesity in women: a cross-sectional study from Ghana

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033038 ◽  
Author(s):  
Sufyan Bakuri Suara ◽  
Fereydoun Siassi ◽  
Mahama Saaka ◽  
Abbas Rahimi Foroshani ◽  
Gity Sotoudeh
Keyword(s):  
Abdominal Obesity ◽  
Low Income ◽  
Quality Index ◽  
Glycaemic Index ◽  
Cross Sectional Study ◽  
Study Data ◽  
Inverse Association ◽  
Sectional Study ◽  
Cross Sectional ◽  
Carbohydrate Quality

ObjectivesThe relationships between carbohydrate intake and risk of obesity have been widely investigated. However, there are limited data on the associations between their relative proportions and quality contained in the same diet on risk of obesity, especially in low-income and middle-income countries. The aim of this study was to assess the relationship between an overall Carbohydrate Quality Index (CQI) and general and abdominal obesity in women.Setting and participantsIn this cross-sectional study, data from 277 women in Ghana were analysed. Dietary information was obtained from 2-day 24 hours dietary recalls. CQI was calculated from the four indices dietary fibre, Glycaemic Index, whole grains/total grains ratio and solid carbohydrates/total carbohydrates ratio.Outcome measuresBody mass index, waist circumference (WC), waist-to-height ratio (WHtR) and Conicity Index were measured.ResultsAfter adjusting for covariates, the chance for general obesity (OR 0.25, 95% CI 0.10 to 0.65) and abdominal obesity measured by WC (OR 0.22, 95% CI 0.08 to 0.58) were significantly lower in the topmost quintile of CQI in comparison with the lowest quintile. In addition, the OR for higher WHtR (OR 0.27, 95% CI 0.11 to 0.69) was significantly lower among participants in the fifth quintile of CQI compared with those in the first quintile.ConclusionsThe present study demonstrates that there is an inverse association between dietary CQI and both general and abdominal obesity. These findings suggest that CQI may be used for the improvement of dietary intake to prevent obesity.

Habitual and meal-specific carbohydrate quality index and their relation to metabolic syndrome in a sample of Iranian adults

2021 ◽  
Author(s):  
Maryam Majdi ◽  
Hossein Imani ◽  
Elham Bazshahi ◽  
Fatemeh Hosseini ◽  
Kurosh Djafarian ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Quality Index ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Carbohydrate Quality ◽  
Habitual Diet ◽  
Eating Occasions ◽  
The Relationship

Abstract Objective: Most studies on diet quality have focused on the habitual and overall intake of foods without considering intakes at specific eating occasions. The aim of this study was to assess the relationship between habitual and meal-specific carbohydrate quality index (CQI) and metabolic syndrome (MetS) in Iranian adults.Methods: In this cross-sectional study, data from 850 participants were analyzed. Dietary information was obtained from a 3-day non-consecutive 24 hours recall. CQI was calculated from three criteria: dietary fiber, glycemic index, and solid carbohydrate/available carbohydrate ratio. The association between CQI and MetS was assessed by logistic regression.Results: The prevalence of MetS in the lowest and highest tertile of CQI were 30.1 and 33.7, respectively (P=0.6). We identified, the trend of elevated FBG with CQI in dinner meal was statistically significant. In habitual diet and all three meals, we failed to find any significant association between tertiles of CQI and MetS either before or after adjustment for covariates.Conclusion: The results of this study showed that CQI was not associated with MetS and its components. Further investigations into the mechanisms underlying the role of carbohydrate quality in developing metabolic disorders are warranted.

CONCENTRATION OF THE SERUM TGF-BETA1 IN HEALTHY ADULT PEOPLE

2014 ◽  
pp. 90-93
Author(s):  
Van Tuan Nguyen ◽  
Tam Vo ◽  
Bui Bao Hoang
Keyword(s):  
Transforming Growth Factor ◽  
Healthy Adult ◽  
Age Groups ◽  
Elevated Serum ◽  
Cross Sectional Study ◽  
Healthy People ◽  
Sectional Study ◽  
Transforming Growth Factor Beta1 ◽  
Cross Sectional ◽  
And Gender

Elevated serum Transforming growth factor-beta1 (TGF-beta1) levels have been linked to tissue fibrosis including chronic kidney disease. Objectives: (1) Investigate serum TGF-beta1 levels in healthy adult people and (2) Examined the relation between serum TGF-beta1 level and gender, age, body mass index (BMI). Method: A cross-sectional study. TGF-beta1 were quantified by ELISA. Results: Levels of serum TGF-beta1 in healthy people were 13,45 ± 7,17 ng/mL mL (0,59 - 33,10 ng/mL). There are no difference of serum TGF-beta1 levels between men and women, between the age groups (<40 years, 40 to < 60 years and ≥ 60 years), between BMI groups < 23 and BMI group ≥ 23. Key words: TGF-beta1, healthy people

scholarly journals Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

2020 ◽  
Author(s):  
Maria Theresa Costa Ramos de Oliveira Patrial ◽  
Rogério Hamerschmidt ◽  
Jorge Eduardo Fouto Matias ◽  
Evaldo Dacheux de Macedo Filho ◽  
Bettina Carvalho
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Associated Lesions ◽  
Surgical Recurrence ◽  
Retrospective Data Collection ◽  
The Mean ◽  
And Gender ◽  
Benign Laryngeal Lesions ◽  
Reinke Edema

Abstract Introduction The study of larynx lesions is of great importance. More than 50% of people with vocal complaints have benign vocal fold alterations and some require surgery. Objective To determine which factors are related to surgical recurrence of benign laryngeal lesions and to determine which videolaryngoscopic diagnoses are related to the risk or protection of surgical relapses over time. Methods Observational, analytical, cross-sectional study with retrospective data collection of 1,383 surgeries in 1,301 patients. Results The mean age at the first surgery was 39.2 years old. The predominant gender was female (65.6%).There were 396 cases of polyps (25.34%), 349 cases of cysts (22.33%), 261 cases of Reinke edema (16.7%), 175 cases of nodules (11.2%), 153 cases of minor structural alterations (MSAs) (9.79%), 94 cases of leukoplakia (6.01%), 77 cases of granulomas (4.93%) and 58 cases of pseudocysts (3.71%). The age presented statistical significance with the risk of surgical relapses (p = 0.016). Male gender was associated with the greatest chance of relapse.Diagnosis of granuloma (p < 0.001) and of leukoplakia (p < 0.001) were associated with a higher risk of surgical recurrence. Cyst diagnosis was associated with protection (p = 0.015) in relation to the chance of further surgeries. Patients with associated lesions, bilaterals or voice professionals did not present a statistically significant association with surgical recurrence. Conclusion Age and gender are statistically related to the increase of surgical relapses. Leukoplakia and granuloma are associated with increased surgical relapses. Patients submitted to cyst microsurgery appear to be protected against surgical recurrence.

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