scholarly journals Prevalence and associations of behavioural risk factors with blood lipids profile in Lebanese adults: findings from WHO STEPwise NCD cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e026148
Author(s):  
Megali Mansour ◽  
Hani Tamim ◽  
Lara Nasreddine ◽  
Christelle El Khoury ◽  
Nahla Hwalla ◽  
...  

ObjectiveTo examine associations of behavioural risk factors, namely cigarette smoking, physical activity, dietary intakes and alcohol consumption, with blood lipids profile.Design and participantsData drawn from a cross-sectional study involving participants aged 18 years and over (n=363) from the nationwide WHO STEPwise Nutrition and Non-communicable Disease Risk Factor survey in Lebanon.MeasuresDemographic characteristics, behaviours and medical history were obtained from participants by questionnaire. Dietary assessment was performed using a 61-item Culture-Specific Food Frequency Questionnaire that measured food intake over the past year. Lipid levels were measured by the analysis of fasting blood samples (serum total cholesterol (TC), triglycerides (TG), very low-density lipoprotein (VLDL), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C)).ResultsCurrent cigarette smoking, alcohol consumption and low physical activity were prevalent among 33.3%, 39.7% and 41.6% of the sample, respectively. The contributions of fat and saturated fat to daily energy intake were high, estimated at 36.5% and 11.4%, respectively. Abnormal levels of TC, TG, VLDL, LDL-C and HDL-C were observed for 55.4%, 31.4%, 29.2%, 47.5% and 21.8% of participants, respectively. Adjusting for potential confounders, cigarette smoking was positively associated with higher odds of TG and VLDL (OR=4.27; 95% CI 1.69 to 10.77; and 3.26; 95% CI 1.33 to 8.03, respectively) with a significant dose–response relationship (p value for trend=0.010 and 0.030, respectively). Alcohol drinking and high saturated fat intake (≥10% energy intake) were associated with higher odds of LDL-C (OR=1.68; 95% CI 1.01 to 2.82 and OR= 1.73; 95% CI 1.02 to 2.93). Physical activity did not associate significantly with any blood lipid parameter.ConclusionThe demonstrated positive associations between smoking, alcohol drinking and high saturated fat intake with adverse lipoprotein levels lay further evidence for clinical practitioners, public health professionals and dietitians in the development of preventive strategies among subjects with a high risk of cardiovascular diseases in Lebanon and other neighbouring countries with similar epidemiological profile.

Author(s):  
Maria Izabel Siqueira de Andrade ◽  
Juliana Souza Oliveira ◽  
Vanessa Sá Leal ◽  
Niedja Maria da Silva Lima ◽  
Phelipe Bibiano Bezerra ◽  
...  

ABSTRACT Objective: To identify the prevalence of insulin resistance in adolescents and its associations with metabolic factors and food intake. Methods: Cross-sectional study conducted with a stratified, complex, school-based sample. The subjects were adolescents (n=1,081) who participated in the Study of Cardiovascular Risk in Adolescents in the city of Recife (Pernambuco, Brazil). We analyzed demographic, socioeconomic, behavioral, anthropometric, biochemical, and dietary variables. Insulin resistance was defined as HOMA-IR>75th percentile. A Poisson multivariate regression model with robust variance adjustment was used, and variables with p≤0.05 in the final model were considered statistically associated with insulin resistance. Results: Median age was 14 years (interquartile range: 13-16 years), and 25.3% of the sample showed insulin resistance. The variables associated with insulin resistance in the final model were age, body mass index-for-age (BMI/A), biochemical markers (triglycerides and high-density lipoprotein cholesterol) and saturated fat intake, with insulin resistance being more prevalent in individuals whose consumption of this type of fat was below the median of the sample distribution. Conclusions: Insulin resistance was prevalent in the adolescents analyzed and was significantly associated with metabolic variables and saturated fat intake.


Author(s):  
Carla Harris ◽  
Andrea von Berg ◽  
Dietrich Berdel ◽  
Carl Peter Bauer ◽  
Tamara Schikowski ◽  
...  

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Olivia Anggraini

Remaja yang memiliki status gizi kegemukan dan obesitas memiliki resiko lebih tinggi untuk mengalami obesitas di usia dewasa. Asupan karbohidrat sederhana dan lemak jenuh yang tinggi serta aktivitas fisik yang rendah merupakan beberapa faktor yang sering disebut sebagai penyebab terjadinya kegemukan dan obesitas. Penelitian ini menggunakan desain cross sectional dengan tujuan untuk menguji korelasi asupan karbohidrat sederhana, lemak jenuh dan aktivitas fisik dengan status gizi pada remaja yang memiliki status gizi gemuk atau obesitas. Sebanyak 69 orang siswa/i di SMA 3 kota Malang yang berusia 15-17 tahun dan berstatus gizi gemuk atau obesitas menjadi subjek dalam penelitian ini. Asupan karbohidrat sederhana dan lemak jenuh diukur menggunakan form Semi Qualitative Food Frequency (SQ-FFQ) dan Aktivitas fisik melalui wawancara dengan menggunakan form Physical Activity Questionaire for Adolescent (PAQ-A). Uji statistik Gamma and Somers’d dengan SPSS 16 digunakan untuk menguji korelasi antar variabel. Ditemukan bahwa status gizi tidak berhubungan secara bermakna dengan karbohidrat sederhana (p =0,873), asupan lemak jenuh (p=0,343), dan aktivitas fisik (p=0,487). Identifikasi faktor lain pada remaja yang kemungkinan berpengaruh seperti tingkat pengetahuan gizi, durasi waktu tidur, waktu menstruasi pertamakali, tingkat ekonomi keluarga, diperlukan untuk menganalisis faktor resiko yang lebih berhubungan dengan kejadian kegemukan dan obesitas pada remaja.Kata Kunci:  Karbohidrat sederhana, lemak jenuh, aktivitas fisik, obesitasAdolescents with overweight and obesity are at higher risk for obesity in adulthood. Simple carbohydrate intake, high saturated fat intake, and low physical activity are some factors that are often referred to as the cause of overweight and obesity. This study is a cross-sectional research design with the aim to identify the correlation of simple carbohydrate intake, saturated fat and physical activity with nutritional status in overweight and obesity adolescents. Sixty-nine students in SMA 3 Malang city aged 15-17 years were involved in this study. Simple carbohydrate and saturated fat intake were measured using Semi-Qualitative Food Frequency (SQ-FFQ) form and Physical Activity through interview using Physical Activity Questionaire for Adolescent (PAQ-A) form. Gamma and Somers'd statistical test with SPSS 16 were used to test the correlation. Nutritional status did not correlate significantly with simple carbohydrates (p = 0.873), saturated fat intake (p = 0.343), and physical activity (p = 0.487). Identification of other factors in adolescents that may be influential such as the level of nutritional knowledge, sleep duration, first-time menstruation, family economic level, is needed to analyze risk factors more related to overweight and obesity in adolescents.Keywords: Simple carbohydrate, saturated fat, physical activity, obesity


Author(s):  
Shahnai Basharat ◽  
Syed Amir Gilani ◽  
Shahid Bashir ◽  
Muhammad Mustafa Qamar

AbstractObjective:  Postpartum obesity leads to long-term maternal obesity and promotes drastic health complications. Low glycemic index diet is suggested to have a beneficial impact on blood lipid levels. Therefore, we conducted a study to explore the effect of low glycemic diet on blood lipid profile in obese postpartum women.Methods:  In a randomised controlled trial, 38 obese postpartum women in intervention and 36 obese post-partum women in control group were analysed. Subjects in the intervention group were assigned low glycemic index diet and to follow this protocol for 12 weeks and the control group was advised to continue their routine diet.Results:  Low glycemic diet had a positive impact on low density lipoprotein (LDL), triglyceride and highdensity lipoprotein (HDL) concentration (p < 0.05). A strong positive correlation was observed between the glycemic index and LDL (mg/dl), (r = 0.57; p = 0.02) and between glycemic index and triglyceride (mg/dl), (r = 0.51; p = 0.01) in control and intervention group. A negative correlation was identified between glycemic index and HDL (mg/dl), (r = -0.45; p = 0.01).Conclusion:  Study concluded that low glycemic index diet reduced low density lipoprotein and triglyceride level and increased HDL level in blood; further more a significant association was found between glycemic index and blood lipids profile. 


Author(s):  
T P Whitehead ◽  
D Robinson ◽  
S L Allaway

The separate and joint effects of cigarette smoking and alcohol consumption on serum concentrations of total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides were investigated in 46 750 men attending the BUPA Health Screening Centre in London during the period 1983–1987, after allowing for differences in age, body mass index and exercise level. Drinking alcohol was found to raise both total cholesterol and HDL-C concentrations, in such a way that HDL-C as a percentage of total cholesterol increased with increasing alcohol consumption. LDL-C concentrations increased with increasing alcohol consumption in non-smokers, but decreased in those smoking over 10 cigarettes per day. Drinking had no significant effect on triglycerides except at high levels of consumption. Smoking raised total cholesterol, LDL-C and triglycerides, but lowered HDL-C concentrations. In particular, smoking even small amounts could negate any protective benefit in HDL-C concentrations gained from moderate consumption of alcohol. Assuming a desirable lipid profile to consist of low total cholesterol, LDL-C and triglycerides and a high HDL-C value, this is best achieved for men by being a non-smoking moderate drinker.


2021 ◽  
Vol 11 (12) ◽  
pp. 103-113
Author(s):  
Rashmi R ◽  
Vidyavati H G ◽  
C N Manjunath

It is anticipated that occupational bus drivers are at risk of non-communicable diseases. Present study aims at assessing the nutritional status and analyzing the risk factors associated, which could increase the probability of non-communicable diseases among bus drivers and conductors working for Karnataka State Road Transport Corporation.120 professional drivers and conductors who attended annual health checkup were included. A pre designed questionnaire elicited information about anthropometry, dietary, physical activity and sleep pattern of the subjects. Lipid profile and blood glucose levels were recorded from annual health check up reports. Mean age of the subjects was 44 years with BMI ranging between 25- 29.9Kg/m2. 73.3% had mixed diet pattern, 40% skip their meals sometime and majority eat their meals outside home most of the days in a week.74.2% didn’t indulge in physical activity. 56.7% subjects slept six to seven hours per day. 17.5% were diabetic, 52.5%, 80.8% and 17.5%had higher serum triglycerides, Low Density Lipoprotein and total cholesterol respectively. 57.5% had lower High Density Lipoprotein levels. 8.3%, 21.7% and 15% were smokers, alcoholic and tobacco chewers respectively. ‘t’ test analysis showed significant difference between energy, protein and visible fat intake with that of Recommended Dietary Allowance and Estimated Average Requirement. Total cholesterol, Low Density Lipoprotein and serum triglycerides had positive correlation with energy, protein and visible fat intake and BMI. Considerable risk factors for non-communicable diseases were observed among the subjects; effective diet counseling with regular follow up and monitoring is necessary to prevent the same. Key words: Occupational drivers, nutritional status, risk factors, dietary pattern, physical activity, Non Communicable Diseases, effective counseling.


2006 ◽  
Vol 9 (4) ◽  
pp. 429-435 ◽  
Author(s):  
MA Royo-Bordonada ◽  
C Garcés ◽  
L Gorgojo ◽  
JM Martín-Moreno ◽  
MA Lasunción ◽  
...  

AbstractObjectiveTo compare the anthropometric, alimentary, nutritional and lipid profiles and global diet quality of Spanish children according to saturated fat intake.DesignThis was a cross-sectional study. Food data were collected using a food-frequency questionnaire.Subjects and methodsThe sample included 1112 children of both sexes, aged between 6 and 7 years, selected by means of random cluster sampling in schools. The plasma lipid profile included measurements of low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides, apolipoprotein A1 (apoA1) and apolipoprotein B (apoB). Global diet quality was evaluated by the Dietary Variety Index (DVI) and the Healthy Eating Index (HEI).ResultsEnergy intake, DVI and HEI of children from the lower quartile of saturated fat intake (LL) were higher (P < 001) than in the remaining children (UL). However, there were no significant differences in average height or weight between groups. The UL children had lower intakes of meat, fish, vegetables, fruits and olive oil and a higher intake of dairy products (P < 0.001). The intakes of fibre, vitamins C, D, B6, E and folic acid were higher in the LL children, who had lower intakes of vitamin A and calcium. The ratios LDL-C/HDL-C and apoB/apoA1 were lower (P = 0.04) in the LL children (1.87 and 0.52, respectively) than in the UL children (2.02 and 0.54, respectively).ConclusionsThe growth rate of children does not seem to be affected by the level of saturated fat intake. Furthermore, at the levels of intake observed in this study, diets with less saturated fat are associated with better alimentary, nutritional and plasma lipid profiles.


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