scholarly journals Low Carbohydrate Diet Score and the Risk of Metabolic Syndrome in Chinese Adults

Author(s):  
Baofu Guo ◽  
Xiaocheng Li ◽  
Di Jin ◽  
Hui Zuo ◽  
Fangyan Zhu ◽  
...  

Abstract Previous studies on estimated associations between low carbohydrate diet (LCD) score and metabolic syndrome (MetS) are inconsistent. We aim to assess the association between LCD score and MetS in a Chinese population. A multi-stage random sampling method was applied and a total of 1993 participants aged more than 18 years from a cross-sectional study in Nanjing, Jiangsu Province were accessed. Dietary intake was evaluated using a consecutive 3-d, 24-h dietary recall combined with the condiments weighing method.LCD scores, including usual, animal-based, and plant-based LCD scores, were calculated based on energy, carbohydrate, fat, and protein intake by sex. In multivariate regression analyses adjusted for age, total energy intake and other potential confounders, the usual LCD score significantly increased risk of MetS in men [the highest quartile vs. lowest quartile: odds ratio (OR): 1.75; 95% confidence interval (CI): 1.07–2.87, Pfor trend < 0.05]. Furthermore, a significant trend was found between plant-based LCD score and the MetS in men (Pfor trend < 0.05). Among the components of the MetS, higher usual LCD score increased the risk of central obesity, hyperglycemia and hypertriglyceridemia in men, meanwhile animal-based LCD score was positively associated with the risk of central obesity, and plant-based LCD score was positively associated with the risk of hyperglycemia in men. Our results reveal that low carbohydrate and excessive fat diet (even monounsaturated fatty acids and polyunsaturated fatty acids), may increase the risk of MetS and Chinese male is more sensitive to the transition of dietary composition from high carbohydrate to high fat than Chinese female. Further studies are warranted.

2020 ◽  
Vol 22 (3) ◽  
pp. 452-460
Author(s):  
Azadeh Dehghani ◽  
Mahnaz Sanjari ◽  
Sedigheh Salemi ◽  
Zhila Maghbooli ◽  
Khadijeh Mirzaie ◽  
...  

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Soraiya Ebrahimpour-Koujan ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamid Afshar ◽  
Ahmad Esmaillzadeh ◽  
Peyman Adibi

Abstract Background Although individual macronutrients were studied in relation to mental health, no information exist about the association between adherence to low carbohydrate diet and psychological disorders. This study was conducted to investigate the association between adherence to a low carbohydrate diet and prevalence of psychological disorders among Iranian adults. Methods In this cross-sectional study on 3362 adult men and women, dietary intakes were examined by the use of a validated semi-quantitative food frequency questionnaire. Low carbohydrate diet (LCD) score was computed for each participant based on deciles of percentages of energy from macronutrients. Then the scores of carbohydrate, protein and fat intake for each participant were summed up to achieve the overall LCD score, which ranged from 3 (highest carbohydrate intake and lowest fat and protein intakes) to 30 (lowest carbohydrate intake and highest fat and protein intakes). Anxiety, depression, and psychological distress were assessed by validated Iranian versions of the Hospital Anxiety and Depression Scale and General Health Questionnaire-12. Results Prevalence of depression, anxiety and psychological distress in the whole population were 28.0, 13.3 and 22.6%, respectively. No significant differences were observed in the distribution of depression, anxiety and psychological distress across different quartiles of LCD score. After controlling for potential confounders, no significant association was seen between LCD score and prevalence of depression (OR for the highest vs. the lowest quartile of LCD score: (1.15; 95% CI: 0.93, 1.39). Consumption of LCD was not also associated with increased risk of anxiety (0.82; 95% CI: 0.59, 1.14) and psychological distress (0.92; 95% CI: 0.72, 1.16). These associations did not alter when the analyses were done stratified by gender or BMI status. Conclusion Adherence to the low carbohydrate diet, which contains high amount of fat and proteins but low amounts of carbohydrates, was not associated with increased odds of psychological disorders including depression, anxiety and psychological distress. Given the cross-sectional nature of the study which cannot reflect causal relationships, longitudinal studies, focusing on types of macronutrients, are required to clarify this association.


2021 ◽  
pp. 1-25
Author(s):  
Zohreh Sadat Sangsefidi ◽  
Elnaz Lorzadeh ◽  
Azadeh Nadjarzadeh ◽  
Masoud Mirzaei ◽  
Mahdieh Hosseinzadeh

Abstract Objective: Assessing relationship between low carbohydrate diet (LCD) score and metabolic syndrome (Mets) in Iranian adults. Design: Cross-sectional study Setting: Yazd Health Study and Taghzieh Mardom-e-Yazd study. Participants: Data of 2074 participants were used. Dietary intakes were assessed by a validated semi-quantitative food frequency questionnaire. LCD score was calculated for each person by summing up the assigned scores to deciles of energy percentages from macronutrients. Mets was evaluated using National Cholesterol Education Program Adult Treatment Panel III. Eventually, association between LCD score and Mets was examined using logistic regression. Results: Total Mets prevalence was approximately 40.5%. After adjustment for confounders, subjects in the higher quartile of LCD score had a significant lower chance of Mets versus lower quartile among all participants (Q4 versus Q1: OR: 0.68, 95% CI: 0.50-0.92) and separately in men (Q4 versus Q1: OR: 0.54, 95% CI: 0.34-0.86) and women (Q2 versus Q1: OR: 0.53, 95% CI: 0.34-0.82). Furthermore, more LCD adherence in men reduced abdominal obesity by 47% (Q3 versus Q1OR: 0.53, 95% CI: 0.28-0.99). Low HDL cholesterol was also observed both in the highest quartile of LCD score in all participants (OR: 0.74, 95% CI: 0.56-0.99) and separately in men (OR: 0.63, 95% CI: 0.40-0.98) versus the first quartile. Conclusions: More adherence to LCD might be related to lower chance of Mets and some of its components such as low HDL cholesterol and abdominal obesity specially in men. Further studies are required to confirm the findings.


Author(s):  
Mahim Mittal ◽  
Himanshu Gupta ◽  
Deepshikha .

Background: Metabolic syndrome (MetS) is associated with higher incidence of new onset DM. First degree relatives (FDR) of T2DM patients also have an increased risk of new onset DM due to common genetic factors that can lead to obesity and dyslipidemia. Objectives of research work was to study the prevalence of MetS in FDR of T2DM patients.Methods: Cross-sectional study of FDR of T2DM patients. MetS defined by both IDF and NCEP-ATPIII criteria. All subjects underwent necessary biochemical tests, a detailed history in a pre defined proforma was taken and clinical examination was done as per protocol.Results: Mean age was 43.61±11.7 years. Prevalence of MetS was 35% by IDF and 25% by NCEP-ATPIII. According to IDF criteria, the most prevalent risk factors among FDR were central obesity and hypertension. Prevalence of MetS was higher in urban, sedentary and obese population.Conclusions: Prevalence of MetS is more in FDR of T2DM than that reported in the general population. Central obesity is the most prevalent risk factor. Targeted lifestyle intervention in this population may help prevent the development of MetS and T2DM.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Jusuk Lee ◽  
Taehong Kim

Abstract Background Understanding the relationship between breastfeeding (BF) and metabolic syndrome (Mets) is important for maternal long-term health benefits and disease prevention. This study aimed to examine the association between BF and Mets and its components among postmenopausal parous Korean women. Methods This cross-sectional study on 10,356 Korean women used nationally representative data from the KNHANES from 2010 to 2016. Anthropometric, laboratory data and manual BP were measured. A multivariate logistic regression analysis was conducted to examine the association of BF with Mets and its components after adjusting for potential confounding variables. A p-value < 0.05 was to be considered statistically significant. Results Mets was present in 42% of the study participants. The BF group had low household income and education level. The prevalence of Mets in the BF group was higher than that in the non-BF group (42.69% vs. 34.76%, p <  0.001). BF was associated with increased risk of Mets (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.18–1.65, p <  0.001). The BF group was at higher risks for diabetes (OR: 1.5, 95%CI: 1.14–1.98), hypertension (OR: 1.32, 95%CI: 1.03–1.68), hypertriglyceridemia (OR: 1.42, 95%CI: 1.02–1.99) and low high-density lipoprotein cholesterol (OR: 1.32, 95%CI: 1.06–1.65). Conclusion In this study, BF did not affect decreasing the prevalence of Mets and its components.


2020 ◽  
Author(s):  
Seyedeh Forough Sajjadi ◽  
Atieh Mirzababaei ◽  
nasim Ghodoosi ◽  
Sara Pooyan ◽  
Hana Arghavani ◽  
...  

Abstract Objective Resting metabolic rate (RMR) accounts for most of the daily energy expenditure. The low-carb diet attenuates decreases in RMR. This study aims to investigate the relationship between a low-carb diet and resting metabolic rate status. Methods We enrolled 304 overweight and obese women in this cross-sectional study. BMI, fat mass, fat-free mass, visceral fat, insulin level were assessed. RMR was measured using indirect calorimetry. A low carbohydrate diet score was measured using a validated semi-quantitative food frequency questionnaire (FFQ). Results Our results showed no relationship between LCDS and DNR even after adjust for confounders (Inc. RMR: OR: 0.97; 95% CI: 0.92–1.01, P = 0.20; Dec. RMR: OR: 0.97; 95% CI: 0.94-1.00, P = 0.14). Some components of LCDS had significant differences with DNR, such as carbohydrate and Dec. RMR in adjusted model (OR: 1.62; 95% CI: 0.98–1.37, P = 0.08), MUFA and Dec. RMR in adjusted model (OR: 0.48; 95% CI: 0.21–1.10, P = 0.08) and refined grain and Inc. RMR in crude model (OR: 0.87; 95% CI: 0.77–0.99, P = 0.04). Conclusion Our study showed that there is no association between a low-carb diet and RMR status but carbohydrate, MUFA, and refined grain had a significant relationship.


2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Nurzakiah Hasan MKM ◽  
Veni Hadju ◽  
Nurhaedar Jafar ◽  
Ridwan M. Thaha

Metabolic Syndrome (MetS) is related to the increased risk of non-communicable diseases (NCDs). Teacher profession is an adult group with various risks of NCDs. This study aims to assess the determinants of the MetS in teachers with central obesity. Material and Methods: The study was conducted in Makassar, South Sulawesi, Indonesia with cross- sectional study design on 12 secondary schools. The number of samples in this study was 129 teachers. The prevalence of the MetS was determined using criteria from the Joint Interim Statement, while physical activity and sitting time were measured using the International Physical Activity Questionnaire (IPAQ). Results: Respondents in our study were mostly women (78.3%) with an average age of 49.8 years. The prevalence of the MetS in our study population was 39.5%. The prevalence of the Mets was higher in Buginese ethnic (70.6%), respondents with more income (56.9%), bachelor degree (80.4%), married (98%), family history of diabetes mellitus, obesity, hypertension and heart diseases (52.9%), and moderate physical activity (37.3%). There was a significant relationship between sitting time 4 hours; p=0.004), parameters of Mets (p<0.001), LDL (p=0.026), and LDL/HDL ratio (p<0.001) with the Mets. Conclusions: The prevalence of the Mets is high among obese teachers in our study population. Sitting time was an important determinant for MetS among obese teachers.


Sign in / Sign up

Export Citation Format

Share Document