Association Between the Food Security Status and Dietary Patterns With Polycystic Ovary Syndrome (PCOS) in Overweight and Obese Iranian Women: A Case-Control Study

Background Polycystic ovary syndrome (PCOS) as one of the major types of endocrine disorders is common among women worldwide. Frequently reported that food insecurity (FI) and unhealthy diets can exert negative effects on reproductive health. There are contradictory results on optimal lifestyle modification especially dietary components with PCOS. This paper aimed to assess the association between PCOS with food security status and dietary patterns of overweight and obese Iranian women. Methods This case-control study was performed on 240 overweight and obese adult women with PCOS (n = 120) and without PCOS (n = 120) referred to the infertility clinic of Arash Hospital in Tehran, Iran. Participants' data on anthropometry, scio-economic factors, and physical activity were collected. Food security status and dietary intakes were assessed by validated questionnaires. Results The prevalence of FI was 60% in women with PCOS and 30% in healthy women. There was a positive association between the risk of PCOS with FI, quasi-western dietary pattern, low economic level, waist circumference, and menstrual age and a negative association between physical activity and healthy dietary pattern with this risk even after controlling the potential confounders (P < 0.05). PCOS women had a higher intake of saturated fats, monounsaturated fats, oleic acid, fluorine, sucrose, and caffeine and a lower intake of vitamins A, B5, B6, B12, C, and D, potassium, proteins, carbohydrates, cholesterols, docosahexaenoic acid, potassium, carotenes, lutein, beta-cryptoxanthin, lycopene, calcium, iron, thiamine, riboflavin, niacin, tetra- and dihydrofolate, biotin, phosphorus, magnesium, zinc, copper, total, insoluble, and crude fiber, glucose, galactose, fructose, and lactose compared to the healthy group (P < 0.05). Conclusions FI, quasi-western dietary pattern, low economic status, and waist circumference were significantly associated with the higher risk of PCOS. Modifying lifestyle especially in dietary patterns may be an important strategy for the reduction of PCOS. Future prospective studies are warranted to confirm these findings and to identify the underlying mechanisms.

Identifying the Dietary Patterns and Chronic Disease’s Effective Factors on the General Health Condition of Tehran’s opposite Gender Adult Twins in 2017

Introduction: The incidence of multiple births in the world has increased significantly .There are few studies on the nutritional status of twins, to our knowledge, no study has been conducted in this field in Iran. These are among many reasons that make this study, which aims to identify major dietary patterns and Chronic Disease’s Effective Factors on the General Health Condition of Tehran’s Opposite Gender Adult Twins, valuable. Materials and Methods: 128 people (64 pairs) of Opposite Gender Twins participated in this study. After completing the general information questionnaires, International Physical Activity, Semi-quantitative food frequency, and general health, anthropometric indices, and their blood pressure were measured. Dietary patterns were identified by factor analysis. The relationship between dietary patterns and factors affecting chronic diseases with general health was calculated using the logistic regression method. Results: Two western and healthy dietary patterns were identified. There was a significant relationship between the Western dietary pattern and age, gender, and father's education. Twin participants who scored higher in a quarter of the Western dietary pattern were younger than those with lower scores, with men increasing and women decreasing. There was a significant difference in the distribution of healthy dietary pattern with age, economic status, and systolic blood pressure. An increasing relationship was observed in age. The results showed that in first Twins, only Birth Weight, and Physical Activity, whereas, in second Twins besides Birth Weight, gender and Marital status were among the most significant factors in determining the general health of participants. Conclusion: The present study shows that there are two major dietary patterns: healthy and western. The Western dietary pattern has the most variance and this indicates the nutritional transition and prevalence of the Western dietary pattern in Iran. The main finding of this study is the association of birth weight with general health in both twins. Birth weight is directly related to health. Those with low birth weight have more health problems in contrast to those with normal birth weight.

Ancestry specific associations of a genetic risk score, dietary patterns and metabolic syndrome: a longitudinal ARIC study

Background Associations have been observed among genetic variants, dietary patterns, and metabolic syndrome (MetS). A gap in knowledge is whether a genetic risk score (GRS) and dietary patterns interact to increase MetS risk among African Americans. We investigated whether MetS risk was influenced by interaction between a GRS and dietary patterns among Whites and African Americans. A secondary aim examined if molecular genetic clusterings differed by racial ancestry. Methods We used longitudinal data over 4-visits (1987–1998) that included 10,681 participants aged 45–64y at baseline from the Atherosclerosis Risk in Communities study (8451 Whites and 2230 African Americans). We constructed a simple-count GRS as the linear weighted sum of high-risk alleles (0, 1, 2) from cardiovascular disease polymorphisms from the genome-wide association studies catalog associated with MetS risk. Three dietary patterns were determined by factor analysis of food frequency questionnaire data: Western, healthy, and high-fat dairy. MetS was defined according to the 2016 National Cholesterol Education Program Adult Treatment Panel III criteria but used 2017 American Heart Association/American College of Cardiology criteria for elevated blood pressure. Analyses included generalized linear model risk ratios (RR), 95% confidence intervals (CI), and Bonferroni correction for multiple testing. Results The Western dietary pattern was associated with higher risk for MetS across increasing GRS tertiles among Whites (p < 0.017). The high-fat dairy pattern was protective against MetS, but its impact was most effective in the lowest GRS tertile in Whites (RR = 0.62; CI: 0.52–0.74) and African Americans (RR = 0.67; CI: 0.49–0.91). Among each racial group within GRS tertiles, the Western dietary pattern was associated with development and cycling of MetS status between visits, and the high-fat dairy pattern with being free from MetS (p < 0.017). The healthy dietary pattern was associated with higher risk of MetS among African Americans which may be explained by higher sucrose intake (p < 0.0001). Fewer genes, but more metabolic pathways for obesity, body fat distribution, and lipid and carbohydrate metabolism were identified in African Americans than Whites. Some polymorphisms were linked to the Western and high-fat dairy patterns. Conclusion The influence of dietary patterns on MetS risk appears to differ by genetic predisposition and racial ancestry.

The association of dietary patterns with dietary inflammatory index, systemic inflammation, and insulin resistance, in apparently healthy individuals with obesity

Inflammation is considered a key mechanism leading to obesity. Dietary patterns and certain food items influence inflammation. Few studies have investigated the contribution of major dietary patterns to biological measures of inflammation. Therefore, the present study aimed to examine the associations of different dietary patterns with dietary inflammatory index (DII), systemic inflammation, and insulin resistance (IR) in the apparently healthy obese. In this cross-sectional study, 151 abdominally obese subjects were recruited from the Northwest of Iran. Dietary intake, demographic data, anthropometric indices, and physical activity (PA) was assessed. DII scores were calculated based on a validated 168-item food frequency questionnaire (FFQ). Three dietary patterns were identified, using principal component analysis. Basal blood samples were collected to determine biochemical parameters. Linear regression test with adjusted beta estimates was applied for data analysis. Three dietary patterns were extracted as Healthy, Western, and Traditional. Body mass index (BMI) (p < 0.01) and fat mass (p < 0.001) were directly associated with the Western dietary pattern. Conversely, serum lipopolysaccharide-binding protein (LBP) (b = − 0.1, p < 0.04) was negatively associated with Healthy dietary pattern, after controlling for confounders. The Traditional pattern was found to be inversely related to DII (b = − 0.3, p < 0.001). The association was also reveresed between Traditional pattern and IR (Odds Ratio: 0.3 (95% Confidence Interval 0.1–0.9)). The results suggested that the Western dietary pattern was related to higher BMI and fat mass. In addition, the Healthy pattern was associated with decreased levels of LBP. Adherence to the Traditional dietary pattern was inversely related to DII as well as IR.

Ancestry Specific Associations of a Genetic Risk Score, Dietary Patterns and Metabolic Syndrome: A Longitudinal ARIC Study

Background: Associations have been observed among genetic variants, dietary patterns, and metabolic syndrome (MetS). A gap in knowledge is whether a genetic risk score (GRS) and dietary patterns interact to increase MetS risk among African Americans. We investigated whether MetS risk was influenced by interaction between a GRS and dietary patterns among Whites and African Americans. A secondary aim examined if molecular genetic clusterings differed by racial ancestry.Methods: We used longitudinal data over 4-visits (1987-1998) that included 10,681 participants aged 45-64y at baseline from the Atherosclerosis Risk in Communities study (8,451 Whites and 2,230 African Americans). We constructed a simple-count GRS as the linear weighted sum of high-risk alleles (0, 1, 2) from cardiovascular disease polymorphisms from the genome-wide association studies catalog associated with MetS risk. Three dietary patterns were determined by factor analysis of food frequency questionnaire data: Western, healthy, and high-fat dairy. MetS was defined according to the 2016 National Cholesterol Education Program Adult Treatment Panel III criteria but used 2017 American Heart Association/American College of Cardiology criteria for elevated blood pressure. Analyses included generalized linear model risk ratios (RR), 95% confidence intervals (CI), and Bonferroni correction for multiple testing.Results: The Western dietary pattern was associated with higher risk for MetS across increasing GRS tertiles among Whites (p<.017). The high-fat dairy pattern was protective against MetS, but its impact was most effective in the lowest GRS tertile in Whites (RR=0.62; CI:0.52-0.74) and African Americans (RR=0.67; CI:0.49-0.91). Among each racial group within GRS tertiles, the Western dietary pattern was associated with development and cycling of MetS status between visits, and the high-fat dairy pattern with being free from MetS (p<.017). The healthy dietary pattern was associated with higher risk of MetS among African Americans which may be explained by higher sucrose intake (p<.0001). Fewer genes, but more metabolic pathways for obesity, body fat distribution, and lipid and carbohydrate metabolism were identified in African Americans than Whites. Some polymorphisms were linked to the Western and high-fat dairy patterns.Conclusion: A dietary pattern characterized by high-fat dairy foods may be protective against MetS among individuals with a genetic predisposition.

Association between Dietary Patterns and Serum Hepatic Enzyme Levels in Adults with Dyslipidemia and Impaired Fasting Plasma Glucose

We investigated the association between dietary patterns and serum hepatic enzyme levels in adults with dyslipidemia and impaired fasting glucose in Taiwan. A total of 15,005 subjects (5452 men and 9553 women) aged 35–69 years were selected. Two major dietary patterns were identified by principal component analysis: Western dietary pattern and Mediterranean dietary pattern. Subjects in the highest quartile (Q4) of the Western dietary pattern showed an increased risk of elevated serum alanine aminotransferase (ALT) levels (OR: 1.24, 95% CI: 1.06–1.45, p-trend = 0.01). Fur-thermore, in the highest quartile of the Western dietary pattern, subjects with high waist circum-ference were observed to have a greater risk for developing abnormal serum ALT levels compared to those in the lowest quartile (Q1) (OR: 1.43, 95% CI: 1.04–1.97, p-trend = 0.01). In the highest quartile of the Western dietary pattern, only women were at an increased risk for having abnormal serum ALT levels (OR: 1.28, 95% CI: 1.04–1.59, p-trend = 0.03). By contrast, in the highest quartile of the Mediterranean dietary pattern, only men were at a reduced risk for having abnormal serum gamma-glutamyl transferase (GGT) levels (OR: 0.72, 95% CI: 0.53–0.97, p-trend = 0.048). We report a positive association between the Western dietary pattern and abnormal serum ALT levels.

Dietary patterns and risk of non-alcoholic fatty liver disease

Background Nutrition is a modifiable risk factor that plays an important role in the prevention or delaying of the onset of non-alcoholic fatty liver disease (NAFLD). Previous studies have focused on NAFLD and individual nutrients, which does not take into account combinations of food that are consumed. Therefore, we aimed to investigate the relationship between major dietary patterns and NAFLD. Methods This case–control study was conducted on 225 newly diagnosed NAFLD patients and 450 healthy controls. Usual dietary intake over the preceding year was assessed using a validated 168-item semi-quantitative food frequency questionnaire. Major dietary patterns were determined by exploratory factor analysis. Results Three dietary patterns, including "western dietary pattern", "healthy dietary pattern", and "traditional dietary pattern" were identified. Subjects in the highest tertile of healthy dietary pattern scores had a lower odds ratio for NAFLD than those in the lowest tertile. Compared with those in the lowest tertile, people in the highest tertile of “western dietary pattern” scores had greater odds for NAFLD. After adjusting for potential confounding factors, “western dietary pattern” had a positive significant effect on NAFLD occurrence. In contrast, “healthy dietary pattern” was associated with a decreased risk of NAFLD. Furthermore, Higher consumption of the “traditional dietary pattern” was significantly associated with NAFLD, albeit in the crude model only. Conclusion This study indicated that healthy and western dietary patterns may be associated with the risk of NAFLD. The results can be used for developing interventions in order to promote healthy eating for the prevention of NAFLD.

A Western Dietary Pattern is Related with Allergic Rhinitis in Young Women

Background: There has been an increasing prevalence of allergic disorders globally, and it may be useful to characterize the predisposing and protective factors for the development of allergy. Diet has been identified as one possible environmental factor implicated in the pathogenesis of allergic diseases. The goal of this study was to evaluate the associations between dietary patterns with the presence of allergies in a group of young women in East of Iran Methods: In total 181 female students enrolled in this study. Presence of allergic diseases including allergic rhinitis (AR), asthma and eczema was confirmed by an expert allergist. Information about dietary intake was collected by using a 65-item validated food frequency questionnaire. Exploratory factor analysis was used to evaluate the relationships among food/nutrition variables. Result: Multivariate odds ratio of having AR was 2.5 (95% CI:1.1-5.1) for the highest compared to lowest tertile of the Western dietary pattern score. But, no significant relationship was found between the traditional dietary pattern and AR, asthma or eczema. Conclusion: Our findings indicate a potential role of Western dietary pattern, characterized by being rich in dairy products, snack, nuts and sugar in the development of AR. Since diet is a modifiable impetus, the relationship between AR and Western dietary pattern may has a clinical application, particularly in those who has risk factors for developing AR.