The association between adherence to diet quality index and cardiometabolic risk factors in overweight and obese women: a cross-sectional study

Azam Mohamadi, Farideh Shiraseb, Atieh Mirzababaei, Assa AkbarySedigh, Moloud Ghorbani, Cain C. T. Clark, Yasaman Aali, Khadijeh Mirzaei

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
33 Downloads (Pure)

Abstract

Background: Obesity and overweight status increase the risk of cardiovascular disease. Diet quality can also predict the risk of cardiovascular diseases in obese and overweight patients. Therefore, in this study, we sought to examine the relationship between diet quality index (DQI) and cardiometabolic risk factors in obese and overweight women. Method: A cross-sectional study was conducted on 197 Iranian women with a Body Mass Index (BMI) > 25, 18–48 years, and recruited from 20 Tehran Health Centers. Nutrition intake and DQI were assessed using a 147-item semi-quantitative food frequency questionnaire (FFQ). Additionally, anthropometric measurements, body composition, biochemical evaluations, and cardiometabolic risk factors were evaluated. Results: There was an association between DQI and waist-to-hip ratio (WHR), atherogenic index of plasma (AIP), and CHOLINDEX in obese women, after adjusting for potential confounders. Whereas, there were no significant associations of the tertiles of DQI compared with the first tertile in other cardiometabolic risk factors, before and after adjustment. Conclusion: This study provides evidence that dietary intake and DQI are associated with cardiometabolic risk factors and that dietary modification may be a predictor for reducing WHR, AIP, and CHOLINDEX. However, more research is needed to develop a DQI that reflects changes in cardiometabolic risk factors by considering women's eating habits and patterns.
Original languageEnglish
Article number1169398
Number of pages13
JournalFrontiers in Public Health
Volume11
DOIs
Publication statusPublished - 13 Jul 2023

Bibliographical note

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Funder

This study was supported by Tehran University of Medical Sciences.

Keywords

  • ABSI
  • cardiometabolic risk factors
  • DQI
  • dietary intake
  • obesity

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