The association between meal specific low carbohydrate diet score and cardiometabolic risk factors: a cross sectional study of Iranian adults

Mahtab Ghanbari, Sanaz Pourreza, Saba Mohammadpour, Elham Bazshahi, Zahra Akbarzade, Kurosh Djafarian, Cain C T Clark, Sakineh Shab-Bidar

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    1 Citation (Scopus)
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    Abstract

    Background and aim: Since evidence regarding low-CHO diet and cardiometabolic risk factors is controversial, this study aimed to assess the relation between low-CHO diet score and metabolic syndrome (MetS) and cardiometabolic risk factors among a group of Iranian adults. Methods: This cross-sectional study was conducted with 840 subjects with the age range of 20-65 years. Dietary intakes were assessed by completing three 24-hour recalls. Total, animal- and vegetable-based low-CHO diet score were calculated. We used logistic regression with different models to determine whether there were relationships between low-CHO diet score and MetS and MetS components. Results: We found that there was no significant association between low-CHO diet, animal-based and vegetable-based low-CHO diet scores and risk of MetS in three meals. Except for the animal-based low-CHO diet score, which was significantly associated with general obesity at lunch meal (OR: 1.17, 95% CI: 0.76-1.82, P =.03). There were a significant association between low-CHO diet and high-density lipoprotein cholesterol (HDL-C) levels in lunch meal (OR: 1.50, 95% CI: 1.06-2.14, P =.03). Vegetable-based low-CHO diet score was associated with a lower risk of elevated TG in lunch meal in the fully adjusted model (OR: 0.59, 95% CI: 0.39-0.90, P =.04). Conclusion: Diets with lower amounts of carbohydrate and higher contents of fat and protein were not significantly associated with the risk for MetS in Iranian adults. Only animal-based low-CHO diet score was significantly associated with general obesity at lunch meal.

    Original languageEnglish
    Article numbere14826
    JournalInternational Journal of Clinical Practice
    Volume75
    Issue number12
    Early online date7 Sept 2021
    DOIs
    Publication statusPublished - Dec 2021

    Bibliographical note

    This is the peer reviewed version of the following article: Ghanbari, M, Pourreza, S, Mohammadpour, S, Bazshahi, E, Akbarzade, Z, Djafarian, K, Clark, CCT & Shab-Bidar, S 2021, 'The association between meal specific low carbohydrate diet score and cardiometabolic risk factors: a cross sectional study of Iranian adults', International Journal of Clinical Practice, vol. 75, no. 12, e14826., which has been published in final form at 10.1111/ijcp.14826This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.

    Keywords

    • low carbohydrate diet score
    • low carbohydrate diet
    • cardiometabolic risk factor
    • metabolic syndrome
    • adults

    ASJC Scopus subject areas

    • Medicine(all)

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