The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults

Mahshid  Shahavandi; Farhang Djafari; Hossein  Shahinfar; Samira  Davarzani; Nadia  Babaei; Mojdeh Ebaditabar; Kurosh Djafarian; Cain Clark; Sakineh Shab-Bidar

doi:10.1016/j.ctim.2020.102531

The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults

Mahshid Shahavandi, Farhang Djafari, Hossein Shahinfar , Samira Davarzani , Nadia Babaei , Mojdeh Ebaditabar, Kurosh Djafarian, Cain Clark, Sakineh Shab-Bidar

Tehran University of Medical Sciences

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Abstract

Background: We sought to investigate whether adherence to a more plant-based, and less animal-based, diet is associated with visceral adiposity, lipid accumulation product (LAP), and triglyceride-glucose index (TyG) in Iranian adults. Methods: This cross-sectional study was conducted on 270 adults aged between 18–75 years old. We created three plant-based diets. including an overall plant-based diet index (PDI), hPDI, and uPDI based on tertiles regarding the intake of animal- or plant-based food items obtained from a semi quantitative food-frequency questionnaire. Results: Higher hPDI was significantly associated with lower body mass index (BMI) (P-value = 0.01), lower waist circumference (P-value<0.001), and lower waist-hip ratio (P-value<0.001). A significant increase was found for high density lipoproteins (HDL) (P-trend <0.001) with a significant decrease for LAP (P-value = 0.03) in those with higher adherence to hPDI. Moreover, greater adherence to PDI was associated with a significant increase in diastolic blood pressure (DBP) (p-value = 0.01) and fat free mass (FFM) (p-value = 0.01). There were no significant associations between PDIs and TyG and VFA. Conclusion: We found that a higher hPDI score was significantly associated with better anthropometric measurements. A significant increase was found for HDL and a significant decrease was found for LAP on hPDI. However, a higher PDI score was significantly associated with higher DBP and higher FFM.

Original language	English
Article number	102531
Number of pages	10
Journal	Complementary Therapies in Medicine
Volume	53
Early online date	20 Aug 2020
DOIs	https://doi.org/10.1016/j.ctim.2020.102531
Publication status	Published - Sept 2020

Bibliographical note

NOTICE: this is the author’s version of a work that was accepted for publication in Complementary Therapies in Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Complementary Therapies in Medicine, 53, (2020) DOI: 10.1016/j.ctim.2020.102531

© 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

Adiposity
Body fat percentage
Dietary pattern
Healthful plant-based diet
Plant-based diet index
Visceral fat

ASJC Scopus subject areas

Complementary and Manual Therapy
Complementary and alternative medicine
Advanced and Specialised Nursing

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10.1016/j.ctim.2020.102531

Post-PrintAccepted author manuscript, 269 KBLicence: CC BY-NC-ND

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Shahavandi, M., Djafari, F., Shahinfar , H., Davarzani , S., Babaei , N., Ebaditabar, M., Djafarian, K., Clark, C., & Shab-Bidar, S. (2020). The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults. Complementary Therapies in Medicine, 53, Article 102531. https://doi.org/10.1016/j.ctim.2020.102531

Shahavandi, M, Djafari, F, Shahinfar , H, Davarzani , S, Babaei , N, Ebaditabar, M, Djafarian, K, Clark, C & Shab-Bidar, S 2020, 'The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults', Complementary Therapies in Medicine, vol. 53, 102531. https://doi.org/10.1016/j.ctim.2020.102531

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abstract = "Background: We sought to investigate whether adherence to a more plant-based, and less animal-based, diet is associated with visceral adiposity, lipid accumulation product (LAP), and triglyceride-glucose index (TyG) in Iranian adults. Methods: This cross-sectional study was conducted on 270 adults aged between 18–75 years old. We created three plant-based diets. including an overall plant-based diet index (PDI), hPDI, and uPDI based on tertiles regarding the intake of animal- or plant-based food items obtained from a semi quantitative food-frequency questionnaire. Results: Higher hPDI was significantly associated with lower body mass index (BMI) (P-value = 0.01), lower waist circumference (P-value<0.001), and lower waist-hip ratio (P-value<0.001). A significant increase was found for high density lipoproteins (HDL) (P-trend <0.001) with a significant decrease for LAP (P-value = 0.03) in those with higher adherence to hPDI. Moreover, greater adherence to PDI was associated with a significant increase in diastolic blood pressure (DBP) (p-value = 0.01) and fat free mass (FFM) (p-value = 0.01). There were no significant associations between PDIs and TyG and VFA. Conclusion: We found that a higher hPDI score was significantly associated with better anthropometric measurements. A significant increase was found for HDL and a significant decrease was found for LAP on hPDI. However, a higher PDI score was significantly associated with higher DBP and higher FFM.",

keywords = "Adiposity, Body fat percentage, Dietary pattern, Healthful plant-based diet, Plant-based diet index, Visceral fat",

author = "Mahshid Shahavandi and Farhang Djafari and Hossein Shahinfar and Samira Davarzani and Nadia Babaei and Mojdeh Ebaditabar and Kurosh Djafarian and Cain Clark and Sakineh Shab-Bidar",

note = "NOTICE: this is the author{\textquoteright}s version of a work that was accepted for publication in Complementary Therapies in Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Complementary Therapies in Medicine, 53, (2020) DOI: 10.1016/j.ctim.2020.102531 {\textcopyright} 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ ",

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T1 - The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults

AU - Shahavandi, Mahshid

AU - Djafari, Farhang

AU - Shahinfar , Hossein

AU - Davarzani , Samira

AU - Babaei , Nadia

AU - Ebaditabar, Mojdeh

AU - Djafarian, Kurosh

AU - Clark, Cain

AU - Shab-Bidar, Sakineh

N1 - NOTICE: this is the author’s version of a work that was accepted for publication in Complementary Therapies in Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Complementary Therapies in Medicine, 53, (2020) DOI: 10.1016/j.ctim.2020.102531 © 2020, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

PY - 2020/9

Y1 - 2020/9

N2 - Background: We sought to investigate whether adherence to a more plant-based, and less animal-based, diet is associated with visceral adiposity, lipid accumulation product (LAP), and triglyceride-glucose index (TyG) in Iranian adults. Methods: This cross-sectional study was conducted on 270 adults aged between 18–75 years old. We created three plant-based diets. including an overall plant-based diet index (PDI), hPDI, and uPDI based on tertiles regarding the intake of animal- or plant-based food items obtained from a semi quantitative food-frequency questionnaire. Results: Higher hPDI was significantly associated with lower body mass index (BMI) (P-value = 0.01), lower waist circumference (P-value<0.001), and lower waist-hip ratio (P-value<0.001). A significant increase was found for high density lipoproteins (HDL) (P-trend <0.001) with a significant decrease for LAP (P-value = 0.03) in those with higher adherence to hPDI. Moreover, greater adherence to PDI was associated with a significant increase in diastolic blood pressure (DBP) (p-value = 0.01) and fat free mass (FFM) (p-value = 0.01). There were no significant associations between PDIs and TyG and VFA. Conclusion: We found that a higher hPDI score was significantly associated with better anthropometric measurements. A significant increase was found for HDL and a significant decrease was found for LAP on hPDI. However, a higher PDI score was significantly associated with higher DBP and higher FFM.

AB - Background: We sought to investigate whether adherence to a more plant-based, and less animal-based, diet is associated with visceral adiposity, lipid accumulation product (LAP), and triglyceride-glucose index (TyG) in Iranian adults. Methods: This cross-sectional study was conducted on 270 adults aged between 18–75 years old. We created three plant-based diets. including an overall plant-based diet index (PDI), hPDI, and uPDI based on tertiles regarding the intake of animal- or plant-based food items obtained from a semi quantitative food-frequency questionnaire. Results: Higher hPDI was significantly associated with lower body mass index (BMI) (P-value = 0.01), lower waist circumference (P-value<0.001), and lower waist-hip ratio (P-value<0.001). A significant increase was found for high density lipoproteins (HDL) (P-trend <0.001) with a significant decrease for LAP (P-value = 0.03) in those with higher adherence to hPDI. Moreover, greater adherence to PDI was associated with a significant increase in diastolic blood pressure (DBP) (p-value = 0.01) and fat free mass (FFM) (p-value = 0.01). There were no significant associations between PDIs and TyG and VFA. Conclusion: We found that a higher hPDI score was significantly associated with better anthropometric measurements. A significant increase was found for HDL and a significant decrease was found for LAP on hPDI. However, a higher PDI score was significantly associated with higher DBP and higher FFM.

KW - Adiposity

KW - Body fat percentage

KW - Dietary pattern

KW - Healthful plant-based diet

KW - Plant-based diet index

KW - Visceral fat

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The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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