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:: Volume 7, Issue 3 (Jul-Sep 2020) ::
Nutr Food Sci Res 2020, 7(3): 15-23 Back to browse issues page
Food Habits, Weight Status and Metabolic Risk Factors in a Group of Adults in Tehran
Razieh ‎ Anari , Maryam ‎ Amini , Tirang ‎R Neyestani
Department of Nutrition Research, Faculty of Nutrition Sciences and Food ‎Technology,‎‏ ‏National Nutrition and Food Technology Research Institute ‎‎(NNFRTI), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (374 Views)
Background and Objectives: This study was carried out to assess food habits and their associations with weight status and metabolic risk factors in adults in Tehran, Capital of Iran.
Materials and Methods: A cross-sectional survey was conducted in a sample of adults (n=227) over 18 years old residing in Tehran. Demographic, anthropometric and food frequency questionnaires were filled out for all of the participants. Food habits were recorded using dietary habit questionnaires. Serum concentrations of glucose and lipids (total cholesterol [TC], triglycerides [TG] and high-density lipoprotein-cholesterol [HDL-C]) were analyzed from fasting blood samples.
Results: The mean body mass index (BMI) was 28.52 kg/m2 and a minority of the participants (22.2%) had normal BMI. The participants rarely used table salt, fast food and crispy foods, dined at restaurants and had two snacks, three or more meals a day, five or more breakfast episodes a week and regular meals. They used vegetable oils for cooking and frying and/or cooking oil for frying. Drivers (p < 0.001) and less educated participants (p= 0.012) were susceptible to overweight. Positive associations were found between the BMI and the participant age (rs =0.28, p<0.001) and serum glucose (rs = 0.22, p =0.005), TG (rs = 0.34, p< 0.001) and TC (rs = 0.36, p < 0.001). Participants with normal weights had regular meals
(p= 0.034) and frequent snacks (p = 0.048). Overweight and obese participants had a higher rate of dyslipidemia (serum TG ≥ 150 mg/dL), compared to that of the normal weight participants (18.0 and 35.0% vs.7.9%, p=0.004).
Conclusions: The present participants had relatively healthy food habits, except for the order of meals and saturated fat consumptions. This study confirms the associations between overweight/obesity and dyslipidemia. Nutrition education with emphases on regular meals and frequent snacks (as protective habits against obesity) is recommended, especially for susceptible groups.
Keywords: Food habits, Adults, Metabolic risk factors, Overweight
Full-Text [PDF 602 kb]   (106 Downloads)    
Protocol Study: Research | Subject: nutrition
Received: 2020/01/3 | Accepted: 2020/05/12 | Published: 2020/08/10
1. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet. 2012;380(9859):2224-60. [DOI:10.1016/S0140-6736(12)61766-8]
2. Popkin BM. The nutrition transition: an overview of world patterns of change. Nutrition reviews. 2004;62(suppl_2):S140-S3. [DOI:10.1111/j.1753-4887.2004.tb00084.x]
3. Afshin A, Micha R, Khatibzadeh S, Fahimi S, Shi P, Powles J, et al. The impact of dietary habits and metabolic risk factors on cardiovascular and diabetes mortality in countries of the Middle East and North Africa in 2010: a comparative risk assessment analysis. BMJ open. 2015;5(5):e006385. [DOI:10.1136/bmjopen-2014-006385]
4. Clarke D, Herbert E. Food facts. London: Nelson. 1986:12-5.
5. Duffey KJ, Gordon-Larsen P, Jacobs Jr DR, Williams OD, Popkin BM. Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: the Coronary Artery Risk Development in Young Adults Study. The American journal of clinical nutrition. 2007;85(1):201-8. [DOI:10.1093/ajcn/85.1.201]
6. Maddock J. The relationship between obesity and the prevalence of fast food restaurants: state-level analysis. American journal of health promotion. 2004;19(2):137-43. [DOI:10.4278/0890-1171-19.2.137]
7. Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs Jr DR, et al. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. The lancet. 2005;365(9453):36-42. [DOI:10.1016/S0140-6736(04)17663-0]
8. Norton G, Anderson A, Hetherington M. Volume and variety: relative effects on food intake. Physiology & Behavior. 2006;87(4):714-22. [DOI:10.1016/j.physbeh.2006.01.010]
9. Jon Schoenfeld B, Albert Aragon A, Krieger JW. Effects of meal frequency on weight loss and body composition: a meta-analysis. Nutrition reviews. 2015;73(2):69-82. [DOI:10.1093/nutrit/nuu017]
10. Berg C, Lappas G, Wolk A, Strandhagen E, Torén K, Rosengren A, et al. Eating patterns and portion size associated with obesity in a Swedish population. Appetite. 2009;52(1):21-6. [DOI:10.1016/j.appet.2008.07.008]
11. Marín-Guerrero A, Gutiérrez-Fisac J, Guallar-Castillón P, Banegas J, Rodríguez-Artalejo F. Eating behaviours and obesity in the adult population of Spain. British journal of nutrition. 2008;100(5):1142-8. [DOI:10.1017/S0007114508966137]
12. Alhussain MH, Macdonald IA, Taylor MA. Irregular meal-pattern effects on energy expenditure, metabolism, and appetite regulation: a randomized controlled trial in healthy normal-weight women. The American journal of clinical nutrition. 2016;104(1):21-32. [DOI:10.3945/ajcn.115.125401]
13. Mozaffarian D, Appel LJ, Van Horn L. Components of a cardioprotective diet: new insights. Circulation. 2011;123(24):2870-91. [DOI:10.1161/CIRCULATIONAHA.110.968735]
14. Amini M, Esmaillzadeh A, Omidvar N, Abtahi M, Dadkhah Piraghaj M, Nikooyeh B, et al. Development of a dish-based semi-quantitative food frequency questionnaire for Iranian population. Med J Islam Repub Iran 2019;(in press).
15. Doustmohammadian A, Amini M, Esmaillzadeh A, Omidvar N, Abtahi M, Dadkhah-Piraghaj M, et al. Validity and reliability of a dish-based semi-quantitative food frequency questionnaire for assessment of energy and nutrient intake among Iranian adults. BMC research notes. 2020;13(1):1-7. [DOI:10.1186/s13104-020-04944-3]
16. Azar M, Sarkisian E. Food composition table of Iran. Tehran: National Nutrition and Food Research Institute, Shaheed Beheshti University. 1980;65.
17. Health NIo. Clinical guidelines for the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obes Res. 1998;6(2):51S-209S.
18. Alberti KGMM, Zimmet P, Shaw J. International Diabetes Federation: a consensus on Type 2 diabetes prevention. Diabetic Medicine. 2007;24(5):451-63. [DOI:10.1111/j.1464-5491.2007.02157.x]
19. Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa F, Eckel R, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2007;115(1):114-26. [DOI:10.1161/CIRCULATIONAHA.106.179294]
20. Kahleova H, Lloren JI, Mashchak A, Hill M, Fraser GE. Meal frequency and timing are associated with changes in body mass index in Adventist health study 2. The Journal of nutrition. 2017;147(9):1722-8. [DOI:10.3945/jn.116.244749]
21. Fabry P, Fodor J, Hejl Z, Braun T, Zvolánková K. The frequency of meals. Its relation to overweight, hypercholesterolaemia, and decreased glucose-tolerance. Lancet. 1964;2:614-5. [DOI:10.1016/S0140-6736(64)90510-0]
22. Ma Y, Bertone ER, Stanek III EJ, Reed GW, Hebert JR, Cohen NL, et al. Association between eating patterns and obesity in a free-living US adult population. American journal of epidemiology. 2003;158(1):85-92. [DOI:10.1093/aje/kwg117]
23. Metzner HL, Lamphiear DE, Wheeler N, Larkin FA. The relationship between frequency of eating and adiposity in adult men and women in the Tecumseh Community Health Study. The American journal of clinical nutrition. 1977;30(5):712-5. [DOI:10.1093/ajcn/30.5.712]
24. Ruidavets J, Bongard V, Bataille V, Gourdy P, Ferrieres J. Eating frequency and body fatness in middle-aged men. International journal of obesity. 2002;26(11):1476. [DOI:10.1038/sj.ijo.0802143]
25. Smeets AJ, Westerterp-Plantenga MS. Acute effects on metabolism and appetite profile of one meal difference in the lower range of meal frequency. British journal of nutrition. 2008;99(6):1316-21. [DOI:10.1017/S0007114507877646]
26. Speechly DP, Rogers GG, Buffenstein R. Acute appetite reduction associated with an increased frequency of eating in obese males. International journal of obesity. 1999;23(11):1151. [DOI:10.1038/sj.ijo.0801046]
27. Bertelsen J, Christiansen C, Thomsen C, Poulsen PL, Vestergaard S, Steinov A, et al. Effect of meal frequency on blood glucose, insulin, and free fatty acids in NIDDM subjects. Diabetes care. 1993;16(1):4-7. [DOI:10.2337/diacare.16.1.4]
28. Jenkins D, Ocana A, Jenkins AL, Wolever T, Vuksan V, Katzman L, et al. Metabolic advantages of spreading the nutrient load: effects of increased meal frequency in non-insulin-dependent diabetes. The American journal of clinical nutrition. 1992;55(2):461-7. [DOI:10.1093/ajcn/55.2.461]
29. Jenkins DJ, Wolever TM, Vuksan V, Brighenti F, Cunnane SC, Rao AV, et al. Nibbling versus gorging: metabolic advantages of increased meal frequency. New England Journal of Medicine. 1989;321(14):929-34. [DOI:10.1056/NEJM198910053211403]
30. LeBlanc J, Mercier I, Nadeau A. Components of postprandial thermogenesis in relation to meal frequency in humans. Canadian journal of physiology and pharmacology. 1993;71(12):879-83. [DOI:10.1139/y93-133]
31. LeBlanc J, Diamond P. Effect of meal size and frequency on postprandial thermogenesis in dogs. American Journal of Physiology-Endocrinology and Metabolism. 1986;250(2):E144-E7. [DOI:10.1152/ajpendo.1986.250.2.E144]
32. Odegaard AO, Jacobs DR, Steffen LM, Van Horn L, Ludwig DS, Pereira MA. Breakfast Frequency and Development of Metabolic Risk. Diabetes Care. 2013;36(10):3100-6. [DOI:10.2337/dc13-0316]
33. Mekary RA, Giovannucci E, Willett WC, van Dam RM, Hu FB. Eating patterns and type 2 diabetes risk in men: breakfast omission, eating frequency, and snacking. The American journal of clinical nutrition. 2012;95(5):1182-9. [DOI:10.3945/ajcn.111.028209]
34. Holmbäck I, Ericson U, Gullberg B, Wirfält E. A high eating frequency is associated with an overall healthy lifestyle in middle-aged men and women and reduced likelihood of general and central obesity in men. British journal of nutrition. 2010;104(7):1065-73. [DOI:10.1017/S0007114510001753]
35. Edelstein SL, Barrett-Connor EL, Wingard DL, Cohn BA. Increased meal frequency associated with decreased cholesterol concentrations; Rancho Bernardo, CA, 1984-1987. The American Journal of Clinical Nutrition. 1992;55(3):664-9. [DOI:10.1093/ajcn/55.3.664]
36. Saneei P, Esmaillzadeh A, Keshteli AH, Feizi A, Feinle-Bisset C, Adibi P. Patterns of dietary habits in relation to obesity in Iranian adults. European journal of nutrition. 2016;55(2):713-28. [DOI:10.1007/s00394-015-0891-4]
37. Allison DB, Egan SK, Barraj LM, Caughman C, Infante M, T HEIMBACH J. Estimated intakes of trans fatty and other fatty acids in the US population. Journal of the American Dietetic Association. 1999;99(2):166-74. [DOI:10.1016/S0002-8223(99)00041-3]
38. Hulshof K, van Erp-Baart M, Anttolainen M, Becker W, Church S, Couet C, et al. Intake of fatty acids in western Europe with emphasis on trans fatty acids: the TRANSFAIR Study. European journal of clinical nutrition. 1999;53(2):143. [DOI:10.1038/sj.ejcn.1600692]
39. Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC. Trans fatty acids and cardiovascular disease. New England Journal of Medicine. 2006;354(15):1601-13. [DOI:10.1056/NEJMra054035]
40. Willett WC, Stampfer MJ, Manson JE, Colditz GA, Speizer FE, Rosner BA, et al. Intake of trans fatty acids and risk of coronary heart disease among women. The Lancet. 1993;341(8845):581-5. [DOI:10.1016/0140-6736(93)90350-P]
41. Mauger J-F, Lichtenstein AH, Ausman LM, Jalbert SM, Jauhiainen M, Ehnholm C, et al. Effect of different forms of dietary hydrogenated fats on LDL particle size. The American journal of clinical nutrition. 2003;78(3):370-5. [DOI:10.1093/ajcn/78.3.370]
42. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. The American journal of clinical nutrition. 2003;77(5):1146-55. [DOI:10.1093/ajcn/77.5.1146]
43. Baer DJ, Judd JT, Clevidence BA, Tracy RP. Dietary fatty acids affect plasma markers of inflammation in healthy men fed controlled diets: a randomized crossover study. The American journal of clinical nutrition. 2004;79(6):969-73. [DOI:10.1093/ajcn/79.6.969]
44. Han SN, Leka LS, Lichtenstein AH, Ausman LM, Schaefer EJ, Meydani SN. Effect of hydrogenated and saturated, relative to polyunsaturated, fat on immune and inflammatory responses of adults with moderate hypercholesterolemia. Journal of lipid research. 2002;43(3):445-52.
45. Lopez-Garcia E, Schulze MB, Meigs JB, Manson JE, Rifai N, Stampfer MJ, et al. Consumption of trans fatty acids is related to plasma biomarkers of inflammation and endothelial dysfunction. The Journal of nutrition. 2005;135(3):562-6. [DOI:10.1093/jn/135.3.562]
46. Mozaffarian D, Pischon T, Hankinson SE, Rifai N, Joshipura K, Willett WC, et al. Dietary intake of trans fatty acids and systemic inflammation in women. The American journal of clinical nutrition. 2004;79(4):606-12. [DOI:10.1093/ajcn/79.4.606]
47. Clifton PM, Keogh JB. A systematic review of the effect of dietary saturated and polyunsaturated fat on heart disease. Nutr Metab Cardiovasc Dis. 2017;27(12):1060-80. [DOI:10.1016/j.numecd.2017.10.010]
48. Hooper L, Martin N, Abdelhamid A, Davey Smith G. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. 2015(6):CD011737. [DOI:10.1002/14651858.CD011737]
49. Cornée J, Pobel D, Riboli E, Guyader M, Hémon B. A case-control study of gastric cancer and nutritional factors in Marseille, France. European journal of epidemiology. 1995;11(1):55-65. [DOI:10.1007/BF01719946]
50. Ardekani MS, Salehi-Abargouei A, Mirzaei M, Fallahzadeh H, Nadjarzadeh A. Dietary habits in association with general and abdominal obesity in central Iran: Results from Yazd Health Study (YaHS). Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2018. [DOI:10.1016/j.dsx.2018.11.040]
51. Bays HE, Toth PP, Kris-Etherton PM, Abate N, Aronne LJ, Brown WV, et al. Obesity, adiposity, and dyslipidemia: a consensus statement from the National Lipid Association. Journal of clinical lipidology. 2013;7(4):304-83. [DOI:10.1016/j.jacl.2013.04.001]
52. Tabrizi R, Moosazadeh M, Akbari M, Dabbaghmanesh MH, Mohamadkhani M, Asemi Z, et al. High prevalence of vitamin D deficiency among Iranian population: a systematic review and meta-analysis. Iranian journal of medical sciences. 2018;43(2):125.
53. Mansouri M, Miri A, Varmaghani M, Abbasi R, Taha P, Ramezani S, et al. Vitamin D deficiency in relation to general and abdominal obesity among high educated adults. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019;24(1):83-90. [DOI:10.1007/s40519-018-0511-4]
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Anari R ‎, Amini M ‎, Neyestani T ‎. Food Habits, Weight Status and Metabolic Risk Factors in a Group of Adults in Tehran. Nutr Food Sci Res. 2020; 7 (3) :15-23
URL: http://nfsr.sbmu.ac.ir/article-1-383-en.html

Volume 7, Issue 3 (Jul-Sep 2020) Back to browse issues page
Nutrition and Food Sciences Research
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