Open AccessThe association between meal specific low carbohydrate diet score and cardiometabolic risk factors: A cross‐sectional study of Iranian adults
Author(s) -
Ghanbari Mahtab,
Pourreza Sanaz,
Mohammadpour Saba,
Bazshahi Elham,
Akbarzade Zahra,
Djafarian Kurosh,
Clark Cain C. T.,
ShabBidar Sakineh
Publication year - 2021
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.14826
Subject(s) - medicine , meal , logistic regression , obesity , cross sectional study , metabolic syndrome , pathology
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.