Nutrition and Cardio-Metabolic Risk Factors: Findings from 20 Years of the Tehran Lipid and Glucose Study

AuthorFiroozeh Hosseini-Esfahanien
AuthorSomaye Hosseinpour-Niazien
AuthorGolaleh Asgharien
AuthorZahra Bahadoranen
AuthorNazanin Moslehien
AuthorMahdieh Golzaranden
AuthorHanieh-Sadat Ejtaheden
AuthorParvin Mirmiranen
AuthorFereidoun Azizien
OrcidFiroozeh Hosseini-Esfahani [0000-0002-9697-0081]en
OrcidParvin Mirmiran [0000-0003-2391-4924]en
OrcidFereidoun Azizi [0000-0002-6470-2517]en
Issued Date2018-10-31en
AbstractContext: Genetic and environmental factors contribute to the incidence of metabolic syndrome (MetS). This study aimed to review all findings of studies conducted in framework of the Tehran lipid and glucose study (TLGS) regarding the association of dietary factors with cardio-metabolic risk factors. Evidence Acquisition: All English-language studies were searched using PubMed and Scopus databases from 2000 to 2017. Finally, 105 relevant papers were included in this review. Results: Whole grains, legumes, nuts and healthy dietary patterns (DPs) reduced risk of MetS, while white rice, salty/sweet snacks increased this. The western DP had a significant interaction with APOC3, APOA1 and MC4R polymorphisms in relation to MetS. After 6.5 years of follow-up, odds of reaching menarche ≤ 12 years was significantly higher in girls with higher intakes of milk, calcium, magnesium, and phosphorous. Among children and adolescents, higher adherence to the dietary approaches to stop hypertension (DASH)-style diet decreased the risk of abdominal obesity, whereas increased adherence to the western DP could contribute to general and abdominal obesity. A three-year follow-up of adult participants showed that higher intakes of phytochemical-rich foods were inversely related to development of insulin resistance. Higher adherence to the healthy DPs was associated with the reduced risk of hyperlipidemia and hypertention. Nutrition interventions postponed rise in the prevalence of MetS. The DASH diet resulted in weight reduction compared to control diet. Conclusions: Higher adherence to healthy food choices was associated with reduced odds of MetS, abdominal obesity, dyslipidemia and hypertension. The western DP accentuated the association of polymorphisms with MetS.en
DOIhttps://doi.org/10.5812/ijem.84772en
KeywordCardiovascular Risk Factorsen
KeywordDieten
KeywordNutrientsen
KeywordTehran Lipid and Glucose Studyen
KeywordMetabolic Syndromeen
PublisherBrieflandsen
TitleNutrition and Cardio-Metabolic Risk Factors: Findings from 20 Years of the Tehran Lipid and Glucose Studyen
TypeReview Articleen

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