{"title":"Associations between dietary and lifestyle insulinemic indices and cardiometabolic risk factors in adults undergoing abdominal surgery.","authors":"Hamid Ahmadirad, Hossein Farhadnejad, Farshad Teymoori, Ghazaleh Shimi, Ebrahim Mokhtari, Golaleh Asghari, Emad Yuzbashian, Parvin Mirmiran, Maryam Zarkesh, Alireza Khalaj","doi":"10.1007/s40200-025-01759-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The present study investigated the association of insulinemic indices including dietary (DIH) and lifestyle (LIH) insulinemic indices for hyperinsulinemia, as well as dietary (DIR) and lifestyle (LIR) insulinemic indices for insulin resistance with cardiometabolic factors, including the waist circumference (WC), hip circumference (HC), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood sugar (FBS), triglycerides, total cholesterol(TC), and insulin level.</p><p><strong>Methods: </strong>A total of 176 individuals, aged 18 to 84, took part in this cross-sectional study. The food frequency questionnaire was used to record individuals' dietary intake data and calculate insulinemic indices. Associations between these indices and cardiometabolic factors were evaluated using linear regression, and results were presented as unstandardized β values with 95% confidence intervals.</p><p><strong>Results: </strong>In the final adjusted model, participants with a body mass index (BMI) < 30 kg/m<sup>2</sup> exhibited a positive association between the LIH and LIR scores and the FBS levels. Among participants with BMI ≥ 30 kg/m<sup>2</sup>, positive associations were observed between LIH and LIR scores with WC and HC. Additionally, a direct association was found between the scores of DIR and FBS levels. Among all participants, there were positive associations between LIH and LIR scores with levels of SBP, DBP, WC, HC, and insulin.</p><p><strong>Conclusions: </strong>Greater adherence to a diet and lifestyle characterized by higher DIR, LIH, and LIR scores was positively associated with elevated levels of cardiometabolic factors, including SBP, DBP, WC, HC, and insulin.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40200-025-01759-6.</p>","PeriodicalId":15635,"journal":{"name":"Journal of Diabetes and Metabolic Disorders","volume":"24 2","pages":"239"},"PeriodicalIF":2.1000,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12535573/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes and Metabolic Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40200-025-01759-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/12/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: The present study investigated the association of insulinemic indices including dietary (DIH) and lifestyle (LIH) insulinemic indices for hyperinsulinemia, as well as dietary (DIR) and lifestyle (LIR) insulinemic indices for insulin resistance with cardiometabolic factors, including the waist circumference (WC), hip circumference (HC), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood sugar (FBS), triglycerides, total cholesterol(TC), and insulin level.
Methods: A total of 176 individuals, aged 18 to 84, took part in this cross-sectional study. The food frequency questionnaire was used to record individuals' dietary intake data and calculate insulinemic indices. Associations between these indices and cardiometabolic factors were evaluated using linear regression, and results were presented as unstandardized β values with 95% confidence intervals.
Results: In the final adjusted model, participants with a body mass index (BMI) < 30 kg/m2 exhibited a positive association between the LIH and LIR scores and the FBS levels. Among participants with BMI ≥ 30 kg/m2, positive associations were observed between LIH and LIR scores with WC and HC. Additionally, a direct association was found between the scores of DIR and FBS levels. Among all participants, there were positive associations between LIH and LIR scores with levels of SBP, DBP, WC, HC, and insulin.
Conclusions: Greater adherence to a diet and lifestyle characterized by higher DIR, LIH, and LIR scores was positively associated with elevated levels of cardiometabolic factors, including SBP, DBP, WC, HC, and insulin.
Supplementary information: The online version contains supplementary material available at 10.1007/s40200-025-01759-6.
期刊介绍：
Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.
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