Associations of Fruit and Vegetable Intake with Metabolic Health Status in Overweight and Obese Youth.

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Annals of Nutrition and Metabolism Pub Date : 2023-01-01 Epub Date: 2023-08-07 DOI:10.1159/000533343
Shahnaz Amani Tirani, Saeideh Mirzaei, Ali Asadi, Foad Asjodi, Orod Iravani, Masoumeh Akhlaghi, Parvane Saneei
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引用次数: 0

Abstract

Introduction: The objective of this study was to assess the relationship between fruit and vegetable intake with metabolic health status among overweight and obese Iranian youth.

Methods: In total, 203 obese and overweight youth including 101 boys and 102 girls, 12-18 years, were randomly recruited through a multistage cluster sampling approach in this study. A validated Persian format of food frequency questionnaire was used to estimate participants' usual food intake. Adolescents were categorized in accordance with the International Diabetes Federation (IDF) criteria as well as IDF plus insulin resistance (HOMA-IR) definition into metabolically healthy obese and metabolically unhealthy obese (MUO).

Results: Based on IDF criteria, youth in the third tertile of vegetable and the combination of fruit and vegetable intake had 66% (odds ratio = 0.34, 95% CI: 0.12-0.95) and 73% (odds ratio = 0.27, 95% CI: 0.09-0.81) lower odds of MUO compared to those in the first tertile, in the fully-adjusted model. According to IDF plus HOMA-IR definition, inverse associations were also found between vegetable (odds ratio = 0.36, 95% CI: 0.12-1.02) and the combination of fruit and vegetable (odds ratio = 0.25, 95% CI: 0.08-0.79) intake with MUO phenotype. Stratified analysis indicated inverse associations between intake of vegetables and the combination of fruits and vegetables with MUO phenotype (based on IDF definition) in overweight, but not obese subjects.

Conclusion: The current study demonstrated that greater consumption of vegetables as well as the combination of fruits and vegetables was related to a lower risk of MUO phenotype, particularly in overweight youth.

超重和肥胖青年水果和蔬菜摄入量与代谢健康状况的关系。
引言:本研究的目的是评估超重和肥胖伊朗青年的水果和蔬菜摄入量与代谢健康状况之间的关系。方法:本研究采用多阶段整群抽样方法,随机招募203名12-18岁的肥胖和超重青年,其中包括101名男孩和102名女孩。使用经验证的波斯语食物频率问卷来估计参与者的日常食物摄入量。根据国际糖尿病联合会(IDF)标准以及IDF加胰岛素抵抗(HOMA-IR)的定义,将青少年分为代谢健康肥胖和代谢不健康肥胖,在完全调整的模型中,与第一个三分位数的年轻人相比,蔬菜第三个三分位以及水果和蔬菜摄入组合的年轻人患MUO的几率分别低66%(比值比=0.34,95%CI:0.12-0.95)和73%(比值比0.27,95%CI:0.09-0.81)。根据IDF加HOMA-IR的定义,蔬菜(比值比=0.36,95%CI:0.12-1.02)和水果和蔬菜的组合(比值比=0.025,95%CI:0.08-0.79)摄入与MUO表型之间也存在负相关。分层分析表明,在超重但非肥胖的受试者中,蔬菜摄入与具有MUO表型(基于IDF定义)的水果和蔬菜组合之间呈负相关。结论:目前的研究表明,更多地食用蔬菜以及水果和蔬菜的组合与较低的MUO表型风险有关,尤其是在超重青年中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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