{"title":"膳食摄入习惯与冠状动脉狭窄和心血管代谢风险因素之间的关系。","authors":"Marzieh Taftian, Bahareh Sasanfar, Mohammadtaghi Sarebanhassanabadi, Seyedmostafa Seyedhosseini, Sayyed Saeid Khayyatzadeh, Farzan Madadizadeh, Maryam Motallaei, Sara Beigrezaei, Faezeh Golvardi-Yazdi, Fatemeh Mirjalili, Amin Salehi-Abargouei","doi":"10.1186/s40795-024-00895-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>We are not aware of studies examining the association between dietary meal intake habits (DMIH) and severity of coronary artery stenosis (CAS). This study was conducted to investigate the relationship between DMIH and the severity of CAS as well as cardiometabolic risk factors in adults undergoing coronary angiography.</p><p><strong>Methods: </strong>This cross-sectional study was done on 720 patients undergoing coronary angiography (aged 35-75 years) who were admitted to Afshar Hospital, a referral hospital for cardiovascular diseases in Yazd, Iran. Data on DMIH were gathered by interview. Blood samples were taken for biochemical analysis. Blood pressure, anthropometric indices, and body composition were also evaluated. The relationship between DMIH and the severity of CAS [examined by angiography based on Gensini Score (GS) and Syntax Score (SS)] and cardiometabolic risk factors were assessed using logistic regression and the analysis of covariance (ANCOVA), respectively, in crude and multivariable adjusted models.</p><p><strong>Results: </strong>After adjustment for all possible confounding variables, the study revealed that people who ate 3 meals/day had a lower risk of severe CAS compared to people who ate 2 or fewer meals (OR = 0.48, 95% CI: 0.26, 0.88, P-trend = 0.02). There was an inverse association between the number of snacks /day and the severity of CAS (OR = 0.43, 95% CI: 0.22, 0.87, P-trend = 0.02). There was also an inverse relationship between breakfast frequency/week and the severity of CAS based on both GS and SS (P < 0.05). Breakfast consumption, meal frequency, lunch consumption, snack frequency, and more food consumption on holidays were also associated with different cardiometabolic markers and anthropometric measures (P < 0.05).</p><p><strong>Conclusion: </strong>According to the results of the present study, meal frequency and breakfast consumption might be inversely associated with CAS and cardiometabolic risk factors.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"10 1","pages":"86"},"PeriodicalIF":1.9000,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177536/pdf/","citationCount":"0","resultStr":"{\"title\":\"The association between dietary meal intake habits and coronary artery stenosis and cardio-metabolic risk factors.\",\"authors\":\"Marzieh Taftian, Bahareh Sasanfar, Mohammadtaghi Sarebanhassanabadi, Seyedmostafa Seyedhosseini, Sayyed Saeid Khayyatzadeh, Farzan Madadizadeh, Maryam Motallaei, Sara Beigrezaei, Faezeh Golvardi-Yazdi, Fatemeh Mirjalili, Amin Salehi-Abargouei\",\"doi\":\"10.1186/s40795-024-00895-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objective: </strong>We are not aware of studies examining the association between dietary meal intake habits (DMIH) and severity of coronary artery stenosis (CAS). This study was conducted to investigate the relationship between DMIH and the severity of CAS as well as cardiometabolic risk factors in adults undergoing coronary angiography.</p><p><strong>Methods: </strong>This cross-sectional study was done on 720 patients undergoing coronary angiography (aged 35-75 years) who were admitted to Afshar Hospital, a referral hospital for cardiovascular diseases in Yazd, Iran. Data on DMIH were gathered by interview. Blood samples were taken for biochemical analysis. Blood pressure, anthropometric indices, and body composition were also evaluated. The relationship between DMIH and the severity of CAS [examined by angiography based on Gensini Score (GS) and Syntax Score (SS)] and cardiometabolic risk factors were assessed using logistic regression and the analysis of covariance (ANCOVA), respectively, in crude and multivariable adjusted models.</p><p><strong>Results: </strong>After adjustment for all possible confounding variables, the study revealed that people who ate 3 meals/day had a lower risk of severe CAS compared to people who ate 2 or fewer meals (OR = 0.48, 95% CI: 0.26, 0.88, P-trend = 0.02). There was an inverse association between the number of snacks /day and the severity of CAS (OR = 0.43, 95% CI: 0.22, 0.87, P-trend = 0.02). There was also an inverse relationship between breakfast frequency/week and the severity of CAS based on both GS and SS (P < 0.05). Breakfast consumption, meal frequency, lunch consumption, snack frequency, and more food consumption on holidays were also associated with different cardiometabolic markers and anthropometric measures (P < 0.05).</p><p><strong>Conclusion: </strong>According to the results of the present study, meal frequency and breakfast consumption might be inversely associated with CAS and cardiometabolic risk factors.</p>\",\"PeriodicalId\":36422,\"journal\":{\"name\":\"BMC Nutrition\",\"volume\":\"10 1\",\"pages\":\"86\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-06-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177536/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Nutrition\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40795-024-00895-1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Nutrition","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40795-024-00895-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
摘要
背景和目的：我们尚未发现有关膳食摄入习惯（DMIH）与冠状动脉狭窄（CAS）严重程度之间关系的研究。本研究旨在调查接受冠状动脉造影术的成年人的 DMIH 与 CAS 严重程度以及心脏代谢风险因素之间的关系：这项横断面研究的对象是在伊朗亚兹德的心血管疾病转诊医院 Afshar 医院接受冠状动脉造影术的 720 名患者（年龄在 35-75 岁之间）。通过访谈收集了有关 DMIH 的数据。抽取血液样本进行生化分析。此外，还对血压、人体测量指数和身体成分进行了评估。在粗略模型和多变量调整模型中，分别使用逻辑回归和协方差分析（ANCOVA）评估了 DMIH 与 CAS 严重程度（通过血管造影术根据 Gensini 评分（GS）和 Syntax 评分（SS）进行检查）和心脏代谢风险因素之间的关系：在对所有可能的混杂变量进行调整后，研究发现，与进食 2 餐或少于 2 餐的人相比，每天进食 3 餐的人患严重 CAS 的风险较低（OR = 0.48，95% CI：0.26，0.88，P-趋势 = 0.02）。每天吃零食的次数与 CAS 的严重程度呈反比关系（OR = 0.43，95% CI：0.22, 0.87，P-趋势 = 0.02）。根据 GS 和 SS，每周早餐次数与 CAS 的严重程度之间也存在反比关系（P 结论）：根据本研究的结果，进餐频率和早餐摄入量可能与 CAS 和心脏代谢风险因素成反比。
The association between dietary meal intake habits and coronary artery stenosis and cardio-metabolic risk factors.
Background and objective: We are not aware of studies examining the association between dietary meal intake habits (DMIH) and severity of coronary artery stenosis (CAS). This study was conducted to investigate the relationship between DMIH and the severity of CAS as well as cardiometabolic risk factors in adults undergoing coronary angiography.
Methods: This cross-sectional study was done on 720 patients undergoing coronary angiography (aged 35-75 years) who were admitted to Afshar Hospital, a referral hospital for cardiovascular diseases in Yazd, Iran. Data on DMIH were gathered by interview. Blood samples were taken for biochemical analysis. Blood pressure, anthropometric indices, and body composition were also evaluated. The relationship between DMIH and the severity of CAS [examined by angiography based on Gensini Score (GS) and Syntax Score (SS)] and cardiometabolic risk factors were assessed using logistic regression and the analysis of covariance (ANCOVA), respectively, in crude and multivariable adjusted models.
Results: After adjustment for all possible confounding variables, the study revealed that people who ate 3 meals/day had a lower risk of severe CAS compared to people who ate 2 or fewer meals (OR = 0.48, 95% CI: 0.26, 0.88, P-trend = 0.02). There was an inverse association between the number of snacks /day and the severity of CAS (OR = 0.43, 95% CI: 0.22, 0.87, P-trend = 0.02). There was also an inverse relationship between breakfast frequency/week and the severity of CAS based on both GS and SS (P < 0.05). Breakfast consumption, meal frequency, lunch consumption, snack frequency, and more food consumption on holidays were also associated with different cardiometabolic markers and anthropometric measures (P < 0.05).
Conclusion: According to the results of the present study, meal frequency and breakfast consumption might be inversely associated with CAS and cardiometabolic risk factors.
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