Dietary diversity score is associated with cardiometabolic risk factors in patients with hypertension (Hoveyzeh Cohort Study)

Authors

Bahman Cheraghian1, Majid Karandish2, Seyed Jalal Hashemi3, Mohadeseh Zendehdel4, Zahra Rahimi1, Reihaneh Mousavi2,4

  1. Hearing Research Center, Clinical Sciences Research Institute, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  2. Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  3. Alimentary Tract Research Center, Clinical Sciences Research Institute, The School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

BACKGROUND: Dietary diversity score (DDS) is recognized as an essential factor of a high-quality diet.

OBJECTIVE: To evaluate the relationship between DDS and cardiometabolic risk factors in hypertensive patients.

METHODS: In this cross-sectional study, 972 hypertensive patients (322 males and 650 females) aged 35–70y participated were recruited. Dietary intake was evaluated using a semi-quantitative food frequency questionnaire and DDS was calculated. Metabolic syndrome was defined according to the IDF/AHA criteria. The anthropometric parameters, fasting blood sugar, lipid profile, and liver enzymes were measured.

RESULTS: Male subjects who assigned to the top DDS tertile had 51% lower risk of having low serum HDL-C (OR: 0.49; 95% CI: 0.24–0.96) in the crude model. A similar association was observed for men in the second tertile of DDS after adjusting for covariates (OR: 0.47; 95% CI: 0.23–0.97). A significant inverse association was found between vegetable diversity score and odds of hyperglycemia in the male group in the adjusted model (OR: 0.44; 95% CI: 0.22–0.91). The vegetable diversity score was inversely associated with 67% decreased metabolic syndrome risk in the adjusted model (OR: 0.33; 95% CI: 0.15–0.70).

CONCLUSION: These findings clarify the possible preventive role of higher DDS against metabolic syndrome.

How to Cite

Cheraghian B, Karandish M, Hashemi SJ, Zendehdel M, Rahimi Z, Mousavi R. Dietary diversity score is associated with cardiometabolic risk factors in patients with hypertension (Hoveyzeh cohort study). Mediterranean Journal of Nutrition and Metabolism. 2021 Jan 15; 47-57. doi:10.3233/MNM-210556

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Dietary diversity score is associated with cardiometabolic risk factors in patients with hypertension (Hoveyzeh Cohort Study)

Tags: Cardiometabolic risk factors, Hoveyzeh, Hypertension, Metabolic Syndrome, Persian Cohorth, dietary diversity score