Adherence to the planetary health diet index and metabolic syndrome: cross-sectional results from the PERSIAN cohort study.
Dietary pattern
EAT-Lancet diet
Metabolic syndrome
Obesity
Sustainable diet
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
29 Oct 2024
29 Oct 2024
Historique:
received:
21
05
2024
accepted:
22
10
2024
medline:
30
10
2024
pubmed:
30
10
2024
entrez:
30
10
2024
Statut:
epublish
Résumé
The Planetary Health Diet Index (PHDI) was recently introduced to assess adherence to the EAT-Lance recommendations. In this study, we aimed to evaluate the relationship between PHDI and metabolic syndrome (MS). We used the data of 6465 participants from the PERSIAN cohort study at Mashhad University of Medical Sciences, Mashhad, Iran. Diet was assessed using a 130-item Food Frequency Questionnaire (FFQ). The PHDI comprises sixteen components and is scored between 0 and 150 points. We first assessed the validity and reliability of the PHDI for this population. We used regression logistic models to assess the relationships between PHDI and MS and its related indicators. The average PHDI score was 52.3 ± 9. The Cronbach's alpha value was 0.53. After controlling for age and sex, the PHDI was positively related to the Diet Quality Index-International (DQI-I) and was negatively related to carbon and water footprints (p < 0.001). PHDI quartile was negatively associated with MS, hypo-HDL cholesterolemia, and abdominal obesity after controlling for confounders (P < 0.05). The validity and reliability of the PHDI were found to be satisfactory for the Iranian population we studied. Our results showed that a higher PHDI was potentially related to a reduced likelihood of MS, hypo-HDL cholesterolemia, and abdominal obesity.
Sections du résumé
BACKGROUND/OBJECTIVES
OBJECTIVE
The Planetary Health Diet Index (PHDI) was recently introduced to assess adherence to the EAT-Lance recommendations. In this study, we aimed to evaluate the relationship between PHDI and metabolic syndrome (MS).
SUBJECTS/METHODS
METHODS
We used the data of 6465 participants from the PERSIAN cohort study at Mashhad University of Medical Sciences, Mashhad, Iran. Diet was assessed using a 130-item Food Frequency Questionnaire (FFQ). The PHDI comprises sixteen components and is scored between 0 and 150 points. We first assessed the validity and reliability of the PHDI for this population. We used regression logistic models to assess the relationships between PHDI and MS and its related indicators.
RESULTS
RESULTS
The average PHDI score was 52.3 ± 9. The Cronbach's alpha value was 0.53. After controlling for age and sex, the PHDI was positively related to the Diet Quality Index-International (DQI-I) and was negatively related to carbon and water footprints (p < 0.001). PHDI quartile was negatively associated with MS, hypo-HDL cholesterolemia, and abdominal obesity after controlling for confounders (P < 0.05).
CONCLUSION
CONCLUSIONS
The validity and reliability of the PHDI were found to be satisfactory for the Iranian population we studied. Our results showed that a higher PHDI was potentially related to a reduced likelihood of MS, hypo-HDL cholesterolemia, and abdominal obesity.
Identifiants
pubmed: 39472864
doi: 10.1186/s12889-024-20484-y
pii: 10.1186/s12889-024-20484-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2988Informations de copyright
© 2024. The Author(s).
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