Associations between adherence to MIND diet and metabolic syndrome and general and abdominal obesity: a cross-sectional

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(2020) 12:101

Diabetology & Metabolic Syndrome Open Access

RESEARCH

Associations between adherence to MIND diet and metabolic syndrome and general and abdominal obesity: a cross-sectional study Saba Mohammadpour  , Parivash Ghorbaninejad, Nasim Janbozorgi and Sakineh Shab‑Bidar*

Abstract  Background:  There is a lack of studies examining the association between Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) and metabolic syndrome (MetS) and obesity. Thus, this study aimed to investigate the association of adherence to the MIND diet with MetS and general and abdominal obesity. Methods:  This cross-sectional study was performed on 836 Iranian adults, 18–75 years old. A 167-item food fre‑ quency questionnaire (FFQ) was used to assess dietary intakes of participants. Anthropometric measurements, blood pressure, fasting blood glucose and lipid profile of each participant were recorded. The guidelines of the National Cholesterol Education Program Adult Treatment Panel III (ATP III) was used to define MetS. Results:  Mean age of study participants was 47.7 ± 10.7 years. The prevalence of MetS was 36.1% and mean body mass index (BMI) and waist circumference (WC) was 27.7 ± 4.69 kg/m2 and 92.0 ± 12.4 cm respectively. Those who were in the third tertile of the MIND diet score compared to the first tertile had 12% lower odds of having the MetS (ORs: 0.88; 95% CI 0.62–1.24) but the association was not significant (P = 0.77). There was a significant inverse associa‑ tion between the MIND diet score and odds of reduced high-density lipoprotein cholesterol (HDL-C) (ORs: 0.59; 95% CI 0.41–0.85; P = 0.008) and general obesity (ORs: 1.190.80–1.78; 95% CI 0.80–1.78; P = 0.02) in crude model and after controlling for confounders. Conclusions:  We found that the MIND diet score is inversely associated with odds of reduced HDL and general obe‑ sity in Iranian adults. Keywords:  MIND diet, Metabolic syndrome, General obesity, Central obesity, Cross-sectional Background Metabolic syndrome (MetS), is a collection of metabolic disorders that acts as a risk factor for cardiovascular diseases (CVD) and type 2 diabetes mellitus (T2D) [1]. People with three or more symptoms including high fasting blood sugar (FBS), hypertriglyceridemia, high blood pressure, low high-density lipoprotein cholesterol (HDL-C), and abdominal obesity are identified as MetS according *Correspondence: [email protected] Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), No 44, Hojjat‑dost Alley, Naderi St., Keshavarz Blvd, Tehran, Iran

to the National Cholesterol Education Program (NCEP) Adult Treatment Panel-III (ATP III) [2]. Obesity is one of the most major factors contributing to a high prevalence of MetS and other diseases [3]. The prevalence of MetS continues to rise with increasing obesity rates worldwide [4, 5]. Nutritional factors are among the most important factors implicated in the etiology of MetS and obesity. Given the fact that people do not receive nut