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Journal Article Epublish 4 citations

PubMed: 37568117 DOI: 10.1186/s12902-023-01420-4

Dietary carbohydrate quality index (CQI), cardio-metabolic risk factors and insulin resistance among adults with obesity.

BMC Endocr Disord 23(1):171

Authors: Negin Nikrad, Babak Hosseini, Azin Pakmehr, Ayda Zahiri Tousi, Abnoos Mokhtari Ardekani, Mahdieh Abbasalizad Farhangi, Reza Akhavan-Sigari

Affiliations

  • Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Department of Surgery, School of Medicine, Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Tehran University of Medical Sciences, Tehran, Iran.
  • Razavi Cancer Research Center, Razavi Hospital, Imam Reza International University, Mashhad, Iran.
  • Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Science, & Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran.
  • Department of Community Nutrition, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Department of Neurosurgery, University Medical Center Tuebingen, Tuebingen, Germany.
  • Department of Health Care Management and Clinical Research, Collegium Humanum Warsaw Management University, Warsaw, Poland.

Abstract

BACKGROUND

Metabolic syndrome (MetS), as a cluster of cardiometabolic risk factors, is a global public health concern due to its increasing prevalence. Considering the previous evidence of the association between carbohydrate quality and cardiometabolic risk factors, our study was aimed to evaluate any possible association between carbohydrate quality index (CQI) and cardiometabolic risk factors among obese adults.

METHODS

In this cross-sectional study, 336 apparently healthy individuals with obesity were participated. Dietary intake was assessed by a semi-quantitative Food Frequency Questionnaire (FFQ), including 168 food items validated for the Iranian population. CQI was calculated with three components of solid carbohydrates to total carbohydrates ratio, dietary fiber intake, and dietary glycemic index (GI). Body composition was determined by bioelectrical impedance analysis (BIA). Blood pressure was measured by sphygmomanometer and enzymatic methods were used to evaluate serum lipid, glucose, and insulin concentrations.

RESULTS

Subjects in the third quartile of CQI had significantly lower systolic blood pressure (SBP) (P = 0.03) and diastolic blood pressure (DBP) (P = 0.01). Participants in the higher quartiles of CQI had more intake of energy, carbohydrates, fat, saturated fatty acid (SFA), and mono-saturated fatty acid (MUFA) (P < 0.05). Moreover, the homeostasis model assessment of insulin resistance (HOMA-IR) was decreased in the second quartile of CQI [odds ratio (OR) = 0.146, P = 0.01) after adjustment for age, body mass index (BMI), sex, physical activity, socioeconomic status (SES) and energy intake.

CONCLUSION

According to our findings, a higher quality of dietary carbohydrates, determined by CQI, could be associated with a lower risk of hypertension.

MeSH

Insulin Resistance, Insulin, Blood, Cardiometabolic Risk Factors, Dietary Carbohydrates, Blood Pressure, Obesity, Risk Factors, Carbohydrates, Endocrine System Diseases, Fatty Acids

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