Association between Quality of Diets and the Risk of Obesity Complication among a Sample of Egyptian Obese Women

Authors

  • Nayera E. Hassan Department of Biological Anthropology, Medical Research Division, National Research Center, Cairo, Egypt
  • Salwa Elshebini Department of Nutrition and Food Science, Division of Nutrition Science and Food Industries, National Research Center, Cairo, Egypt https://orcid.org/0000-0002-3582-0311
  • Nihad Hassan Department of Nutrition and Food Science, Division of Nutrition Science and Food Industries, National Research Center, Cairo, Egypt
  • Mohamed S. El hussieny Department of Biological Anthropology, Medical Research Division, National Research Center, Cairo, Egypt
  • Mohamed Selim Department of Complementary Medicine, Division of Medical Research, National Research Center, Cairo, Egypt
  • Darine Helmy Amin Department of Biological Anthropology, Medical Research Division, National Research Center, Cairo, Egypt https://orcid.org/0000-0001-7441-7130
  • Ayat Nageeb Department of Biological Anthropology, Medical Research Division, National Research Center, Cairo, Egypt https://orcid.org/0000-0003-0260-0395
  • Mohammed Ibrahim Department of Clinical Pathology, Medical Research Division, National Research Center, Cairo, Egypt https://orcid.org/0000-0002-6000-8958
  • Aya Khalil Department of Biological Anthropology, Medical Research Division, National Research Center, Cairo, Egypt https://orcid.org/0000-0003-2727-0126

DOI:

https://doi.org/10.3889/oamjms.2022.7177

Keywords:

Healthy diet, DASH diet, Obesity, Anthropometry, Lipid profile, Social factors

Abstract

Abstract

Background: The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended. The aim of this study was to identify the awareness of a sample of Egyptian women about eating healthy diet, using Dietary Approaches to Stop Hypertension (DASH) diet as an example.

Methods: This study is a cross-sectional study included 109 Egyptian women random chosen, with age range 25-60 years. Full clinical examinations, anthropometric parameters, dietary recalls, and socioeconomic parameters were recorded. Biochemical analysis was done including serum lipid profile.

Results: Data showed that a large percentage of the participants (56.9%) were consuming a poor-quality diet, while 20.0% were consuming intermediate quality diet. Only 16.5% and 9.2% of them were aware of eating a good and high-quality healthy diet. Data shows that the calories, macronutrients, saturated fatty acids (SFAs), cholesterol and sodium intake among both poor and the intermediate groups were higher, while their intake of the monounsaturated fatty acids (MUFAs), poly unsaturated fatty acids (PUFAs), fiber, important vitamins and the minerals, was significantly low. The mean values of the BMI, body fat %, FFM (Fat Free Mass), waist circumference, visceral fat and LDL-C values showed significant differences between the groups at p≤ 0.05- 0.001, in favor of the good and high groups.

Conclusions: Data of this study revealed that poor quality diet was widespread among studied Egyptian women sample; right food choice was associated with the educational level. So, helping individuals to make the right food choices will help in improve diet quality and health.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

WHO STEPS Chronic Disease Risk Factor Surveillance? Egypt STEPS Survey 2011-2012, Fact Sheet 6-3C-1; 2018. Available from: https://www.who.int/chp/steps/2011-2012_egypt_factsheet.pdf [Last accessed on 2018 Jan 30].

Castro-Barquero S, Ruiz-León AM, Sierra-Pérez M, Estruch R, Casas R. Dietary strategies for metabolic syndrome: A comprehensive review. Nutrients. 2020;12(10):2983. https://doi.org/10.3390/nu12102983 PMid:33003472 DOI: https://doi.org/10.3390/nu12102983

Liao Q, Zheng Z, Xiu S, Chan P. Waist circumference is a better predictor of risk for frailty than BMI in the community-dwelling elderly in Beijing. Aging Clin Exp Res. 2018;30(11):1319-25. https://doi.org/10.1007/s40520-018-0933-x PMid:29589287 DOI: https://doi.org/10.1007/s40520-018-0933-x

WHO. Obesity and Overweight, Fact Sheet. Geneva: WHO; 2016. Available from: https://www.who.int/mediacentre/factsheets/fs311/en [Last accessed on 2016 Jul 16].

Bazzano LA, Green T, Harrison TN, Reynolds K. Dietary approaches to prevent hypertension. Curr Hypertens Rep. 2013;15(6):694-702. https://doi.org/10.1007/s11906-013-0390-z PMid:24091874 DOI: https://doi.org/10.1007/s11906-013-0390-z

Amine E, Baba N, Belhadj M. Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation; 2012. Available from: https://www.who.int/dietphysicalactivity/publications/trs916/en [Last accessed 0n 2016 Jul 16].

Mandalazi E, Drake I, Wirfalt E, Orho-Melander M, Sonestedt E.A high diet quality based on dietary recommendations is not associated with lower incidence of Type 2 diabetes in the Malmö diet and cancer cohort. Int J Mol Sci. 2016;17(6):901. https://doi.org/10.3390/ijms17060901 PMid:27338354 DOI: https://doi.org/10.3390/ijms17060901

Jacobs DR Jr., Steffen LM. Nutrients, foods, and dietary patterns as exposures in research: A framework for food synergy. Am J Clin Nutr. 2003;78 Suppl 3:508S-13S. https://doi.org/10.1093/ajcn/78.3.508S PMid:12936941 DOI: https://doi.org/10.1093/ajcn/78.3.508S

Schwingshackl L, Hoffmann G. Diet quality as assessed by the healthy eating index, the alternate healthy eating index, the dietary approaches to stop hypertension score, and health outcomes: A systematic review and meta-analysis of cohort studies. J Acad Nutr Diet. 2015;115(5):780-800. https://doi.org/10.1016/j.jand.2014.12.009 PMid:25680825 DOI: https://doi.org/10.1016/j.jand.2014.12.009

Asghari G, Mirmiran P, Yuzbashian E, Azizi F. Systematic review of diet quality indices in relation to obesity. Br J Nutr. 2017;117(8):1055-65. https://doi.org/10.1017/S0007114517000915 PMid:28478768 DOI: https://doi.org/10.1017/S0007114517000915

Livingstone KM, McNaughton SA. Diet quality is associated with obesity and hypertension in Australian adults: A cross sectional study. BMC Public Health. 2016;16(1):1037. https://doi.org/10.1186/s12889-016-3714-5 PMid:27716133 DOI: https://doi.org/10.1186/s12889-016-3714-5

Sundararajan K, Campbell MK, Choi YH, Sarma S. The relationship between diet quality and adult obesity: Evidence from Canada. J Am Coll Nutr. 2014;33:1-17. https://doi.org/10.1080/07315724.2013.848157 PMid:24533603 DOI: https://doi.org/10.1080/07315724.2013.848157

Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med. 1997;336(16):1117-24. https://doi.org/10.1056/NEJM199704173361601 PMid:9099655 DOI: https://doi.org/10.1056/NEJM199704173361601

Hiernaux J, Tanner JM. Growth and physical studies. In: Weiner JS, Lourie SA, editors. Human Biology: Guide to Field Methods. London: Blackwell Scientific Publications; 1969.

Allain CC, Poon LS, Chen CS, Richmond W, Fu PC. Enzymatic determination of total serum cholesterol. Clin Chem. 1974;20(4):470-5. https://doi.org/10.1093/clinchem/20.4.470 PMid:4818200 DOI: https://doi.org/10.1093/clinchem/20.4.470

Fossati P, Prencipe L. Serum triglycerides determination colorimetrically with an enzyme that produces hydrogen peroxide. Clin Chem. 1982;28(10):2077-88. https://doi.org/10.1093/clinchem/28.10.2077 PMid:6812986 DOI: https://doi.org/10.1093/clinchem/28.10.2077

Burstein M, Scholnick HR, Morfin R. Rapid method for the isolation of lipoproteins from human serum by precipitation with polyanions. J Lipid Res. 1970;11(6):583-95. https://doi.org/10.1016/S0022-2275(20)42943-8 PMid:4100998 DOI: https://doi.org/10.1016/S0022-2275(20)42943-8

Friedewald WI, Levy RI, Fredrickson DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of preparative ultracentrifuge. Clin Chem. 1972;18(6):499-502. PMid:4337382 DOI: https://doi.org/10.1093/clinchem/18.6.499

Dixon LB, Subar AF, Peters U, Weissfeld JL, Bresalier RS, Risch A, et al. Adherence to the USDA food guide, DASH eating plan, and Mediterranean dietary pattern reduces risk of colorectal adenoma. J Nutr. 2007;137(11):2443-50. https://doi.org/10.1093/jn/137.11.2443 PMid:17951483 DOI: https://doi.org/10.1093/jn/137.11.2443

WHO Regional Office for the Eastern Mediterranean. Annual Report of the Regional Director 2008. Cairo: WHO Regional Office for the Eastern Mediterranean; 2009.

Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289(1):76-9. https://doi.org/10.1001/jama.289.1.76 PMid:12503980 DOI: https://doi.org/10.1001/jama.289.1.76

Bonneau GA, Pedrozo WR, Berg G. Adiponectin and waist circumference as predictors of insulin‐resistance in women. Diabetes Metab Syndr. 2014;8(1):3‐7. https://doi.org/10.1016/j.dsx.2013.10.005 PMid:24661750 DOI: https://doi.org/10.1016/j.dsx.2013.10.005

Musaiger AO. Overweight and obesity in eastern mediterranean region: Prevalence and possible causes. J Obes. 2011;2011:407237. https://doi.org/10.1155/2011/407237 PMid:21941635 DOI: https://doi.org/10.1155/2011/407237

Bates B, Lennox A, Prentice A, Bates C, Page P, Nicholson S, et al. National Diet and Nutrition Survey Results from Years 1, 2, 3 and 4 (Combined) of the Rolling (2008/2009-2011/2012), London, England. Vol. 4; 2014. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/310995/ndns_y1_to_4_uk_report.pdf [Last accessed on 2016 Feb 21].

Saneei P, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L. Influence of dietary approaches to stop hypertension (DASH) diet on blood pressure: A systematic review and meta-analysis on randomized controlled trials. Nutr Metab Cardiovasc Dis. 2014;24(12):1253-61. https://doi.org/10.1016/j.numecd.2014.06.008 PMid:25149893 DOI: https://doi.org/10.1016/j.numecd.2014.06.008

Siervo M, Lara J, Chowdhury S, Ashor A, Oggioni C, Mathers JC. Effects of the dietary approach to stop hypertension (DASH) diet on cardiovascular risk factors: A systematic review and meta-analysis. Br J Nutr. 2015;113(1):1-15 https://doi.org/10.1017/S0007114514003341 PMid:25430608 DOI: https://doi.org/10.1017/S0007114514003341

Soltani S, Shirani F, Chitsazi MJ, Salehi-Abargouei A. The effect of dietary approaches to stop hypertension (DASH) diet on weight and body composition in adults: A systematic review and meta-analysis of randomized controlled clinical trials. Obes Rev. 2016;17(5):442-54. https://doi.org/10.1111/obr.12391 PMid:2699045128. Shirani F, Salehi-Abargouei A, Azadbakht L. Effects of dietary approaches to stop hypertension (DASH) diet on some risk for developing Type 2 diabetes: A systematic review and meta-analysis on controlled clinical trials. Nutrition. 2013;29(7-8):939-47. https://doi.org/10.1016/j.nut.2012.12.021 PMid:23473733 DOI: https://doi.org/10.1016/j.nut.2012.12.021

Soltani S, Chitsazi MJ, Salehi-Abargouei A. The effect of dietary approaches to stop hypertension (DASH) on serum inflammatory markers: A systematic review and meta-analysis of randomized trials. Clin Nutr. 2018;37(2):542-50. https://doi.org/10.1016/j.clnu.2017.02.018 PMid:28302405 DOI: https://doi.org/10.1016/j.clnu.2017.02.018

World Health Organization. Overweight, Global Health Observatory: Deaths from NCDs. Geneva: World Health Organization; 2014.

Drewnowski A, Moudon AV, Jiao J, Aggarwal A, Charreire H, Chaix B. Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes (Lond). 2014;38(2):306-14. https://doi.org/10.1038/ijo.2013.97 PMid:23736365 DOI: https://doi.org/10.1038/ijo.2013.97

Dinsa GD, Goryakin Y, Fumagalli E, Suhrke M. Obesity and socioeconomic status in developing countries: A systematic review. Obes Rev. 2012;13(11):1067-79. https://doi.org/10.1111/j.1467-789x.2012.01017.x PMid:22764734 DOI: https://doi.org/10.1111/j.1467-789X.2012.01017.x

Alkerwi A, Sauvageot N, Nau A, Lair ML, Donneau AF, Albert A, et al. Population compliance with national dietary recommendations and its determinants: Findings from the ORISCAV-LUX study. Br J Nutr. 2012;108(11):2083-92. http://doi.org/10.1017/S0007114512000232 PMid:22313864 DOI: https://doi.org/10.1017/S0007114512000232

Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr. 2008;87(5):1107-17. https://doi.org/10.1093/ajcn/87.5.1107 PMid:18469226 DOI: https://doi.org/10.1093/ajcn/87.5.1107

Downloads

Published

2022-03-10

How to Cite

1.
Hassan NE, Elshebini S, Hassan N, El hussieny MS, Selim M, Amin DH, Nageeb A, Ibrahim M, Khalil A. Association between Quality of Diets and the Risk of Obesity Complication among a Sample of Egyptian Obese Women. Open Access Maced J Med Sci [Internet]. 2022 Mar. 10 [cited 2024 Dec. 4];10(B):576-83. Available from: https://oamjms.eu/index.php/mjms/article/view/7177