{"title":"膳食植物化学物指数与心脏代谢风险因素的关系。","authors":"Sanaz Mehranfar, Yahya Jalilpiran, Hanieh-Sadat Ejtahed, Ehsan Seif, Ehsan Shahrestanaki, Armita Mahdavi-Gorabi, Mohammad Esmaeili-Abdar, Bagher Larijani, Mostafa Qorbani","doi":"10.1024/0300-9831/a000763","DOIUrl":null,"url":null,"abstract":"<p><p><b></b> <i>Objective(s):</i> Cardio-metabolic risk factors are becoming a global health concern. To address this problem, one of the proposed ways is to focus on phytochemical-rich foods consumption. Therefore, we aimed to summarize the results of observational studies (cohorts, case-control, and cross-sectional) that investigated the association between dietary phytochemical index (PI) as a new index for evaluating phytochemical-rich food intake and various risk factors of cardio-metabolic disorders. <i>Methods:</i> We conducted a comprehensive systematic review through PubMed, Scopus, and Web of Science databases. The literature search was performed up to August 2021 with no publication year restriction on observational studies investigating the association between PI and cardiometabolic risk factors on adults and children. A random-effect meta-analysis was used. <i>Results:</i> Overall, 16 articles (cross-sectional, case-control, cohort) were eligible for this systematic review and 8 studies with 99771 participants were included in the meta-analysis. Random effect meta-analysis showed that adherence to higher dietary PI decrease the odds of abdominal obesity (OR: 0.73, 95% CI: 0.58, 0.88, I<sup>2</sup>: 84.90), generalized obesity (OR: 0.84, 95% CI: 0.69, 0.98, I<sup>2</sup>: 68.10), hypertriglyceridemia (OR: 0.81, 95% CI: 0.73, 0.89, I<sup>2</sup>: 0.00), hypertension (OR: 0.86, 95% CI: 0.73, 0.99, I<sup>2</sup>: 7.02), and MetS (OR: 0.79, 95% CI: 0.69, 0.88, I<sup>2</sup>: 84.90). However, results considering the associations between dietary PI with glycemic indices, and low high-density lipoprotein cholesterol (HDL-C) were not significant (p<0.05). <i>Conclusion:</i> Evidence showed adverse associations between dietary PI and some cardio-metabolic risk factors such as obesity, hypertriglyceridemia, hypertension and metabolic syndrome.</p>","PeriodicalId":13884,"journal":{"name":"International Journal for Vitamin and Nutrition Research","volume":" ","pages":"559-576"},"PeriodicalIF":2.0000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Association of dietary phytochemical index with cardiometabolic risk factors.\",\"authors\":\"Sanaz Mehranfar, Yahya Jalilpiran, Hanieh-Sadat Ejtahed, Ehsan Seif, Ehsan Shahrestanaki, Armita Mahdavi-Gorabi, Mohammad Esmaeili-Abdar, Bagher Larijani, Mostafa Qorbani\",\"doi\":\"10.1024/0300-9831/a000763\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b></b> <i>Objective(s):</i> Cardio-metabolic risk factors are becoming a global health concern. To address this problem, one of the proposed ways is to focus on phytochemical-rich foods consumption. Therefore, we aimed to summarize the results of observational studies (cohorts, case-control, and cross-sectional) that investigated the association between dietary phytochemical index (PI) as a new index for evaluating phytochemical-rich food intake and various risk factors of cardio-metabolic disorders. <i>Methods:</i> We conducted a comprehensive systematic review through PubMed, Scopus, and Web of Science databases. The literature search was performed up to August 2021 with no publication year restriction on observational studies investigating the association between PI and cardiometabolic risk factors on adults and children. A random-effect meta-analysis was used. <i>Results:</i> Overall, 16 articles (cross-sectional, case-control, cohort) were eligible for this systematic review and 8 studies with 99771 participants were included in the meta-analysis. Random effect meta-analysis showed that adherence to higher dietary PI decrease the odds of abdominal obesity (OR: 0.73, 95% CI: 0.58, 0.88, I<sup>2</sup>: 84.90), generalized obesity (OR: 0.84, 95% CI: 0.69, 0.98, I<sup>2</sup>: 68.10), hypertriglyceridemia (OR: 0.81, 95% CI: 0.73, 0.89, I<sup>2</sup>: 0.00), hypertension (OR: 0.86, 95% CI: 0.73, 0.99, I<sup>2</sup>: 7.02), and MetS (OR: 0.79, 95% CI: 0.69, 0.88, I<sup>2</sup>: 84.90). However, results considering the associations between dietary PI with glycemic indices, and low high-density lipoprotein cholesterol (HDL-C) were not significant (p<0.05). <i>Conclusion:</i> Evidence showed adverse associations between dietary PI and some cardio-metabolic risk factors such as obesity, hypertriglyceridemia, hypertension and metabolic syndrome.</p>\",\"PeriodicalId\":13884,\"journal\":{\"name\":\"International Journal for Vitamin and Nutrition Research\",\"volume\":\" \",\"pages\":\"559-576\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2023-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal for Vitamin and Nutrition Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1024/0300-9831/a000763\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/8/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal for Vitamin and Nutrition Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1024/0300-9831/a000763","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/8/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 2
摘要
目的心血管代谢风险因素正成为全球关注的健康问题。为解决这一问题,建议的方法之一是关注富含植物化学物质的食品消费。因此,我们旨在总结观察性研究(队列研究、病例对照研究和横断面研究)的结果,这些研究调查了膳食植物化学物指数(PI)作为评估富含植物化学物食物摄入量的新指标与各种心血管代谢疾病风险因素之间的关系。研究方法我们通过 PubMed、Scopus 和 Web of Science 数据库进行了全面的系统综述。文献检索截止到 2021 年 8 月,对调查成人和儿童 PI 与心脏代谢风险因素之间关系的观察性研究没有出版年份限制。采用随机效应荟萃分析。结果共有 16 篇文章(横断面、病例对照、队列)符合本系统综述的要求,其中 8 项研究纳入了荟萃分析,共有 99771 人参与。随机效应荟萃分析表明,坚持较高的膳食 PI 可降低腹部肥胖(OR:0.73,95% CI:0.58,0.88,I2:84.90)、全身肥胖(OR:0.84,95% CI:0.69,0.98,I2:68.10)、高甘油三酯血症(OR:0.81,95% CI:0.73,0.89,I2:0.00)、高血压(OR:0.86,95% CI:0.73,0.99,I2:7.02)和 MetS(OR:0.79,95% CI:0.69,0.88,I2:84.90)。然而,考虑到膳食 PI 与血糖指数和低高密度脂蛋白胆固醇(HDL-C)之间的关系,结果并不显著(p 结论:有证据表明,膳食 PI 与肥胖、高甘油三酯血症、高血压和代谢综合征等一些心血管代谢风险因素之间存在不利关联。
Association of dietary phytochemical index with cardiometabolic risk factors.
Objective(s): Cardio-metabolic risk factors are becoming a global health concern. To address this problem, one of the proposed ways is to focus on phytochemical-rich foods consumption. Therefore, we aimed to summarize the results of observational studies (cohorts, case-control, and cross-sectional) that investigated the association between dietary phytochemical index (PI) as a new index for evaluating phytochemical-rich food intake and various risk factors of cardio-metabolic disorders. Methods: We conducted a comprehensive systematic review through PubMed, Scopus, and Web of Science databases. The literature search was performed up to August 2021 with no publication year restriction on observational studies investigating the association between PI and cardiometabolic risk factors on adults and children. A random-effect meta-analysis was used. Results: Overall, 16 articles (cross-sectional, case-control, cohort) were eligible for this systematic review and 8 studies with 99771 participants were included in the meta-analysis. Random effect meta-analysis showed that adherence to higher dietary PI decrease the odds of abdominal obesity (OR: 0.73, 95% CI: 0.58, 0.88, I2: 84.90), generalized obesity (OR: 0.84, 95% CI: 0.69, 0.98, I2: 68.10), hypertriglyceridemia (OR: 0.81, 95% CI: 0.73, 0.89, I2: 0.00), hypertension (OR: 0.86, 95% CI: 0.73, 0.99, I2: 7.02), and MetS (OR: 0.79, 95% CI: 0.69, 0.88, I2: 84.90). However, results considering the associations between dietary PI with glycemic indices, and low high-density lipoprotein cholesterol (HDL-C) were not significant (p<0.05). Conclusion: Evidence showed adverse associations between dietary PI and some cardio-metabolic risk factors such as obesity, hypertriglyceridemia, hypertension and metabolic syndrome.
期刊介绍:
Since 1930 this journal has provided an important international forum for scientific advances in the study of nutrition and vitamins. Widely read by academicians as well as scientists working in major governmental and corporate laboratories throughout the world, this publication presents work dealing with basic as well as applied topics in the field of micronutrients, macronutrients, and non-nutrients such as secondary plant compounds.
The editorial and advisory boards include many of the leading persons currently working in this area.
The journal is of particular interest to:
- Nutritionists
- Vitaminologists
- Biochemists
- Physicians
- Engineers of human and animal nutrition
- Food scientists