| Background: Metabolic syndrome (MetS) is one of the main public health problems worldwide. Although some
relations between dietary intakes and MetS have been found, few studies have focused on association between
dietary nutrients interactions and the risk of the MetS and its components. The aim of the present study was to
examine the association between nutrient patterns and MetS and its components among Iranian adult population.
Methods: A total of 588 subjects (aged 18–64 years, 271 males and 317 females) enrolled in the cross sectional
study. Dietary consumption was evaluated using an 80-item food frequency questionnaire (FFQ). Biochemical
assessments including fasting blood sugar (FBS), aspartate aminotransferase (AST), alanine amino transferase (ALT)
and serum lipids were performed by enzymatic methods. Nutrient patterns were obtained by factor analysis
procedure using principal component method. Multinational logistic regression analysis was used to evaluate the
association between nutrient patterns and MetS and its components.
Results: Three nutrient patterns explaining 53.66% of the variance in dietary nutrients intake, were recognized in
the current study. Animal-sourced nutrient pattern was significantly associated with the higher odds of MetS and
high triglyceride (TG) levels. Plant-sourced nutrient pattern (high intake of fiber, carbohydrate, vitamins B6, B3, C, B1,
E, D, magnesium, potassium, and linoleic acid) was significantly associated with lower risk of MetS and lower blood
pressure (p < 0.05). Third nutrient pattern (mixed-source) was significantly related to higher risk of MetS, high waist
circumference (WC) and high systolic blood pressure (SBP).
Conclusion: This present study confirms the important effect of nutrients and their patterns on MetS risk. Our
results suggest that adherence to the nutrient pattern rich in fiber, carbohydrate, vitamins D, B6, B3, C, B1, E,
magnesium, potassium, linoleic acid, and docosahexaenoic acid (DHA) is associated with a lower risk of MetS, while
animal- and mixed-sourced nutrient patterns are positively associated with greater odds of MetS; However, further
longitudinal and interventional studies are required to make a clear conclusion. |