The association of plant-based dietary patterns with visceral adiposity, lipid accumulation product, and triglyceride-glucose index in Iranian adults. (September 2020)

• Record Type: Journal Article
• Authors: Shahavandi, Mahshid; Djafari, Farhang; Shahinfar, Hossein; Davarzani, Samira; Babaei, Nadia; Ebaditabar, Mojdeh; Djafarian, Kurosh; Clark, Cain C.T.; Shab-Bidar, Sakineh
• Is Part Of: Complementary therapies in medicine. Volume 53(2020)
• Publication Date: 2020-09
• Subjects: Plant-based diet index -- Healthful plant-based diet -- Visceral fat -- Dietary pattern -- Adiposity -- Body fat percentage; Alternative medicine -- Periodicals; Complementary Therapies -- Periodicals; Médecines parallèles -- Périodiques; Thérapeutique -- Périodiques; Alternative medicine; Electronic journals; Periodicals; 615.5
• DOI: 10.1016/j.ctim.2020.102531
• Languages: English
• ISSNs: 0965-2299

Abstract

Highlights: Our findings revealed a higher healthy plant-based diet score was significantly associated with better anthropometric measurements. A significant increase was found for high-density lipoprotein (HDL) and a significant decrease was found for lipid accumulation product (LAP) on healthy plant-based diet (hPDI). A higher plant-based diet index (PDI) score was significantly associated with higher diastolic blood pressure (DBP) and higher fat free mass (FFM). There were no significant associations between PDIs and triglyceride (TG)-glucose (TyG) index and Visceral Abdominal Fat (VFA). Abstract: Background: We sought to investigate whether adherence to a more plant-based, and less animal-based, diet is associated with visceral adiposity, lipid accumulation product (LAP), and triglyceride-glucose index (TyG) in Iranian adults. Methods: This cross-sectional study was conducted on 270 adults aged between 18–75 years old. We created three plant-based diets. including an overall plant-based diet index (PDI), hPDI, and uPDI based on tertiles regarding the intake of animal- or plant-based food items obtained from a semi quantitative food-frequency questionnaire. Results: Higher hPDI was significantly associated with lower body mass index (BMI) ( P -value = 0.01), lower waist circumference ( P -value<0.001), and lower waist-hip ratio ( P -value<0.001). A significant increase was found for high density lipoproteins (HDL) ( P -trend < 0.001) with a significant decrease for LAP ( P -value = 0.03) in those with higher adherence to hPDI. Moreover, greater adherence to PDI was associated with a significant increase in diastolic blood pressure (DBP) (p-value = 0.01) and fat free mass (FFM) (p-value = 0.01). There were no significant associations between PDIs and TyG and VFA. Conclusion: We found that a higher hPDI score was significantly associated with better anthropometric measurements. A significant increase was found for HDL and a significant decrease was found for LAP on hPDI. However, a higher PDI score was significantly associated with higher DBP and higher FFM.