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23.08.2021

Dietary patterns and health-related quality of life among Iranian adolescents

verfasst von: Seyedeh-Elaheh Shariati-Bafghi, Bahram Rashidkhani, Javad Salehi Fadardi, Mohammad Safarian, Javad Edalatian, Golnaz Ranjbar, Mohsen Nematy

Erschienen in: Quality of Life Research | Ausgabe 3/2022

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Abstract

Purpose

Examining the associations of a-posteriori-defined dietary patterns and health-related quality of life (HRQOL) among Iranian adolescents.

Methods

This cross-sectional study was conducted among 900 apparently healthy students (mean age 15.33 years; 53.0% female) during 2020–21. The validated Persian version of self-report Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales (PedsQL) for healthy adolescents was used in an online survey to assess HRQOL. Total, physical health, psychosocial health, emotional functioning, social functioning, and school functioning PedsQL scores were calculated, and impaired HRQOL was defined as > 1 standard deviation below the total population sample mean PedsQL scores. A validated food frequency questionnaire was used to assess dietary intakes during telephone interviews. Daily intakes of 20 predefined food groups were calculated and submitted to the principal component factor analysis to identify a-posteriori-defined dietary patterns.

Results

Three major dietary patterns labeled as Mediterranean, mixed, and unhealthy were identified, of which only the Mediterranean pattern characterized by high intakes of vegetables, fruits, olives, potatoes, eggs, nuts and legumes, pickles, low-fat dairy, fish, poultry, and vegetable oils was consistently associated with HRQOL. Controlling for covariates in the multivariable-adjusted binary logistic regression analysis, participants in the top tertile of Mediterranean pattern score were less likely to have impaired HRQOL than those in the bottom tertile (total: OR 0.25; physical health: OR 0.35; psychosocial health: OR 0.15; emotional functioning: OR 0.17; social functioning: OR 0.15; and school functioning: OR 0.18; all P < 0.010).

Conclusion

Current findings indicate that an a-posteriori-defined Mediterranean-style dietary pattern is associated with better HRQOL among healthy Iranian adolescents.

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U.S. Departement of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Healthy People 2020 Foundation Health Measure Report on Health-related Quality of Life and Well-being. Retrieved March 7, 2021, from https://www.healthypeople.gov/2020/about/foundation-health-measures/Health-Related-Quality-of-Life-and-Well-Being

Centers for Disease Control and Prevention. (2018). Health-related Quality of Life (HRQOL). Retrieved March 7, 2021, from https://www.cdc.gov/hrqol/concept.htm

Testa, M. A., & Simonson, D. C. (1996). Assessment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.

Meade, T., & Dowswell, E. (2016). Adolescents’ health-related quality of life (HRQoL) changes over time: A three year longitudinal study. Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-016-0415-9CrossRefPubMedPubMedCentral

Wu, X. Y., Zhuang, L. H., Li, W., Guo, H. W., Zhang, J. H., Zhao, Y. K., Hu, J. W., Gao, Q. Q., Luo, S., Ohinmaa, A., & Veugelers, P. J. (2019). The influence of diet quality and dietary behavior on health-related quality of life in the general population of children and adolescents: A systematic review and meta-analysis. Quality of Life Research, 28(8), 1989–2015.PubMed

Vajdi, M., & Farhangi, M. A. (2020). A systematic review of the association between dietary patterns and health-related quality of life. Health and Quality of Life Outcomes, 18(1), 337. https://doi.org/10.1186/s12955-020-01581-zCrossRefPubMedPubMedCentral

Hu, F. B. (2002). Dietary pattern analysis: A new direction in nutritional epidemiology. Current Opinion in Lipidology, 13(1), 3–9.PubMed

Tucker, K. L. (2010). Dietary patterns, approaches, and multicultural perspective. Applied Physiology, Nutrition and Metabolism, 35(2), 211–218.

Ocké, M. C. (2013). Evaluation of methodologies for assessing the overall diet: Dietary quality scores and dietary pattern analysis. The Proceedings of the Nutrition Society, 72(2), 191–199.PubMed

10.

Davison, J., Stewart-Knox, B., Connolly, P., Lloyd, K., Dunne, L., & Bunting, B. (2021). Exploring the association between mental wellbeing, health-related quality of life, family affluence and food choice in adolescents. Appetite, 158, 105020. https://doi.org/10.1016/j.appet.2020.105020CrossRefPubMed

11.

Movassagh, E. Z., Baxter-Jones, A. D. G., Kontulainen, S., Whiting, S. J., & Vatanparast, H. (2017). Tracking dietary patterns over 20 years from childhood through adolescence into young adulthood: The Saskatchewan pediatric bone mineral accrual study. Nutrients. https://doi.org/10.3390/nu9090990CrossRefPubMedPubMedCentral

12.

Lake, A. A., Mathers, J. C., Rugg-Gunn, A. J., & Adamson, A. J. (2006). Longitudinal change in food habits between adolescence (11–12 years) and adulthood (32–33 years): The ASH30 study. Journal of Public Health, 28(1), 10–16.PubMed

13.

Danaei, G., Farzadfar, F., Kelishadi, R., Rashidian, A., Rouhani, O. M., Ahmadnia, S., Ahmadvand, A., Arabi, M., Ardalan, A., Arhami, M., Azizi, M. H., Bahadori, M., Baumgartner, J., Beheshtian, A., Djalalinia, S., Doshmangir, L., Haghdoost, A. A., Haghshenas, R., Hosseinpoor, A. R., … Malekzadeh, R. (2019). Iran in transition. Lancet, 393(10184), 1984–2005.PubMed

14.

Zarei, N., & Ahmadi, A. (2015). Nutrition transition: An intergenerational comparison of dietary habits among women of Shiraz. Iranian Journal of Public Health, 44(2), 269–275.PubMedPubMedCentral

15.

Amiri, P., Ardekani, E. M., Jalali-Farahani, S., Hosseinpanah, F., Varni, J. W., Ghofranipour, F., Montazeri, A., & Azizi, F. (2010). Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory^TM 4.0 Generic Core Scales in adolescents. Qual Life Res, 19(10), 1501–1508.PubMed

16.

Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL^TM 4.0: Reliability and validity of the Pediatric Quality of Life Inventory^TM Version 4.0 Generic Core Scales in healthy and patient populations. Med Care, 39(8), 800–812.PubMed

17.

Varni, J. W. (1998–2021). The PedsQL^TM Measurement Model for the Pediatric Quality of Life Inventory ^TM. Retrieved March 7, 2021, from https://www.pedsql.org/about_pedsql.html

18.

Varni, J. W., Burwinkle, T. M., Seid, M., & Skarr, D. (2003). The PedsQL 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambul Pediatr, 3(6), 329–341.PubMed

19.

Esfahani, F. H., Asghari, G., Mirmiran, P., & Azizi, F. (2010). Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. Journal of Epidemiology, 20(2), 150–158.PubMed

20.

Mirmiran, P., Esfahani, F. H., Mehrabi, Y., Hedayati, M., & Azizi, F. (2010). Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutrition, 13(5), 654–662.PubMed

21.

Asghari, G., Rezazadeh, A., Hosseini-Esfahani, F., Mehrabi, Y., Mirmiran, P., & Azizi, F. (2012). Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran lipid and glucose study. British Journal of Nutrition, 108(6), 1109–1117.

22.

Ghaffarpour, M., Houshiar-Rad, A., & Kianfar, H. (1999). The manual for household measures, cooking yields factors, and edible portion of foods. Agriculture Sciences Press.

23.

Azar, M., & Sarkisian, E. (1980). Food composition table of Iran. Shaheed Beheshti University Press.

24.

Boyce, W., Torsheim, T., Currie, C., & Zambon, A. (2006). The family affluence scale as a measure of national wealth: Validation of an adolescent self-report measure. Social Indicators Research, 78(3), 473–487.

25.

de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660–667.PubMedPubMedCentral

26.

Kelishadi, R., Rabiee, K., Khosravi, A., Famouri, F., Sadeghi, M., Roohafza, H., & Shirani, S. (2001). Assessment of physical activity in adolescents of Isfahan. J Shahrekord Univ Med Sci, 3(2), 55–66.

27.

Aadahl, M., & Jorgensen, T. (2003). Validation of a new self-report instrument for measuring physical activity. Medicine and Science in Sports and Exercise, 35(7), 1196–1202.PubMed

28.

Jalilpiran, Y., Dianatinasab, M., Zeighami, S., Bahmanpour, S., Ghiasvand, R., Mohajeri, S. A. R., & Faghih, S. (2018). Western dietary pattern, but not Mediterranean dietary pattern, increases the risk of prostate cancer. Nutrition and Cancer, 70(6), 851–859.PubMed

29.

Karamati, M., Jessri, M., Shariati-Bafghi, S. E., & Rashidkhani, B. (2012). Dietary patterns in relation to bone mineral density among menopausal Iranian women. Calcified Tissue International, 91(1), 40–49.PubMed

30.

Kim, J. O., & Mueller, C. W. (1978). Factor analysis: Statistical methods and practical issues. SAGE Publications, Inc.

31.

MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4, 84–99.

32.

Garson, G. D. (2019). Multilevel modeling: Applications in STATA®, IBM® SPSS®, SAS®, R, & HLMTM. SAGE Publications.

33.

Costarelli, V., Koretsi, E., & Georgitsogianni, E. (2013). Health-related quality of life of Greek adolescents: The role of the Mediterranean diet. Quality of Life Research, 22(5), 951–956.PubMed

34.

Knox, E., & Muros, J. J. (2017). Association of lifestyle behaviours with self-esteem through health-related quality of life in Spanish adolescents. European Journal of Pediatrics, 176(5), 621–628.PubMedPubMedCentral

35.

Muros, J. J., Salvador Perez, F., Zurita Ortega, F., Gamez Sanchez, V. M., & Knox, E. (2017). The association between healthy lifestyle behaviors and health-related quality of life among adolescents. Journal de Pediatria, 93(4), 406–412.

36.

Zervaki, K., Yiannakouris, N., Sdrali, D., & Costarelli, V. (2017). Diet quality, disordered eating and health-related quality of life in Greek adolescents. Nutr Food Sci, 47(4), 511–521.

37.

Evaristo, O. S., Moreira, C., Lopes, L., Abreu, S., Agostinis-Sobrinho, C., Oliveira-Santos, J., Povoas, S., Oliveira, A., Santos, R., & Mota, J. (2018). Associations between physical fitness and adherence to the Mediterranean diet with health-related quality of life in adolescents: Results from the LabMed physical activity study. European Journal of Public Health, 28(4), 631–635.PubMed

38.

Zurita Ortega, F., Salvador Pérez, F., Knox, E., Gámiz Sánchez, V. M., Chacón-Cuberos, R., Rodríguez Fernández, S., & Muros, J. J. (2018). Physical activity and health-related quality of life in schoolchildren: Structural equations analysis. An de Psicol, 34(2), 385–390.

39.

Esteban-Gonzalo, L., Turner, A. I., Torres, S. J., Esteban-Cornejo, I., Castro-Pinero, J., Delgado-Alfonso, A., Marcos, A., Gomez-Martinez, S., & Veiga, O. L. (2019). Diet quality and well-being in children and adolescents: The UP&DOWN longitudinal study. British Journal of Nutrition, 121(2), 221–231.

40.

Ferrer-Cascales, R., Albaladejo-Blazquez, N., Ruiz-Robledillo, N., Clement-Carbonell, V., Sanchez-SanSegundo, M., & Zaragoza-Marti, A. (2019). Higher adherence to the Mediterranean diet is related to more subjective happiness in adolescents: The role of health-related quality of life. Nutrients. https://doi.org/10.3390/nu11030698CrossRefPubMedPubMedCentral

41.

Boraita, R. J., Ibort, E. G., Torres, J. M. D., & Alsina, D. A. (2020). Gender differences relating to lifestyle habits and health-related quality of life of adolescents. Child Indicators Research. https://doi.org/10.1007/s12187-020-09728-6CrossRef

42.

Jimenez Boraita, R., Arriscado Alsina, D., Gargallo Ibort, E., & Dalmau Torres, J. M. (2020). Factors associated with adherence to a Mediterranean diet in adolescents from La Rioja (Spain). British Journal of Nutrition. https://doi.org/10.1017/S0007114520003803CrossRef

43.

Solera-Sanchez, A., Adelantado-Renau, M., Moliner-Urdiales, D., & Beltran-Valls, M. R. (2020). Health-related quality of life in adolescents: Individual and combined impact of health-related behaviors (DADOS study). Quality of Life Research. https://doi.org/10.1007/s11136-020-02699-9CrossRefPubMed

44.

Mayo Clinic Staff. (2017). Mediterranean diet: A heart-healthy eating plan. Retrieved March 7, 2021, from https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801

45.

Davis, C., Bryan, J., Hodgson, J., & Murphy, K. (2015). Definition of the Mediterranean diet; a literature review. Nutrients, 7(11), 9139–9153.PubMedPubMedCentral

46.

Bolton, K. A., Jacka, F., Allender, S., Kremer, P., Gibbs, L., Waters, E., & de Silva, A. (2016). The association between self-reported diet quality and health-related quality of life in rural and urban Australian adolescents. Australian Journal of Rural Health, 24(5), 317–325.

47.

Novak, D., Stefan, L., Prosoli, R., Emeljanovas, A., Mieziene, B., Milanovic, I., & Radisavljevic-Janic, S. (2017). Mediterranean diet and its correlates among adolescents in non-mediterranean European countries: A population-based study. Nutrients. https://doi.org/10.3390/nu9020177CrossRefPubMedPubMedCentral

48.

Munoz, M. A., Fito, M., Marrugat, J., Covas, M. I., Schroder, H., & Regicor & investigators. (2009). Adherence to the Mediterranean diet is associated with better mental and physical health. Br J Nutr, 101(12), 1821–1827.PubMed

49.

Gomez-Pinilla, F. (2008). Brain foods: The effects of nutrients on brain function. Nature Reviews Neuroscience, 9(7), 568–578.PubMedPubMedCentral

50.

Casas, R., Sacanella, E., & Estruch, R. (2014). The immune protective effect of the Mediterranean diet against chronic low-grade inflammatory diseases. Endocrine, Metabolic & Immune Disorders: Drug Targets, 14(4), 245–254.

51.

Del Chierico, F., Vernocchi, P., Dallapiccola, B., & Putignani, L. (2014). Mediterranean diet and health: Food effects on gut microbiota and disease control. International Journal of Molecular Sciences, 15(7), 11678–11699.PubMedPubMedCentral

52.

Jennings, A., Mulligan, A. A., Khaw, K. T., Luben, R. N., & Welch, A. A. (2020). A Mediterranean diet is positively associated with bone and muscle health in a non-mediterranean region in 25,450 men and women from EPIC-Norfolk. Nutrients. https://doi.org/10.3390/nu12041154CrossRefPubMedPubMedCentral

53.

Kjelgaard, H. H., Holstein, B. E., Due, P., Brixval, C. S., & Rasmussen, M. (2017). Adolescent weight status: Associations with structural and functional dimensions of social relations. Journal of Adolescent Health, 60(4), 460–468.

54.

Martinez, M. E., Marshall, J. R., & Sechrest, L. (1998). Invited commentary: Factor analysis and the search for objectivity. American Journal of Epidemiology, 148(1), 17–19.PubMed

55.

Ferguson, C. J. (2009). An effect size primer: A guide for clinicians and researchers. Prof Psychol Res Pr, 40(5), 532–538.

56.

Davies, H. T., Crombie, I. K., & Tavakoli, M. (1998). When can odds ratios mislead? BMJ, 316(7136), 989–991.PubMedPubMedCentral

57.

Ansari-Moghaddam, A., Rakhshani, F., Shahraki-Sanavi, F., Mohammadi, M., Miri-Bonjar, M., & Bakhshani, N. M. (2016). Prevalence and patterns of tobacco, alcohol, and drug use among Iranian adolescents: A meta-analysis of 58 studies. Children and Youth Services Review, 60, 68–79.

58.

Davis, C. G., Thake, J., & Vilhena, N. (2010). Social desirability biases in self-reported alcohol consumption and harms. Addictive Behaviors, 35(4), 302–311.PubMed

59.

Messeri, P., Cantrell, J., Mowery, P., Bennett, M., Hair, E., & Vallone, D. (2019). Examining differences in cigarette smoking prevalence among young adults across national surveillance surveys. PLoS ONE, 14(12), e0225312. https://doi.org/10.1371/journal.pone.0225312CrossRefPubMedPubMedCentral

60.

Marques, A., Peralta, M., Santos, T., Martins, J., & Gaspar de Matos, M. (2019). Self-rated health and health-related quality of life are related with adolescents’ healthy lifestyle. Public Health, 170, 89–94.PubMed

61.

Dube, S. R., Thompson, W., Homa, D. M., & Zack, M. M. (2013). Smoking and health-related quality of life among US adolescents. Nicotine Tob Res, 15(2), 492–500.PubMed

62.

Coathup, V., Northstone, K., Gray, R., Wheeler, S., & Smith, L. (2017). Dietary patterns and alcohol consumption during pregnancy: Secondary analysis of avon longitudinal study of parents and children. Alcoholism, Clinical and Experimental Research, 41(6), 1120–1128.PubMed

63.

Gutierrez-Pliego, L. E., del Camarillo-Romero, S., Montenegro-Morales, L. P., & de Garduno-Garcia, J. (2016). Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health, 16(1), 850. https://doi.org/10.1186/s12889-016-3527-6CrossRefPubMedPubMedCentral

64.

Mehio-Sibai, A., Feinleib, M., Sibai, T. A., & Armenian, H. K. (2005). A positive or a negative confounding variable? A simple teaching aid for clinicians and students. Annals of Epidemiology, 15(6), 421–423.PubMed

65.

Khaw, K.-T., Day, N., Bingham, S., & Wareham, N. (2004). Observational versus randomised trial evidence. Lancet, 364(9436), 753–754.PubMed

66.

Morabia, A. (1995). Poppers, Kaposi’s sarcoma, and HIV infection: Empirical example of a strong confounding effect? Preventive Medicine, 24(1), 90–95.PubMed

67.

Allison, C., Colby, S., Opoku-Acheampong, A., Kidd, T., Kattelmann, K., Olfert, M. D., & Zhou, W. (2020). Accuracy of self-reported BMI using objective measurement in high school students. J Nutr Sci. https://doi.org/10.1017/jns.2020.28CrossRefPubMedPubMedCentral

68.

Bonell, C., Jamal, F., Harden, A., Wells, H., Parry, W., Fletcher, A., Petticrew, M., Thomas, J., Whitehead, M., Campbell, R., Murphy, S., & Moore, L. (2013). Systematic review of the effects of schools and school environment interventions on health: Evidence mapping and synthesis. NIHR Journals Library. https://doi.org/10.3310/phr01010CrossRef

Titel: Dietary patterns and health-related quality of life among Iranian adolescents
verfasst von: Seyedeh-Elaheh Shariati-Bafghi
Bahram Rashidkhani
Javad Salehi Fadardi
Mohammad Safarian
Javad Edalatian
Golnaz Ranjbar
Mohsen Nematy
Publikationsdatum: 23.08.2021
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 3/2022
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-021-02942-x

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Dietary patterns and health-related quality of life among Iranian adolescents

Abstract

Purpose

Methods

Results

Conclusion

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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