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Erschienen in: European Journal of Nutrition 3/2018

01.03.2017 | Original Contribution

The relationship between carbohydrate quality and the prevalence of metabolic syndrome: challenges of glycemic index and glycemic load

verfasst von: Mariane de Mello Fontanelli, Cristiane Hermes Sales, Antonio Augusto Ferreira Carioca, Dirce Maria Marchioni, Regina Mara Fisberg

Erschienen in: European Journal of Nutrition | Ausgabe 3/2018

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Abstract

Purpose

To estimate the prevalence of metabolic syndrome (MetS) and its components in adults and older adults residents of São Paulo, the association of MetS with the glycemic index (GI) and glycemic load (GL) and the foods that contribute to dietary GI and GL in this population.

Methods

Data from 591 adults and older adults participants in the Health Survey of São Paulo were used. This is a cross-sectional, population-based study with a complex multistage sample design of residents in the urban area of the municipality. Dietary consumption data, anthropometric measurements, blood pressure and blood samples were collected. The associations between GI, GL and MetS and its components were tested using logistic regression models, considering the sample design of the study.

Results

The prevalence of MetS in the adult and older adults residents of São Paulo was 30.3%. There was no association between GI, GL and MetS. GI and GL were positively associated with low high-density lipoprotein cholesterol (HDL-c), OR = 1.113 (95% CI 1.007–1.230) and OR = 1.019 (95% CI 1.002–1.037), respectively. GL was inversely associated with high blood pressure and this association differed by age group (OR = 0.981; 95% CI 0.964–0.998). Foods that most contributed to dietary GI and GL were sugar, white rice and French bread.

Conclusions

Considering the high prevalence of low HDL-c in the population of São Paulo, GI and GL may contribute to the nutritional therapy of this dyslipidemia. However, findings should be treated with caution, considering several conflicting results between studies.
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Metadaten
Titel
The relationship between carbohydrate quality and the prevalence of metabolic syndrome: challenges of glycemic index and glycemic load
verfasst von
Mariane de Mello Fontanelli
Cristiane Hermes Sales
Antonio Augusto Ferreira Carioca
Dirce Maria Marchioni
Regina Mara Fisberg
Publikationsdatum
01.03.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 3/2018
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1402-6

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