Introduction
Materials and methods
Study population
Anthropometric measurements and body composition
Dietary assessment and HBI definition
Quality of life assessment
Biochemical assessment
Assessment of IPAQ
Statistical analysis
Results
Study population
General characteristics among tertiles of HBI
Variables | Tertiles of HBI | ||||
---|---|---|---|---|---|
T1 (< 63) N = 75 | T2 (63–67) N = 80 | T3 (> 67) N = 55 | p-value | p-value* | |
Demographic characteristic | |||||
Age (y) | 35.72 (8.35) | 36.73 (8.89) | 36.01 (7.97) | 0.749 | 0.658 |
IPAQ (MET min-week) | 1012.44 (1936.43) | 1122.00 (1198.99) | 2029.30 (3693.09)b | 0.051 | 0.045 |
Anthropometric and body composition measurements | |||||
Weight (kg) | 80.42 (11.16) | 79.44 (13.61) | 81.87 (10.60) | 0.519 | 0.051 |
Height (cm) | 161.90 (5.60) | 160.69 (5.80)c | 162.08 (6.09) | 0.302 | 0.023 |
WC (cm) | 93.60 (16.15) | 94.39 (10.94) | 99.16 (20.77) | 0.161 | 0.101 |
NC (cm) | 36.77 (2.16) | 36.55 (2.08) | 38.63 (3.20) | 0.022 | 0.086 |
BMC (g) | 2.73 (0.34)a | 2.64 (0.37)c | 2.69 (0.32) | 0.244 | 0.009 |
SMM (%) | 25.02 (3.32) | 25.38 (3.67)c | 25.84 (3.06) | 0.493 | 0.020 |
SLM (%) | 44.65 (5.26) | 43.63 (5.85) | 43.79 (5.20) | 0.474 | 0.051 |
BMI (kg/m2) | 30.66 (3.93) | 30.82 (4.66) | 30.94 (3.79) | 0.932 | 0.740 |
WHR | 0.92 (0.05) | 0.93 (0.05)c | 0.94 (0.04) | 0.294 | 0.032 |
FFMI | 18.04 (1.51)a | 17.88 (1.62) | 20.32 (17.73) | 0.264 | 0.367 |
Blood pressure | |||||
SBP (mmHg) | 113.72 (11.47) | 112.05 (14.14) | 111.32 (14.24) | 0.572 | 0.165 |
DBP (mmHg) | 80.29 (8.44) | 78.08 (11.60) | 76.64 (9.30) | 0.120 | 0.126 |
Biochemical variables | |||||
TC (mg/dl) | 178.51 (30.91) | 183.55 (39.74) | 198.56 (39.01) | 0.009 | 0.118 |
TG (mg/dl) | 132.34 (68.65)a | 113.76 (54.40) | 115.26 (58.77) | 0.133 | 0.020 |
HDL_C (mg/dl) | 44.05 (8.52)a | 48.74 (11.28) | 44.01 (13.05) | 0.012 | 0.005 |
LDL_C (mg/dl) | 98.81 (21.00) | 97.26 (26.80) | 82.05 (22.76)b | 0.001 | 0.008 |
Hs-CRP (mg/l) | 4.88 (5.04) | 4.33 (4.67) | 3.86 (4.05) | 0.491 | 0.937 |
Economic category | 0.156 | 0.199 | |||
Poor | 28 (50.0) | 16 (28.6) | 12 (21.4) | ||
Moderate | 28 (34.1) | 36 (43.9) | 18 (22.0) | ||
Good | 17 (31.5) | 20 (37.0) | 17 (31.5) | ||
Education category | 0.219 | 0.001 | |||
Illiterate | 0 (0.0) | 2 (66.7) | 1 (33.3) | ||
Under diploma | 5 (17.9) | 15 (53.6) | 8 (28.6) | ||
Diploma | 27 (35.5) | 30 (39.5) | 19 (25.0) | ||
Bachelor and higher | 42 (41.6) | 32 (31.7) | 27 (26.7) | ||
Marital status | 0.765 | 0.582 | |||
Single | 19 (34.5) | 23 (41.8) | 13 (23.6) | ||
Married | 55 (35.9) | 56 (36.6) | 42 (27.5) | ||
Supplement intake | 0.553 | 0.444 | |||
Yes | 43 (51.2) | 33 (39.3) | 8 (9.5) | ||
No | 27 (42.2) | 30 (46.9) | 7 (10.9) | ||
Job category | 0.523 | 0.183 | |||
Employed | 1 (50.0) | 0 (0.0) | 1 (50.0) | ||
Unemployed | 74 (36.6) | 76 (37.6) | 52 (25.7) |
Dietary intakes among tertiles of the HBI in obese and overweight women
Variables | Tertiles of HBI | ||||
---|---|---|---|---|---|
T1 (< 63) N = 75 | T2 (63–67) N = 80 | T3 (> 67) N = 55 | p-value | p-value* | |
Mean (SD) | |||||
Dietary intakes | |||||
Energy (kcal/d) | 2525.68 (670.80) | 2678.56 (806.26) | 2587.73 (814.74) | 0.470 | – |
Protein (g/d) | 86.08 (25.73) | 92.96 (30.47) | 88.07 (28.78) | 0.320 | 0.684 |
Carbohydrate (g/d) | 355.75 (116.08) | 374.51 (126.96) | 383.59 (129.04) | 0.424 | 0.017 |
Total fat (g/d) | 92.16 (31.28) | 98.48 (33.73) | 87.24 (32.16) | 0.153 | 0.052 |
Cholesterol (mg/d) | 238.35 (97.77) | 270.12 (114.09) | 260.90 (95.39) | 0.162 | 0.387 |
SFA (mg/d) | 26.65 (9.82) | 30.29 (12.55) | 26.09 (10.80) | 0.059 | 0.063 |
MUFA (g/d) | 31.83 (12.15) | 31.71 (11.14) | 28.17 (10.52) | 0.147 | 0.019 |
PUFA (g/d) | 20.50 (9.65) | 20.17 (8.39) | 17.84 (8.11) | 0.210 | 0.095 |
Linolenic acid (g/d) | 1.04 (0.59) | 1.48 (0.67) | 1.10 (0.52) | 0.001 | 0.001 |
Linoleic acid (g/d) | 18.05 (9.33) | 17.04 (7.85) | 15.24 (7.57) | 0.181 | 0.069 |
EPA (mg/d) | 0.03 (0.04) | 0.03 (0.03) | 0.03 (0.03) | 0.720 | 0.596 |
DHA (mg/d) | 0.12 (0.12) | 0.10 (0.11) | 0.11 (0.12) | 0.719 | 0.585 |
TFA (mg/d) | 0.0009 (0.002) | 0.001 (0.002) | 0.001 (0.004) | 0.608 | 0.611 |
Sodium (mg/d) | 4195.75 (1335.16) | 4390.39 (1437.69) | 3972.09 (1375.03) | 0.249 | 0.194 |
Potassium (mg/d) | 4110.79 (1566.16) | 4412.91 (1472.64) | 4719.56 (1665.52) | 0.096 | 0.016 |
Vitamin A (RAE) | 717.14 (349.91) | 846.60 (425.03) | 858.54 (507.79) | 0.095 | 0.177 |
Β-carotene (mg/d) | 4681.27 (2671.73) | 5796.22 (3689.95) | 5950.14 (4746.29) | 0.089 | 0.160 |
Vitamin D (μg/d) | 2.04 (1.62) | 1.83 (1.34) | 2.15 (1.63) | 0.496 | 0.310 |
Vitamin E (mg/d) | 19.35 (11.07) | 15.20 (6.34) | 15.54 (8.75) | 0.010 | 0.001 |
Thiamin (μg/d) | 2.04 (0.63) | 2.08 (0.65) | 2.03 (0.72) | 0.882 | 0.406 |
Riboflavin (mg/d) | 2.15 (0.87) | 2.24 (0.73) | 2.30 (0.95) | 0.578 | 0.454 |
Niacin (mg/d) | 24.01 (7.33) | 26.18 (9.75) | 25.39 (10.40) | 0.343 | 0.723 |
Vitamin B6 (μg/d) | 2.03 (0.64) | 2.22 (0.75) | 2.30 (0.76) | 0.094 | 0.027 |
folate (μg/d) | 588.44 (177.85) | 609.71 (172.37) | 621.76 (185.88) | 0.559 | 0.293 |
Vitamin B12 (μg/d) | 4.16 (1.91) | 4.70 (2.45) | 4.70 (3.40) | 0.365 | 0.542 |
Biotin | 36.85 (15.13) | 38.08 (13.16) | 44.82 (25.58) | 0.036 | 0.008 |
Pantothenic acid | 6.36 (2.18) | 6.34 (1.89) | 6.97 (3.67) | 0.328 | 0.055 |
Vitamin K (μg/d) | 185.35 (108.12) | 243.77 (209.60) | 258.04 (325.10) | 0.125 | 0.178 |
Phosphorus (mg/d) | 1609.31 (497.78) | 1691.62 (534.58) | 1638.43 (559.50) | 0.630 | 0.989 |
Vitamin C μmol/L) | 179.01 (159.25) | 186.77 (101.70) | 228.14 (127.78) | 0.101 | 0.041 |
Calcium (mg/d) | 1138.60 (416.04) | 1197.82 (413.37) | 1167.81 (424.00) | 0.697 | 0.998 |
Iron (mg/d) | 18.05 (5.90) | 19.14 (5.93) | 18.71 (6.88) | 0.559 | 0.910 |
Magnesium (mg/d) | 448.85 (145.78) | 473.38 (147.65) | 478.12 (164.87) | 0.482 | 0.399 |
Zinc (mg/d) | 12.80 (4.29) | 13.40 (4.21) | 13.09 (4.68) | 0.701 | 0.948 |
Copper (mg/d) | 1.89 (0.61) | 2.03 (0.62) | 2.12 (1.04) | 0.217 | 0.082 |
Manganese (mg/d) | 7.09 (2.43) | 7.33 (2.79) | 7.17 (3.73) | 0.888 | 0.946 |
Selenium (mg/d) | 121.04 (38.16) | 120.16 (43.18) | 116.07 (49.30) | 0.802 | 0.216 |
Chromium (mg/d) | 0.12 (0.08) | 0.11 (0.09) | 0.09 (0.09) | 0.249 | 0.140 |
Total fiber (g/d) | 42.75 (19.13) | 45.83 (17.01) | 44.65 (18.36) | 0.531 | 0.767 |
Caffeine (mg/d) | 140.73 (101.87) | 174.46 (128.42) | 176.28 (276.96) | 0.396 | 0.458 |
Food groups | |||||
Whole grains (g/d) | 6.42 (7.77) | 7.19 (11.07) | 13.67 (15.01) | 0.001 | 0.001 |
Fruits (g/d) | 477.82 (372.87) | 500.44 (300.18) | 647.12 (401.28) | 0.022 | 0.006 |
Vegetables (g/d) | 418.82 (260.28) | 461.96 (249.80) | 507.20 (326.37) | 0.205 | 0.250 |
Nuts (g/d) | 13.02 (16.76) | 18.08 (17.17) | 15.91 (19.26) | 0.215 | 0.461 |
Legumes (g/d) | 53.80 (44.74) | 55.47 (41.51) | 54.89 (42.47) | 0.972 | 0.697 |
Tea and coffee (ml/d) | 681.17 (503.71) | 855.23 (624.84) | 903.13 (1399.35) | 0.293 | 0.422 |
Refined grains (g/d) | 441.31 (237.54) | 409.66 (194.69) | 425.89 (277.49) | 0.712 | 0.219 |
Dairy (ml/d) | 391.09 (244.07) | 376.88 (212.09) | 428.26 (324.62) | 0.537 | 0.372 |
Eggs (g/d) | 20.35 (12.89) | 21.53 (13.26) | 24.80 (14.96) | 0.186 | 0.155 |
Fish and seafood (g/d) | 12.78 (12.93) | 11.30 (10.56) | 13.15 (13.92) | 0.657 | 0.435 |
White meat (g/d) | 43.32 (34.69) | 53.90 (53.55) | 46.23 (33.31) | 0.297 | 0.351 |
Red meat (g/d) | 18.60 (14.69) | 26.72 (22.71) | 22.81 (20.43) | 0.041 | 0.095 |
Total QOL score and its components among HBI tertiles
Variables | Tertiles of HBI | ||||
---|---|---|---|---|---|
T1 (< 63) N = 75 | T2 (63–67) N = 80 | T3 (> 67) N = 55 | p-value | ||
General Health | Crude | 71.08 (16.12) | 65.24 (18.40) | 64.88 (17.71) | 0.073 |
Model 1 | 69.06 (2.26) | 65.74 (2.10) | 66.35 (2.55) | 0.557 | |
Model 2 | 69.09 (2.27) | 65.93 (2.13) | 66.40 (2.57) | 0.588 | |
Physical Functioning | Crude | 85.95 (14.59) | 83.41 (18.40) | 74.88 (19.40) | 0.002 |
Model 1 | 84.30 (2.19) | 84.61 (2.04) | 76.85 (2.48) | 0.041 | |
Model 2 | 84.45 (2.19) | 84.61 (2.06) | 76.70 (2.48) | 0.036 | |
Role Physical | Crude | 80.43 (39.49) | 77.63 (41.94) | 87.03 (33.90) | 0.395 |
Model 1 | 80.35 (5.21) | 76.42 (4.85) | 84.99 (5.90) | 0.523 | |
Model 2 | 80.10 (5.23) | 76.01 (4.90) | 85.33 (5.92) | 0.473 | |
Role Emotional | Crude | 78.26 (41.54) | 68.14 (46.63) | 66.66 (47.58) | 0.278 |
Model 1 | 80.12 (6.18) | 65.49 (5.75) | 67.41 (6.99) | 0.213 | |
Model 2 | 80.07 (6.21) | 64.98 (5.82) | 67.40 (7.03) | 0.202 | |
Social Functioning | Crude | 74.81 (20.12) | 70.36 (28.48) | 68.61 (22.18) | 0.328 |
Model 1 | 74.19 (3.00) | 69.17 (2.79) | 68.33 (3.40) | 0.390 | |
Model 2 | 73.96 (2.99) | 68.80 (2.80) | 68.67 (3.39) | 0.407 | |
Bodily Pain | Crude | 62.27 (20.42) | 62.93 (22.11) | 63.14 (22.30) | 0.971 |
Model 1 | 62.26 (2.91) | 63.28 (2.71) | 64.96 (3.29) | 0.848 | |
Model 2 | 62.24 (2.92) | 62.83 (2.73) | 64.91 (3.30) | 0.840 | |
Vitality | Crude | 71.07 (19.03) | 69.94 (21.22) | 68.00 (19.04) | 0.695 |
Model 1 | 71.23 (2.61) | 70.46 (2.43) | 68.84 (2.95) | 0.848 | |
Model 2 | 70.85 (2.58) | 70.09 (2.41) | 69.19 (2.92) | 0.925 | |
Mental Health | Crude | 77.10 (23.97) | 73.40 (24.63) | 68.91 (26.18) | 0.195 |
Model 1 | 75.39 (3.31) | 73.75 (3.08) | 70.83 (3.75) | 0.695 | |
Model 2 | 75.17 (3.31) | 73.33 (3.10) | 71.10 (3.75) | 0.753 | |
Health Transition Item | Crude | 42.02 (29.85) | 45.33 (27.16) | 46.29 (23.49) | 0.647 |
Model 1 | 39.44 (3.63) | 47.35 (3.38) | 49.57 (4.11) | 0.172 | |
Model 2 | 39.43 (3.64) | 46.92 (3.41) | 49.56 (4.13) | 0.178 | |
Total quality of Life | Crude | 58.28 (29.61) | 72.01 (22.80) | 60.53 (30.56) | 0.031 |
Model 1 | 57.49 (4.16) | 70.48 (4.23) | 61.69 (5.23) | 0.090 | |
Model 2 | 57.44 (4.18) | 70.55 (4.25) | 61.68 (5.25) | 0.079 |
Association between HBI tertiles with total QoL score
Variables | Tertiles | B | SE | (95% CI) | p-value | P-trend |
---|---|---|---|---|---|---|
General Health | ||||||
Crude | T2 | -5.83 | 2.88 | (−11.48, −0.18) | 0.043 | 0.040 |
T3 | -6.20 | 3.14 | (−12.37, −0.03) | 0.049 | ||
Model 1 | T2 | −3.12 | 3.00 | (−9.01, 2.77) | 0.299 | 0.382 |
T3 | −2.97 | 3.57 | (−9.98, 4.03) | 0.406 | ||
Model 2 | T2 | −2.97 | 3.01 | (−8.89, 2.94) | 0.324 | 0.386 |
T3 | −2.96 | 3.59 | (−10.00, 4.06) | 0.408 | ||
Physical Functioning | ||||||
Crude | T2 | −2.53 | 2.88 | (−8.18, 3.11) | 0.379 | 0.001 |
T3 | −11.07 | 3.15 | (−17.25, −4.90) | 0.001 | ||
Model 1 | T2 | 0.71 | 2.90 | (−4.98, 6.40) | 0.806 | 0.042 |
T3 | 7.51 | 3.45 | (1.28, 8.73) | 0.030 | ||
Model 2 | T2 | 0.62 | 2.91 | (−5.08, 6.32) | 0.831 | 0.036 |
T3 | 7.74 | 3.46 | (0.53, 14.96) | 0.025 | ||
Role Physical | ||||||
Crude | T2 | −2.80 | 6.44 | (−15.43, 9.83) | 0.664 | 0.392 |
T3 | 6.60 | 7.04 | (−0.001, 20.40) | 0.089 | ||
Model 1 | T2 | −3.55 | 6.89 | (−17.07, 9.97) | 0.607 | 0.636 |
T3 | 4.42 | 8.20 | (0.00, 20.50) | 0.060 | ||
Model 2 | T2 | −3.78 | 6.90 | (−17.32, 9.76) | 0.584 | 0.600 |
T3 | 4.90 | 8.21 | (0.00, 21.01) | 0.060 | ||
Role Emotional | ||||||
Crude | T2 | −10.11 | 7.45 | (−24.73, 4.50) | 0.175 | 0.140 |
T3 | −11.59 | 8.15 | (− 27.56, 4.38) | 0.155 | ||
Model 1 | T2 | −13.04 | 8.25 | (−29.22, 3.12) | 0.114 | 0.180 |
T3 | −12.52 | 9.81 | (−31.76, 6.72) | 0.202 | ||
Model 2 | T2 | −13.42 | 8.28 | (−29.65, 2.81) | 0.105 | 0.186 |
T3 | −12.33 | 9.84 | (−31.64, 6.96) | 0.210 | ||
Social Functioning | ||||||
Crude | T2 | −4.45 | 3.98 | (−12.27, 3.35) | 0.264 | 0.145 |
T3 | −6.20 | 4.35 | (−14.74, 2.33) | 0.154 | ||
Model 1 | T2 | −4.06 | 4.02 | (−11.94, 3.81) | 0.312 | 0.216 |
T3 | −5.80 | 4.78 | (−15.18, 3.57) | 0.225 | ||
Model 2 | T2 | −4.27 | 4.00 | (−12.12, 3.57) | 0.285 | 0.249 |
T3 | − 5.32 | 4.76 | (− 14.65, 4.01) | 0.264 | ||
Bodily Pain | ||||||
Crude | T2 | 0.66 | 3.56 | (−6.31, 7.65) | 0.851 | 0.817 |
T3 | 0.87 | 3.89 | (−6.75, 8.51) | 0.822 | ||
Model 1 | T2 | 1.79 | 3.87 | (−5.79, 9.37) | 0.644 | 0.537 |
T3 | 2.79 | 4.60 | (−6.22, 11.82) | 0.543 | ||
Model 2 | T2 | 1.42 | 3.87 | (−6.15, 9.01) | 0.712 | 0.537 |
T3 | 2.83 | 4.60 | (−6.18, 11.85) | 0.538 | ||
Vitality | ||||||
Crude | T2 | 1.12 | 3.28 | (0.56, 7.31) | 0.732 | 0.097 |
T3 | 3.07 | 3.58 | (1.10, 3.96) | 0.032 | ||
Model 1 | T2 | 1.21 | 3.48 | (−0.14, 6.60) | 0.150 | 0.037 |
T3 | 2.66 | 4.14 | (0.78, 5.46) | 0.021 | ||
Model 2 | T2 | 0.30 | 3.43 | (−7.04, 6.43) | 0.129 | 0.630 |
T3 | 2.03 | 4.08 | (0.05, 5.98) | 0.031 | ||
Mental Health | ||||||
Crude | T2 | −3.70 | 4.09 | (−11.73, 4.33) | 0.367 | 0.068 |
T3 | 8.18 | 4.47 | (0.00, 9.59) | 0.067 | ||
Model 1 | T2 | −0.86 | 4.41 | (−9.51, 7.77) | 0.844 | 0.041 |
T3 | 4.72 | 5.24 | (0.009, 5.55) | 0.068 | ||
Model 2 | T2 | −1.09 | 4.39 | (−9.71, 7.52) | 0.803 | 0.045 |
T3 | 4.26 | 5.22 | (1.51, 5.98) | 0.015 | ||
Health Transition Item | ||||||
Crude | T2 | 3.30 | 4.50 | (−5.52, 12.13) | 0.463 | 0.371 |
T3 | 4.26 | 4.90 | (−5.35, 13.88) | 0.085 | ||
Model 1 | T2 | 6.80 | 4.90 | (−2.79, 16.41) | 0.165 | 0.296 |
T3 | 9.27 | 5.80 | (2.10, 20.66) | 0.010 | ||
Model 2 | T2 | 6.36 | 4.90 | (−3.25, 15.98) | 0.195 | 0.057 |
T3 | 9.18 | 5.81 | (2.20, 20.57) | 0.014 | ||
Total QoL score | ||||||
Crude | T2 | 13.73 | 5.34 | (3.25, 24.21) | 0.010 | 0.463 |
T3 | 2.25 | 6.11 | (−9.74, 14.24) | 0.713 | ||
Model 1 | T2 | 12.99 | 5.90 | (1.42, 24.56) | 0.028 | 0.432 |
T3 | 4.20 | 6.91 | (−9.35, 17.76) | 0.544 | ||
Model 2 | T2 | 13.11 | 5.90 | (1.52, 24.69) | 0.027 | 0.429 |
T3 | 4.24 | 6.91 | (−9.30, 17.80) | 0.539 |