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Does Dietary Intake by Tehranian Adults Align with the 2005 Dietary Guidelines for Americans? Observations from the Tehran Lipid and Glucose Study

By Parvin Mirmiran, Firoozeh Hosseini-Esfahani, Mahsa Jessri, L. Kathleen Mahan, Niloofar Shiva and Fereidoun Azizi

Abstract

The aim of this study was to compare dietary intakes by Tehranian adults with recent dietary guidelines for the Americans. The study made a cross-sectional assessment of the dietary patterns of Tehranian adults using a validated food-frequency questionnaire. It included 2,510 subjects (1,121 men and 1,389 women) aged 19-70 years. They were the participants of the third follow-up survey of the Tehran Lipid and Glucose Study (2005-2008). The dietary patterns were assessed using the latest World Health Organization (WHO)'s nutritional goals and Dietary Guidelines for the Americans Adherence Index (DGAI) 2005. The mean [standard deviation (SD)] DGAI score for this population was 8.31 (1.9). Participants in the highest quartile category of DGAI were more likely to be female, older, non-smoking, and physically active than those in the lowest quartile category (p<0.001). Percentage of participants meeting the DGA recommendations waslow, especially for starchy vegetables (2.3%), orange vegetables (16.2%), lean meat (9.2%), grains (12.0%), and legumes (6.4%). Over-consumption of grains was observed in almost half of the participants while approximately 20% of the subjects over-consumed milk and meat groups. Intakes of most nutrients examined were significantly associated with the DGAI 2005 score (p<0.001), except for vitamin E, vitamin B12, and vitamin D. The least adherence with the WHO goals was observed with n-3 PUFAs, sodium, fruit, and vegetable intakes. The results revealed that the dietary patterns of most Tehranian adults did not comply with the 2005 DGA and nutritional goals of WHO/Food and Agriculture Organization

Topics: Original Papers
Publisher: International Centre for Diarrhoeal Disease Research, Bangladesh
OAI identifier: oai:pubmedcentral.nih.gov:3075058
Provided by: PubMed Central
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    1. (1998). (Monographs in epidemiology and biostatics series, v. 30).Mirmiran P et al. Adherence to dietary recommendations among Tehranian adults Volume 29
    2. A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: results from the biomarker-based observing protein and energy nutrition
    3. A comparison of three dietary patterns indexes for predicting biomarkers of diet and disease.
    4. Adherence to dietary recommendations and risk of metabolic syndrome: Tehran Lipid and Glucose Study.
    5. American Diabetic Association. Clinical practice recommendations 2009. Diabetes Care 2010;33(Suppl 1):S003.
    6. (2002). An accelerated nutrition transition in Iran. Public Health Nutr
    7. (2002). Cardiovascular risk factors in an Iranian urban population: Tehran lipid and glucose study. Soz Praventivmed
    8. Chinese Nutrition Society. Dietary guidelines and food guide Pagoda.
    9. (1993). Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc
    10. (2005). Department of Agriculture. Dietary guidelines for Americans.
    11. Development of food-based dietary guideline for Iran: a preliminary report.
    12. Development of questionnaire to examine relationship of physical activity and diabetes in Prima Indians. Diabetes Care 1999:13:401-11. Reprinted in: Modifiable activity questionnaire.
    13. Diet quality measures and cardiovascular risk factors in France: applying the healthy eating index to the SU.VI.MAX study.
    14. (2005). dietary guidelines for Americans adherence index: development and application.
    15. (2005). dietary guidelines for Americans and insulin resistance in the Framingham offspring cohort.
    16. Dietary quality and associated factors among adults living in the state of São Paulo,
    17. Dietary reference intake for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids (macronutrients).
    18. (2009). Exercise plus diet prevents type 2 diabetes (review). E vid Based Nurs
    19. (2009). Food composition table (FCT). Beltsville, MD: Food and Nutrition Information Center,
    20. Food consumption patterns and nutritional problems in the Islamic Republic of Iran. Nutr Health 2000;14:53-61. 15. Azadbakht
    21. (2006). Food link pyramid database series. MyPyramid equivalents database for USDA survey food codes,
    22. Food-based dietary guidelines– the Austrian perspective.
    23. (2002). McCance and Widdowson’s The composition of foods. 6th ed. London: Royal Society of Chemistry,
    24. (2004). National Institutes of Health,
    25. (1998). Oxford:
    26. Plant-based diets and control of lipids and coronary heart disease risk.
    27. Potential role of sugar (fructose) in the epidemic of hypertension, obesity and the metabolic syndrome, diabetes, kidney disease, and cardiovascular disease.
    28. Prevention of noncommunicable disease in a population in nutrition transition: Tehran lipid and glucose study phase II.
    29. Procedures for screening out inaccurate reports of dietary energy intake. Public Health Nutr 2002;5:873-82. 20. Food and Nutrition Board. Institute of Medicine.
    30. Reliability and relative validity of a food frequency questionnaire for nutrients in the Tehran lipid and glucose study. Public Health Nutr 2010;13:654-62. 29. Azar
    31. (2010). Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study.
    32. Sports Exerc 1997;29:S73-8.Mirmiran P et al. Adherence to dietary recommendations among Tehranian adults
    33. (1995). The healthy eating index: design and application.
    34. Working Party for the Development of Food-Based Dietary Guidelines for the Spanish Population. Dietary guidelines for the Spanish population.
    35. (2003). World Health Organization. Diet, nutrition and prevention of chronic diseases. Report of a Joint WHO/ FAO Expert Consultation. Geneva: World Health Organization,
    36. (1998). World Health Organization. Guideline for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization,

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