Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba
Background: The glycemic index (GI) and glycemic load (GL), indicators of carbohydrate quality (CH), have been associated with the development of obesity. However, its relationship with abdominal obesity (AO), considered the pathophysiological basis of metabolic syndrome, has not been studied enough...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36045 |
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I10-R327-article-36045 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
glycemic index Glycemic Load obesity abdominal obesity índice glucémico carga glucémica obesidad obesidad abdominal . |
| spellingShingle |
glycemic index Glycemic Load obesity abdominal obesity índice glucémico carga glucémica obesidad obesidad abdominal . Barrionuevo, KE Montenegro Mansilla, LB Gutiérrez, RB Ochoa, MV Ochoa, MV Aballay, L Haluszka, E Niclis, C Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| topic_facet |
glycemic index Glycemic Load obesity abdominal obesity índice glucémico carga glucémica obesidad obesidad abdominal . |
| author |
Barrionuevo, KE Montenegro Mansilla, LB Gutiérrez, RB Ochoa, MV Ochoa, MV Aballay, L Haluszka, E Niclis, C |
| author_facet |
Barrionuevo, KE Montenegro Mansilla, LB Gutiérrez, RB Ochoa, MV Ochoa, MV Aballay, L Haluszka, E Niclis, C |
| author_sort |
Barrionuevo, KE |
| title |
Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| title_short |
Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| title_full |
Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| title_fullStr |
Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| title_full_unstemmed |
Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba |
| title_sort |
quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of córdoba |
| description |
Background: The glycemic index (GI) and glycemic load (GL), indicators of carbohydrate quality (CH), have been associated with the development of obesity. However, its relationship with abdominal obesity (AO), considered the pathophysiological basis of metabolic syndrome, has not been studied enough.
Objective: To evaluate the relationship between the quality of dietary CH and AO in the adult population of the city of Córdoba in 2020.
Materials and methods: A population-based, cross-sectional study was conducted. Individuals over 18 years old from the city of Córdoba, selected by multistage random sampling. 522 participants were interviewed, with prior informed consent, about their sociodemographic and food intake characteristics using a validated food frequency questionnaire. Weight, height, and AO indicators as waist circumference (WC), neck circumference (NC) and waist/height ratio (WHR) were assessed. When one of these indicators were over the recommended values, the presence of AO was considered. The socioeconomic level (SES) was constructed by combining the occupation and the educational level of the main breadwinner in the household. For each subject, the weighted average of the GI of all the CH foods consumed was calculated, as well as the dietary GL, and the amount (g/day) and frequency (times/week) of high GI foods (>70). The relationship between the variables of interest was analyzed through the Chi2 test, correlation analysis and multiple logistic regression (MLR). The study was approved by the Institutional Ethics Committee.
Results: The prevalence of obesity was 24% and 63% of the participants presented AO, being more frequent in people with low SES (70%, p= 0.049). The average GI of the population's diet was 73.3, positively correlating with the WC, NC and WHR indicators (p<0.05). However, according to the MLR, there was no association between the exposure variables and the presence of OA (p>0.05).
Conclusion: The food GI is related to higher values in AO indicators. It is necessary to study more deeply the quality indicators of CH as possible predisposing factors of AO, thus reducing the risk of other non-communicable diseases. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36045 |
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I10-R327-article-360452024-04-15T16:19:09Z Quantity and quality of dietary carbohydrates and their relationship with abdominal obesity in the population of Córdoba Cantidad y calidad de los carbohidratos dietarios y su relación con obesidad abdominal en la población de Córdoba . Barrionuevo, KE Montenegro Mansilla, LB Gutiérrez, RB Ochoa, MV Ochoa, MV Aballay, L Haluszka, E Niclis, C glycemic index Glycemic Load obesity abdominal obesity índice glucémico carga glucémica obesidad obesidad abdominal . Background: The glycemic index (GI) and glycemic load (GL), indicators of carbohydrate quality (CH), have been associated with the development of obesity. However, its relationship with abdominal obesity (AO), considered the pathophysiological basis of metabolic syndrome, has not been studied enough. Objective: To evaluate the relationship between the quality of dietary CH and AO in the adult population of the city of Córdoba in 2020. Materials and methods: A population-based, cross-sectional study was conducted. Individuals over 18 years old from the city of Córdoba, selected by multistage random sampling. 522 participants were interviewed, with prior informed consent, about their sociodemographic and food intake characteristics using a validated food frequency questionnaire. Weight, height, and AO indicators as waist circumference (WC), neck circumference (NC) and waist/height ratio (WHR) were assessed. When one of these indicators were over the recommended values, the presence of AO was considered. The socioeconomic level (SES) was constructed by combining the occupation and the educational level of the main breadwinner in the household. For each subject, the weighted average of the GI of all the CH foods consumed was calculated, as well as the dietary GL, and the amount (g/day) and frequency (times/week) of high GI foods (>70). The relationship between the variables of interest was analyzed through the Chi2 test, correlation analysis and multiple logistic regression (MLR). The study was approved by the Institutional Ethics Committee. Results: The prevalence of obesity was 24% and 63% of the participants presented AO, being more frequent in people with low SES (70%, p= 0.049). The average GI of the population's diet was 73.3, positively correlating with the WC, NC and WHR indicators (p<0.05). However, according to the MLR, there was no association between the exposure variables and the presence of OA (p>0.05). Conclusion: The food GI is related to higher values in AO indicators. It is necessary to study more deeply the quality indicators of CH as possible predisposing factors of AO, thus reducing the risk of other non-communicable diseases. Introducción: El índice glucémico (IG) y la carga glucémica (CG), indicadores de calidad de los carbohidratos (CH), han sido asociados al desarrollo de obesidad. Sin embargo, su relación con la obesidad abdominal (OA), considerada la base fisiopatológica del síndrome metabólico, ha sido poco estudiada. Objetivo: Evaluar la relación entre la calidad de los CH dietarios y la OA en la población adulta de la ciudad de Córdoba en el año 2020. Materiales y métodos: Se condujo un estudio de base poblacional y corte transversal. Individuos mayores de 18 años de la ciudad de Córdoba, seleccionados mediante un muestreo aleatorio multietápico. 522 participantes fueron encuestados, previo consentimiento informado, sobre sus características sociodemográficas y de ingesta mediante un cuestionario de frecuencia alimentaria validado. Peso, talla e indicadores de OA: circunferencia de cintura (CC), de cuello (CCue) e índice cintura/talla (ICT) fueron valorados. Con alguno de estos indicadores sobre los valores recomendados, se consideró presencia de OA. El nivel socioeconómico (NSE) se construyó combinando la ocupación y el nivel de instrucción del principal sostén del hogar. Para cada sujeto se calculó el promedio ponderado del IG de todos los alimentos con CH consumidos, la CG alimentaria, además la cantidad (g/día) y frecuencia (veces/semana) de alimentos de alto IG (>70). Se analizó la relación entre las variables de interés a través de test de Chi2, análisis de correlación y regresión logística múltiple (RLM). El estudio fue aprobado por el Comité Institucional de Ética. Resultados: La prevalencia de obesidad fue de 24% y un 63% de los participantes presentaron OA, siendo más frecuente en personas de NSE bajo (70%, p=0,049). El IG promedio de la alimentación de la población fue de 73,3, correlacionando positivamente con los indicadores CC, CCue e ICT (p<0,05). Sin embargo, acorde a la RLM, no hubo asociación entre las variables de exposición y la presencia de OA (p>0,05). Conclusión: El IG alimentario se relaciona con mayores valores en indicadores de OA. Es necesario profundizar en el estudio de los indicadores de calidad de CH como posibles factores predisponentes de OA reduciendo así el riesgo de otras enfermedades no transmisibles. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/36045 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |