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The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals

  • Leila Jahanbazi (Drug Applied Research Center, Tabriz University of Medical Sciences) ;
  • Mahdieh Abbasalizad Farhangi (Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences) ;
  • Ayda Zahiri Tousi (Razavi Cancer Research Center, Razavi Hospital, Imam Reza International University) ;
  • Negin Nikrad (Department of Community Nutrition, Faculty of Nutrition, Tabriz University of Medical Sciences)
  • 투고 : 2022.10.25
  • 심사 : 2023.05.17
  • 발행 : 2023.07.31

초록

Recent studies have evaluated the association between specific beverage intake and metabolic risks in adults. However, more evidence is needed to examine the association between the Healthy Beverage Index (HBI) and metabolic factors. Therefore, this study investigated the relationship between HBI and metabolic factors in adults. In this cross-sectional study, 338 overweight and obese individuals living in Tabriz, Iran were selected. Data on beverage consumption, demographics, physical activity, and anthropometric characteristics were evaluated using validated standard protocols. The predefined HBI was calculated based on previous studies. The mean value of HBI index among all of the participants was 59.76 ± 6.51. Those at the higher HBI scores had significantly lower waist circumference, waist-to-hip ratio, fat mass, and weight (p < 0.05). HBI and triglyceride scores also had a significant relationship. It has been shown that at higher HBI scores compared to lower scores, high-density lipoprotein cholesterol levels increase while homeostatic model assessment for insulin resistance, low-density lipoprotein cholesterol, total cholesterol, and blood pressure decrease. HBI scores higher among Iranian adults were associated with a better chance of losing weight and weight loss and a better lipid profile, and lower blood pressure. Therefore, HBI can be a useful and helpful tool for assessing the overall quality of beverages adults consume. However, further studies are warranted to confirm the possible health effects of healthy beverage index.

키워드

과제정보

We thank all of the study participants. We also thank the Research Undersecretary of Tabriz University of Medical Sciences for their financial support (Code: IR.TBZMED.REC.1401.087 with grant number: 68837 and IR.TBZMED.REC.1401.444 with grant number: 70010).

참고문헌

  1. Zheng W, McLerran DF, Rolland B, Zhang X, Inoue M, Matsuo K, He J, Gupta PC, Ramadas K, Tsugane S, Irie F, Tamakoshi A, Gao YT, Wang R, Shu XO, Tsuji I, Kuriyama S, Tanaka H, Satoh H, Chen CJ, Yuan JM, Yoo KY, Ahsan H, Pan WH, Gu D, Pednekar MS, Sauvaget C, Sasazuki S, Sairenchi T, Yang G, Xiang YB, Nagai M, Suzuki T, Nishino Y, You SL, Koh WP, Park SK, Chen Y, Shen CY, Thornquist M, Feng Z, Kang D, Boffetta P, Potter JD. Association between body-mass index and risk of death in more than 1 million Asians. N Engl J Med 2011;364:719-29.
  2. Ni Mhurchu C, Rodgers A, Pan WH, Gu DF, Woodward M; Asia Pacific Cohort Studies Collaboration. Body mass index and cardiovascular disease in the Asia-Pacific Region: an overview of 33 cohorts involving 310 000 participants. Int J Epidemiol 2004;33:751-8.
  3. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet 2016;387:1377-96.
  4. NCD Risk Factor Collaboration (NCD-RisC). Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight. eLife 2021;10:e60060.
  5. Janghorbani M, Amini M, Willett WC, Mehdi Gouya M, Delavari A, Alikhani S, Mahdavi A. First nationwide survey of prevalence of overweight, underweight, and abdominal obesity in Iranian adults. Obesity (Silver Spring) 2007;15:2797-808.
  6. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Alsulaiman NA, Musaiger AO. Prevalence of overweight, obesity, and abdominal obesity among urban Saudi adolescents: gender and regional variations. J Health Popul Nutr 2014;32:634-45.
  7. de Castro JM. A twin study of genetic and environmental influences on the intake of fluids and beverages. Physiol Behav 1993;54:677-87.
  8. Wenhold F, Faber M. Water in nutritional health of individuals and households: an overview. Water SA 2009;35:61-71.
  9. Daniels MC, Popkin BM. Impact of water intake on energy intake and weight status: a systematic review. Nutr Rev 2010;68:505-21.
  10. Muckelbauer R, Sarganas G, Gruneis A, Muller-Nordhorn J. Association between water consumption and body weight outcomes: a systematic review. Am J Clin Nutr 2013;98:282-99.
  11. Dennis EA, Flack KD, Davy BM. Beverage consumption and adult weight management: a review. Eat Behav 2009;10:237-46.
  12. Popkin BM, Armstrong LE, Bray GM, Caballero B, Frei B, Willett WC. A new proposed guidance system for beverage consumption in the United States. Am J Clin Nutr 2006;83:529-42.
  13. Armstrong LE, Ganio MS, Casa DJ, Lee EC, McDermott BP, Klau JF, Jimenez L, Le Bellego L, Chevillotte E, Lieberman HR. Mild dehydration affects mood in healthy young women. J Nutr 2012;142:382-8.
  14. Ganio MS, Armstrong LE, Casa DJ, McDermott BP, Lee EC, Yamamoto LM, Marzano S, Lopez RM, Jimenez L, Le Bellego L, Chevillotte E, Lieberman HR. Mild dehydration impairs cognitive performance and mood of men. Br J Nutr 2011;106:1535-43.
  15. Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health 2007;97:667-75.
  16. Brown IJ, Stamler J, Van Horn L, Robertson CE, Chan Q, Dyer AR, Huang CC, Rodriguez BL, Zhao L, Daviglus ML, Ueshima H, Elliott P; International Study of Macro/Micronutrients and Blood Pressure Research Group. Sugar-sweetened beverage, sugar intake of individuals, and their blood pressure: international study of macro/micronutrients and blood pressure. Hypertension 2011;57:695-701.
  17. Johnson RK, Appel LJ, Brands M, Howard BV, Lefevre M, Lustig RH, Sacks F, Steffen LM, Wylie-Rosett J; American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity, and Metabolism and the Council on Epidemiology and Prevention. Dietary sugars intake and cardiovascular health: a scientific statement from the American Heart Association. Circulation 2009;120:1011-20.
  18. Gui ZH, Zhu YN, Cai L, Sun FH, Ma YH, Jing J, Chen YJ. Sugar-sweetened beverage consumption and risks of obesity and hypertension in Chinese children and adolescents: a national cross-sectional analysis. Nutrients 2017;9:1302.
  19. Jin Y, Zhang C, Zhang R, Ren J, Chen S, Sui M, Zhou G, Dang D, Zhu J, Feng H, Xi Y, Yang H, Duan G. Pulmonary edema following central nervous system lesions induced by a non-mouse-adapted EV71 strain in neonatal BALB/c mice. Virol J 2017;14:243.
  20. Carson C, Birkett MA, Logan JG, Mawa K, Pates HV, Pickett JA, Rwegoshora RT, Tungu PK, Cameron MM. Novel use of stir bar sorptive extraction (SBSE) as a tool for isolation of oviposition site attractants for gravid Culex quinquefasciatus. Bull Entomol Res 2010;100:1-7.
  21. LaRowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc 2007;107:1124-33.
  22. Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, Kahle LL, Krebs-Smith SM. Update of the healthy eating index: HEI-2010. J Acad Nutr Diet 2013;113:569-80.
  23. Lim S, Zoellner JM, Lee JM, Burt BA, Sandretto AM, Sohn W, Ismail AI, Lepkowski JM. Obesity and sugar-sweetened beverages in African-American preschool children: a longitudinal study. Obesity (Silver Spring) 2009;17:1262-8.
  24. Milloy MJ, Wood E. Withdrawal from methadone in US prisons: cruel and unusual? Lancet 2015;386:316-8.
  25. Forshee RA, Anderson PA, Storey ML. Sugar-sweetened beverages and body mass index in children and adolescents: a meta-analysis. Am J Clin Nutr 2008;87:1662-71.
  26. Keller A, Bucher Della Torre S. Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews. Child Obes 2015;11:338-46.
  27. Popkin BM, D'Anci KE, Rosenberg IH. Water, hydration, and health. Nutr Rev 2010;68:439-58.
  28. McCracken KW, Howell JC, Wells JM, Spence JR. Generating human intestinal tissue from pluripotent stem cells in vitro. Nat Protoc 2011;6:1920-8.
  29. Abbasalizad Farhangi M, Vajdi M, Nikniaz L, Nikniaz Z. The interaction between dietary inflammatory index and 6 P21 rs2010963 gene variants in metabolic syndrome. Eat Weight Disord 2020;25:1049-60.
  30. Khodarahmi M, Asghari-Jafarabadi M, Abbasalizad Farhangi M. A structural equation modeling approach for the association of a healthy eating index with metabolic syndrome and cardio-metabolic risk factors among obese individuals. PLoS One 2019;14:e0219193.
  31. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. J Korean Acad Fam Med 2007;28:532-41.
  32. Falahi E, Khalkhali Rad AH, Roosta S. What is the best biomarker for metabolic syndrome diagnosis? Diabetes Metab Syndr 2015;9:366-72.
  33. Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol 2010;20:150-8.
  34. Green BF Jr. A note on the calculation of weights for maximum battery reliability. ETS Research Bulletin Series. 1950;1950:i-7.
  35. Duffey KJ, Davy BM. The healthy beverage index is associated with reduced cardiometabolic risk in US adults: a preliminary analysis. J Acad Nutr Diet 2015;115:1682-1689.e2.
  36. Fukuyama N, Homma K, Wakana N, Kudo K, Suyama A, Ohazama H, Tsuji C, Ishiwata K, Eguchi Y, Nakazawa H, Tanaka E. Validation of the Friedewald equation for evaluation of plasma LDL-cholesterol. J Clin Biochem Nutr 2008;43:1-5.
  37. Jalilpiran Y, Mozaffari H, Askari M, Jafari A, Azadbakht L. The association between Healthy Beverage Index and anthropometric measures among children: a cross-sectional study. Eat Weight Disord 2021;26:1437-45.
  38. Lee KW, Shin D. A healthy beverage consumption pattern is inversely associated with the risk of obesity and metabolic abnormalities in Korean adults. J Med Food 2018;21:935-45.
  39. Kit BK, Fakhouri TH, Park S, Nielsen SJ, Ogden CL. Trends in sugar-sweetened beverage consumption among youth and adults in the United States: 1999-2010. Am J Clin Nutr 2013;98:180-8.
  40. Huth PJ, Fulgoni VL 3rd, Keast DR, Park K, Auestad N. Major food sources of calories, added sugars, and saturated fat and their contribution to essential nutrient intakes in the U.S. diet: data from the National Health and Nutrition Examination Survey (2003-2006). Nutr J 2013;12:116.
  41. Maughan RJ. Hydration, morbidity, and mortality in vulnerable populations. Nutr Rev 2012;70 Suppl 2:S152-5.
  42. Roussel R, Fezeu L, Bouby N, Balkau B, Lantieri O, Alhenc-Gelas F, Marre M, Bankir L; D.E.S.I.R. Study Group. Low water intake and risk for new-onset hyperglycemia. Diabetes Care 2011;34:2551-4.
  43. Centers for Disease Control and Prevention (CDC). Vital signs: avoidable deaths from heart disease, stroke, and hypertensive disease - United States, 2001-2010. MMWR Morb Mortal Wkly Rep 2013;62:721-7.
  44. Rasaei N, Hosseininasab D, Shiraseb F, Gholami F, Noori S, Ghaffarian-Ensaf R, Daneshzad E, Clark CCT, Mirzaei K. The association between Healthy Beverage Index and healthy and unhealthy obesity phenotypes among obese women: a cross-sectional study. Int J Clin Pract 2022;2022:7753259.
  45. Institute of Medicine; Food and Nutrition Board; Panel on Macronutrients; Panel on the Definition of Dietary Fiber; Subcommittee on Upper Reference Levels of Nutrients; Subcommittee on Interpretation and Uses of Dietary Reference Intakes; Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Dietary Reference Intakes: energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Washington, D.C.: National Academies Press; 2005.