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Nutrients 2016, 8(7), 432; doi:10.3390/nu8070432

Metabolically Healthy Overweight and Obesity Is Associated with Higher Adherence to a Traditional Dietary Pattern: A Cross-Sectional Study among Adults in Lebanon

1
Department of Nutrition, Faculty of Agricultural and Food Sciences, Holy Spirit University, P.O. Box 446, Jounieh, Lebanon
2
Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences and Nutrition for Health Program (NHP), Office of Strategic Health Initiatives American University of Beirut, Beirut 1107-2020, Lebanon
3
Department of Epidemiology and Population Health, American University of Beirut, Beirut 1107-2020, Lebanon
4
INSERM, UMS 011, Villejuif UMS 011, France
5
Department of Nutrition, Hopital Europeen Georges Pompidou, Paris 75015, France
6
School of Medicine, Paris Descartes University, Paris 75006, France
7
Department of Nutrition & Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut 11072809, Lebanon
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 18 May 2016 / Revised: 11 July 2016 / Accepted: 13 July 2016 / Published: 20 July 2016
(This article belongs to the Special Issue Metabolically Healthy Obesity)
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Abstract

This study aimed to examine the proportion and socio-demographic correlates of Metabolically Healthy Overweight and Obesity (MHOv/O) among Lebanese adults and to investigate the independent effect of previously identified dietary patterns on odds of MHOv/O. Data were drawn from the National Nutrition and Non-Communicable Disease Risk Factor Survey (Lebanon 2008–2009). Out of the 337 adult participants who had complete socio-demographic, lifestyle, dietary as well as anthropometric and biochemical data, 196 had a BMI ≥ 25 kg/m2 and their data were included in this study. MHOv/O was identified using the Adult Treatment Panel criteria. Dietary patterns previously derived in this study population were: Fast Food/Dessert, Traditional-Lebanese and High-Protein. The proportion of MHOv/O in the study sample was 37.2%. Females, higher education and high level of physical activity were positively associated with odds of MHOv/O. Subjects with higher adherence to the Traditional-Lebanese pattern had higher odds of MHOv/O (OR: 1.83, 95% CI: 1.09–3.91). No significant associations were observed between the Fast Food/Dessert and the high-protein patterns with MHOv/O. Follow-up studies are needed to confirm those findings and understand the mechanisms by which the Traditional-Lebanese pattern may exert a protective effect in this subgroup of overweight and obese adults. View Full-Text
Keywords: metabolically healthy obesity; Lebanese dietary pattern; traditional dietary pattern metabolically healthy obesity; Lebanese dietary pattern; traditional dietary pattern
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Matta, J.; Nasreddine, L.; Jomaa, L.; Hwalla, N.; Mehio Sibai, A.; Czernichow, S.; Itani, L.; Naja, F. Metabolically Healthy Overweight and Obesity Is Associated with Higher Adherence to a Traditional Dietary Pattern: A Cross-Sectional Study among Adults in Lebanon. Nutrients 2016, 8, 432.

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