Mediterranean Diet and Metabolic Syndrome in Adult Moroccan Women

Mziwira Mohamed ； El Ayachi Mohammed ； Lairon Denis ； Belahsen Rekia

《Journal of Research in Obesity》 2015卷 (2015/12) Pp. 15-32

https://doi.org/10.5171/2015.896400

摘要

The objective was to assess the relationship between adherence to Mediterranean dietary pattern (MDP) and the prevalence of metabolic syndrome (MS) in urban Moroccan adult women, living in an agricultural Mediterranean province; El Jadida. A random sample (n=182) of Moroccan women (18-55 years old) was interviewed; anthropometrical measures and fasting blood sample were collected. The prevalence of MS was determined using the NCEP-ATPIII criteria. A general questionnaire on socio-economic status and lifestyle factors was used. Dietary habits were assessed using three 24hours recalls and a semi-quantitative food frequency questionnaire. Adherence to the Mediterranean diet (MD) was defined according to a score constructed considering the consumption of major MD components. The overall prevalence of MS was 20.9 %; MS was prevalent in 20 % among the overweight and 37.8% among the obese women. Eight point eight of women had no risk factors while 41.2% had one risk factor and 29.1% had two risk factors. Low-HDL cholesterol was found among 82.4 %, Hypertension in 36.8 and abdominal obesity among 25.8 % women with MS. The mean adherence to Mediterranean Diet (MD) was 62.84 % (± 12.7). Once adjusted for age, socioeconomic and lifestyle variables, MD adherence was not related to metabolic syndrome but some MD components, such as Cereals and monounsaturated to saturated fatty acids ratio, showed a protective effect on triglyceridemia and glycemia criteria, respectively. The study data show that MS is prevalent among the population sample, especially among obese women. Some components of the MD have a protective effect on MS and on its components. However, no association was found between MS and adherence to MD. High education level and availability of family environment were also related to a better adherence to MD pattern.

關鍵字

Mediterranean diet ； Metabolic syndrome ； Obesity ； Moroccan women