Ramadan Major Nutrient Patterns Are Associated with Anthropometric Measurements and Physical Activity in Tehran, Iran

Document Type : Research Paper

Authors

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran university of Medical Sciences, Tehran, Iran

Abstract

During Ramadan fasting quantity and quality of dietary intake may change. There was no data on nutrient patterns in Ramadan fasting. The purpose of this study was to identify Ramadan major nutrient patterns among those who fast in Tehran, Iran. 510 fasting people aged 18-65 years and BMI 18.5-40 Kg/m2 were recruited in our study by 2-stage cluster sampling method in June-July 2014. Data on the socio-demographic and physical activity level were collected by questionnaire. Usual diet during Ramadan was estimated by valid and reliable food frequency questionnaire. BMI was calculated based on measured height and weight.Three nutrient patterns derived by conducting principal component factor analysis on 30 major nutrients. Micronutrient and fiber pattern which characterized by high intake of vitamin K, total fiber, iron, manganese, magnesium, β-carotene, folate, vitamin B12, potassium and calcium was adversely associated with weight (b=-0.16, P= 0.004). High protein pattern had great loadings on protein, riboflavin, phosphorous and zinc which physical activity level was decreased by tertiles of this pattern (b=0.13, P=0.02). High carbohydrate pattern which presented high positive loadings on carbohydrate and thiamin and negative loading on total fat, poly unsaturated fatty acids and monounsaturated fatty acids was positively associated with BMI (b= 0.12, P=0.03). Adherence to different Ramadan nutrient patterns is associated with weight, BMI and physical activity level. People on high in carbohydrate may have a higher BMI and low micronutrient density diet that should be considered in Ramadan fasting nutrition educational programs.

Keywords

References

  1. Azizi F. Islamic fasting and health. Annals of nutrition and metabolism. 2010;56(4):273-82.
  2. Azizi F, Rasouli H. Serum glucose, bilirubin, calcium, phosphorus, protein and albumin concentrations during Ramadan. Medical Journal of The Islamic Republic of Iran (MJIRI). 1987;1(1):38-41.
  3. Lamri-Senhadji M, El Kebir B, Belleville J, Bouchenak M. Assessment of dietary consumption and time-course of changes in serum lipids and lipoproteins before, during and after Ramadan in young Algerian adults. Singapore medical journal. 2009;50(3):288-94.
  4. Waterhouse J, Alkib L, Reilly T. Effects of Ramadan upon fluid and food intake, fatigue, and physical, mental, and social activities: a comparison between the UK and Libya. Chronobiology international. 2008;25(5):697-724.
  5. Yucecan NK, Sevinc. Some behavioural changes observed among fasting subjects, their nutritional habits and energy expenditure in Ramadan. International journal of food sciences and nutrition. 2000;51(2):125-34.
  6. Ennigrou S, Zenaidi M, Ben SF, Zouari B, Nacef T. [Ramadan and customs of life: investigation with 84 adult residents in the district of Tunis]. La Tunisie medicale. 2001;79(10):508-14.
  7. Adlouni A, Ghalim N, Benslimane A, Lecerf J, Saile R. Fasting during Ramadan induces a marked increase in high-density lipoprotein cholesterol and decrease in low-density lipoprotein cholesterol. Annals of nutrition and metabolism. 1997;41(4):242-9.
  8. Guerrero MR, Ramírez RJ, Sánchez CA, Villaverde GC, Ruiz VG, Pérez MB. [Dietary modifications, in young Muslims engaged in Ramadan fasting]. Nutricion hospitalaria. 2008;24(6):738-43.
  9. Husain R, Duncan M, Cheah S, Ch'Ng S. Effects of fasting in Ramadan on tropical Asiatic Moslems. British journal of nutrition. 1987;58(01):41-8.
  10. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Current opinion in lipidology. 2002;13(1):3-9.
  11. Jinlin F, Binyou W, Terry C. A new approach to the study of diet and risk of type 2 diabetes. Journal of postgraduate medicine. 2007;53(2).
  12. Newby P, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutrition reviews. 2004;62(5):177-203.
  13. De Stefani E, Boffetta P, Ronco AL, Deneo-Pellegrini H, Acosta G, Gutiérrez LP, et al. Nutrient patterns and risk of lung cancer: a factor analysis in Uruguayan men. Lung Cancer. 2008;61(3):283-91.
  14. Bravi F, Edefonti V, Bosetti C, Talamini R, Montella M, Giacosa A, et al. Nutrient dietary patterns and the risk of colorectal cancer: a case–control study from Italy. Cancer causes & control. 2010;21(11):1911-8.
  15. Mirmiran P, Hosseini Esfahani F, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public health nutrition. 2010;13(05):654-62.
  16. Asghari G, Rezazadeh A, Hosseini-Esfahani F, Mehrabi Y, Mirmiran P, Azizi F. Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. British journal of nutrition. 2012;108(06):1109-17.
  17. Ghafarpour M H-RAKH. The Manual for Household Measures, Cooking Yields Factors and Edible Portion of Food. Tehran: Keshavarzi Press; 1999.
  18. Kelishadi R RK, Khosravi A, Famori F, Sadeghi M, Roohafza H. Assessment of physical activity in adolescents of Isfahan [in Farsi]. Journal of Shahrekord University of Medical Sciences. 2004;3:55-65.
  19. Shadman Z, Akhoundan M, Poorsoltan N, Larijani B, Qorbani M, Khoshniat Nikoo M. New challenges in dietary pattern analysis: combined dietary patterns and calorie adjusted factor analysis in type 2 diabetic patients. J Diabetes Metab Disord. 2014;13(1):71-6.
  20. Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis: The use of factor analysis for instrument development in health care research: Sage; 2003.
  21. el Ati J, Beji C, Danguir J. Increased fat oxidation during Ramadan fasting in healthy women: an adaptative mechanism for body-weight maintenance. The American journal of clinical nutrition. 1995;62(2):302-7.
  22. Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public health nutrition. 2002;5(1a):149-55.
  23. Shadman Z, Poorsoltan N, Akhoundan M, Larijani B, Soleymanzadeh M, Akhgar Zhand C, et al. Ramadan major dietary patterns. Iranian Red Crescent Medical Journal. 2014;16(9) e16801.
  24. Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. The Journal of nutrition. 2008;138(2):358-63.
  25. Rezazadeh A, Rashidkhani B. The association of general and central obesity with major dietary patterns in adult women living in Tehran, Iran. ARYA atherosclerosis. 2010;6(1):23.

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History

  • Receive Date: 08 April 2015
  • Revise Date: 08 May 2015
  • Accept Date: 13 May 2015

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