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Dietary fat quantity and quality in relation to general and abdominal obesity in women: a cross-sectional study from Ghana

S. B. Suara, F. Siassi, M. Saaka, A. Foroshani, S. Asadi, G. Sotoudeh

Lipids in Health and Disease, 2020

21 citations

Abstract

Background Although relationships between obesity and total fat and fat types have been widely examined, the associations between the relative proportions of fatty acids calculated in the form of indices and obesity/overweight are lacking. The objective of this study was to assess associations between dietary fat quality indices and odds of obesity/overweight in women from Ghana. Methods In this cross-sectional study, dietary information was obtained using 24-h dietary recall. The odds of obesity were evaluated across quintiles of specific DFQ indices [atherogenicity index (AI), thrombogenic index (TI), hypo- and hypercholesterolemic fatty acids ratio (h/H), omega-3 to omega-6 polyunsaturated fatty acids ratio (∑ω-3/∑ω-6), polyunsaturated fatty acids/saturated fatty acids ratio (PSR), dietary lipophilic index (LI) and percentage of energy from total fat (TF)]. Results After adjustment for covariates, general obesity and overweight were inversely associated with ∑ω-3/∑ω-6 ratio (OR: 0.63; 95% CI: 0.24–1.63; P for trend (P) = 0.005) and positively with TI (4.14; 95% CI: 1.78–9.66; P = 0.01) and LI (2.49; 95% CI: 1.14–5.43; P = 0.01). The odds of abdominal obesity based on waist circumference (WC) were significantly higher among participants in the fifth quintile (Q) compared with those in the first Q of AI (1.24; 95% CI: 0.56–2.74; P = 0.01), TI (4.14; 95% CI: 1.78–9.66; P = 0.009), LI (2.11; 95% CI: 0.98–4.55; P = 0.02) and TF (1.59; 95% CI: (0.73–3.46; P = 0.003). Similarly,…

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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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