title: Association of Major Dietary Patterns with General and Abdominal Obesity in Iranian Patients with Type 2 Diabetes Mellitus.
abstract: BACKGROUND
  The aim of this study was to identify dietary patterns associated with general and abdominal obesity in type 2 diabetic patients.
  
  
  METHODS
  We included 728 patients (35 - 65 years) with type 2 diabetes mellitus in this cross-sectional study. The usual dietary intake of individuals over 1 year was collected using a validated semi-quantitative food frequency questionnaire. Weight, height, and waist circumference were measured according to standard protocol.
  
  
  RESULTS
  The two major dietary patterns identified by factor analysis were healthy and unhealthy dietary patterns. After adjustment for potential confounders, subjects in the highest quintile of the healthy dietary pattern scores had a lower odds ratio for the general obesity when compared to the lowest quintile (OR = 0.45, 95 % CI = 0.26 - 0.79, P for trend = 0.02), while patients in the highest quintile of the unhealthy dietary pattern scores had greater odds for the general obesity (OR = 3.2, 95 % CI = 1.8 - 5.9, P for trend < 0.001). There were no significant associations between major dietary patterns and abdominal obesity, even after adjusting for confounding factors.
  
  
  CONCLUSIONS
  This study shows that in patients with type 2 diabetes mellitus, a healthy dietary pattern is inversely associated and an unhealthy dietary pattern is directly associated with general obesity.
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Ghane Basiri
authors.affiliation: 2 Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Gity
authors.initials: G
authors.lastname: Sotoudeh
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Djalali
authors.affiliation: 3 Department of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Reza Eshraghian
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Neda
authors.initials: N
authors.lastname: Noorshahi
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Rafiee
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.
authors.forename: Ronak
authors.initials: R
authors.lastname: Nikbazm
authors.affiliation: 4 School of Nutrition, Shahid Beheshti University of Medical Sciences, Iran.
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Karimi
authors.affiliation: 1 Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Iran.|5 Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Fariba
authors.initials: F
authors.lastname: Koohdani
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000473:pathology*; D015930:Diet Records; D004435:Eating; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D056128:Obesity, Abdominal / Q000453:epidemiology / Q000209:etiology*
keywords: diabetes mellitus; diet; factor analysis; food habits; obesity; statistical; type 2