title: Metabolically Healthy Overweight and Obesity Is Associated with Higher Adherence to a Traditional Dietary Pattern: A Cross-Sectional Study among Adults in Lebanon.
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.
authors.affiliation: Department of Nutrition, Faculty of Agricultural and Food Sciences, Holy Spirit University, P.O. Box 446, Jounieh, Lebanon. joanematta@usek.edu.lb.
authors.forename: Joane
authors.initials: J
authors.lastname: Matta
authors.affiliation: 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. ln10@aub.edu.lb.
authors.forename: Lara
authors.initials: L
authors.lastname: Nasreddine
authors.affiliation: 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. lj18@aub.edu.lb.
authors.forename: Lamis
authors.initials: L
authors.lastname: Jomaa
authors.affiliation: 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. Nahla@aub.edu.lb.
authors.forename: Nahla
authors.initials: N
authors.lastname: Hwalla
authors.affiliation: Department of Epidemiology and Population Health, American University of Beirut, Beirut 1107-2020, Lebanon. am00@aub.edu.lb.
authors.forename: Abla
authors.initials: A
authors.lastname: Mehio Sibai
authors.affiliation: INSERM, UMS 011, Villejuif UMS 011, France. sebastien.czernichow@aphp.fr.|Department of Nutrition, Hopital Europeen Georges Pompidou, Paris 75015, France. sebastien.czernichow@aphp.fr.|School of Medicine, Paris Descartes University, Paris 75006, France. sebastien.czernichow@aphp.fr.
authors.forename: Sebastien
authors.initials: S
authors.lastname: Czernichow
authors.affiliation: Department of Nutrition &amp; Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut 11072809, Lebanon. itani.leila@gmail.com.
authors.forename: Leila
authors.initials: L
authors.lastname: Itani
authors.affiliation: 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. fn14@aub.edu.lb.
authors.forename: Farah
authors.initials: F
authors.lastname: Naja
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects* / Q000208:ethnology; D000072001:Diet, Healthy / Q000208:ethnology; D004522:Educational Status; D015444:Exercise; D005260:Female; D006801:Humans; D007861:Lebanon / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control; D008875:Middle Aged; D018673:Nutrition Policy; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control; D000067329:Obesity, Metabolically Benign / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology* / Q000517:prevention & control; D050177:Overweight / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology* / Q000517:prevention & control; D010349:Patient Compliance / Q000208:ethnology; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors
keywords: Lebanese dietary pattern; metabolically healthy obesity; traditional dietary pattern