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      Selected Dietary Nutrients and the Prevalence of Metabolic Syndrome in Adult Males and Females in Saudi Arabia: A Pilot Study

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          Abstract

          During the last decade, the rapid economic development in Saudi Arabia resulted in an unbalanced dietary intake pattern within the general population. Consequently, metabolic syndrome was also documented to be highly prevalent in the Middle-East region. We aimed to examine the relationship between selected dietary nutrient intakes and the prevalence of metabolic syndrome in the general adult population of Riyadh, Saudi Arabia. In this cross-sectional study, 185 adult Saudis aged 19 to 60 years (87 males and 98 females (mean age 35.6 ± 13.2 and 37.6 ± 11.7 years, respectively)) were included. The criteria for metabolic syndrome were based on the International Diabetes Foundation (IDF) criteria, and the dietary food intake was assessed by two 24-h dietary recall methods. The odd ratios (ORs) of metabolic syndrome risk across quartiles of selected dietary nutrients were significantly lower for carbohydrates and proteins, as well as for vitamins A, C, E and K, calcium, zinc and magnesium ( p < 0.05 for all) in the female group with metabolic syndrome than those without. The pattern of daily dietary intake of selected nutrients among the general population of Saudi Arabia raises concern, and this dietary imbalance could increase the risk of metabolic syndrome, particularly in adult Saudi females.

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          Most cited references58

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          The world health report 2002 - reducing risks, promoting healthy life.

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            The effects of diet on inflammation: emphasis on the metabolic syndrome.

            Reducing the incidence of coronary heart disease with diet is possible. The main dietary strategies include adequate omega-3 fatty acids intake, reduction of saturated and trans-fats, and consumption of a diet high in fruits, vegetables, nuts, and whole grains and low in refined grains. Each of these strategies may be associated with lower generation of inflammation. This review examines the epidemiologic and clinical evidence concerning diet and inflammation. Dietary patterns high in refined starches, sugar, and saturated and trans-fatty acids, poor in natural antioxidants and fiber from fruits, vegetables, and whole grains, and poor in omega-3 fatty acids may cause an activation of the innate immune system, most likely by an excessive production of proinflammatory cytokines associated with a reduced production of anti-inflammatory cytokines. The whole diet approach seems particularly promising to reduce the inflammation associated with the metabolic syndrome. The choice of healthy sources of carbohydrate, fat, and protein, associated with regular physical activity and avoidance of smoking, is critical to fighting the war against chronic disease. Western dietary patterns warm up inflammation, while prudent dietary patterns cool it down.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                18 November 2013
                November 2013
                : 5
                : 11
                : 4587-4604
                Affiliations
                [1 ]Center of Excellence in Biotechnology Research, King Saud University, Riyadh 11451, Saudi Arabia; E-Mails: alkharfy@ 123456ksu.edu.sa (K.M.A.); omrattas@ 123456ksu.edu.sa (O.S.A.-A.); msa85@ 123456yahoo.co.uk (M.S.A.)
                [2 ]Biomarkers Research Program, Biochemistry Department, College of Science, King Saud University, Riyadh 11451, Saudi Arabia; E-Mail: nasiruddin2006@ 123456gmail.com
                [3 ]Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia
                [4 ]Prince Mutaib Chair for Biomarkers of Osteoporosis, Biochemistry Department, King Saud University, Riyadh 11451, Saudi Arabia; E-Mails: halfawaz@ 123456ksu.edu.sa (H.A.A.); amothman@ 123456ksu.edu.sa (A.A.)
                [5 ]Department of Food Science & Nutrition, College of Food Science & Agriculture, King Saud University, Riyadh 11451, Saudi Arabia
                [6 ]College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia
                [7 ]Department of Pharmacology and Pharmacy, Li KaShing Faculty of Medicine, 21 Sassoon Road, Hong Kong, China; E-Mail: vanhoutt@ 123456hku.hk
                Author notes
                [* ]Author to whom correspondence should be addressed; E-Mail: aldaghri2011@ 123456gmail.com ; Tel.: +966-146-759-39; Fax: +966-146-759-31.
                Article
                nutrients-05-04587
                10.3390/nu5114587
                3847750
                24284611
                8c6d73ed-c7fa-448d-8420-646db5604d67
                © 2013 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 05 September 2013
                : 16 October 2013
                : 07 November 2013
                Categories
                Article

                Nutrition & Dietetics
                dietary micronutrients,saudi arabia,adult females,metabolic syndrome,vitamin
                Nutrition & Dietetics
                dietary micronutrients, saudi arabia, adult females, metabolic syndrome, vitamin

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