Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 16;61(1):53-62.
doi: 10.2478/rjim-2022-0023. Print 2023 Mar 1.

Cross sectional study about nutritional risk factors of metabolically unhealthy obesity

Rym Ben Othman  1 , Olfa Berriche  2 , Amel Gamoudi  2 , Ramla Mizouri  1 , Donia Jerab  2 , Nadia Ben Amor  2 , Faten Mahjoub  2 , Henda Jamoussi  2
Affiliations
Free article

Cross sectional study about nutritional risk factors of metabolically unhealthy obesity

Rym Ben Othman et al. Rom J Intern Med. .
Free article

Abstract

Introduction: A substantial proportion of obese subjects are metabolically healthy and free from metabolic complications. Many mechanisms that could explain the existence of the metabolically healthy obese phenotype have been suggested, involving in particular a healthy lifestyle and diet. The aim of this study was to study the anthropometric, nutritional and biological profile of two groups: obese with metabolic syndrome (MS+) and obese without metabolic syndrome (MS-).

Methods: It is a cross-sectional study, conducted between January 2022 and 15 March 2022. We recruited 90 obese MS+ and 82 obese MS - . Both groups were matched for age and sex. The glycemia, triglycerides (TG), total cholesterol (TC), HDL-C, LDL-C were measured as well as the body composition and anthropometric data. The diet was determined by the 24-hour recalls. Eating disorders, sleep disorders (PSS4 scale) and depression (HADS) were also searched.

Results: In MS+ group we noticed: higher BMI, waist circumference, more caloric diet, elevated consumption of saccharides. This group had more eating disorders such as night eating syndrome and bulimia and sleeping disorders (sleep onset and total insomnia). MS + group was more stressed and depressed. The MS - group had a Mediterranean diet and had more intake of: EPA, DHA, olive oil, green tea, oleaginous fruits, linseed, vegetables and whole grains. They also practiced more fasting.

Conclusions: It is important to know the protective nutritional factors of the metabolic syndrome in order to be able to focus on them during education sessions and thus protect the obese from metabolic complications.

Keywords: Mediterranean diet; Obesity; metabolic syndrome; olive oil; sleep disorder.

PubMed Disclaimer

References

    1. 1. Obésité et surpoids [Internet]. [cited 15 feb 2022]. Disponible on: https://www.who.int/fr/news-room/fact-sheets/detail/obesity-and-overweight
    1. 2. Rapport de l’enquête national THES-2016 - Ministère de la santé publique [Internet]. [cited 15 feb 2022]. Disponible on: http://www.santetunisie.rns.tn/fr/toutes-lesactualites/912-rapport-de-l%...
    1. 3. ALBERTI KGMM, ZIMMET P, SHAW J, IDF Epidemiology Task Force Consensus Group. The metabolic syndrome--a new worldwide definition . Lancet Lond Engl. 2005; 366 (9491):1059–62.
    1. 4. PHILLIPS C, DILLON C, HARRINGTON J, MC CARTHY V, KEARNEY P, FITZGERALD A, et al. Defining Metabolically Healthy Obesity: Role of Dietary and Lifestyle Factors . PloS One. 2013; 8 :e76188.
    1. 5. GROSSO G, MISTRETTA A, FRIGIOLA A, GRUTTADAURIA S, BIONDI A, BASILE F, et al. Mediterranean diet and cardiovascular risk factors: a systematic review . Crit Rev Food Sci Nutr. 2014; 54 (5):593–610.

LinkOut - more resources