The association between dietary meal intake habits and coronary artery stenosis and cardio-metabolic risk factors
Marzieh Taftian,
Bahareh Sasanfar,
Mohammadtaghi Sarebanhassanabadi,
Seyedmostafa Seyedhosseini,
Sayyed Saeid Khayyatzadeh,
Farzan Madadizadeh,
Maryam Motallaei,
Sara Beigrezaei,
Faezeh Golvardi-Yazdi,
Fatemeh Mirjalili,
Amin Salehi-Abargouei
Affiliations
Marzieh Taftian
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Bahareh Sasanfar
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Mohammadtaghi Sarebanhassanabadi
Yazd Cardiovascular Research Center, Noncommunicable disease Research institute, Shahid Sadoughi University of Medical Sciences
Seyedmostafa Seyedhosseini
Yazd Cardiovascular Research Center, Noncommunicable disease Research institute, Shahid Sadoughi University of Medical Sciences
Sayyed Saeid Khayyatzadeh
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Farzan Madadizadeh
Center for healthcare Data modeling, Departments of biostatistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences
Maryam Motallaei
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Sara Beigrezaei
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Faezeh Golvardi-Yazdi
Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences and Health Services
Fatemeh Mirjalili
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Amin Salehi-Abargouei
Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences
Abstract Background and objective We are not aware of studies examining the association between dietary meal intake habits (DMIH) and severity of coronary artery stenosis (CAS). This study was conducted to investigate the relationship between DMIH and the severity of CAS as well as cardiometabolic risk factors in adults undergoing coronary angiography. Methods This cross-sectional study was done on 720 patients undergoing coronary angiography (aged 35–75 years) who were admitted to Afshar Hospital, a referral hospital for cardiovascular diseases in Yazd, Iran. Data on DMIH were gathered by interview. Blood samples were taken for biochemical analysis. Blood pressure, anthropometric indices, and body composition were also evaluated. The relationship between DMIH and the severity of CAS [examined by angiography based on Gensini Score (GS) and Syntax Score (SS)] and cardiometabolic risk factors were assessed using logistic regression and the analysis of covariance (ANCOVA), respectively, in crude and multivariable adjusted models. Results After adjustment for all possible confounding variables, the study revealed that people who ate 3 meals/day had a lower risk of severe CAS compared to people who ate 2 or fewer meals (OR = 0.48, 95% CI: 0.26, 0.88, P-trend = 0.02). There was an inverse association between the number of snacks /day and the severity of CAS (OR = 0.43, 95% CI: 0.22, 0.87, P-trend = 0.02). There was also an inverse relationship between breakfast frequency/week and the severity of CAS based on both GS and SS (P < 0.05). Breakfast consumption, meal frequency, lunch consumption, snack frequency, and more food consumption on holidays were also associated with different cardiometabolic markers and anthropometric measures (P < 0.05). Conclusion According to the results of the present study, meal frequency and breakfast consumption might be inversely associated with CAS and cardiometabolic risk factors.
