Evidence map›Paper›PMID 26431469›Full record

ArticleThe British journal of nutrition2015

A Western dietary pattern is associated with overweight and obesity in a national sample of Lebanese adolescents (13-19 years): a cross-sectional study.

Farah Naja, Nahla Hwalla, Leila Itani, Sabine Karam, Abla Mehio Sibai, Lara Nasreddine

Abstract readComparative Study
In one paragraph

Article in The British journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Shifts in food consumption patterns in the Levant: a systematic review of the last six decades.The international journal of behavioral nutrition and physical activity · 2025
    Pooled it
  3. Pooled it
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  8. Sustainable diets: where from and where to?Journal of nutritional science · 2025
    Review
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Farah Naja1Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences,American University of Beirut,PO Box 11-0236 Riad El Solh 11072020 Beirut,Lebanon.
Nahla Hwalla1Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences,American University of Beirut,PO Box 11-0236 Riad El Solh 11072020 Beirut,Lebanon.
Leila Itani2Department of Nutrition & Dietetics, Faculty of Health Sciences,Beirut Arab University,PO Box 11-5020 Riad El Solh 11072809 Beirut,Lebanon.
Sabine Karam1Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences,American University of Beirut,PO Box 11-0236 Riad El Solh 11072020 Beirut,Lebanon.
Abla Mehio Sibai3Department of Epidemiology and Population Health, Faculty of Health Sciences,American University of Beirut,PO Box 11-0236 Riad El Solh 11072020 Beirut,Lebanon.
Lara Nasreddine1Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences,American University of Beirut,PO Box 11-0236 Riad El Solh 11072020 Beirut,Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescent obesity is associated with both immediate and longer-term health implications. This study aims to identify dietary patterns among a nationally representative sample of Lebanese adolescents aged between 13 and 19 years (n 446) and to assess the association of these patterns with overweight and obesity. Through face-to-face interviews, socio-demographic, lifestyle and anthropometric variables were collected. Dietary intake was assessed using a sixty-one-item FFQ. Dietary patterns were derived by factor analysis. The following two dietary patterns were identified: Western and traditional Lebanese. The Western pattern was characterised by high consumption of red meat, eggs and fast-food sandwiches. The traditional Lebanese pattern reflected high intakes of fruits and vegetables, legumes and fish. Female sex and a higher maternal education level were associated with a greater adherence to the traditional Lebanese pattern. As for the Western pattern, the scores were negatively associated with crowding index, physical activity and frequency of breakfast consumption. After adjustment, subjects belonging to the 3rd tertile of the Western pattern scores had significantly higher odds of overweight compared with those belonging to the 1st tertile (OR 2·3; 95% CI 1·12, 4·73). In conclusion, two distinct dietary patterns were identified among adolescents in Lebanon: the traditional Lebanese and the Western, with the latter pattern being associated with an increased risk of overweight. The findings of this study may be used to guide the development of evidence-based preventive nutrition interventions to curb the obesity epidemic in this age group.

Indexed as

Adolescent Nutritional Physiological PhenomenaFeeding BehaviorAdolescentAdultCross-Sectional StudiesDietDiet, WesternEducational StatusFactor Analysis, StatisticalFemaleHumansLebanonMaleNutrition SurveysOverweightPediatric ObesityAdolescentsDietary patternsLebanonObesityOverweight

Identifiers

PMID26431469
PMCPMC4635384

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.