Evidence map›Paper›PMID 28965534›Full record

ArticlePublic health nutrition2018

A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults.

Lara Nasreddine, Hani Tamim, Leila Itani, Mona P Nasrallah, Hussain Isma'eel, Nancy F Nakhoul, Joana Abou-Rizk, Farah Naja

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Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 8 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

54 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. 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
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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

8 authors.

Lara Nasreddine1Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences,American University of Beirut,PO Box 11-0236, Riad El Solh 1107 2020, Beirut,Lebanon.
Hani Tamim3Clinical Research Institute, Faculty of Medicine,American University of Beirut Medical Center,Beirut,Lebanon.
Leila Itani5Department of Nutrition & Dietetics, Faculty of Health Sciences,Beirut Arab University,Beirut,Lebanon.
Mona P Nasrallah2Vascular Medicine Program,American University of Beirut,Beirut,Lebanon.
Hussain Isma'eel2Vascular Medicine Program,American University of Beirut,Beirut,Lebanon.
Nancy F Nakhoul2Vascular Medicine Program,American University of Beirut,Beirut,Lebanon.
Joana Abou-Rizk1Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences,American University of Beirut,PO Box 11-0236, Riad El Solh 1107 2020, Beirut,Lebanon.
Farah Naja1Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences,American University of Beirut,PO Box 11-0236, Riad El Solh 1107 2020, Beirut,Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo (i) estimate the consumption of minimally processed, processed and ultra-processed foods in a sample of Lebanese adults; (ii) explore patterns of intakes of these food groups; and (iii) investigate the association of the derived patterns with cardiometabolic risk.

designCross-sectional survey. Data collection included dietary assessment using an FFQ and biochemical, anthropometric and blood pressure measurements. Food items were categorized into twenty-five groups based on the NOVA food classification. The contribution of each food group to total energy intake (TEI) was estimated. Patterns of intakes of these food groups were examined using exploratory factor analysis. Multivariate logistic regression analysis was used to evaluate the associations of derived patterns with cardiometabolic risk factors.

settingGreater Beirut area, Lebanon. SUBJECTS: Adults ≥18 years (n 302) with no prior history of chronic diseases.

resultsOf TEI, 36·53 and 27·10 % were contributed by ultra-processed and minimally processed foods, respectively. Two dietary patterns were identified: the 'ultra-processed' and the 'minimally processed/processed'. The 'ultra-processed' consisted mainly of fast foods, snacks, meat, nuts, sweets and liquor, while the 'minimally processed/processed' consisted mostly of fruits, vegetables, legumes, breads, cheeses, sugar and fats. Participants in the highest quartile of the 'minimally processed/processed' pattern had significantly lower odds for metabolic syndrome (OR=0·18, 95 % CI 0·04, 0·77), hyperglycaemia (OR=0·25, 95 % CI 0·07, 0·98) and low HDL cholesterol (OR=0·17, 95 % CI 0·05, 0·60).

conclusionsThe study findings may be used for the development of evidence-based interventions aimed at encouraging the consumption of minimally processed foods.

Indexed as

Asian PeopleDiet, HealthyAdultAnthropometryCholesterolCross-Sectional StudiesDiet SurveysFast FoodsFemaleHumansHyperglycemiaLebanonLife StyleMaleMetabolic SyndromeMiddle AgedCholesterolDietary patternsFood classification systemMetabolic syndromeUltra-processed foodsUrban adults

Identifiers

PMID28965534
PMCPMC5729841

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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.