ArticleBMC endocrine disorders2023
Dietary energy density, metabolic parameters, and blood pressure in a sample of adults with obesity.
Article in BMC endocrine disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Validation of a Brief Vegetable Variety Questionnaire to Assess Diet Quality.Current developments in nutrition · 2026Article
- Dietary fiber density as an important modifying factor in the association between rice intake and obesity in Japanese type 2 diabetes outpatients: a sex and age-stratified cross-sectional investigation (JDDM 80).Endocrine journal · 2026Article
- Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition.Frontiers in nutrition · 2025Article
- Article
- Dietary caffeine intake is associated with favorable metabolic profile among apparently healthy overweight and obese individuals.BMC endocrine disorders · 2023Article
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5 authors.
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Abstract
backgroundSeveral previous studies revealed the role of dietary energy density (DED) in developing obesity and related disorders. However, the possible role of DED in triggering cardiometabolic risk factors of individuals with obesity has not been studied yet. This study aimed to evaluate the association between DED and anthropometric parameters, blood pressure, and components of metabolic syndrome (MetS) (such as glycemic markers, lipid profile, and blood pressure) among individuals with obesity.
methodsIn this cross-sectional study, we included 335 adults with obesity (BMI ≥ 30 kg/m
resultsParticipants in the higher tertiles of DED had more intake of carbohydrate, dietary fat, saturated fatty acid (SFA), monounsaturated fatty acid (MUFA), polyunsaturated fatty acid (PUFA), and meat, fish, poultry (MFP). Increasing the DED in both methods had no association with systolic blood pressure (SBP), fasting blood sugar (FBS), low-density lipoprotein cholesterol (LDL-C), insulin, triglyceride (TG), and homeostatic model assessment of insulin resistance (HOMA-IR) even after adjustment for confounders. However, diastolic blood pressure (DBP) decreased in second tertile of DED I (β = 0.921, P = 0.004). The quantitative insulin-sensitivity check index (QUICKI) in second tertile of both DED methods had significant positive association with DED. In the second tertile of DED II, while total cholesterol (TC) significantly decreased (P crude = 0.036, P adjusted = 0.024), high-density lipoprotein cholesterol (HDL-C) increased (β = 1.096, p = 0.03). There was no significant changes in biochemical parameters in third tertile of DED I and II even after adjustment for covariates. Also, higher tertiles of DED was associated with reduced prevalence of MetS.
conclusionHigh DED was associated with lower levels of blood pressure and TC but elevated levels of HDL and QUICKI independent of such confounders as age, BMI, sex, and physical activity. Further longitudinal studies are warranted to better elucidate casual associations.
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