Dietary fiber and saturated fat: relation between biochemical markers of metabolic syndrome

Authors

  • Bruna Angelo Vieira Universidade Federal do Rio Grande do Sul
  • Débora da Silva Rosenhaim
  • Carla Haas Piovesan Pontifícia Universidade Católica do Rio Grande do Sul
  • David Santos de Freitas Universidade do Vale do Rio dos Sinos
  • Luísa Rihl Castro Pontifícia Universidade Católica do Rio Grande do Sul
  • Fabrício Edler Macagnan Fundação Universidade Federal de Ciências da Saúde de Porto Alegre
  • Ana Maria Pandolfo Feoli Pontifícia Universidade Católica do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1980-6108.2015.1.18236

Keywords:

Metabolic syndrome X, Dietary fiber, Fatty acids, Biochemical markers, HDL-cholesterol.

Abstract

Aims: To relate the consumption of dietary fiber and saturated fat to biochemical markers in individuals with metabolic syndrome.

Methods: The database of this cross-sectional study consisted of both male and female adults diagnosed with metabolic syndrome, according to the National Cholesterol Education Program's Adult Treatment Panel III, who participated in a study at the Pontifical Catholic University of Rio Grande do Sul. Data on all individuals registered at baseline who had complete information about their food intake were used. Consumption of dietary fiber and saturated fat was calculated based on the information provided by a 24-hour recall survey and a two-day food record. We evaluated the subjects in general and stratified by gender. The data were analyzed using descriptive statistics and the Student’s t test. The correlation between fiber and saturated fat intake and biochemical markers was measured by Pearson’s correlation coefficient. The significance level was set at 5%.

Results: There were 79 individuals whose records contained complete information and who were eventually included in the study. A significant positive correlation was observed between saturated fat intake and serum triglyceride levels (r=0.30; p=0.008) and between saturated fat intake and insulin (r=0.26; p=0.021). Also, a significant inverse correlation was observed between fiber intake and serum levels of HDL cholesterol (r=-0.28; p=0.011). When stratified by gender, the positive correlation between consumption of saturated fat and triglycerides remained significant only among men (r=0.44; p=0.034).

Conclusions: In this population diagnosed with metabolic syndrome, lower levels of HDL cholesterol were found in individuals who referred higher intake of dietary fiber, while individuals who reported elevated consumption of saturated fat had higher levels of insulin and triglycerides. In the gender-stratified analysis, positive correlation was found only between saturated fat consumption and serum triglyceride levels in men.

 

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Author Biographies

Bruna Angelo Vieira, Universidade Federal do Rio Grande do Sul

Nutricionista graduada pela Pontifícia Universidade Católica do Rio Grande do Sul. Especialista em Nutrição Clínica com ênfase nas Doenças Cardiovasculares, Diabetes e Obesidade pelo Instituto de Cardiologia do Rio Grande do Sul. Mestranda em Epidemiologia pela Universidade Federal do Rio Grande do Sul

Débora da Silva Rosenhaim

Nutricionista graduada pela Pontifícia Universidade Católica do Rio Grande do Sul. Especialista em Saúde da Família pelo Instituto de Educação e Pesquisa – Hospital Moinhos de Vento

Carla Haas Piovesan, Pontifícia Universidade Católica do Rio Grande do Sul

Nutricionista graduada pela Pontifícia Universidade Católica do Rio Grande do Sul. Mestre em Medicina e Ciências da Saúde pela Pontifícia Universidade Católica do Rio Grande do Sul

David Santos de Freitas, Universidade do Vale do Rio dos Sinos

Biólogo graduado pela Pontifícia Universidade Católica do Rio Grande do Sul. Mestre em Biociências (Zoologia) pela Pontifícia Universidade Católica do Rio Grande do Sul. Doutorando em Biologia pela Universidade do Vale do Rio dos Sinos

Luísa Rihl Castro, Pontifícia Universidade Católica do Rio Grande do Sul

Nutricionista graduada pela Universidade do Vale do Rio dos Sinos. Mestre em Ciências Médicas pela Universidade Federal do Rio Grande do Sul

Fabrício Edler Macagnan, Fundação Universidade Federal de Ciências da Saúde de Porto Alegre

Fisioterapeuta graduado pela Universidade de Cruz Alta. Especialista em Fisioterapia Músculo-Esquelética pela Universidade de Cruz Alta. Mestre em Ciências Biológicas (Fisiologia) pela Universidade Federal do Rio Grande do Sul. Doutor em Clínica Médica e Ciências da Saúde pela Pontifícia Universidade Católica do Rio Grande do Sul.

Ana Maria Pandolfo Feoli, Pontifícia Universidade Católica do Rio Grande do Sul

Nutricionista graduada pelo Instituto Metodista de Educação e Cultura. Mestre em Ciências Biológicas (Bioquímica) pela Universidade Federal do Rio Grande do Sul. Doutora em Ciências Biológicas (Bioquímica) pela Universidade Federal do Rio Grande do Sul

References

Sociedade Brasileira de Cardiologia. I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Arq Bras Cardiol. 2005;84(I). http://dx.doi.org/10.1590/S0066-782X2005000700001

Beltrán-Sánchez H, Harhay MO, Harhay MM, McElligott S. Prevalence and trend of Metabolic Syndrome in the adult US population, 1999-2010. J Am Coll Cardiol. 2013; 62(8): 697–703. http://dx.doi.org/10.1016/j.jacc.2013.05.064

Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among U.S. adults. Diabetes Care. 2004;27(10):2444-449. http://dx.doi.org/10.2337/diacare.27.10.2444

López-Jaramillo P, Sánchez RA, Diaz M, Cobos L, Bryce A, Parra-Carrillo JZ, Lizcano F, Lanas F, Sinay I, Sierra ID, Peñaherrera E, Bendersky M, Schimid H, Botero R, Urina M, Lara J, Foss MC, Márquez G, Harrap S, Ramírez AJ, Zanchetti A, em nome do Grupo de Especialistas da América Latina. Consenso Latino-Americano de Hipertensão em Pacientes com Diabetes Tipo 2 e Síndrome Metabólica. Arq Bras Endocrinol Metab. 2014;58(3):205-25. http://dx.doi.org/10.1590/0004-2730000003019

Bopp M, Barbiero S. Prevalence of Metabolic Syndrome in Outpatients of the Institute of Cardiology of Rio Grande do Sul. Arq Bras Cardiol. 2009;93(5):439-42. http://dx.doi.org/10.1590/S0066-782X2009001100006

Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation. 2002;106(25):3143-421.

Leão LSCS, Barros EG, Koifman RJ. Prevalência de Síndrome Metabólica em Adultos Referenciados para Ambulatório de Nutrição no Rio de Janeiro, Brasil. Rev Bras Cardiol. 2010;23(2):93-100.

Dima-Cozma C, Gavrilută C, Mitrea G, Cojocaru DC. The importance of healthy lifestyle in modern society: a medical, social and spiritual perspective. Eur J Sci Theol. 2014;10(3):111-20.

Perk J, Backer GD, Gohlke H, Graham I, Reiner Z, Verschuren WMM, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J. 2012; 33:1635-1701. http://dx.doi.org/10.1093/eurheartj/ehs092

Marlett JA, McBurney MI, Slavin JL. Position of the American Dietetic Association: Health Implications of Dietary Fiber. J Am Diet Assoc. 2002;102(7):993-1000. http://dx.doi.org/10.1016/S0002-8223(02)90228-2

Lutsey PL, Steffen LM, Stevens J. Dietary Intake and the Development of the Metabolic Syndrome: the Atherosclerosis Risk in Communities Study. Circulation. 2008;117(6):754-61. http://dx.doi.org/10.1161/CIRCULATIONAHA.107.716159

McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW, Jacques PF. Carbohydrate Nutrition, Insulin Resistance, and the Prevalence of the Metabolic Syndrome in the Framingham Offspring Cohort. Diabetes Care. 2004;27(2):538-46. http://dx.doi.org/10.2337/diacare.27.2.538

Veldhuis L, Koppes LL, Driessen MT, Samoocha D, Twisk JW. Effects of Dietary Fibre Intake during Adolescence on the Componentes of the Metabolic Syndrome at the age of 36 years: the Amsterdam Growth and Health Longitudinal Study. J Hum Nutr Diet. 2010;23(6):601-8. http://dx.doi.org/10.1111/j.1365-277X.2010.01089

Dall'Alba V, Silva FM, Antonio JP, Steemburgo T, Royer CP, Almeida JC, Gross JL, Azevedo MJ. Improvement of the Metabolic Syndrome Profile by Soluble Fibre - Guar Gum - in Patients with Type 2 Diabetes: a Randomised Clinical Trial. Br J Nutr. 2013;110(9):1601-10. http://dx.doi.org/10.1017/S0007114513001025

Santos CRB, Portella ES, Ávila SS, Soares EA. Fatores Dietéticos na Prevenção e Tratamento de Comorbidades Associadas à Síndrome Metabólica. Rev Nutr. 2006;19(3):389-401. http://dx.doi.org/10.1590/S1415-52732006000300010

Goldim JR. Manual de Iniciação à Pesquisa em Saúde. 2ª ed. Porto Alegre: Dacasa Editora; 2000.

Friedewald WT, Levy RI, Fredrickson DS. Estimation of the Concentration of Low-Density Lipoprotein Cholesterol in Plasma, without Use of the Preparative Ultracentrifuge. Clin Chem. 1972;18(6):499-502.

Dancey C, Reidy J. Estatística sem Matemática para Psicologia: Usando Spss para Windows. 1ª ed. Porto Alegre: Artmed; 2006.

Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução nº 196/96 sobre Pesquisa Envolvendo Seres Humanos. Bioética. Brasília: Ministério da Saúde; 1996.

Gonçalves MCR, Costa MJC, Asciutti LSR, Diniz MFFM. Fibras Dietéticas Solúveis e suas Funções nas Dislipidemias. Rev Bras Nutr Clin. 2007;22(2):167-73.

Olson BH, Anderson SM, Becker MP, Anderson JW, Hunninghake DB, Jenkins DJA, LaRosa JC, Rippe JM, Roberts DCK, Stoy DB, Summerbell CD, Truswell AS, Wolever TMS, Morris DH, Fulgoni III VL. Psyllium-Enriched Cereals Lower Blood Total Cholesterol and LDL Cholesterol, but not HDL Cholesterol, in Hypercholesterolemic Adults: Results of a Meta-Analysis. J Nutr. 1997;127(10):1973-80.

Rubins HB, Robins SJ, Collins D, Fye CL, Anderson JW, Elam MB, Faas FH, Linares E, Schaefer EJ, Schectman G, Wilt TJ, Wittes J. Gemfibrozil for the Secondary Prevention of Coronary Heart Disease in Men with Low Levels of High-Density Lipoprotein Cholesterol. N Engl J Med. 1999;341(6):410-8. http://dx.doi.org/10.1056/NEJM199908053410604

Birjmohun RS, Hutten BA, Kastelein JJP, Stroes ESG. Efficacy and Safety of High-Density Lipoprotein Cholesterol-Increasing Compounds: A Meta-Analysis of Randomized Controlled Trials. J Am Coll Cardiol. 2005;45(2):185-97. http://dx.doi.org/10.1016/j.jacc.2004.10.031

Mello VD, Laaksonen DE. Fibras na Dieta: Tendências Atuais e Benefícios à Saúde na Síndrome Metabólica e no Diabetes Melito Tipo 2. Arq Bras Endocrinol Metab. 2009;53(5):509-18. http://dx.doi.org/10.1590/S0004-27302009000500004

Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation Between Changes in Intakes of Dietary Fiber and Grain Products and Changes in Weight and Development of Obesity Among Middle-Aged Women. Am J Clin Nutr. 2003;78(5):920-7.

Pereira LO, Francischi RP, Júnior AHL. Obesidade: Hábitos Nutricionais, Sedentarismo e Resistência à Insulina. Arq Bras Endocrinol Metab. 2003;47(2):111-27. http://dx.doi.org/10.1590/S0004-27302003000200003

Wajchenberg BL, Santomauro ATMG, Nery M, Santos RF, Silva MELR, Ursich MJM, Rocha DM. Resistência à Insulina: Métodos Diagnósticos e Fatores que Influenciam a Ação da Insulina. Arq Bras Endocrinol Metab. 1999;43(2):76-85. http://dx.doi.org/10.1590/S0004-27301999000200003

Xavier HT, Izar MC, Faria Neto JR, Assad M H, Rocha VZ, Sposito AC, Fonseca FA, dos Santos JE, Santos RD, Bertolami MC, Faludi AA, Martinez TLR, Diament J, Guimarães A, Forti NA, Moriguchi E, Chagas ACP, Coelho OR, Ramires JAF. V Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol. 2013; 101(4Supl.1): 1-22.

Leaf DA. Hypertriglyceridemia: A Guide to Assessment and Treatment. Hospital Physycian. 2008; 17-23,32.

Reiner Z, Catapano AL, De Backer G, Graham I, Taskinen MR, Wiklund O, Agewall S, Alegría E, Chapman MJ, Durrington P, Erdine S, Halcox J, Hobbs RH, Kjekshus JK, Perrone Filardi P, Riccardi G, Storey RF, David W; Clinical Practice Guidelines Committee of the Spanish Society of Cardiology. ESC/EAS Guidelines for the management of dyslipidaemias. Eur Heart J. 2011; 32:1769-1818. http://dx.doi.org/10.1093/eurheartj/ehr158

Cuppari L, Anção MS. Uso de programas computadorizados na avaliação dietética. In: Fisberg RM, Slater B, Marchioni DML, Martini LA. Inquéritos alimentares: métodos e bases científicos. São Paulo: Manole; 2005. p.71-82.

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Published

2015-02-06

How to Cite

Vieira, B. A., Rosenhaim, D. da S., Piovesan, C. H., Freitas, D. S. de, Castro, L. R., Macagnan, F. E., & Feoli, A. M. P. (2015). Dietary fiber and saturated fat: relation between biochemical markers of metabolic syndrome. Scientia Medica, 25(1), ID18236. https://doi.org/10.15448/1980-6108.2015.1.18236

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Vol. 25 No. 1 (2015)

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Original Articles

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