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The association between carbohydrate quality index and nutrient adequacy in Iranian adults

Mena Farazi (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Ahmad Jayedi (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Zahra Noruzi (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Fatemeh Dehghani Firouzabadi (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Elaheh Asgari (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Kurosh Djafarian (Clinical Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)
Sakineh Shab-Bidar (Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran)

Nutrition & Food Science

ISSN: 0034-6659

Article publication date: 18 May 2021

Issue publication date: 6 September 2021

143

Abstract

Purpose

This paper aims to evaluate the association between carbohydrate quality index (CQI) and nutrient adequacy in Iranian adults.

Design/methodology/approach

A total of 268 men and women with ages ranged from 18 to 70 years were evaluated in a cross-sectional study. The CQI was calculated by adding together the three components, namely, the ratio of solid to total carbohydrate, dietary fiber and glycemic index. The scores of three components were summed to calculate the CQI, with a higher score indicating a higher dietary carbohydrate quality. The odds ratios (ORs) of nutrient adequacy ratio (NAR), defined as the ratio of intake of a nutrient to the age- and gender-specific recommended dietary allowance, for the intake of energy and 10 nutrients across quartiles of the CQI were calculated by logistic regression analysis and expressed with 95% confidence intervals (CIs).

Findings

CQI ranged between 3 to 15 (mean ± SD: 9 ± 1.9). Being in top versus bottom quartile of the CQI was associated with a higher NAR of folic acid (OR: 3.20, 95% CI: 1.06–9.62; P-trend: <0.001), vitamin A (OR: 3.66; 95% CI: 1.46–9.17; P-trend: <0.001), magnesium (OR: 5.94; 95% CI; 1.71–20.53; P-trend: <0.001), vitamin C (OR: 7.85; 95% CI; 2.99–20.59; P-trend: <0.001).

Originality/value

A higher CQI was associated with greater micronutrient consumption adequacy in Iranian adults. The results suggest that increasing the consumption of total fiber and solid carbohydrates and decreasing the glycemic index of the diet and liquid carbohydrates can improve micronutrient intake adequacy.

Keywords

Acknowledgements

Authors thanks all those who participated in this study.

Financial support: This manuscript has been granted by the Tehran University of Medical Sciences (Grant No: 33887). The funder had no role in the design, analysis or writing of this article.

Conflict of interest: None.

Authorship: SSb and KDj contributed to the conception/design of the research; FDF and EA contributed to the acquisition of data. MF and ZN participated in the analysis and interpretation of the data; MF drafted the manuscript; AJ critically revised the manuscript; and SS-b agrees to be fully accountable for ensuring the integrity and accuracy of the work. All authors read and approved the final manuscript.

Ethics committee and approval number: The Ethical Committee of the Tehran University of Medical Sciences approved the study protocol (Ethical approval ID: IR.TUMS.VCR.REC.1397.157).

Citation

Farazi, M., Jayedi, A., Noruzi, Z., Dehghani Firouzabadi, F., Asgari, E., Djafarian, K. and Shab-Bidar, S. (2021), "The association between carbohydrate quality index and nutrient adequacy in Iranian adults", Nutrition & Food Science, Vol. 51 No. 7, pp. 1113-1123. https://doi.org/10.1108/NFS-12-2020-0478

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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