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Associação do padrão de ingestão lípidica com a qualidade da dieta, resistência insulínica e homocisteinemia em adultos

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Objectives: To evaluate the association between the consumption of different dietary fats with the quality of the diet, insulin resistance, and hyperhomocysteinemia in adults. Methods: Cross-sectional study conducted with 624 overweight subjects (73.7% females). Assessments of food intake (24h food recall and health eating index-HEI), anthropometry, and biochemical assays of fasting glucose, insulin (HOMA-IR and β calculus) and homocysteinemia were performed. Results: The low quality of diet was associated with the vegetable oil at 3rd quintile (≥1.5-2.0 servings) showed risk 2.9 times and cholesterol at quintiles 2nd, 3rd, and 4th was 2.0 times. HOMA-IR was higher at 5th quintile of saturated fat (≥10,7% - total caloric value) with risk of 60% and hyperhomocysteinemia the vegetable oil at 3rd quintile (>1.5-2.0 servings) with risk of 12.0 times and 5th (≥3.5 servings) 7.1 times. However, significance disappeared when adjusted for anthropometric variables. Conclusion: Dietary fats were associated with the harm diet quality, insulin resistance, and hyperhomocysteinemia. However, associations are dependant of demographic variables, dietetic, and nutritional state. © 2011 CELOM.

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cholesterol, glucose, insulin, saturated fatty acid, vegetable oil, anthropometry, biochemistry, correlation analysis, cross-sectional study, diet, fat intake, female, food intake, human, hyperhomocysteinemia, hyperlipidemia, insulin resistance, major clinical study, male, obesity, Cross-Sectional Studies, Diet, Dietary Fats, Female, Humans, Hyperhomocysteinemia, Insulin Resistance, Male, Middle Aged, Overweight, Retrospective Studies

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Inglês

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Acta Medica Portuguesa, v. 24, n. 5, p. 719-726, 2011.

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