{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T03:16:30Z","timestamp":1771643790038,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T00:00:00Z","timestamp":1541548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Obesity is an emerging public health problem, with its incidence on the rise. An abnormal metabolic profile is a risk factor for developing obesity. Dietary factors play a central role in the regulation of inflammation and obesity. The aim of the present study was to determine the prevalence of metabolically healthy obese and metabolically unhealthy obese (MUO) phenotypes, and their association with dietary inflammatory index (DII) among obese Iranian people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted from July to October 2017 among 300 obese participants in southern Tehran. DII scores were computed based on the overall inflammatory properties of 32 dietary components using dietary intake assessed by food frequency questionnaire. MUO phenotype was defined as having three or more of these metabolic abnormalities: high blood glucose, high triglycerides, low high\u2010density lipoprotein cholesterol, elevated blood pressure or abdominal obesity. The association was determined using logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The MUO phenotype (n\u2009=\u2009176) was found in 63.5% of obese participants. Compared with participants in the first quartile, those in the fourth quartile of DII score (more pro\u2010inflammatory diet) had higher odds of MUO phenotype (odds ratio, OR: 2.58 (95% CI: 1.19\u20135.59), <jats:italic>P<\/jats:italic>\u2009=\u20090.04), and there was a significant association between the continuous form of DII score and the odds of MUO phenotype (OR: 1.18 (95% CI: 1.01\u20131.37)) after adjusting for potential confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher DII scores were positively associated with the MUO phenotype. A more pro\u2010inflammatory diet is a potential risk factor for MUO phenotype.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12482","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T09:16:25Z","timestamp":1541582185000},"page":"192-198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Association of dietary inflammatory index with metabolic profile in metabolically healthy and unhealthy obese people"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3717-4077","authenticated-orcid":false,"given":"Ahmed A.","family":"Abdurahman","sequence":"first","affiliation":[{"name":"Department of Community Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences International Campus (TUMS\u2010IC)  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Azadbakhat","sequence":"additional","affiliation":[{"name":"Department of Community Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences (TUMS)  Tehran Iran"},{"name":"Diabetic Research Centre, Endocrine and Metabolism Clinical Sciences Institute Tehran University of Medical Sciences (TUMS)  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahkameh","family":"Rasouli","sequence":"additional","affiliation":[{"name":"Department of anesthesiology, Medicine Faculty Tehran University of Medical Sciences (TUMS)  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Chamari","sequence":"additional","affiliation":[{"name":"Department of Community Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences (TUMS)  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9465-7588","authenticated-orcid":false,"given":"Mostafa","family":"Qorbani","sequence":"additional","affiliation":[{"name":"Non\u2010communicable Diseases Research Centre Alborz University of Medical Sciences  Tehran Iran"},{"name":"Chronic Diseases Research Centre, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed R.","family":"Dorosty","sequence":"additional","affiliation":[{"name":"Department of Community Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences (TUMS)  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2014.04.012"},{"key":"e_1_2_8_3_1","volume-title":"Eastern Mediterranean Region: Framework for Health Information Systems and Core Indicators for Monitoring Health Situation and Health System Performance","author":"World Health Organisation","year":"2015"},{"key":"e_1_2_8_4_1","first-page":"596","article-title":"Investigation of the prevalence of obesity in Iran: a systematic review and meta\u2010analysis study","volume":"53","author":"Rahmani A","year":"2015","journal-title":"Acta Med Iran"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2015.11.015"},{"key":"e_1_2_8_6_1","unstructured":"International Diabetes Federation. 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