Factors Associated with the Use of Specific Diets and Their Impact on the Nutritional Status of Moroccan Adults
DOI:
https://doi.org/10.63095/NBSEH.25.402237Keywords:
Diets, Health, Nutrition, Anthropometry, Diseases, MoroccoAbstract
This research, which used a validated conceptual and methodological framework, examined the factors associated with the adoption of specific diets and their influence on the nutritional status of adults from 507 households in the Rabat-Salé-Kénitra region in Morocco. Data on socio-demographic characteristics, health status, and specific diets were collected using a questionnaire from one member per household. Anthropometric parameters, including body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), body fat composition (%FM), and body muscle composition (%MM), were measured by impedance and metric tape. The majority of the study population was aged 35-71 years (59%), urban (70%), female (52%), and overweight (51%), and 24% were at high risk of cardiovascular and metabolic syndrome. The statistical analysis revealed several associations between the different specific diets adopted by the population and their nutritional status, assessed by various anthropometric indicators. The data obtained can be used as a basis for implementing relevant nutritional interventions.
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References
Inserm, 2006, Obésité: bilan et évaluation des programmes de prévention et de prise en charge (Paris : EDP sciences).
Ojo, O., 2019, Nutrition and chronic conditions. Nutrients 11(2), 459. https://doi.org/10.3390/nu11020459
Myers, J., Kokkinos, P., & Nyelin, E., 2019, Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients 11(7), 1652. https://doi.org/10.3390/nu11071652
Vincent, G. E., Jay, S. M., Sargent, C., Vandelanotte, C., Ridgers, N. D., & Ferguson, S. A., 2017, Improving cardiometabolic health with diet, physical activity, and breaking up sitting: what about sleep?. Frontiers in physiology 8, 865. https://doi.org/10.3389/fphys.2017.00865
Hruby, A., & Hu, F. B., 2015, The epidemiology of obesity: a big picture. Pharmacoeconomics 33, 673-689.https://doi.org/10.1007/s40273-014-0243-x
Dossus, L., Barquera, S., Blottière, H. M., Franks, P. W., Gunter, M., Hwalla, N., Hursting, S. D., Leitzmann, M., Margetts, B., Nishida, C., Potischman, N., Seidell, J., Stepien, M., Wang, Y., Westerterp, K., Winichagoon, P., Wiseman, M., & Willett, W. C., 2017, Energy balance and obesity : what are the main drivers?. Cancer Causes & Control 28, 247-258. https://doi.org/10.1007/s10552-017-0869-z
Gardner, C. D., Trepanowski, J. F., Del Gobbo, L. C., Hauser, M. E., Rigdon, J., Ioannidis, J. P., Desai, M., & King, A. C., 2018, Effect of low-fat vs low-carbohydrate diet on 12-month weight loss in overweight adults and the association with genotype pattern or insulin secretion: the DIETFITS randomized clinical trial. Jama 319(7), 667-679. https://doi.org/10.1001/jama.2018.0245
Aron-Wisnewsky J., & Brindisi M.-C., 2023, Que faut-il retenir des recommandations de bonne pratique de la HAS 2022 : « Obésité de l’adulte : prise en charge de 2e et 3e niveaux – Partie I : prise en charge médicale » ? [What to remember from the HAS 2022 best clinical practice recommendations: Obesity in adults: “2nd and 3rd levels of care management – Part I: medical management”?]. Nutrition Clinique et Métabolisme 37(2), 2S52-2S57. https://doi.org/10.1016/S0985-0562(24)00012-8
Sami, W., Ansari, T., Butt, N. S., & Ab Hamid, M. R., 2017, Effect of diet on type 2 diabetes mellitus: A review. International Journal of Health Sciences 11(2), 65. PMID: 28539866; PMCID: PMC5426415.
Sievenpiper, J. L., Chan, C. B., Dworatzek, P. D., Freeze, C., Williams, S. L., & Diabetes Canada Clinical Practice Guidelines Expert Committee., 2018, Nutrition therapy. Canadian Journal of Diabetes 42, S64-S79. https://doi.org/10.1016/j.jcjd.2017.10.009.
Blacher, J., Halimi, J. M., Hanon, O., Mourad, J. J., Pathak, A., Schnebert, B., & Girerd, X., 2014, Management of arterial hypertension in adults: 2013 guidelines of the French Society of Arterial Hypertension. Médecine thérapeutique 20(1), 39-47. https://doi.org/10.1684/stv.2013.0798
Ndanuko, R. N., Tapsell, L. C., Charlton, K. E., Neale, E. P., & Batterham, M. J., 2016, Dietary patterns and blood pressure in adults: a systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition 7(1), 76-89. https://doi.org/10.3945/an.115.009753
Grillo, A., Salvi, L., Coruzzi, P., Salvi, P., & Parati, G., 2019, Sodium intake and hypertension. Nutrients 11(9), 1970. https://doi.org/10.3390/nu11091970
Enkhmaa, B., Surampudi, P., Anuurad, E., & Berglund, L., 2018, Lifestyle Changes: Effect of Diet, Exercise, Functional Food, and Obesity Treatment on Lipids and Lipoproteins. In: Feingold, K. R., Anawalt, B., Blackman, M. R., Boyce, A., Chrousos, G., Corpas, E., de Herder, W. W., Dhatariya, K., Dungan, K., Hofland, J., Kalra, S., Kaltsas, G., Kapoor, N., Koch, C., Kopp, P., Korbonits, M., Kovacs, C. S., Kuohung, W., Laferrère, B., Levy, M., McGee, E. A., McLachlan, R., New, M., Purnell, J., Sahay, R., Shah, A. S., Singer, F., Sperling, M. A., Stratakis, C. A., Trence, D. L., & Wilson, D. P. (Eds.) Endotext [Internet] (South Dartmouth (MA): MDText.com, Inc.). Available Online at: https://www.ncbi.nlm.nih.gov/sites/books/NBK326737/ (Consulted on 19 January 2025).
Barakat, I., Elayachi, M., & Belahsen, R., 2022, Validation of conceptual and methodological framework for the study of dietary practices and nutritional status of an adult population. Roczniki Państwowego Zakładu Higieny 73(2), 199-207. https://doi.org/ 10.32394/rpzh.2022.0211
Journal Officiel de l’Union Européenne, 2011, Règlement (UE) n°1169/2011 du Parlement Européen et du Conseil. Available online at : https://www.senat.fr/europe/textes_europeens/ue0120.pdf (accessed 28 December 2024)
World Health Organization, 2000, Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation (Geneva: World Health Organization).
Oppert, J. M., 2003, Obésités : quelles mesures pour les « phénotypes » à risque cardiovasculaire ? Sang Thrombose Vaisseaux 15(9), 551-556.
McLeod, S. A , 2019, Introduction to the normal distribution (bell curve).
Simply psychology. Available online at : https://www.simplypsychology.org/normal-distribution.html (Consulted on 19 January 2025).
Zhu W., 2016, p < 0.05, < 0.01, < 0.001, < 0.0001, < 0.00001, < 0.000001, or < 0.0000001 …. Journal of Sport and Health Science 5(1), 77-79 2016. https://doi.org/10.1016/j.jshs.2016.01.019
Barrey, S., Dubuisson-Quellier, S., Gojard, S., & Plessz, M., 2012, Les effets des prescriptions sur les pratiques de consommation alimentaires : rôle des positions dans la trajectoire de vie et des ressources sociales. Presented at the conference Gouverner les conduites économiques, organized by the Centre de Sociologie des Organisations (CSO), Paris, France, 18–20 June. Available at : https://hal.science/hal-01191182v1 (accessed on 20 April 2025)
Vaillant M.-F., Alligier M., Baclet N., Capelle J., Dousseaux M.-P., Eyraud E., Fayemendy P., Flori N., Guex E., Hennequin V., Lavandier F., Martineau C., Morin M.-C., Mokaddem F., Parmentier I., Rossi-Pacini F., Soriano G., Verdier E., Zeanandin G., Quilliot D, 2019, Recommandations sur les alimentations standard et thérapeutiques chez l’adulte en établissements de santé. Nutrition clinique et métabolisme 33(4), 235-253. https://doi.org/10.1016/j.nupar.2019.09.002
Ministère de la Santé (Maroc), 2018, Enquête nationale sur la population et la santé familiale (ENPSF 2018). Available online at : https://www.academia.edu/download/96198265/2022_B.ELBIDAOUI_Femme_et_ecart_d_Age_entr_epoux_au_Maroc.pdf (accessed 28 December 2024)
de Juras, A. R., Hsu, W. C., & Hu, S. C., 2022, Dietary patterns and their association with sociodemographic and lifestyle factors in Filipino adults. Nutrients 14(4), 886. https://doi.org/10.3390/nu14040886
Wheeler, M. L., Dunbar, S. A., Jaacks, L. M., Karmally, W., Mayer-Davis, E. J., Wylie-Rosett, J., & Yancy Jr, W. S., 2012, Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature, 2010. Diabetes Care 35(2), 434-445. https://doi.org/10.2337/dc11-2216
Alloubani, A., Saleh, A., & Abdelhafiz, I., 2018, Hypertension and diabetes mellitus as a predictive risk factors for stroke. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 12(4), 577-584. https://doi.org/10.1016/j.dsx.2018.03.009
Clavier, V., 2019, La place de l’information dans les pratiques professionnelles des diététiciennes : au croisement des missions d’éducation, de prévention et de soin. Information, Données & Documents 1(1), 114-133. https://doi.org/10.3917/i2d.191.0114
Graudal, N. A., Hubeck-Graudal, T., & Jurgens, G., 2020, Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. Cochrane Database of Systematic Reviews 9(11). https://doi.org/ 10.1002/14651858.CD004022.pub5
Fantin, F., Giani, A., Zoico, E., Rossi, A. P., Mazzali, G., & Zamboni, M., 2019, Weight loss and hypertension in obese subjects. Nutrients 11(7), 1667. https://doi.org/10.3390/nu11071667
Ho, A. K., Bartels, C. M., Thorpe, C. T., Pandhi, N., Smith, M. A., & Johnson, H. M., 2016, Achieving weight loss and hypertension control among obese adults: a US multidisciplinary group practice observational study. American Journal of Hypertension 29(8), 984-991. https://doi.org/10.1093/ajh/hpw020
Kaczorowski, J., Campbell, N. R., Duhaney, T., Mang, E., & Gelfer, M., 2016, Réduire la mortalité par l’alimentation : Revendication de politiques publiques pour prévenir les maladies chroniques. Canadian Family Physician 62(6), e291-e293. Available online at : https://www.cfp.ca/content/cfp/62/6/e291.full.pdf (accessed on 20 April 2025)
Raharinavalona, S. A., Razanamparany, T., Raherison, R. E., & Rakotomalala, A. D. P., 2020, Prévalence du syndrome métabolique et des facteurs de risque cardiovasculaire chez les diabétiques de type 2 vu au service d’endocrinologie, Antananarivo. Pan African Medical Journal 36(1). https://doi.org/10.11604/pamj.2020.36.67.15845.
World Health Organization, 2018, Noncommunicable diseases country profiles 2018. Available online at: https://apps.who.int/iris/handle/10665/274512 (accessed on 28 December 2024).
Hooper, L., Martin, N., Jimoh, O. F., Kirk, C., Foster, E., & Abdelhamid, A. S., 2020, Reduction in saturated fat intake for cardiovascular disease. Cochrane Database of Systematic Reviews 8 (8). https://doi.org/10.1002/14651858.CD011737.pub2
OMS, 2018, Alimentation saine. Available online at: https://www.who.int/fr/news-room/fact-sheets/detail/healthy-diet (Accessed 28 December 2024)
Wing, R. R., Lang, W., Wadden, T. A., Safford, M., Knowler, W. C., Bertoni, A. G., Hill J.O., Brancati F.L., Peters A., & Wagenknecht L., 2011, The Look AHEAD Research Group, Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care 34(7), 1481-1486. https://doi.org/10.2337/dc10-2415
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Copyright (c) 2025 Imane Barakat, Firdaous Friki, Halima Belaoufi, Hajar El Hendaoui, Rachida Moustakim, Mohammed Elayachi, Rekia Belahsen

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