Skip to main content
Log in

Index of Nutritional Quality (INQ) and the Risk of Obesity in Male Adolescents: a Case-Control Study

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

Dietary factors may play a key role in the etiology of obesity. The Index of Nutritional Quality (INQ) provides a comprehensive overview of the nutrients content of the diet. This study aimed to investigate the association between INQ and obesity in male adolescents. We hypothesize that receiving a high-quality diet reduces the risk of overweight or obese. This study was carried out on 214 obese/overweight as the case group and 321 normal-weight male adolescents as the control group. Dietary intakes of the participants were collected using a food frequency questionnaire (FFQ). The FFQ-derived dietary data were used to calculate the INQ scores. After adjustments for age and height, an inverse association was found between obesity and INQ of iron, vitamin B6, and magnesium, and a positive association was found between obesity and INQ of zinc (all P < 0.05). After further adjustments for nutritional knowledge and calorie intake, an inverse association was observed between obesity and INQ of vitamin C, iron, vitamin B6, pantothenic acid, selenium, and magnesium (all P < 0.05). The positive association of obesity and INQ of zinc remained significant after adjustments. A higher intake of vitamin C, iron, vitamin B6, pantothenic acid, selenium, and magnesium and a lower intake of zinc may be protective against adolescent obesity. More longitudinal studies are required to investigate the relationship between these nutrients and obesity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Han J, Law lor DA, Kimm SY (2010) Childhood obesity. Lancet 375(9727):1737–1748

    PubMed  PubMed Central  Google Scholar 

  2. Poobalan A, Aucott L (2016) Obesity among young adults in developing countries: a systematic overview. Curr Obes Rep 5(1):2–13

    PubMed  PubMed Central  Google Scholar 

  3. Aasheim ET, Hofsø D, Hjelmesæth J, Birkeland KI, Bøhmer T (2008) Vitamin status in morbidly obese patients: a cross-sectional study. Am J Clin Nutr 87(2):362–369

    CAS  PubMed  Google Scholar 

  4. Welbourn R et al (2016) Why the NHS should do more bariatric surgery; how much should we do? Bmj 353:i1472

    PubMed  Google Scholar 

  5. Haidar YM, Cosman BC (2011) Obesity epidemiology. Clinics Colon Rectal Surg 24(4):205–210

    Google Scholar 

  6. Nguyen DM, El-Serag HB (2010) The epidemiology of obesity. Gastroenterol Clin N Am 39(1):1–7

    CAS  Google Scholar 

  7. Caballero B (2007) The global epidemic of obesity: an overview. Epidemiol Rev 29(1):1–5

    PubMed  Google Scholar 

  8. Ebbeling CB, Pawlak DB, Ludwig DS (2002) Childhood obesity: public-health crisis, common sense cure. Lancet 360(9331):473–482

    PubMed  Google Scholar 

  9. Hamilton D, Dee A, Perry IJ (2018) The lifetime costs of overweight and obesity in childhood and adolescence: a systematic review. Obes Rev 19(4):452–463

    CAS  PubMed  Google Scholar 

  10. Gholamalizadeh M et al (2018) Influence of fat mass-and obesity-associated genotype, body mass index, and dietary intake on effects of iroquois-related homeobox 3 gene on body weight. Chin Med J 131(17):2113–2112

    Google Scholar 

  11. Kalantari N, Keshavarz Mohammadi N, Izadi P, Doaei S, Gholamalizadeh M, Eini-Zinab H, Salonurmi T, Rafieifar S, Janipoor R, Azizi Tabesh G (2018) A haplotype of three SNPs in FTO had a strong association with body composition and BMI in Iranian male adolescents. PloS One 13(4):e0195589

  12. Slattery ML (2008) Defining dietary consumption: is the sum greater than its parts? Oxford University Press

  13. Coulston AM (2001) The search continues for a tool to evaluate dietary quality. Oxford University Press

  14. Vahid F, Hekmatdoost A, Mirmajidi S, Doaei S, Rahmani D, Faghfoori Z (2019) Association between index of nutritional quality and nonalcoholic fatty liver disease: the role of vitamin D and B group. Am J Med Sci 358(3):212–218

    PubMed  Google Scholar 

  15. Sorenson AW, Wyse BW, Wittwer AJ, Hansen RG (1976) An index of nutritional quality for a balanced diet. New help for an old problem. J Am Diet Assoc 68(3):236–242

    CAS  PubMed  Google Scholar 

  16. Vahid F et al (2020) A pro-inflammatory diet increases the likelihood of obesity and overweight in adolescent boys: a case–control study. Diabetol Metab Syndr 12:1–8

    Google Scholar 

  17. Mirmiran P, Hosseini Esfahani F, Mehrabi Y, Hedayati M, Azizi F (2010) Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr 13(5):654–662

    PubMed  Google Scholar 

  18. Vasheghani-Farahani A, Tahmasbi M, Asheri H, Ashraf H, Nedjat S, Kordi R (2011) The Persian, last 7-day, long form of the international physical activity questionnaire: translation and validation study. Asian J Sports Med 2(2):106–116

    PubMed  PubMed Central  Google Scholar 

  19. Vahid F et al (2018) The association between index of nutritional quality (INQ) and gastric cancer and evaluation of nutrient intakes of gastric cancer patients: a case-control study. Int J Cancer Manag 11(1)

  20. Mehrdad M, Vahid F, Eftekhari MH (2020) Nutritional quality’s key role in the odds of overweight in adults with rs9939609 polymorphism of FTO gene- the role of manganese and vitamin D. The Am J Med Sci. https://doi.org/10.1016/j.amjms.2020.06.027

  21. Abdollahpour I, Nedjat S, Salimi Y, Mansournia MA, Vahid F, Weinstock-Guttman B (2020) The role of dietary antioxidant index and index of nutritional quality in MS onset: finding from an Iranian population-based incident case–control study. Nutr Neurosci: 1–8

  22. Hosseini B, Saedisomeolia A, Allman-Farinelli M (2017) Association between antioxidant intake/status and obesity: a systematic review of observational studies. Biol Trace Elem Res 175(2):287–297

    CAS  PubMed  Google Scholar 

  23. Johnston CS, Beezhold BL, Mostow B, Swan PD (2007) Plasma vitamin C is inversely related to body mass index and waist circumference but not to plasma adiponectin in nonsmoking adults. J Nutr 137(7):1757–1762

    CAS  PubMed  Google Scholar 

  24. Bae Y-J (2012) Evaluation of nutrient intake and anthropometric parameters related to obesity in Korean female adolescents according to dietary diversity score: from the Korean National Health and Nutrition Examination Surveys, 2007-2009. Kor J Commun Nutr 17(4):419–428

    CAS  Google Scholar 

  25. Tussing-Humphreys LM, Liang H, Nemeth E, Freels S, Braunschweig CA (2009) Excess adiposity, inflammation, and iron-deficiency in female adolescents. J Am Diet Assoc 109(2):297–302

    CAS  PubMed  Google Scholar 

  26. Chen M-D, Lin P-Y, Sheu WH-H (1997) Zinc status in plasma of obese individuals during glucose administration. Biol Trace Elem Res 60(1–2):123–129

    CAS  PubMed  Google Scholar 

  27. Weisstaub G, Hertrampf E, López de Romaña D, Salazar G, Bugueño C, Castillo-Duran C (2007) Plasma zinc concentration, body composition and physical activity in obese preschool children. Biol Trace Elem Res 118(2):167–174

    CAS  PubMed  Google Scholar 

  28. Ozata M, Mergen M, Oktenli C, Aydin A, Yavuz Sanisoglu S, Bolu E, Yilmaz MI, Sayal A, Isimer A, Ozdemir IC (2002) Increased oxidative stress and hypozincemia in male obesity. Clin Biochem 35(8):627–631

    CAS  PubMed  Google Scholar 

  29. Morais JBS, Severo JS, Beserra JB, de Oiveira ARS, Cruz KJC, de Sousa Melo SR, do Nascimento GVR, de Macedo GFS, do Nascimento Marreiro D (2019) Association between cortisol, insulin resistance and zinc in obesity: a mini-review. Biol Trace Elem Res 191(2):323–330

    CAS  PubMed  Google Scholar 

  30. Azab SF, Saleh SH, Elsaeed WF, Elshafie MA, Sherief LM, Esh AMH (2014) Serum trace elements in obese Egyptian children: a case–control study. Ital J Pediatr 40(1):20

    PubMed  PubMed Central  Google Scholar 

  31. Singh R, Beegom R, Rastogi SS, Gaoli Z, Shoumin Z (1998) Association of low plasma concentrations of antioxidant vitamins, magnesium and zinc with high body fat per cent measured by bioelectrical impedance analysis in Indian men. Magnes Res 11(1):3–10

    CAS  PubMed  Google Scholar 

  32. ul Hassan SA et al (2017) Comparison of serum magnesium levels in overweight and obese children and normal weight children. Cureus 9(8)

  33. Jose B, Jain V, Vikram NK, Agarwala A, Saini S (2012) Serum magnesium in overweight children. Indian Pediatr 49(2):109–112

    PubMed  Google Scholar 

  34. Lelovics Z (2004) Relation between calcium and magnesium intake and obesity. Asia Pac J Clin Nutr 13

  35. Jastrzębska-Mierzyńska M, Ostrowska L, Hady HR, Dadan J (2012) Assessment of dietary habits, nutritional status and blood biochemical parameters in patients prepared for bariatric surgery: a preliminary study. Videosurg Other Miniinvas Techniq 7(3):156–165

    Google Scholar 

  36. Kim H-N, Song S-W, Choi W-S (2016) Association between serum zinc level and body composition: the Korean National Health and Nutrition Examination Survey. Nutrition 32(3):332–337

    CAS  PubMed  Google Scholar 

  37. García OP et al (2012) Zinc, vitamin A, and vitamin C status are associated with leptin concentrations and obesity in Mexican women: results from a cross-sectional study. Nutr Metab 9(1):59

    Google Scholar 

  38. Gibson RS, Skeaff M, Williams S (2000) Interrelationship of indices of body composition and zinc status in 11-yr-old New Zealand children. Biol Trace Elem Res 75(1–3):65–77

    CAS  PubMed  Google Scholar 

  39. Huerta MG, Roemmich JN, Kington ML, Bovbjerg VE, Weltman AL, Holmes VF, Patrie JT, Rogol AD, Nadler JL (2005) Magnesium deficiency is associated with insulin resistance in obese children. Diabetes Care 28(5):1175–1181

    CAS  PubMed  Google Scholar 

  40. Zafon C, Lecube A, Simo R (2010) Iron in obesity. An ancient micronutrient for a modern disease. Obes Rev 11(4):322–328

    CAS  PubMed  Google Scholar 

  41. Nead KG, Halterman JS, Kaczorowski JM, Auinger P, Weitzman M (2004) Overweight children and adolescents: a risk group for iron deficiency. Pediatrics 114(1):104–108

    PubMed  Google Scholar 

  42. Yoon J-SHJ (2011) Diet quality and food patterns of obese adult women from low income classes-based on 2005. KNHANES 11(6):706–715

    Google Scholar 

  43. Kim JY et al (2006) Dietary intakes and serum lipids and iron indices in obese children. Korean J Commun Nutr 11(5):575

    CAS  Google Scholar 

  44. Baltaci AKRM (2012) Leptin and zinc relation: in regulation of food intake and immunity. Indian J Endocrinol Metab 16(3):611

    Google Scholar 

  45. Baltaci AK, Mogulkoc R, Baltaci SB (2019) The role of zinc in the endocrine system. Pak J Pharm Sci 32(1)

  46. McKeown NM, Jacques PF, Zhang XL, Juan W, Sahyoun NR (2008) Dietary magnesium intake is related to metabolic syndrome in older Americans. Eur J Nutr 47(4):210–216

    CAS  PubMed  Google Scholar 

  47. He K, Liu K, Daviglus ML, Morris SJ, Loria CM, van Horn L, Jacobs DR Jr, Savage PJ (2006) Magnesium intake and incidence of metabolic syndrome among young adults. Circulation 113(13):1675–1682

    CAS  PubMed  Google Scholar 

  48. Błażewicz A, Klatka M, Astel A, Korona-Glowniak I, Dolliver W, Szwerc W, Kocjan R (2015) Serum and urinary selenium levels in obese children: a cross-sectional study. J Trace Elem Med Biol 29:116–122

    PubMed  Google Scholar 

  49. Garcia-Diaz DF et al (2014) Vitamin C in the treatment and/or prevention of obesity. J Nutr Sci Vitaminol 60(6):367–379

    CAS  PubMed  Google Scholar 

  50. Aeberli I, Molinari L, Spinas G, Lehmann R, l’Allemand D, Zimmermann MB (2006) Dietary intakes of fat and antioxidant vitamins are predictors of subclinical inflammation in overweight Swiss children. Am J Clin Nutr 84(4):748–755

    CAS  PubMed  Google Scholar 

  51. McClung JP (2019) Iron, zinc, and physical performance. Biol Trace Elem Res 188(1):135–139

    CAS  PubMed  Google Scholar 

  52. Scott SP, Murray-Kolb LE, Wenger MJ, Udipi SA, Ghugre PS, Boy E, Haas JD (2018) Cognitive performance in Indian school-going adolescents is positively affected by consumption of iron-biofortified pearl millet: a 6-month randomized controlled efficacy trial. J Nutr 148(9):1462–1471

    PubMed  Google Scholar 

  53. Hutchinson C (2016) A review of iron studies in overweight and obese children and adolescents: a double burden in the young? Eur J Nutr 7(55):2179–2197

    Google Scholar 

  54. Komolova M, Bourque SL, Nakatsu K, Adams MA (2008) Sedentariness and increased visceral adiposity in adult perinatally iron-deficient rats. Int J Obes 32(9):1441–1444

    CAS  Google Scholar 

  55. McClung JP, Andersen NE, Tarr TN, Stahl CH, Young AJ (2008) Physical activity prevents augmented body fat accretion in moderately iron-deficient rats. J Nutr 138(7):1293–1297

    CAS  PubMed  Google Scholar 

  56. Haas JDTBI (2001) Iron deficiency and reduced work capacity: a critical review of the research to determine a causal relationship. J Nutr 131(2):676S–690S

    CAS  PubMed  Google Scholar 

Download references

Funding

This study is related to the project NO. 1398/10596 from Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran. All colleagues in this university are warmly appreciated for their support and contribution.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alireza Mosavi Jarrahi.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Approval and Consent to Participate

This study has been approved by local ethics review boards at Shahid Beheshti University of Medical Sciences; all participants signed a written informed consent before the start of the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gholamalizadeh, M., Rastgoo, S., Doaei, S. et al. Index of Nutritional Quality (INQ) and the Risk of Obesity in Male Adolescents: a Case-Control Study. Biol Trace Elem Res 199, 1701–1706 (2021). https://doi.org/10.1007/s12011-020-02297-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-020-02297-3

Keywords

Navigation