[Relationship of pattern hyperlipidic intake with quality of diet, insulin resistance and homocysteinemia in adults].

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 ß 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, andhyperhomocysteinemia. However, associations are dependant of demographic variables, dietetic, and nutritional state.