A Positive Association between a Western Dietary Pattern and High LDL-Camong Iranian Population

Background: the association between the presence of dyslipidemia and major dietary patternswas examined in an adult iranian population.study design: a cross-sectional study.methods: this cross-sectional study was conducted among 4672 adults aged 35-65 yr old basedon data from the mashhad stroke and heart atherosclerotic disorder (mashad) study initiated in2010. anthropometric and blood laboratory measurements were collected for all participants.dietary intake was assessed using a validated 65-item food frequency questionnaire (ffq). dietarypatterns were identified using factor analysis.results: the overall prevalence of dyslipidemia was 88% including elevated total cholesterol(38.9%), triglyceride (35.2%), low-density lipoprotein cholesterol (ldl-c) (35.3) or decreased levelof high-density lipoprotein cholesterol (hdl-c) (68.9%). after adjusting for potential confoundingfactors, participants with higher scores for a western pattern with lower physical activity level andeducational attainment, and higher current smoking habit, increased the risk of having a raisedldl-c (or=1.17; 95% ci: 1.02, 1.34; p=0.02). however, there was no significant associationbetween adherence to this dietary pattern and other types of dyslipidemia. there was no significantassociation between a balanced dietary pattern and dyslipidemia and its components (or=0.90;95% ci: 0.68, 1.18; p=0.431).conclusion: dyslipidemia was more prevalent among individuals with higher consumption of awestern dietary pattern. a direct association was found between adherence to western dietarypattern and ldl-c level.