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Original Article

The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals

Leila Jahanbazi1orcid, Mahdieh Abbasalizad Farhangi2orcid, Ayda Zahiri Tousi3orcid, Negin Nikrad4orcid
Clinical Nutrition Research 2023;12(3):218-228.
Published online: July 26, 2023

1Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz 5165665811, Iran.

2Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz 5165990001, Iran.

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Correspondence to Mahdieh Abbasalizad Farhangi. Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Attar Neyshabouri, Daneshgah Blv, Tabriz 5165990001, Iran. abbasalizad_m@yahoo.com
• Received: October 25, 2022   • Revised: May 2, 2023   • Accepted: May 17, 2023

Copyright © 2023. The Korean Society of Clinical Nutrition

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The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals
Clin Nutr Res. 2023;12(3):218-228.   Published online July 26, 2023
DOI: https://doi.org/10.7762/cnr.2023.12.3.218
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The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals
Clin Nutr Res. 2023;12(3):218-228.   Published online July 26, 2023
DOI: https://doi.org/10.7762/cnr.2023.12.3.218
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The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals
Image
Figure 1 A summary of adverse health effects of sugar-sweetened beverages consumption.HFCS, high-fructose corn syrup.

Figure 1

The Association Between Healthy Beverage Index (HBI) With Metabolic Risk Factors Among Apparently Metabolically Healthy Overweight and Obese Individuals
< 0.001 0.06FFM (%)62.34 ± 11.7362.37 ± 12.4462.07 ± 12.9762.25 ± 12.350.570.98BMR78.46 ± 15.9479.45 ± 14.977.08 ± 17.7678.34 ± 16.870.490.74Total energy (kcal/day)3,426.14 ± 344.302,806.0 ± 351.52,235.6 ± 767.73,017.8 ± 790.04 < 0.001 < 0.001 Weight92.71 ± 13.16292.85 ± 15.64890.80 ± 14.43992.11 ± 14.4410.220.48 < 0.001 0.70Protein (g/day)132 ± 4094 ± 1875.5 ± 25.5 < 0.001 0.78Fat (g/day)137 ± 53.594 ± 2773 ± 33 < 0.001 0.22Carbohydrate (g/day)615 ± 167418 ± 66336 ± 121 < 0.001 0.65Saturated fatty acid (mg/day)40 ± 18.527.3 ± 8.521.4 ± 9.7 < 0.001 0.76Vitamin A (RAE/day)1,142 ± 694854.5 ± 474728 ± 786 < 0.001 0.39Vitamin D (μg/day)2.57 ± 1.852.02 ± 1.401.54 ± 0.99 < 0.001 0.03 Vitamin E (mg/day)20.68 ± 7.8016 ± 812 ± 6.1 < 0.001 0.15Vitamin K (μg/day)29 ± 48.435 ± 22.335 ± 51.5 < 0.001 0.15Vitamin C (mg/day)323.37 ± 217.50234.50 ± 131172 ± 155.5 < 0.001 0.61Vitamin B12 (μg/day)6.91 ± 5.604.67 ± 4.164.53 ± 7.40 < 0.001 0.64Magnesium (mg/day)719.3 ± 281.5513.5 ± 98411 ± 63 < 0.001 0.03 Iron (mg/day)32.5 ± 13.522 ± 4.517.5 ± 6.5 < 0.001 0.98Zinc (mg/day)19.8 ± 914 ± 311 ± 4 < 0.001 0.30Calcium (mg/day)1,766 ± 0.6511,206 ± 290935 ± 352 < 0.001 0.05 Vitamin B2 (mg/day)3.5 ± 12.5 ± 0.52 ± 0.73 < 0.001 0.11 < 0.001 Met total fluid requirements6.35 ± 2.568.93 ± 1.1415.77 ± 4.5310.53 ± 4.99 < 0.001 Total HBI53.59 ± 3.9558.89 ± 1.0866.68 ± 4.8159.76 ± 6.51 < 0.001 0.01 0.01* SBP (mmHg)123.16 ± 19.44124.01 ± 14.55121.82 ± 14.89122.99 ± 18.350.590.59DBP (mmHg)81.10 ± 13.0482.43 ± 11.5381.80 ± 10.4381.78 ± 11.690.220.69
Table 1 Study characteristics of the adult population.

HBI consists of water, unsweetened coffee and tea, low-fat milk (< 1.5% fat, fat free, and/or soy milk), 100% fruit juice, full-fat milk (1.5% fat), and sugar-sweetened beverages (including fruit drinks, sweetened coffee, and tea, soda). Values are mean ± standard deviation or number (percentage). Bold-style p values are considered statistically significant.

HBI, Healthy Beverage Index; BMI, body mass index; WC, waist circumference; WHR, waist hip ratio; FM, fat mass; FFM, fat free mass; BMR, basal metabolic rate.

*Crude p value was based on analysis of variance analysis with Tukey’s post-hoc comparisons for continuous and χ2 test when the dependent variable is categorical. †The p value derived from one-way analysis of variance with Tukey’s post-hoc comparisons after adjustment for confounding factors (age, sex, BMI, physical activity) except energy.

Table 2 Energy-adjusted dietary intakes and tertiles of HBI

HBI consists of water, unsweetened coffee and tea, low-fat milk (< 1.5% fat, fat free, and/or soy milk), 100% fruit juice, full-fat milk (1.5% fat), and sugar-sweetened beverages (including fruit drinks, sweetened coffee, and tea, soda). Data are presented as mean ± standard deviation. Bold-style p values are considered statistically significant.

HBI. healthy beverage index.

*Crude P values; †The p values are from the analysis of covariance with Tukey’s post-hoc comparisons (all the variables except energy were adjusted for energy intake).

Table 3 Distribution of participants’ beverage components

The HBI scores range from 0 to 100, with a higher score indicating a healthier beverage pattern. Data are presented as mean ± standard deviation. Bold-style p values are considered statistically significant.

HBI, Healthy Beverage Index.

*The p value was based on analysis of variance analysis.

Table 4 Biochemical parameters of the study population by tertiles of HBI

Data are presented as mean ± standard deviation. Bold-style p values are considered statistically significant.

HBI, Healthy Beverage Index; HOMA-IR, homeostatic model assessment for insulin resistance; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; TC, total cholesterol; TG, triglycerides; SBP, systolic blood pressure; DBP, diastolic blood pressure.

*Crude p values based on analysis of covariance with Tukey’s post-hoc comparisons. †The p value was based on analysis of covariance with Tukey’s post-hoc comparisons was used to compare biochemical variables after adjusting for confounding factors (age; sex; BMI; physical activity).

Table 1

Table 2

Table 3

Table 4

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