Assessment of the Risk Arising from a High Carbohydrate Diet in the Development of Cardiovascular Diseases in the Habitat of North of Iran (the PERSIAN Guilan Cohort Study)

authors:

avatar Masoumeh Moslemi 1 , avatar Marjan Mahdavi-Roshan 2 , avatar Farahnaz Joukar ORCID 3 , avatar Fariborz Mansour-Ghanaei ORCID 4 , *

Halal Research Center, Iran Food and Drug Administration, Ministry of Health and Medical Education, Tehran, Iran.
Department of Clinical Nutrition, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
GI Cancer Screening and Prevention Research Center, Guilan University of Medical Sciences, Rasht, Iran.

How To Cite Moslemi M, Mahdavi-Roshan M, Joukar F, Mansour-Ghanaei F. Assessment of the Risk Arising from a High Carbohydrate Diet in the Development of Cardiovascular Diseases in the Habitat of North of Iran (the PERSIAN Guilan Cohort Study). koomesh. 2024;26(3):e150020. https://doi.org/10.69107/koomesh-150020.

Abstract

Background:
An unhealthy diet is of significant risk factor leading to the incidence of CVDs. Regarding the effect of carbohydrates in the development of such diseases, this study aimed to evaluate the risk of a high carbohydrate diet in the development of CVDs in the habitat of Guilan province.
Methods:
This research was a cross-sectional study within the framework of the Guilan Cohort Study. Demographic and food intake information of 10276 individuals including 4787 men and 5489 women was collected. To estimate the effect of carbohydrate intake on the development of CVDs in the habitat, the population-attributable risk was assessed.
Results:
Among the macronutrients, the most intake was related to carbohydrates which was 66.38% and 66.50% of calories in women and men, respectively. Intake of dietary fibers in men was higher than in women. Consumption of dietary fibers in both groups was lower than the recommendation. of 10276 individuals, 6147 persons consumed the carbohydrate more than 65% of calories. The risk assessment study revealed that more than 30% of CVDs are attributed to high carbohydrate intake.
Conclusions:
Considering the high risk of CVDs in the habitat of Guilan, their diet should be modified towards higher consumption of plant fat protein, and dietary fibers. Therefore, the use of health education and promotion models is recommended.