Research Article

The Possible Mediatory Role of Inflammatory Markers on the Association of Dietary Insulin Index and Insulin Load with Metabolic Syndrome in Women with Overweight and Obesity: A Cross-Sectional Study

Table 1

General participant characteristics among median dietary insulin loads (DILs) and dietary insulin index (DII) in an obese and overweight woman (n = 219).

VariablesDII median value valueDIL median value value
Low <38.82 n = 109High ≥38.82 n = 110Low <97155.69 n = 109High ≥97155.69 n = 110
Mean (SD)Mean (SD)Mean (SD)Mean (SD)

Age (years)35.37 (8.54)36.49 (8.32)0.320.2236.30 (8.60)35.56 (8.29)0.520.21
Physical activity (MET-minutes/week)1242.30 (1858.69)1275.52 (2549.64)0.910.451269.36 (2203.09)1246.71 (2235.26)0.940.32
DBP (mm Hg)77.14 (10.12)79.00 (9.72)0.170.2477.55 (9.30)78.57 (10.57)0.450.74
SBP (mm Hg)110.86 (12.98)112.21 (13.37)0.460.94110.50 (12.93)112.55 (13.37)0.260.80
Anthropometric variables
 Weight (kg)79.75 (10.43)78.62 (10.31)0.420.3578.34 (10.07)80.06 (10.63)0.220.50
 Height (cm)161.28 (5.39)161.33 (5.89)0.950.70160.69 (5.56)161.93 (5.65)0.100.60
 WC (cm)93.84 (12.44)96.05 (18.76)0.370.6192.96 (15.95)97.00 (15.28)0.100.38
 BMI (kg/m2)30.61 (3.70)30.26 (3.45)0.460.5830.30 (3.44)30.57 (3.71)0.570.32
Biochemical parameters
 FBG (mg/dL)86.74 (9.62)86.72 (9.83)0.980.9386.64 (9.45)86.82 (10.00)0.890.93
 TG (mg/dL)119.14 (59.32)119.48 (59.75)0.960.20121.05 (61.29)117.53 (57.63)0.660.24
 HDL-c (mg/dL)47.15 (9.55)45.40 (11.43)0.220.7946.64 (11.24)45.90 (9.84)0.600.74
 TC (mg/dl)183.80 (35.55)184.33 (36.07)0.910.08185.75 (39.05)182.36 (32.12)0.480.33
 LDL-c (mg/dl)95.12 (24.61)92.50 (23.06)0.420.6693.37 (24.97)94.24 (22.72)0.790.21
 hs-CRP (mg/l)4.14 (4.58)4.41 (4.55)0.670.473.96 (4.39)4.58 (4.75)0.330.33
 MCP-1 (mg/l)57.85 (105.07)43.83 (76.61)0.290.3149.29 (100.35)52.87 (82.90)0.790.42
 HOMA-IR3.37 (1.28)3.37 (1.33)0.990.453.48 (1.29)3.27 (1.31)0.230.60
 Insulin (μU/ml)1.21 (0.23)1.22 (0.23)0.770.971.19 (0.22)1.23 (0.24)0.270.38
Body composition
 BFM (kg)33.32 (7.24)32.30 (6.86)0.280.3132.55 (6.68)33.07 (7.44)0.590.36
 FFM (kg)46.28 (5.20)46.53 (5.54)0.720.8245.66 (5.43)47.159 (5.20)0.030.93

Categorical variablesN (%)N (%)N (%)N (%)

Economic level0.040.330.100.79
 Low level33 (32.4)21 (20.4)32 (31.4)22 (21.4)
 Moderate level38 (37.3)55 (53.4)39 (38.2)54 (52.4)
 High level31 (30.4)27 (26.2)31 (30.4)27 (26.2)
Education level0.070.240.160.02
 Illiterate0 (0.0)3 (2.8)0 (0.0)3 (2.8)
 Under diploma12 (11.0)12 (11.2)12 (10.9)12 (11.3)
 Diploma49 (45.0)34 (31.8)48 (43.6)35 (33.0)
 Bachelor and higher48 (44.0)58 (54.2)50 (45.5)56 (52.8)
Marital status0.050.310.280.58
 Single24 (22.0)36 (33.6)27 (24.5)33 (31.1)
 Married85 (78.0)71 (66.4)83 (75.5)73 (68.9)

BFM: body fat mass, BMI: body mass index, DBP: diastolic blood pressure, DIL: dietary insulin load, DII: dietary insulin index, F BG: fasting blood glucose, FFM: fat-free mass, HDL_C: high-density lipoprotein cholesterol, hs-CRP: high-sensitivity c-reactive protein, HOMA-IR: homeostasis model-insulin resistance index, LDL_C: low-density lipoprotein cholesterol, MCP-1: monocyte chemoattractant protein-1, MET: metabolic equivalent, SBP: systolic blood pressure, TC: total cholesterol, TG: triglyceride, and WC: waist circumference. Values are represented as means (SD) or numbers (%). values obtained from ANOVA or chi-square test. value reported after adjusting potential confounding factors (age, BMI, energy intake, and physical activity) using ANCOVA. BMI considers a collinear variable for anthropometrics and body composition variables. values <0.05 were considered significant, values 0.05–0.07 were considered as marginally significant. values marked in bold show significant or marginally significant differences.