Loading
Obesity, Physical Activity, Diet / Diabetes, Cardiovascular Risks, and Lipoproteins · Journal article
Frontiers in Endocrinology · September 4, 2026
Encouraging direction, but not yet definitive.
This cross-sectional study of 14,269 rural Chinese residents found that a newly constructed dietary-behavioral risk index (DBRI) showed a significant dose-response association with metabolic syndrome prevalence, with the highest quartile having an odds ratio of 2.61 compared to the lowest. The index demonstrated a nonlinear threshold effect near DBRI≈0.5, suggesting potential utility for risk stratification, though the cross-sectional design cannot establish causation and prospective validation is needed.
Cross-sectional study. 14,269 residents from the Northwest China Natural Population Cohort (CNC-NX) in rural northwestern China.. Intervention: Dietary-behavioral risk index (DBRI) constructed using Alkire-Foster dual cut-off approach and categorized into quartiles.. Compared with: Lowest quartile of DBRI; also examined obesity-lifestyle score (OLS) and Diet Quality Index-International (DQI-I).. n = 14,269. Northwest China; specific provinces or centers not detailed..
DBRI showed dose-response association with metabolic syndrome; highest quartile OR 2.61 (95% CI: 2.29–2.98) vs. lowest quartile, P<0.001 Nonlinear relationship observed with restricted cubic splines (P for nonlinear=0.013) and threshold effect near DBRI≈0.5 Both obesity-lifestyle score (OLS) and DBRI positively correlated with MetS prevalence (P<0.001)
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
The DBRI may offer clinicians a tool for stratifying metabolic syndrome risk in populations with combined dietary and lifestyle factors, though the cross-sectional design prevents determination of causality. Prospective studies are required before integrating this index into clinical practice or public health guidelines.
A well-designed cross-sectional study in a large rural Chinese population demonstrating a dose-response association between a novel composite dietary-behavioral index and metabolic syndrome, but cross-sectional design precludes causal inference and requires prospective validation.
As stated by the source record.
Quoted from the source exactly as published.
The DBRI may offer clinicians a tool for stratifying metabolic syndrome risk in populations with combined dietary and lifestyle factors, though the cross-sectional design prevents determination of causality. Prospective studies are required before integrating this index into clinical practice or public health guidelines.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Background Metabolic syndrome (MetS) has become a growing public health concern. However, systematic assessment of combined lifestyle and multidimensional dietary factors in rural Chinese populations remains limited. This study aimed to investigate the associations of an obesity-centered lifestyle score (OLS), Diet Quality Index-International (DQI-I), and a newly constructed dietary-behavioral risk index (DBRI) with MetS and its components in a rural Chinese population. Methods This cross-sectional study included 14,269 residents from the Northwest China Natural Population Cohort (CNC-NX). DBRI was constructed using the Alkire-Foster dual cut-off approach and categorized into quartiles. Spearman correlation and multivariate logistic regression were used to examine the associations of OLS, DQI-I, and DBRI with MetS. Results Both OLS and DBRI were positively correlated with MetS prevalence (both P<0.001). DBRI showed a significant dose-response association with MetS, with the highest quartile having an odds ratio of 2.61 (95% CI: 2.29-2.98) compared with the lowest. A nonlinear relationship was observed using restricted cubic splines (P for nonlinear=0.013), with a threshold effect near DBRI≈0.5. The total DQI-I score was not significantly associated with MetS. Conclusion DBRI, a composite index integrating lifestyle and dietary quality, was significantly associated with MetS in a dose-response manner, suggesting its potential utility in risk stratification. Public health interventions should focus on dietary optimization and long-term promotion of obesity-related lifestyle habits.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.