Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study

Abstract Background Metabolic syndrome (MetS) is highly prevalent, and it is associated with unhealthy lifestyle risk factors that can be easily modified. Aims To evaluate body composition, the adults’ eating behavior score (AEBQ), and the healthy lifestyle index (HLI) with metabolic syndrome (MetS)...

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Main Authors: Buthaina Alkhatib, Islam Al-Shami, Lana M. Agraib, Amjad Al Shdaifat
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Diabetology & Metabolic Syndrome
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Online Access:https://doi.org/10.1186/s13098-025-01757-x
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author Buthaina Alkhatib
Islam Al-Shami
Lana M. Agraib
Amjad Al Shdaifat
author_facet Buthaina Alkhatib
Islam Al-Shami
Lana M. Agraib
Amjad Al Shdaifat
author_sort Buthaina Alkhatib
collection DOAJ
description Abstract Background Metabolic syndrome (MetS) is highly prevalent, and it is associated with unhealthy lifestyle risk factors that can be easily modified. Aims To evaluate body composition, the adults’ eating behavior score (AEBQ), and the healthy lifestyle index (HLI) with metabolic syndrome (MetS) in female Jordanian adults. Methods A cross-sectional study was conducted among 656 females in Jordan. Sociodemographic, anthropometric, blood pressure, and biochemical data were collected. The HLI and AEB questionnaire (AEBQ) was completed, and the waist-to-hip ratio (WHR) and body mass index (BMI) were calculated. MetS was determined based on NCEP-ATPII criteria. Results Participants with MetS had significantly higher percentages of body fat (44.15 ± 6.37%) and body muscle mass (25.7 ± 4.56%). The mean HLIBMI or HLIWHR for participants with MetS (10.7 ± 1.51 and 11.6 ± 2.03, respectively) was significantly lower than for participants without MetS (11.5 ± 2.37, p = 0.003, and 12.4 ± 2.37, p = 0.004, respectively). Participants with five MetS components had significantly the highest % of body fat (46.07 ± 4.80, p < 0.001). The participants with zero components had significantly the highest HLIBMI (12.97 ± 2.48, p = 0.003) and HLIWHR (13.73 ± 2.39, p = 0.004). Regarding AEBQ, there was no significant variation between contributors with or without MetS. Conclusion These findings suggest that as the number of MetS components increases, the % of body fat and body muscle mass also increases. This indicates a potential link between MetS and body composition. However, the scores for HLIBMI and HLIWHR, indicators of a healthy lifestyle, decrease significantly as the number of MetS components increases. This highlights the importance of maintaining a healthy lifestyle to prevent or manage MetS.
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spelling doaj-art-309eaa9d325741f9933eb54600c8bb482025-08-20T03:05:07ZengBMCDiabetology & Metabolic Syndrome1758-59962025-08-0117111010.1186/s13098-025-01757-xEvaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional studyButhaina Alkhatib0Islam Al-Shami1Lana M. Agraib2Amjad Al Shdaifat3Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences, The Hashemite UniversityDepartment of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences, The Hashemite UniversityDepartment of Nutrition and Food Science, Faculty of Allied Medical Sciences, Al-Balqa’ Applied UniversityDepartment of Internal and Family Medicine, Faculty of Medicine, The Hashemite UniversityAbstract Background Metabolic syndrome (MetS) is highly prevalent, and it is associated with unhealthy lifestyle risk factors that can be easily modified. Aims To evaluate body composition, the adults’ eating behavior score (AEBQ), and the healthy lifestyle index (HLI) with metabolic syndrome (MetS) in female Jordanian adults. Methods A cross-sectional study was conducted among 656 females in Jordan. Sociodemographic, anthropometric, blood pressure, and biochemical data were collected. The HLI and AEB questionnaire (AEBQ) was completed, and the waist-to-hip ratio (WHR) and body mass index (BMI) were calculated. MetS was determined based on NCEP-ATPII criteria. Results Participants with MetS had significantly higher percentages of body fat (44.15 ± 6.37%) and body muscle mass (25.7 ± 4.56%). The mean HLIBMI or HLIWHR for participants with MetS (10.7 ± 1.51 and 11.6 ± 2.03, respectively) was significantly lower than for participants without MetS (11.5 ± 2.37, p = 0.003, and 12.4 ± 2.37, p = 0.004, respectively). Participants with five MetS components had significantly the highest % of body fat (46.07 ± 4.80, p < 0.001). The participants with zero components had significantly the highest HLIBMI (12.97 ± 2.48, p = 0.003) and HLIWHR (13.73 ± 2.39, p = 0.004). Regarding AEBQ, there was no significant variation between contributors with or without MetS. Conclusion These findings suggest that as the number of MetS components increases, the % of body fat and body muscle mass also increases. This indicates a potential link between MetS and body composition. However, the scores for HLIBMI and HLIWHR, indicators of a healthy lifestyle, decrease significantly as the number of MetS components increases. This highlights the importance of maintaining a healthy lifestyle to prevent or manage MetS.https://doi.org/10.1186/s13098-025-01757-xHealthy lifestyle indexEating behavior questionnaireMetabolic syndromeBody fatBody muscleBMI
spellingShingle Buthaina Alkhatib
Islam Al-Shami
Lana M. Agraib
Amjad Al Shdaifat
Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
Diabetology & Metabolic Syndrome
Healthy lifestyle index
Eating behavior questionnaire
Metabolic syndrome
Body fat
Body muscle
BMI
title Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
title_full Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
title_fullStr Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
title_full_unstemmed Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
title_short Evaluating body composition, the eating behavior scale, and the healthy lifestyle index in female Jordanian adults with metabolic syndrome: a cross-sectional study
title_sort evaluating body composition the eating behavior scale and the healthy lifestyle index in female jordanian adults with metabolic syndrome a cross sectional study
topic Healthy lifestyle index
Eating behavior questionnaire
Metabolic syndrome
Body fat
Body muscle
BMI
url https://doi.org/10.1186/s13098-025-01757-x
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