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Table 6 Hazard ratio (95% CI) of metabolic syndrome incidence across protein score and its components

From: Macronutrients quality indices and risk of metabolic syndrome and its components in Iranian adults

Dietary indices

Protein score and its components

Q1

Q2

Q3

Q4

P-trend

Per 1 SD

P-value

Protein score

       

Median score

7.0

10.0

12.0

15.0

   

Follow up period

6.6

7.1

6.4

6.6

   

Model 1*

1.00 (Ref)

0.90 (0.75–1.09)

1.00 (0.83–1.20)

0.84 (0.68–1.05)

0.269

0.96 (0.89–1.02)

0.255

Model 2†

1.00 (Ref)

0.88 (0.73–1.06)

0.97 (0.81–1.17)

0.75 (0.60–0.94)

0.041

0.93 (0.87–0.99)

0.040

Total protein (% of energy)

       

Median score

12.0

14.6

15.6

17.9

   

Follow up period

6.9

7.1

6.0

6.7

   

Model 1*

1.00 (Ref)

0.87 (0.72–1.06)

1.05 (0.87–1.27)

0.84 (0.68–1.02)

0.222

0.98 (0.91 − 1.05)

0.579

Model 2†

1.00 (Ref)

0.94 (0.77–1.15)

1.08 (0.89–1.31)

0.82 (0.67–1.00)

0.115

0.97 (0.90 − 1.04)

0.427

Plant protein

       

Median score

5.8

7.1

8.1

9.7

   

Follow up period

6.9

6.5

6.4

6.8

   

Model 1*

1.00 (Ref)

1.07 (0.88–1.30)

1.02 (0.84–1.24)

0.91 (0.75–1.11)

0.309

0.96 (0.89 − 1.03)

0.316

Model 2†

1.00 (Ref)

1.13 (0.93–1.37)

1.00 (0.82–1.22)

0.90 (0.74–1.11)

0.202

0.93 (0.87–1.00)

0.075

Model 3‡

1.00 (Ref)

1.13 (0.93–1.38)

1.01 (0.83–1.23)

0.91 (0.73–1.12)

0.243

0.93 (0.86–1.00)

0.086

Animal protein

       

Median score

4.3

6.1

7.8

10.0

   

Follow up period

7.1

6.3

6.8

6.5

   

Model 1*

1.00 (Ref)

1.16 (0.96–1.41)

1.05 (0.86–1.28)

1.01 (0.82–1.23)

0.820

1.00 (0.93–1.08)

0.820

Model 2†

1.00 (Ref)

1.18 (0.97–1.43)

1.09 (0.89–1.33)

1.08 (0.88–1.32)

0.642

1.01 (0.94 − 1.09)

0.606

Model 3‡

1.00 (Ref)

1.16 (0.95–1.40)

1.05 (0.85–1.29)

1.02 (0.82–1.26)

0.882

0.99 (0.91–1.07)

0.865

PAR

       

Median score

0.63

0.95

1.30

2.0

   

Follow up period

5.8

6.7

6.6

7.0

   

Model 1*

1.00 (Ref)

1.14 (0.94–1.38)

1.01 (0.83 − 1.23)

0.99 (0.81–1.21)

0.602

0.96 (0.88–1.04)

0.340

Model 2†

1.00 (Ref)

1.14 (0.94–1.38)

1.01 (0.83–1.24)

0.91 (0.74–1.12)

0.166

0.94 (0.86–1.03)

0.184

  1. Abbreviations PAR: plant protein/ animal protein ratio
  2. *Model 1: adjusted for age and sex, smoking (yes, no), physical activity, and energy intake
  3. † Model 2: additionally adjusted for baseline values of systolic blood pressure, fasting blood sugar, triglycerides to HDL-c ratio, and waist
  4. ‡ Model 3: additionally animal and plant proteins were mutually adjusted for each other