en Nutrition Original Article Original Article <span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#0000FF;"><strong><em>Background</em></strong><em>:</em></span> Considering the importance of healthy diet in the protection of cardiovascular diseases (CVD), this research aimed to assess the physiological risk factors for CVD in middle-aged adults and their association with dietary intake in the north of Iran.<br> <span style="color:#0000FF;"><strong><em>Methods</em></strong><em>:</em> </span>In this cross-sectional study conducted in the years 2016-2017 among the adults aged 40-60 years living in Amirkola, Babol, the participants&acute; physical activity, dietary intake, body mass index, fat mass, blood pressure, fasting blood glucose and serum lipid profile were reported. The International Physical Activity Questionnaire was used to assess physical activity and a structured 24-hour food-recall questionnaire was used to assess the participants&acute; dietary intake. Consumed foods and beverages on two separate days were analyzed and transcribed in 10 food groups (gram).<br> <span style="color:#0000FF;"><strong><em>Results</em></strong><em>:</em></span> Two hundred and ninety-one persons (96.7%) had complete participation, 96.2% with at least one CVD risk factor and 75.9% had overweight or obesity; 33% with hypertension; 6.2% had high fasting blood glucose; 64.6% with hypercholesterolemia, 47.8% had hypertriglyceridemia, and 8.9% with low HDL. Mean daily intake values of carbohydrate, protein and fat were all higher than dietary reference intakes for adults. Physical activity less than 1500 MET-minutes per week was significantly associated with having three or more physiological risk factors for CVD [adjusted odds ratio: 2.04 (1.08-3.85)] (P=0.029).<br> <span style="color:#0000FF;"><strong><em>Conclusion</em></strong><em>:</em></span> Most of the middle-aged adults in this region had at least one of the physiological risk factors for CVD and daily intakes of carbohydrate and protein were higher than dietary reference intakes (DRIs) for adults.</span></span> Diet, Cardiovascular diseases, Overweight, Hyperlipidemia 55 64 http://caspjim.com/browse.php?a_code=A-10-260-4&slc_lang=en&sid=1 Simin Mouodi dr.mouodi@gmail.com 100319475328460014984 100319475328460014984 No Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Seyed Reza Hosseini hosseinirezaseyed@gmail.com 100319475328460014985 100319475328460014985 No Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Robert Graham Cumming bobc@health.usyd.edu.au 100319475328460014986 100319475328460014986 No School of Public Health, University of Sydney, Sydney, Australia Ali Bijani alibijani@yahoo.com 100319475328460014987 100319475328460014987 No Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Haleh Esmaeili hale_12es@yahoo.com 100319475328460014988 100319475328460014988 No Health Research Institute, Babol University of Medical Sciences, Babol, Iran Reza Ghadimi rezaghadimi@yahoo.com 100319475328460014989 100319475328460014989 Yes Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran