Adherence to a priori dietary indexes and baseline prevalence of cardiovascular risk factors in the PREDIMED-Plus randomised trial
Por:
Alvarez-Alvarez I, Toledo E, Lecea O, Salas-Salvadó J, Corella D, Buil-Cosiales P, Zomeño MD, Vioque J, Martinez JA, Konieczna J, Barón-López FJ, López-Miranda J, Estruch R, Bueno-Cavanillas A, Alonso-Gómez ÁM, Tur JA, Tinahones FJ, Serra-Majem L, Martín V, Ortega-Calvo M, Vázquez C, Pintó X, Vidal J, Daimiel L, Delgado-Rodríguez M, Matía P, González JI, Díaz-López A, Paz-Graniel I, Muñoz MA, Fito M, Pertusa S, Abete I, García-Ríos A, Ros E, Ruiz-Canela M and Martínez-González MÁ
Publicada:
1 abr 2020
Ahead of Print:
9 may 2019
Resumen:
Purpose Cardiovascular disease remains the global leading cause of death. We evaluated at baseline the association between the adherence to eight a priori high-quality dietary scores and the prevalence of individual and clustered cardiovascular risk factors (CVRF) in the PREDIMED-Plus cohort. Methods All PREDIMED-Plus participants (6874 men and women aged 55-75 years, with overweight/obesity and metabolic syndrome) were assessed. The prevalence of 4 CVRF (hypertension, obesity, diabetes, and dyslipidaemia), using standard diagnoses criteria, were considered as outcomes. The adherence to eight a priori-defined dietary indexes was calculated. Multivariable models were fitted to estimate differences in mean values of factors and prevalence ratios for individual and clustered CVRF. Results Highest conformity to any dietary pattern did not show inverse associations with hypertension. The modified Mediterranean Diet Score (PR = 0.95; 95% CI 0.90-0.99), Mediterranean Diet Adherence Score (MEDAS) (PR = 0.94; 95% CI 0.89-0.98), the pro-vegetarian dietary pattern (PR = 0.95; 95% CI 0.90-0.99) and the Alternate Healthy Eating Index 2010 (PR = 0.92; 95% CI 0.87-0.96) were inversely associated with prevalence of obesity. We identified significant inverse trend among participants who better adhered to the MEDAS and the Prime Diet Quality Score (PDQS) in the mean number of CVRF across categories of adherence. Better adherence to several high-quality dietary indexes was associated with better blood lipid profiles and anthropometric measures. Conclusions Highest adherence to dietary quality indexes, especially Mediterranean-style and PDQS scores, showed marginal associations with lower prevalence of individual and clustered CVRF among elderly adults with metabolic syndrome at high risk of cardiovascular disease
Filiaciones:
Alvarez-Alvarez I:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain
Toledo E:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Lecea O:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain
Atención Primaria, Osasunbidea-Servicio Navarro de Salud, Pamplona, Spain
Salas-Salvadó J:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana IISPV, Hospital Universitari Sant Joan de Reus, Rovira i Virgili University, Reus, Spain
:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Preventive Medicine, University of Valencia, Valencia, Spain
Buil-Cosiales P:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Atención Primaria, Osasunbidea-Servicio Navarro de Salud, Pamplona, Spain
Zomeño MD:
Cardiovascular Risk and Nutrition, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
Blanquerna School of Life Sciences, Universitat Ramon Llull, Barcelona, Spain
Vioque J:
CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Nutritional Epidemiology Unit, Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain
Martinez JA:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain
Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain
Konieczna J:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases, Palma, Spain
Barón-López FJ:
Department of Public Health, University of Malaga-IBIMA, Málaga, Spain
López-Miranda J:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, Spain
Estruch R:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
Bueno-Cavanillas A:
CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Preventive Medicine, University of Granada, Granada, Spain
Alonso-Gómez ÁM:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Cardiology Organización Sanitaria Integrada (OSI) ARABA, University Hospital Araba, Vitoria-Gasteiz, Spain
University of the Basque Country, UPV/EHU, Vitoria-Gasteiz, Spain
Tur JA:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain
Tinahones FJ:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Endocrinology, Hospital Virgen de la Victoria (IBIMA), University of Málaga, Málaga, Spain
Serra-Majem L:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Institute for Biomedical Research, University of Las Palmas de Gran Canaria, Las Palmas, Spain
Martín V:
CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Institute of Biomedicine (IBIOMED), University of León, León, Spain
Ortega-Calvo M:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Family Medicine, Healthcare centre Las Palmeritas, Distrito Sanitario Atención Primaria Sevilla, Seville, Spain
Vázquez C:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Endocrinology, Fundación Jiménez-Díaz, Madrid, Spain
Pintó X:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
Vidal J:
CIBER Diabetes y enfermedades metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Endocrinology, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
Daimiel L:
Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain
Delgado-Rodríguez M:
CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Division of Preventive Medicine, University of Jaén, Jaén, Spain
Matía P:
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Madrid, Spain
González JI:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Preventive Medicine, University of Valencia, Valencia, Spain
Díaz-López A:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana IISPV, Hospital Universitari Sant Joan de Reus, Rovira i Virgili University, Reus, Spain
Paz-Graniel I:
Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana IISPV, Hospital Universitari Sant Joan de Reus, Rovira i Virgili University, Reus, Spain
Muñoz MA:
Gerencia territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain
Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
Fito M:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Cardiovascular Risk and Nutrition, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
Pertusa S:
Nutritional Epidemiology Unit, Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain
Healthcare centre Cabo Huertas, Alicante, Spain
Abete I:
Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain
García-Ríos A:
Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, Spain
Ros E:
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Department of Endocrinology and Nutrition, Lipid Clinic, Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain
Ruiz-Canela M:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Martínez-González MÁ:
Department of Preventive Medicine and Public Health, University of Navarra-IdiSNA, C/Irunlarrea 1, 31080, Pamplona, Navarra, Spain.
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, USA.
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