Adherence to an Energy-restricted Mediterranean Diet Score and Prevalence of Cardiovascular Risk Factors in the PREDIMED-Plus: A Cross-sectional Study

Autor: M. Angeles Zulet, Josep Vidal, Fernando Arós, Dora Romaguera, Javier Díez-Espino, Pilar Matía, José V. Sorlí, Julia Wärnberg, Ramon Estruch, Ana Sánchez-Tainta, Jose Lopez-Miranda, Emilio Ros, Andrés Díaz-López, J. Alfredo Martínez, Josep A. Tur, Estefanía Toledo, Nerea Becerra-Tomás, Jordi Salas-Salvadó, Miguel Ruiz-Canela, Ismael Alvarez-Alvarez, José Lapetra, Francisco J. Tinahones, José J. Gaforio, Antonio Garcia-Rios, Sebastián Más Fontao, Olga Castañer, Montserrat Fitó, Xavier Pintó, Eva María Navarrete-Muñoz, Lluis Serra-Majem, Lidia Daimiel, Vicente Martín, Jesús Vioque, Miguel Ángel Martínez-González, Dolores Corella, Aurora Bueno-Cavanillas, Helmut Schröder
Rok vydání: 2019
Předmět:
Zdroj: Revista espanola de cardiologia (English ed.)
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
REVISTA ESPANOLA DE CARDIOLOGIA
r-FISABIO. Repositorio Institucional de Producción Científica
instname
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
ISSN: 1885-5857
DOI: 10.1016/j.rec.2018.08.010
Popis: Introduction and objectives The cardiovascular benefits of the Mediterranean diet have usually been assessed under assumptions of ad libitum total energy intake (ie, no energy restriction). In the recently launched PREDIMED-Plus, we conducted exploratory analyses to study the baseline associations between adherence to an energy-restricted Mediterranean diet (MedDiet) and the prevalence of cardiovascular risk factors (CVRF). Methods Cross-sectional assessment of all PREDIMED-Plus participants (6874 older adults with overweight/obesity and metabolic syndrome) at baseline. The participants were assessed by their usual primary care physicians to ascertain the prevalence of 4 CVRF (hypertension, obesity, diabetes, and dyslipidemia). A 17-point PREDIMED-Plus score was used to measure adherence to the MedDiet. Multivariable models were fitted to estimate differences in means and prevalence ratios for individual and clustered CVRF. Results Better adherence to a MedDiet pattern was significantly associated with lower average triglyceride levels, body mass index, and waist circumference. Compared with low adherence (≤ 7 points in the 17-point score), better adherence to the MedDiet (11-17 points) showed inverse associations with hypertension (prevalence ratio = 0.97; 95%CI, 0.94-1.00) and obesity (prevalence ratio = 0.96; 95%CI, 0.92-1.00), but positive associations with diabetes (prevalence ratio = 1.19; 95%CI, 1.07-1.32). Compared with the lowest third of adherence, women in the upper third showed a significantly lower prevalence of the clustering of 3 or more CVRF (prevalence ratio = 0.91; 95%CI, 0.83-0.98). Conclusions Among participants at high cardiovascular risk, better adherence to a MedDiet showed significant inverse associations with CVRF among women, and improved lipid profiles and adiposity measures. This trial was registered in 2014 at the International Standard Randomized Controlled Trial Registry (ISRCTN89898870).
Databáze: OpenAIRE
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