Author, as appears in the article.: Gallardo-Alfaro L; Del Mar Bibiloni M; Mascaró CM; Montemayor S; Ruiz-Canela M; Salas-Salvadó J; Corella D; Fitó M; Romaguera D; Vioque J; Alonso-Gómez ÁM; Wärnberg J; Martínez JA; Serra-Majem L; Estruch R; Fernández-García JC; Lapetra J; Pintó X; Ríos AG; Bueno-Cavanillas A; Gaforio JJ; Matía-Martín P; Daimiel L; Micó-Pérez RM; Vidal J; Vázquez C; Ros E; Fernandez-Lázaro CI; Becerra-Tom N; Gimenez-Alba IM; Zomeño MD; Konieczna J; Compañ-Gabucio L; Tojal-Sierra L; Pérez-López J; Zulet MÁ; Casañas-Quintana T; Castro-Barquero S; Gómez-Pérez AM; Santos-Lozano JM; Gallardo-Alfaro L; Del Mar Bibiloni M; Mascaró CM; Montemayor S; Ruiz-Canela M; Salas-Salvad J; Corella D; Fitó M; Romaguera D; Vioque J; Alonso-Gómez ÁM; Wärnberg J

Department: Bioquímica i Biotecnologia

URV's Author/s: Basora Gallisa, Josep / Becerra Tomás, Nerea / Salas Salvadó, Jorge

Keywords: Smoking Sedentary behaviour Prevalence Physical activity Obesity Mortality Metabolic syndrome severity Metaanalysis Mediterranean diet Diseases Depression risk Consumption Cardiovascular risk All-cause Adults physical activity metabolic syndrome severity mediterranean diet depression risk

Abstract: Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55-75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses' Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.

Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 20726643

Author's mail: josep.basora@urv.cat nerea.becerra@urv.cat jordi.salas@urv.cat josep.basora@urv.cat

Author identifier: 0000-0002-4429-6507 0000-0003-2700-7459

Record's date: 2023-09-02

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.mdpi.com/2072-6643/12/4/1013

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Nutrients. 12 (4):

APA: Gallardo-Alfaro L; Del Mar Bibiloni M; Mascaró CM; Montemayor S; Ruiz-Canela M; Salas-Salvadó J; Corella D; Fitó M; Romaguera D; Vioque J; Alonso-Góme (2020). Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study. Nutrients, 12(4), -. DOI: 10.3390/nu12041013

Article's DOI: 10.3390/nu12041013

Entity: Universitat Rovira i Virgili

Journal publication year: 2020

Publication Type: Journal Publications