Fruit consumption and cardiometabolic risk in the PREDIMED-plus study: A cross-sectional analysis

Autor segons l'article: Becerra-Tomas, Nerea; Paz-Graniel, Indira; Tresserra-Rimbau, Anna; Martinez-Gonzalez, Miguel A; Barrubes, Laura; Corella, Dolores; Munoz-Martinez, Julia; Romaguera, Dora; Vioque, Jesus; Alonso-Gomez, Angel M; Warnberg, Julia; Martinez, Jose A; Serra-Majem, Luis; Estruch, Ramon; Bernal-Lopez, Maria R; Lapetra, Jose; Pinto, Xavier; Tur, Josep A; Garcia-Rios, Antonio; Gallego, Blanca Riquelme; Delgado-Rodriguez, Miguel; Matia-Martin, Pilar; Daimiel, Lidia; Velilla-Zancada, Sonsoles; Vidal, Josep; Vazquez, Clotilde; Ros, Emilio; Buil-Cosiales, Pilar; Babio, Nancy; Fernandez-Carrion, Rebeca; Perez-Vega, Karla A; Morey, Marga; Torres-Collado, Laura; Tojal-Sierra, Lucas; Perez-Lopez, Jessica; Abete, Itziar; Cabrera, Judith P; Casas, Rosa; Fernandez-Garcia, Jose C; Santos-Lozano, Jose M; Esteve-Luque, Virginia; Bouzas, Cristina; Fernandez-Lazaro, Cesar, I; Sorli, Jose, V; Freixer, Gala; Martin, Marian; Munoz, Montserrat G; Salaverria-Lete, Itziar; Toledo, Estefania; Castaner, Olga; Salas-Salvado, Jordi

Departament: Bioquímica i Biotecnologia

Autor/s de la URV: Babio Sánchez, Nancy Elvira / Barrubés Piñol, Laura / Becerra Tomás, Nerea / Paz Graniel, Indira del Socorro / Salas Salvadó, Jorge

Paraules clau: 10-year incidence; Adult; Age; Age factors; Aged; Article; Association; Biochemical analysis; Biological marker; Biomarkers; Blood; Blood glucose; Blood pressure; Blood pressure monitoring; Blood-pressure; Body mass; Body mass index; Caloric intake; Cardiometabolic risk factor; Cardiometabolic risk factors; Cardiovascular disease; Cardiovascular diseases; Cardiovascular risk; Cardiovascular-disease; Causality; Clinical trial; Color; Comparative study; Cross-sectional studies; Cross-sectional study; Diastolic blood pressure; Diet, healthy; Dietary compliance; Exposure variable; Female; Food composition; Food frequency questionnaire; Fruit; Fruit and vegetable juice; Fruit and vegetable juices; Fruit consumption; Fruit juice; Fruit juices; Fruits; Glucose blood level; Human; Humans; Hypercholesterolemia; Hyperglycemia; Hypertension; Hypertriglyceridemia; Juice consumption; Linear regression analysis; Low density lipoprotein cholesterol; Major clinical study; Male; Metabolic syndrome; Metabolic syndrome x; Metabolism; Middle aged; Multicenter study; Nutritional factors; Nutritional value; Nutritive value; Obesity; Orange juice; Pathophysiology; Physical activity; Physical-activity questionnaire; Pilot study; Prevalence; Protection; Protective factors; Risk assessment; Risk reduction; Risk reduction behavior; Smoking; Spain; Systolic blood pressure; Validation; Vegetable consumption; Waist circumference

Resum: Background and aims: Total fruit consumption is important for cardiovascular disease prevention, but also the variety and form in which is consumed. The aim of the study was to assess the associations between total fruit, subgroups of fruits based on their color and fruit juices consumption with different cardiometabolic parameters.Methods and results: A total of 6633 elderly participants (aged 55-75 years) with metabolic syndrome from the PREDIMED-Plus study were included in this analysis. Fruit and fruit juice consumption was assessed using a food frequency questionnaire. Linear regression models were fitted to evaluate the association between exposure variables (total fruit, subgroups based on the color, and fruit juices) and different cardiometabolic risk factors. Individuals in the highest category of total fruit consumption (>3 servings/d) had lower waist circumference (WC) (13 = -1.04 cm; 95%CI:-1.81,-0.26), fasting glucose levels (13 =-2.41 mg/dL; 95%CI(-4.19,-0.63) and LDL-cholesterol (13 =-4.11 mg/dL; 95%CI:-6.93,-1.36), but, unexpectedly, higher systolic blood pressure (BP) (13 = 1.84 mmHg; 95%CI: 0.37, 3.30) and diastolic BP (13 = 1.69 mmHg; 95%CI:0.83, 2.56) when compared to those in the lowest category of consumption (<1 servings/d). Participants consuming >1 serving/day of total fruit juice had lower WC (13 = -0.92 cm; 95%CI:-1.56,-0.27) and glucose levels (13 =-1.59 mg/dL; 95%CI:-2.95,-0.23) than those consuming <1 serving/month. The associations with cardiometabolic risk factors differed according to the color of fruits.Conclusion: Fruit consumption is associated with several cardiometabolic risk factors in Mediterranean elders with metabolic syndrome. The associations regarding BP levels could be attributed, at least partially, to reverse causality bias inherent to the cross-sectional design of the study.(C)& nbsp;2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

Àrees temàtiques: Cardiac & cardiovascular systems; Cardiology and cardiovascular medicine; Ciências ambientais; Ciências biológicas i; Ciências biológicas ii; Educação física; Endocrinology & metabolism; Endocrinology, diabetes and metabolism; Enfermagem; Farmacia; General medicine; Interdisciplinar; Medicina i; Medicina ii; Medicina iii; Medicina veterinaria; Medicine (miscellaneous); Nutrição; Nutrition & dietetics; Nutrition and dietetics; Saúde coletiva; Serviço social

Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/

Adreça de correu electrònic de l'autor: nancy.babio@urv.cat; jordi.salas@urv.cat; indiradelsocorro.paz@urv.cat; nerea.becerra@urv.cat; indiradelsocorro.paz@urv.cat

Data d'alta del registre: 2025-02-08

Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion

Enllaç font original: https://www.nmcd-journal.com/article/S0939-4753(21)00056-9/fulltext

Referència a l'article segons font original: Nutrition Metabolism And Cardiovascular Diseases. 31 (6): 1702-1713

Referència de l'ítem segons les normes APA: Becerra-Tomas, Nerea; Paz-Graniel, Indira; Tresserra-Rimbau, Anna; Martinez-Gonzalez, Miguel A; Barrubes, Laura; Corella, Dolores; Munoz-Martinez, Jul (2021). Fruit consumption and cardiometabolic risk in the PREDIMED-plus study: A cross-sectional analysis. Nutrition Metabolism And Cardiovascular Diseases, 31(6), 1702-1713. DOI: 10.1016/j.numecd.2021.02.007

URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/

DOI de l'article: 10.1016/j.numecd.2021.02.007

Entitat: Universitat Rovira i Virgili

Any de publicació de la revista: 2021

Tipus de publicació: Journal Publications