Articles producció científica> Bioquímica i Biotecnologia

Longitudinal association of dietary carbohydrate quality with visceral fat deposition and other adiposity indicators

  • Identification data

    Identifier: imarina:9281735
    Authors:
    Zamanillo-Campos RChaplin ARomaguera DAbete ISalas-Salvadó JMartín VEstruch RVidal JRuiz-Canela MBabio NFiol Fde Paz JACasas ROlbeyra RMartínez-González MAGarcía-Gavilán JFGoday AFernandez-Lazaro CIMartínez JAHu FBKonieczna J
    Abstract:
    Background & aims: The quality of dietary carbohydrates rather than total carbohydrate intake may determine the accumulation of visceral fat; however, to date, few studies have examined the impact of diet on adiposity using specific imaging techniques. Thus, the aim of this prospective study was to investigate the association between concurrent changes in carbohydrate quality index (CQI) and objectively-quantified adiposity distribution over a year. Methods: We analyzed a cohort of 1476 participants aged 55–75 years with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus randomized controlled trial. Dietary intake information was obtained at baseline, 6- and 12-months from a validated 143-item semi-quantitative food-frequency questionnaire, and CQI (range: 4 to 20) was calculated based on four dietary criteria: total dietary fibre, glycemic index, wholegrain/total grain carbohydrate ratio, and solid/total carbohydrate ratio. Overall and regional adiposity (total body fat, visceral fat and android-to-gynoid fat ratio) was quantified using dual-energy X-ray absorptiometry at all three time points. Multiple adjusted linear mixed-effects models were used to assess associations between concurrent changes in repeatedly measured CQI and adiposity over time. Results: After controlling for potential confounding factors, a 3-point increment in CQI over 12-month follow-up was associated with a decrease in visceral fat (β −0.067 z-score, 95% CI -0.088; −0.046, p < 0.001), android-to-gynoid fat ratio (−0.038, −0.059; −0.017, p < 0.001), and total fat (−0.064, −0.080; −0.047, p < 0.001). Fibre intake and the ratio of wholegrain/total grain showed the strongest inverse associations with all adiposity indicators. Conclusions: In this prospective cohort of older adu
  • Others:

    Author, as appears in the article.: Zamanillo-Campos R; Chaplin A; Romaguera D; Abete I; Salas-Salvadó J; Martín V; Estruch R; Vidal J; Ruiz-Canela M; Babio N; Fiol F; de Paz JA; Casas R; Olbeyra R; Martínez-González MA; García-Gavilán JF; Goday A; Fernandez-Lazaro CI; Martínez JA; Hu FB; Konieczna J
    Department: Bioquímica i Biotecnologia
    URV's Author/s: Babio Sánchez, Nancy Elvira / Salas Salvadó, Jorge
    Keywords: Visceral fat Dxa Diet quality Cardiovascular-disease Carbohydrates Carbohydrate quality index Adiposity distribution visceral fat validity risk-factors questionnaire prevalence population obesity mediterranean cohort glycemic index dxa carbohydrates carbohydrate quality index adiposity distribution adherence
    Abstract: Background & aims: The quality of dietary carbohydrates rather than total carbohydrate intake may determine the accumulation of visceral fat; however, to date, few studies have examined the impact of diet on adiposity using specific imaging techniques. Thus, the aim of this prospective study was to investigate the association between concurrent changes in carbohydrate quality index (CQI) and objectively-quantified adiposity distribution over a year. Methods: We analyzed a cohort of 1476 participants aged 55–75 years with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus randomized controlled trial. Dietary intake information was obtained at baseline, 6- and 12-months from a validated 143-item semi-quantitative food-frequency questionnaire, and CQI (range: 4 to 20) was calculated based on four dietary criteria: total dietary fibre, glycemic index, wholegrain/total grain carbohydrate ratio, and solid/total carbohydrate ratio. Overall and regional adiposity (total body fat, visceral fat and android-to-gynoid fat ratio) was quantified using dual-energy X-ray absorptiometry at all three time points. Multiple adjusted linear mixed-effects models were used to assess associations between concurrent changes in repeatedly measured CQI and adiposity over time. Results: After controlling for potential confounding factors, a 3-point increment in CQI over 12-month follow-up was associated with a decrease in visceral fat (β −0.067 z-score, 95% CI -0.088; −0.046, p < 0.001), android-to-gynoid fat ratio (−0.038, −0.059; −0.017, p < 0.001), and total fat (−0.064, −0.080; −0.047, p < 0.001). Fibre intake and the ratio of wholegrain/total grain showed the strongest inverse associations with all adiposity indicators. Conclusions: In this prospective cohort of older adults with overweight/obesity and MetS, we found that improvements in dietary carbohydrate quality over a year were associated with concurrent favorable changes in visceral and overall fat deposition. These associations were mostly driven by dietary fibre and the wholegrain/total grain ratio. Trial registration: The trial was registered at the International Standard Randomized. Controlled trial: (ISRCTN: http://www.isrctn.com/ISRCTN89898870) with number 89898870 and registration date of 24 July 2014, retrospectively registered.
    Thematic Areas: Saúde coletiva Química Odontología Nutrition and dietetics Nutrition & dietetics Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias iv Enfermagem Educação física Critical care and intensive care medicine Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciência de alimentos Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.clinicalnutritionjournal.com/article/S0261-5614(22)00294-1/fulltext
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinical Nutrition. 41 (10): 2264-2274
    APA: Zamanillo-Campos R; Chaplin A; Romaguera D; Abete I; Salas-Salvadó J; Martín V; Estruch R; Vidal J; Ruiz-Canela M; Babio N; Fiol F; de Paz JA; Casas R (2022). Longitudinal association of dietary carbohydrate quality with visceral fat deposition and other adiposity indicators. Clinical Nutrition, 41(10), 2264-2274. DOI: 10.1016/j.clnu.2022.08.008
    Article's DOI: 10.1016/j.clnu.2022.08.008
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Critical Care and Intensive Care Medicine,Nutrition & Dietetics,Nutrition and Dietetics
    Visceral fat
    Dxa
    Diet quality
    Cardiovascular-disease
    Carbohydrates
    Carbohydrate quality index
    Adiposity distribution
    visceral fat
    validity
    risk-factors
    questionnaire
    prevalence
    population
    obesity
    mediterranean cohort
    glycemic index
    dxa
    carbohydrates
    carbohydrate quality index
    adiposity distribution
    adherence
    Saúde coletiva
    Química
    Odontología
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias iv
    Enfermagem
    Educação física
    Critical care and intensive care medicine
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciência de alimentos
    Biotecnología
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