Articles producció científica> Medicina i Cirurgia

Increased ultra-processed food consumption is associated with worsening of cardiometabolic risk factors in adults with metabolic syndrome: Longitudinal analysis from a randomized trial

  • Identification data

    Identifier: imarina:9322144
    Authors:
    González-Palacios, SOncina-Cánovas, AGarcía-de-la-Hera, MMartínez-González, MASalas-Salvadó, JCorella, DSchröder, HMartínez, JAAlonso-Gómez, AMWärnberg, JRomaguera, DLópez-Miranda, JEstruch, RTinahones, FJLapetra, JSerra-Majem, JLCano-Ibañez, NTur, JAMartín-Sánchez, VPintó, XDelgado-Rodríguez, MMatía-Martín, PVidal, JVázquer, CDaimiel, LRos, EBes-Rastrollo, MAtzeni, ASorli, JZomeño, MDPeña-Orihuela, PJCompañ-Gabucio, LMBarón-López, FJZulet, MAKonieczna, JCasas, RMGarrido-Garrido, EMTojal-Sierra, LGomez-Perez, AMRuiz-Canela, MPalau, ASaiz, CPérez-Vega, KAGarcia-Rios, ATorres-Collado, LBasterra-Gortari, JGarcidueñas-Fimbres, TEMalcampo, MVioque, J
    Abstract:
    Background and aims: The association between changes in ultra-processed food (UPF) consumption and cardiometabolic risk (CMR) factors remains understudied. We evaluated the association between changes in UPF consumption over 12 months of follow-up and changes in CMR factors in adults diagnosed with metabolic syndrome. Methods: We analysed data from 5373 adults (aged 55–75 years) participating in the PREDIMED-Plus trial. Diet was evaluated at baseline, 6- and 12-month visits using a validated food frequency questionnaire, and UPF consumption (in grams/day and percentage of total daily dietary intake in grams) was categorized based on NOVA classification. We used mixed-effects linear models with repeated measurements at baseline, 6 and 12 months of follow-up to assess the associations between changes in UPF consumption and changes in CMR factors adjusting for sociodemographic and lifestyles variables. Results: In multivariable-adjusted models, when comparing the highest versus the lowest quartile of UPF consumption, positive associations were found for several CMR factors: weight (kg, β = 1.09; 95% confidence interval 0.91 to 1.26); BMI (kg/m2, β = 0.39; 0.33 to 0.46); waist circumference (cm, β = 1.03; 0.81 to 1.26); diastolic blood pressure (mm Hg, β = 0.67; 0.29 to 1.06); fasting blood glucose (mg/dl, β = 1.66; 0.61 to 2.70); HbA1c (%, β = 0.04; 0.01 to 0.07); triglycerides (mg/dl, β = 6.79; 3.66 to 9.91) and triglycerides and glucose index (β = 0.06; 0.04 to 0.08). Conclusions: Higher UPF consumption was associated with adverse evolution in objectively measured CMR factors after 12 months of follow-up in adults with metabolic syndrome. Further research is needed to explore whether these changes persist for longer periods.
  • Others:

    Author, as appears in the article.: González-Palacios, S; Oncina-Cánovas, A; García-de-la-Hera, M; Martínez-González, MA; Salas-Salvadó, J; Corella, D; Schröder, H; Martínez, JA; Alonso-Gómez, AM; Wärnberg, J; Romaguera, D; López-Miranda, J; Estruch, R; Tinahones, FJ; Lapetra, J; Serra-Majem, JL; Cano-Ibañez, N; Tur, JA; Martín-Sánchez, V; Pintó, X; Delgado-Rodríguez, M; Matía-Martín, P; Vidal, J; Vázquer, C; Daimiel, L; Ros, E; Bes-Rastrollo, M; Atzeni, A; Sorli, J; Zomeño, MD; Peña-Orihuela, PJ; Compañ-Gabucio, LM; Barón-López, FJ; Zulet, MA; Konieczna, J; Casas, RM; Garrido-Garrido, EM; Tojal-Sierra, L; Gomez-Perez, AM; Ruiz-Canela, M; Palau, A; Saiz, C; Pérez-Vega, KA; Garcia-Rios, A; Torres-Collado, L; Basterra-Gortari, J; Garcidueñas-Fimbres, TE; Malcampo, M; Vioque, J
    Department: Medicina i Cirurgia Bioquímica i Biotecnologia
    URV's Author/s: Atzeni, Alessandro / GARCIDUEÑAS FIMBRES, TANY ELIZABETH / Palau Galindo, Antonio / Salas Salvadó, Jorge
    Keywords: Ultra-processed foods Metabolic syndrome Fasting blood glucose Cardiovascular-diseases Cardiometabolic risk factors Body mass index Blood pressure validity population metabolic syndrome frequency questionnaire fasting blood glucose children cardiometabolic risk factors body mass index blood pressure adolescents
    Abstract: Background and aims: The association between changes in ultra-processed food (UPF) consumption and cardiometabolic risk (CMR) factors remains understudied. We evaluated the association between changes in UPF consumption over 12 months of follow-up and changes in CMR factors in adults diagnosed with metabolic syndrome. Methods: We analysed data from 5373 adults (aged 55–75 years) participating in the PREDIMED-Plus trial. Diet was evaluated at baseline, 6- and 12-month visits using a validated food frequency questionnaire, and UPF consumption (in grams/day and percentage of total daily dietary intake in grams) was categorized based on NOVA classification. We used mixed-effects linear models with repeated measurements at baseline, 6 and 12 months of follow-up to assess the associations between changes in UPF consumption and changes in CMR factors adjusting for sociodemographic and lifestyles variables. Results: In multivariable-adjusted models, when comparing the highest versus the lowest quartile of UPF consumption, positive associations were found for several CMR factors: weight (kg, β = 1.09; 95% confidence interval 0.91 to 1.26); BMI (kg/m2, β = 0.39; 0.33 to 0.46); waist circumference (cm, β = 1.03; 0.81 to 1.26); diastolic blood pressure (mm Hg, β = 0.67; 0.29 to 1.06); fasting blood glucose (mg/dl, β = 1.66; 0.61 to 2.70); HbA1c (%, β = 0.04; 0.01 to 0.07); triglycerides (mg/dl, β = 6.79; 3.66 to 9.91) and triglycerides and glucose index (β = 0.06; 0.04 to 0.08). Conclusions: Higher UPF consumption was associated with adverse evolution in objectively measured CMR factors after 12 months of follow-up in adults with metabolic syndrome. Further research is needed to explore whether these changes persist for longer periods.
    Thematic Areas: Saúde coletiva Psicología Peripheral vascular disease Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias ii Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciência de alimentos Ciência da computação Cardiology and cardiovascular medicine Cardiac & cardiovascular systems Biotecnología Antropologia / arqueologia
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: antonio.palau@urv.cat tanyelizabeth.garciduenas@urv.cat alessandro.atzeni@urv.cat tanyelizabeth.garciduenas@urv.cat tanyelizabeth.garciduenas@urv.cat alessandro.atzeni@urv.cat jordi.salas@urv.cat
    Author identifier: 0000-0002-1804-8606 0000-0002-1804-8606 0000-0003-2700-7459
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.atherosclerosis-journal.com/article/S0021-9150(23)00227-7/fulltext
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Atherosclerosis. 377 12-23
    APA: González-Palacios, S; Oncina-Cánovas, A; García-de-la-Hera, M; Martínez-González, MA; Salas-Salvadó, J; Corella, D; Schröder, H; Martínez, JA; Alonso- (2023). Increased ultra-processed food consumption is associated with worsening of cardiometabolic risk factors in adults with metabolic syndrome: Longitudinal analysis from a randomized trial. Atherosclerosis, 377(), 12-23. DOI: 10.1016/j.atherosclerosis.2023.05.022
    Article's DOI: 10.1016/j.atherosclerosis.2023.05.022
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine,Peripheral Vascular Disease
    Ultra-processed foods
    Metabolic syndrome
    Fasting blood glucose
    Cardiovascular-diseases
    Cardiometabolic risk factors
    Body mass index
    Blood pressure
    validity
    population
    metabolic syndrome
    frequency questionnaire
    fasting blood glucose
    children
    cardiometabolic risk factors
    body mass index
    blood pressure
    adolescents
    Saúde coletiva
    Psicología
    Peripheral vascular disease
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias ii
    Enfermagem
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciência de alimentos
    Ciência da computação
    Cardiology and cardiovascular medicine
    Cardiac & cardiovascular systems
    Biotecnología
    Antropologia / arqueologia
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