Author, as appears in the article.: Perez-Vega, Karla-Alejandra; Lassale, Camille; Zomeno, Maria-Dolores; Castaner, Olga; Salas-Salvado, Jordi; Basterra-Gortari, F Javier; Corella, Dolores; Estruch, Ramon; Ros, Emilio; Tinahones, Francisco J; Blanchart, Gemma; Malcampo, Mireia; Munoz-Aguayo, Daniel; Schroder, Helmut; Fito, Montserrat; Hernaez, Alvaro
Department: Bioquímica i Biotecnologia
URV's Author/s: Salas Salvadó, Jorge
Keywords: Weight-loss Waist circumference Triglycerides Time Statement Profiles Overweight Me Index Hdl cholesterol Glomerular filtration rate Glomerular filtration rat Frequency Breakfast Body mass index
Abstract: Objectives: Not skipping breakfast is associated with a better overall diet quality and lower cardiometabolic risk. However, the impact of calorie intake and dietary quality of breakfast on cardiovascular health remains unexplored. We aimed to study the associations between breakfast energy intake and quality and time trajectories of cardiometabolic traits in high cardiovascular risk participants. Design: Prospective observational exploratory study with repeated measurements. Setting: Spanish older adults. Participants: 383 participants aged 55-75 with metabolic syndrome from PREDIMED-Plus, a clinical trial involving a weight-loss lifestyle intervention based on the Mediterranean diet. Measurements: Participants were followed for 36 months. Longitudinal averages of breakfast energy intake and quality were calculated. Three categories were defined for energy intake: 20-30% (reference), 30% (high). Quality was estimated using the Meal Balance Index; categories were above (reference) or below the median score (low). Natural cubic spline mixed effects regressions described trajectories of cardiometabolic indicators (anthropometry, blood pressure, lipids, glucose, glycated hemoglobin, and kidney function) in breakfast groups. Inter-group differences in predicted values were estimated by linear regressions. Analyses were adjusted for age, sex, PREDIMED-Plus intervention group, education, smoking, physical activity, and total daily kilocalorie intake. Lipid profile analyses were further adjusted for baseline hypercholesterolemia, blood pressure analyses for baseline hypertension, and glucose/glycated hemoglobin analyses for baseline diabetes. Breakfast energy intake analyses were adjusted for breakfast quality, and vice versa. Results: At 36 months, compared to the reference, low- or high-energy breakfasts were associated with differences in body mass index (low: 0.61 kg/m(2) [95% confidence interval: 0.19; 1.02]; high: 1.18 kg/m(2) [0.71; 1.65]), waist circumference (low: 2.22 cm [0.96; 3.48]; high: 4.57 cm [3.13; 6.01]), triglycerides (low: 13.8 mg/dL [10.8; 16.8]; high: 28.1 cm [24.7; 31.6]), and HDL cholesterol (low: -2.13 mg/dL [-3.41; -0.85]; high: -4.56 mg/dL [-6.04; -3.09]). At 36 months, low-quality breakfast was associated with higher waist circumference (1.50 cm [0.53; 2.46]), and triglycerides (5.81 mg/dL [3.50; 8.12]) and less HDL cholesterol (-1.66 mg/dL [-2.63; -0.69]) and estimated glomerular filtration rate (-1.22 mL/min/1.73m(2) [-2.02; -0.41]). Conclusions: Low- or high-energy and low-quality breakfasts were associated with higher adiposity and triglycerides, and lower HDL cholesterol in high-risk older adults. Low-quality breakfasts were also linked to poorer kidney function. (c) 2024 The Authors. Published by Elsevier Masson SAS on behalf of SERDI Publisher. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Planejamento urbano e regional / demografia Odontología Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Geriatrics and gerontology Geriatrics & gerontology General medicine Engenharias iii Enfermagem Educação física Educação Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: jordi.salas@urv.cat
Author identifier: 0000-0003-2700-7459
Record's date: 2024-11-30
Paper version: info:eu-repo/semantics/publishedVersion
Paper original source: Journal Of Nutrition Health & Aging. 28 (12): 100406-
APA: Perez-Vega, Karla-Alejandra; Lassale, Camille; Zomeno, Maria-Dolores; Castaner, Olga; Salas-Salvado, Jordi; Basterra-Gortari, F Javier; Corella, Dolor (2024). Breakfast energy intake and dietary quality and trajectories of cardiometabolic risk factors in older adults. Journal Of Nutrition Health & Aging, 28(12), 100406-. DOI: 10.1016/j.jnha.2024.100406
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili
Journal publication year: 2024
Publication Type: Journal Publications
Repositori URV