Articles producció científica> Bioquímica i Biotecnologia

Intake of total polyphenols and some classes of polyphenols is inversely associated with diabetes in elderly people at high cardiovascular disease risk

  • Datos identificativos

    Identificador: PC:1481
    Handle: https://hdl.handle.net/20.500.11797/PC1481
    Autores:
    Jordi Salas-SalvadóAnna Tresserra-RimbauMarta Guasch-FerréEstefanía ToledoDolores CorellaOlga CastañerXiaohui GuoEnrique Gómez-GraciaJosé LapetraFernando ArósMiquel FiolEmili RosLluis Serra-MajemXavier PintóMontserrat FitóNancy BabioMiguel A Martínez-GonzálezJose V SorliM Carmen López-SabaterRamón EstruchRosa M Lamuela-Raventós
    Resumen:
    Background: Higher consumption of some polyphenols has been associated with a reduced risk of diabetes. However, no studies have evaluated the relation between all polyphenol subclasses and the incidence of diabetes. Objective: We aimed to prospectively examine the associations between the intake of total polyphenols and different groups of polyphenols (flavonoids, phenolic acids, stilbenes, lignans, and others) on the risk of incident diabetes in the PREDIMED (Prevención con Dieta Mediterránea) trial. Methods: This was an observational cohort analysis of the nondiabetic participants in the PREDIMED trial. This study was a multicenter, controlled, randomized, parallel-group feeding trial to assess the effects of either a Mediterranean diet that was supplemented with extra-virgin olive oil or nuts or advice to adhere to a low-fat control diet on cardiovascular outcomes in elderly men and women at high cardiovascular disease risk. From the 7447 randomly assigned participants, 3430 were selected because they were free of diabetes at baseline and filled out the food-frequency questionnaires (FFQs). Polyphenol intake was calculated by matching food consumption data from repeated FFQs with the Phenol- Explorer database on the polyphenol content of each reported food. HRs and 95% CIs for diabetes according to tertiles of polyphenol intake were estimated with the use of time-dependent Cox proportional hazards models. Results: Over a mean of 5.51 y of follow-up (18,900 person-years), there were 314 new cases of diabetes. After multivariable adjustment, we observed a 28% reduction in new-onset diabetes in the highest compared with the lowest tertile of total polyphenol intake (HR: 0.72; 95% CI: 0.52, 0.99; P-trend = 0.05). The intake of subclasses of polyphenols also was inversel

  • Otros:

    Autor según el artículo: Jordi Salas-Salvadó; Anna Tresserra-Rimbau; Marta Guasch-Ferré; Estefanía Toledo; Dolores Corella; Olga Castañer; Xiaohui Guo; Enrique Gómez-Gracia; José Lapetra; Fernando Arós; Miquel Fiol; Emili Ros; Lluis Serra-Majem; Xavier Pintó; Montserrat Fitó; Nancy Babio; Miguel A Martínez-González; Jose V Sorli; M Carmen López-Sabater; Ramón Estruch; Rosa M Lamuela-Raventós
    Departamento: Bioquímica i Biotecnologia
    Autor/es de la URV: SALAS SALVADÓ, JORGE; Anna Tresserra-Rimbau; Marta Guasch-Ferré; Estefanía Toledo; Dolores Corella; Olga Castañer; Xiaohui Guo; Enrique Gómez-Gracia; José Lapetra; Fernando Arós; Miquel Fiol; Emili Ros; Lluis Serra-Majem; Xavier Pintó; Montserrat Fitó; BABIO SÁNCHEZ, NANCY ELVIRA; Miguel A Martínez-González; Jose V Sorli; M Carmen López-Sabater; Ramón Estruch; Rosa M Lamuela-Raventós
    Palabras clave: Epidemiology Cox regression Chronic diseases
    Resumen: Background: Higher consumption of some polyphenols has been associated with a reduced risk of diabetes. However, no studies have evaluated the relation between all polyphenol subclasses and the incidence of diabetes. Objective: We aimed to prospectively examine the associations between the intake of total polyphenols and different groups of polyphenols (flavonoids, phenolic acids, stilbenes, lignans, and others) on the risk of incident diabetes in the PREDIMED (Prevención con Dieta Mediterránea) trial. Methods: This was an observational cohort analysis of the nondiabetic participants in the PREDIMED trial. This study was a multicenter, controlled, randomized, parallel-group feeding trial to assess the effects of either a Mediterranean diet that was supplemented with extra-virgin olive oil or nuts or advice to adhere to a low-fat control diet on cardiovascular outcomes in elderly men and women at high cardiovascular disease risk. From the 7447 randomly assigned participants, 3430 were selected because they were free of diabetes at baseline and filled out the food-frequency questionnaires (FFQs). Polyphenol intake was calculated by matching food consumption data from repeated FFQs with the Phenol- Explorer database on the polyphenol content of each reported food. HRs and 95% CIs for diabetes according to tertiles of polyphenol intake were estimated with the use of time-dependent Cox proportional hazards models. Results: Over a mean of 5.51 y of follow-up (18,900 person-years), there were 314 new cases of diabetes. After multivariable adjustment, we observed a 28% reduction in new-onset diabetes in the highest compared with the lowest tertile of total polyphenol intake (HR: 0.72; 95% CI: 0.52, 0.99; P-trend = 0.05). The intake of subclasses of polyphenols also was inversely associated with diabetes risk, including for total flavonoids (HR: 0.67; 95% CI: 0.48, 0.93; P-trend = 0.02), stilbenes (HR: 0.57; 95% CI: 0.38, 0.84; P-trend = 0.003), dihydroflavonols (HR: 0.59; 95% CI: 0.40, 0.88; P-trend = 0.003), and flavanones (HR: 0.69; 95% CI: 0.49, 0.97; P-trend = 0.03). Conclusions: A high intake of total polyphenols, total flavonoids (specifically flavanones and dihydroflavonols), and stilbenes is associated with a reduced risk of diabetes in elderly persons at high risk of cardiovascular disease.
    Grupo de investigación: Alimentació, Nutrició, Creixement i Salut Mental
    Áreas temáticas: Biochemistry and technology Bioquímica y tecnología Bioquímica i biotecnologia
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 0022-3166
    Identificador del autor: 0000-0003-2700-7459; 0000-0002-7022-9041; 0000-0001-8525-1404; n/a; 0000-0002-2366-4104; n/a; n/a; 0000-0002-1281-5798; n/a; n/a; n/a; n/a; n/a; n/a; 0000-0002-1817-483X; n/a; n/a; 0000-0002-0130-2006; 0000-0002-8670-7044; 0000-0003-1260-4445; 0000-0002-1287-4560
    Fecha de alta del registro: 2016-05-03
    Página final: 777
    Volumen de revista: 146
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2016
    Página inicial: 767
    Tipo de publicación: Article Artículo Article

  • Palabras clave:

    Polifenols
    Epidemiologia
    Malalties cròniques
    Epidemiology
    Cox regression
    Chronic diseases
    Biochemistry and technology
    Bioquímica y tecnología
    Bioquímica i biotecnologia
    0022-3166

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