Autor según el artículo: Ribo-Coll, Margarita; Castro-Barquero, Sara; Lassale, Camille; Sacanella, Emilio; Ros, Emilio; Toledo, Estefania; Sorli, Jose V.; Diaz-Lopez, Andres; Lapetra, Jose; Munoz-Bravo, Carlos; Aros, Fernando; Fiol, Miquel; Serra-Majem, Lluis; Pinto, Xavier; Castaner, Olga; Fernandez-Lazaro, Cesar I.; Portoles, Olga; Babio, Nancy; Estruch, Ramon; Hernaez, Alvaro;
Departamento: Bioquímica i Biotecnologia Ciències Mèdiques Bàsiques
Autor/es de la URV: Babio Sánchez, Nancy Elvira / Díaz López, Andres
Palabras clave: Vitamin k epoxide reductase inhibitors Statins Physical activity Mediterranean diet Glucose?lowering drugs Glucose-lowering drugs Fibrates Cardiac glycosides Antiplatelet drugs Antihypertensive drugs Antianginal drugs
Resumen: Our aim was to assess whether long-term adherence to a Mediterranean diet (MedDiet) and leisure-time physical activity (LTPA) were associated with a lower initiation of cardiovascular drug use. We studied the association between cumulative average of MedDiet adherence and LTPA and the risk of cardiovascular drug initiation in older adults at high cardiovascular risk (PREvencion con DIeta MEDiterranea trial participants) non-medicated at baseline: glucose-lowering drugs (n = 4437), antihypertensives (n = 2145), statins (n = 3977), fibrates (n = 6391), antiplatelets (n = 5760), vitamin K antagonists (n = 6877), antianginal drugs (n = 6837), and cardiac glycosides (n = 6954). One-point increases in MedDiet adherence were linearly associated with a decreased initiation of glucose-lowering (HR: 0.76 [0.71-0.80]), antihypertensive (HR: 0.79 [0.75-0.82]), statin (HR: 0.82 [0.78-0.85]), fibrate (HR: 0.78 [0.68-0.89]), antiplatelet (HR: 0.79 [0.75-0.83]), vitamin K antagonist (HR: 0.83 [0.74; 0.93]), antianginal (HR: 0.84 [0.74-0.96]), and cardiac glycoside therapy (HR: 0.69 [0.56-0.84]). LTPA was non-linearly related to a delayed initiation of glucose-lowering, antihypertensive, statin, fibrate, antiplatelet, antianginal, and cardiac glycoside therapy (minimum risk: 180-360 metabolic equivalents of task-min/day). Both combined were synergistically associated with a decreased onset of glucose-lowering drugs (p-interaction = 0.04), antihypertensive drugs (p-interaction < 0.001), vitamin K antagonists (p-interaction = 0.04), and cardiac glycosides (p-interaction = 0.01). Summarizing, sustained adherence to a MedDiet and LTPA were associated with lower risk of initiating cardiovascular-related medications.
Áreas temáticas: Química Physiology Molecular biology Medicina ii Medicina i Interdisciplinar Food science & technology Food science Farmacia Engenharias ii Clinical biochemistry Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência de alimentos Chemistry, medicinal Cell biology Biotecnología Biodiversidade Biochemistry & molecular biology Biochemistry
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: andres.diaz@urv.cat nancy.babio@urv.cat
Identificador del autor: 0000-0002-7500-5629 0000-0003-3527-5277
Fecha de alta del registro: 2024-07-27
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Antioxidants. 10 (3): 1-15
Referencia de l'ítem segons les normes APA: Ribo-Coll, Margarita; Castro-Barquero, Sara; Lassale, Camille; Sacanella, Emilio; Ros, Emilio; Toledo, Estefania; Sorli, Jose V.; Diaz-Lopez, Andres; (2021). Mediterranean Diet and Physical Activity Decrease the Initiation of Cardiovascular Drug Use in High Cardiovascular Risk Individuals: A Cohort Study. Antioxidants, 10(3), 1-15. DOI: 10.3390/antiox10030397
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2021
Tipo de publicación: Journal Publications
Repositori URV