Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome

Background: Excess circulating endocannabinoids (eCBs) and imbalanced N-acylethanolamines (NAEs) related eCBs abundance could influence dietary weight loss success. We aimed to examine sex differences in the impact of a 3-years Mediterranean diet (MedDiet) intervention on circulating eCBs, NAEs and...

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Autores: Soldevila-Domenech, Natalia, Pastor, Antonio, Sala Vila, Aleix, Lázaro, Iolanda, Boronat Rigol, Anna, 1990-, Muñoz, Daniel, Castañer, Olga, Fagundo, Beatriz, Corella, Dolores, Fernández Aranda, Fernando, Martínez-González, Miguel Ángel, 1957-, Salas Salvadó, Jordi, Fitó Colomer, Montserrat, Torre Fornell, Rafael de la
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/55278
Acceso en línea:http://hdl.handle.net/10230/55278
http://dx.doi.org/10.3389/fnut.2022.1076677
Access Level:acceso abierto
Palabra clave:2-arachidonoylglycerol (2-AG)
Mediterranean diet
Anandamide (AEA)
Endocannabinoids
Insulin resistance
Metabolic syndrome
Sex differences
Weight loss
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dc.title.none.fl_str_mv Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
title Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
spellingShingle Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
Soldevila-Domenech, Natalia
2-arachidonoylglycerol (2-AG)
Mediterranean diet
Anandamide (AEA)
Endocannabinoids
Insulin resistance
Metabolic syndrome
Sex differences
Weight loss
title_short Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
title_full Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
title_fullStr Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
title_full_unstemmed Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
title_sort Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome
dc.creator.none.fl_str_mv Soldevila-Domenech, Natalia
Pastor, Antonio
Sala Vila, Aleix
Lázaro, Iolanda
Boronat Rigol, Anna, 1990-
Muñoz, Daniel
Castañer, Olga
Fagundo, Beatriz
Corella, Dolores
Fernández Aranda, Fernando
Martínez-González, Miguel Ángel, 1957-
Salas Salvadó, Jordi
Fitó Colomer, Montserrat
Torre Fornell, Rafael de la
author Soldevila-Domenech, Natalia
author_facet Soldevila-Domenech, Natalia
Pastor, Antonio
Sala Vila, Aleix
Lázaro, Iolanda
Boronat Rigol, Anna, 1990-
Muñoz, Daniel
Castañer, Olga
Fagundo, Beatriz
Corella, Dolores
Fernández Aranda, Fernando
Martínez-González, Miguel Ángel, 1957-
Salas Salvadó, Jordi
Fitó Colomer, Montserrat
Torre Fornell, Rafael de la
author_role author
author2 Pastor, Antonio
Sala Vila, Aleix
Lázaro, Iolanda
Boronat Rigol, Anna, 1990-
Muñoz, Daniel
Castañer, Olga
Fagundo, Beatriz
Corella, Dolores
Fernández Aranda, Fernando
Martínez-González, Miguel Ángel, 1957-
Salas Salvadó, Jordi
Fitó Colomer, Montserrat
Torre Fornell, Rafael de la
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv 2-arachidonoylglycerol (2-AG)
Mediterranean diet
Anandamide (AEA)
Endocannabinoids
Insulin resistance
Metabolic syndrome
Sex differences
Weight loss
topic 2-arachidonoylglycerol (2-AG)
Mediterranean diet
Anandamide (AEA)
Endocannabinoids
Insulin resistance
Metabolic syndrome
Sex differences
Weight loss
description Background: Excess circulating endocannabinoids (eCBs) and imbalanced N-acylethanolamines (NAEs) related eCBs abundance could influence dietary weight loss success. We aimed to examine sex differences in the impact of a 3-years Mediterranean diet (MedDiet) intervention on circulating eCBs, NAEs and their precursor fatty acids, and to analyze the interplay between changes in eCBs or NAEs ratios, insulin resistance and the achievement of clinically meaningful weight reductions. Methods: Prospective cohort study in a subsample of N = 105 participants (54.3% women; 65.6 ± 4.6 years) with overweight or obesity and metabolic syndrome that underwent a 3-years MedDiet intervention (PREDIMED-Plus study). Plasma eCBs and NAEs, including 2-arachidonoylglycerol (2-AG), anandamide (AEA), oleoylethanolamide (OEA) and palmitoylethanolamide (PEA), fatty acids, diet, glycemic homeostasis (including the assessment of insulin resistance-HOMA-IR), and cardiovascular risk markers were monitored (at 0-6-12-36 months). Results: Mediterranean diet adherence increased in both sexes and remained high during the 3 years of follow-up. Reductions in body weight, glycemic and cardiovascular parameters were larger in men than in women. Women presented higher concentrations of NAEs than men throughout the study. In both sexes, AEA and other NAEs (including OEA, and PEA) decreased after 6 months (for AEA: -4.9%), whereas the ratio OEA/AEA increased after 1 year (+5.8%). Changes in 2-AG (-3.9%) and the ratio OEA/PEA (+8.2%) persisted over the 3 years of follow-up. In women, 6-months changes in AEA (OR = 0.65) and the ratio OEA/AEA (OR = 3.28) were associated with the achievement of 8% weight reductions and correlated with HOMA-IR changes (r = 0.29 and r = -0.34). In men, OEA/PEA changes were associated with 8% weight reductions (OR = 2.62) and correlated with HOMA-IR changes (r = -0.32). Conclusion: A 3-years MedDiet intervention modulated plasma concentrations of eCBs and NAEs. Changes in AEA and in the relative abundance of NAEs were associated with clinically meaningful weight reductions. However, marked sex differences were identified in eCBs and NAEs, as well as in the efficacy of the intervention in terms of glycemic and cardiovascular parameters, which could be related to post-menopause alterations in glucose metabolism. These findings support a sex-balanced research strategy for a better understanding of the mechanisms underlying the regulation of body weight loss.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/55278
http://dx.doi.org/10.3389/fnut.2022.1076677
url http://hdl.handle.net/10230/55278
http://dx.doi.org/10.3389/fnut.2022.1076677
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Front Nutr. 2022 Dec 1;9:1076677
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers
publisher.none.fl_str_mv Frontiers
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
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spelling Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndromeSoldevila-Domenech, NataliaPastor, AntonioSala Vila, AleixLázaro, IolandaBoronat Rigol, Anna, 1990-Muñoz, DanielCastañer, OlgaFagundo, BeatrizCorella, DoloresFernández Aranda, FernandoMartínez-González, Miguel Ángel, 1957-Salas Salvadó, JordiFitó Colomer, MontserratTorre Fornell, Rafael de la2-arachidonoylglycerol (2-AG)Mediterranean dietAnandamide (AEA)EndocannabinoidsInsulin resistanceMetabolic syndromeSex differencesWeight lossBackground: Excess circulating endocannabinoids (eCBs) and imbalanced N-acylethanolamines (NAEs) related eCBs abundance could influence dietary weight loss success. We aimed to examine sex differences in the impact of a 3-years Mediterranean diet (MedDiet) intervention on circulating eCBs, NAEs and their precursor fatty acids, and to analyze the interplay between changes in eCBs or NAEs ratios, insulin resistance and the achievement of clinically meaningful weight reductions. Methods: Prospective cohort study in a subsample of N = 105 participants (54.3% women; 65.6 ± 4.6 years) with overweight or obesity and metabolic syndrome that underwent a 3-years MedDiet intervention (PREDIMED-Plus study). Plasma eCBs and NAEs, including 2-arachidonoylglycerol (2-AG), anandamide (AEA), oleoylethanolamide (OEA) and palmitoylethanolamide (PEA), fatty acids, diet, glycemic homeostasis (including the assessment of insulin resistance-HOMA-IR), and cardiovascular risk markers were monitored (at 0-6-12-36 months). Results: Mediterranean diet adherence increased in both sexes and remained high during the 3 years of follow-up. Reductions in body weight, glycemic and cardiovascular parameters were larger in men than in women. Women presented higher concentrations of NAEs than men throughout the study. In both sexes, AEA and other NAEs (including OEA, and PEA) decreased after 6 months (for AEA: -4.9%), whereas the ratio OEA/AEA increased after 1 year (+5.8%). Changes in 2-AG (-3.9%) and the ratio OEA/PEA (+8.2%) persisted over the 3 years of follow-up. In women, 6-months changes in AEA (OR = 0.65) and the ratio OEA/AEA (OR = 3.28) were associated with the achievement of 8% weight reductions and correlated with HOMA-IR changes (r = 0.29 and r = -0.34). In men, OEA/PEA changes were associated with 8% weight reductions (OR = 2.62) and correlated with HOMA-IR changes (r = -0.32). Conclusion: A 3-years MedDiet intervention modulated plasma concentrations of eCBs and NAEs. Changes in AEA and in the relative abundance of NAEs were associated with clinically meaningful weight reductions. However, marked sex differences were identified in eCBs and NAEs, as well as in the efficacy of the intervention in terms of glycemic and cardiovascular parameters, which could be related to post-menopause alterations in glucose metabolism. These findings support a sex-balanced research strategy for a better understanding of the mechanisms underlying the regulation of body weight loss.Frontiers202320232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/55278http://dx.doi.org/10.3389/fnut.2022.1076677reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésFront Nutr. 2022 Dec 1;9:1076677© 2022 Soldevila-Domenech, Pastor, Sala-Vila, Lázaro, Boronat, Muñoz, Castañer, Fagundo, Corella, Fernández-Aranda, Martínez-González, Salas-Salvadó, Fitó and de la Torre. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/552782026-06-12T07:21:37Z
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