Longitudinal association of changes in diet with changes in body weight and waist circumference in subjects at high cardiovascular risk: the PREDIMED trial

Background: Consumption of certain foods is associated with long-term weight gains and abdominal fat accumulation in healthy, middle-aged and young, non-obese participants. Whether the same foods might be associated with changes in adiposity in elderly population at high cardiovascular risk is less...

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Detalhes bibliográficos
Autores: Konieczna, Jadwiga, Romaguera, Dora, Pereira, Veronica, Fiol Sala, Miquel, Razquin, Cristina, Estruch, Ramon, Asensio, Eva M, Babio, Nancy, Fito, Montserrat, Gomez-Gracia, Enrique, Ros, Emilio, Lapetra, Jose, Aros, Fernando, Serra-Majem, Lluis, Pinto, Xavier, Toledo, Estefanía, Sorli, Jose V, Bullo, Monica, Schroeder, Helmut, Martinez-Gonzalez, Miguel A
Formato: artículo
Fecha de publicación:2019
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22666
Acesso em linha:https://hdl.handle.net/20.500.12105/22666
Access Level:acceso abierto
Palavra-chave:Dietary intake
Body weight
Waist circumference
Longitudinal study
repeated-measures data
The PREDIMED trial
Animales
Femenino
Dieta
Masculino
Conducta Alimentaria
Circunferencia de la Cintura
Factores de Riesgo
Estudios Longitudinales
Humanos
Persona de Mediana Edad
Anciano
Enfermedades Cardiovasculares
Peso Corporal
Cardiovascular Diseases
Aged
Body Weight
Feeding Behavior
Humans
Middle Aged
Longitudinal Studies
Diet
Male
Female
Risk Factors
Animals
Waist Circumference
Descrição
Resumo:Background: Consumption of certain foods is associated with long-term weight gains and abdominal fat accumulation in healthy, middle-aged and young, non-obese participants. Whether the same foods might be associated with changes in adiposity in elderly population at high cardiovascular risk is less known. Objective: Using yearly repeated measurements of both food habits and adiposity parameters, we aimed to investigate how changes in the consumption of specific foods were associated with concurrent changes in weight or waist circumference (WC) in the PREDIMED trial. Design We followed-up 7009 participants aged 55-70 years at high cardiovascular risk for a median time of 4.8 years. A validated 137-item semi-quantitative Food Frequency Questionnaire was used for dietary assessment with yearly repeated measurements. We longitudinally assessed associations between yearly changes in food consumption (serving/d) and concurrent changes in weight (kg) or WC (cm). Results: Yearly increments in weight were observed with increased consumption (kg per each additional increase in 1 serving/d) for refined grains (0.32 kg/serving/d), red meat (0.24), potatoes (0.23), alcoholic beverages (0.18), processed meat (0.15), white bread (0.07) and sweets (0.04); whereas inverse associations were detected for increased consumption of low-fat yogurt (- 0.18), and low-fat milk (- 0.06). Annual WC gain (cm per each additional increase in 1 serving/d) occurred with increased consumption of snacks, fast-foods and pre-prepared dishes (0.28), processed meat (0.18), alcoholic beverages (0.13), and sweets (0.08); whereas increased consumption of vegetables (- 0.23), and nuts (- 0.17), were associated with reductions in WC. Conclusions: In this assessment conducted in high-risk subjects using yearly repeated measurements of food habits and adiposity, some ultra-processed foods, refined carbohydrates (including white bread), potatoes, red meats and alcohol were associated with higher weight and WC gain, whereas increases in consumption of low-fat dairy products and plant foods were associated with less gain in weight and WC.

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