Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata
Background-The usefulness of cardiovascular disease (CVD) predictive equations in different populations is debatable. We assessed the efficacy of the Framingham-REGICOR scale, validated for the Spanish population, to identify future CVD in participants, who were predefined as being at high-risk in t...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2017 |
| País: | España |
| Institución: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositorio: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/166179 |
| Acceso en línea: | http://hdl.handle.net/10261/166179 |
| Access Level: | acceso abierto |
| Palabra clave: | PREDIMED Framingham-REGICOR equation Cardiovascular risk prediction Cardiovascular disease Mediterraneam diet |
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oai:digital.csic.es:10261/166179 |
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España |
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| dc.title.none.fl_str_mv |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| title |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| spellingShingle |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata Amor, A.J. PREDIMED Framingham-REGICOR equation Cardiovascular risk prediction Cardiovascular disease Mediterraneam diet |
| title_short |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| title_full |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| title_fullStr |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| title_full_unstemmed |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| title_sort |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strata |
| dc.creator.none.fl_str_mv |
Amor, A.J. Serra-Mir, M. Martínez-González, M.A. Corella, D. Salas-Salvadó, J. Fitó, Montserrat Estruch, R. Serra-Majem, L. Arós, F. Babio, Nancy Ros, E. Cofán, M. Lecea, O. Rosique Esteban, N. Valls-Pedret, C. Freitas-Simoes, T.M. Doménech, M. Gilabert, R. Sagredo Arce, T. Bertolín-Muñoz, A. Tresserra-Rimbau, A. Jurado-Ruíz, Enrique Salaverría, I. Pages, M.A. Cabré, J.J. Mestres, G. Paris, F. Llauradó, M. Pedret, R. Basells, J. Vizcaino, J. Segarra, R. Sacanella, E. Casas, Ricard Frontera, G. Alonso-Gómez, A. Godoy, D. López-Sabater, M.C. de la Torre, Rafael del Hierro, T. Hernandez-Alonso, P. Giardina, S. Ferreira-Pego, C. Pérez-Cabrera, J. Papandreou, C. Baby, P. Camacho, L. Toledo, E. Casanas Quintana, T. Carratalá-Calvo, A. Buil-Cosiales, P. Rovira, A. Ruiz-Canela, M. Martínez, J. Alfredo Fiol, Miquel Castellote-Bargalló, Ana I. Algorta, J. Álvarez-Pérez, J. Sanjulián, B. Ortega, E. Sánchez-Tainta, A. Díez-Espino, Javier Sánchez-Villegas, A. Ginard, M. Fiol, F. García-Valdueza, M. Marrugat, J. Schröder, H. Molina, N. Maestre, E. Castañer, O. Rovira, A. Farré, M. Sorli, J.V. Ramos, A. García, J. Moñino, M. Santamaría, M.I. Fernández-Rodríguez, M. J. Jover, A. Pérez-Heras, A. Zanon-Moreno, V. Díaz-Benítez, E.M. Carrasco, P. Ortega-Azorín, Carolina Asensio, E.M. Oller, M. Proenza, A. Osma, R. Bargalló, Núria Barragán, Rocío Francés, F. García, M. Romaguera, D. Guillén, M. Márquez, F. González, J.I. Saiz, C. Portillo, María P. Mengual, L. Viñas, C. Bautista-Castaño, Inmaculada de Santamaría, L. Portolés, Olga Giménez, F.J. Coltell, O. Guillem-Saiz, P. Chiva, G. Mata, M. Sorli, M. de Juan, C. Roura, P. Rekondo, J. Belló, M.C. Loma-Osorio, A. Gómez-Gracia, Enrique Warnberg, J. Benítez Pont, R. Bianchi Alba, M. Gómez-Huelgas, R. Gueto Rubio, M.V. Bulló, M. Sáez, G. Yuste, M.C. Martínez, P. Valderas, P. Brau, A. Martínez-González, J. Velasco García, V. Romero, S. de Diego Salas, J. Razquin, C. Baca Osorio, A. Gil Zarzosa, J. Becerra-Tomás, Nerea Guarner, A. Sánchez Luque, J.J. Eguaras, S. Vargas López, E. Ruiz-Gutiérrez, Valentina Ibarrola-Jurado, Nuria Tur, Josep A. García Roselló, J. Perona, Javier S. Vigata López, M.D. Montero Romero, Emilio García-García, M. Isach, A. Basora, J. González, R. Nissensohn, M. Díaz-González, V. Ruano-Rodríguez, C. Ortiz-Andrelluchi, A.P. Macías Gutiérrez, B. Santana-Santana, A.J. Pintó, Xavier de la Cruz, E. García-Arellano, A. Mena, G. Marti, A. Salas-Huetos, A. Díaz-López, A. Arceiz Campo, M.T. Arranz, S. Martín, F. Galera, A. Soler, Y. Trias, F. Elosua, R. Sarasa, I. Quiles, L. Padres, E. Corbella, Emili Muñoz-Aguayo, Daniel Molina, C. Cabezas, C. Martín-Rillo, M.J. Vinyoles, E. Rovira, M.A. Goñi, E. Urtasun Samper, A. Tort, N. Sola, A. García, L. Baena, J.M. Flores, G. Verdú, J.M. Tello, S. Arroyo-Azpa, C. García-Pérez, L. Vazquez, Z. Amat, J. Duaso, I. García, Y. Iglesias, C. Simón, C. Quinzavos, L. Parra, L. Liroz, M. Pascual, V. García de la Noceda Montoy, M.D. Berrade, N. Llopis-Osorio, E. Vila, J. Villanueva Telleria, J. Benavent, J. Clos, J. Goñi, E. Pla, I. Amorós, M. Bonet, M.T. Sanz, E. Extremera-Urabayen, V. Martin Monzón, Maria Teresa Prieto, R. Sánchez, M.S. Altirriba, J. Ruiz-Baixauli, J. Cortés Ugalde, F. Manzano, E. Lamuela-Raventós, Rosa M. Altés, A. Sala-Vila, A. Francisco, S. Riera, C. |
| author |
Amor, A.J. |
| author_facet |
Amor, A.J. Serra-Mir, M. Martínez-González, M.A. Corella, D. Salas-Salvadó, J. Fitó, Montserrat Estruch, R. Serra-Majem, L. Arós, F. Babio, Nancy Ros, E. Cofán, M. Lecea, O. Rosique Esteban, N. Valls-Pedret, C. Freitas-Simoes, T.M. Doménech, M. Gilabert, R. Sagredo Arce, T. Bertolín-Muñoz, A. Tresserra-Rimbau, A. Jurado-Ruíz, Enrique Salaverría, I. Pages, M.A. Cabré, J.J. Mestres, G. Paris, F. Llauradó, M. Pedret, R. Basells, J. Vizcaino, J. Segarra, R. Sacanella, E. Casas, Ricard Frontera, G. Alonso-Gómez, A. Godoy, D. López-Sabater, M.C. de la Torre, Rafael del Hierro, T. Hernandez-Alonso, P. Giardina, S. Ferreira-Pego, C. Pérez-Cabrera, J. Papandreou, C. Baby, P. Camacho, L. Toledo, E. Casanas Quintana, T. Carratalá-Calvo, A. Buil-Cosiales, P. Rovira, A. Ruiz-Canela, M. Martínez, J. Alfredo Fiol, Miquel Castellote-Bargalló, Ana I. Algorta, J. Álvarez-Pérez, J. Sanjulián, B. Ortega, E. Sánchez-Tainta, A. Díez-Espino, Javier Sánchez-Villegas, A. Ginard, M. Fiol, F. García-Valdueza, M. Marrugat, J. Schröder, H. Molina, N. Maestre, E. Castañer, O. Farré, M. Sorli, J.V. Ramos, A. García, J. Moñino, M. Santamaría, M.I. Fernández-Rodríguez, M. J. Jover, A. Pérez-Heras, A. Zanon-Moreno, V. Díaz-Benítez, E.M. Carrasco, P. Ortega-Azorín, Carolina Asensio, E.M. Oller, M. Proenza, A. Osma, R. Bargalló, Núria Barragán, Rocío Francés, F. García, M. Romaguera, D. Guillén, M. Márquez, F. González, J.I. Saiz, C. Portillo, María P. Mengual, L. Viñas, C. Bautista-Castaño, Inmaculada de Santamaría, L. Portolés, Olga Giménez, F.J. Coltell, O. Guillem-Saiz, P. Chiva, G. Mata, M. Sorli, M. de Juan, C. Roura, P. Rekondo, J. Belló, M.C. Loma-Osorio, A. Gómez-Gracia, Enrique Warnberg, J. Benítez Pont, R. Bianchi Alba, M. Gómez-Huelgas, R. Gueto Rubio, M.V. Bulló, M. Sáez, G. Yuste, M.C. Martínez, P. Valderas, P. Brau, A. Martínez-González, J. Velasco García, V. Romero, S. de Diego Salas, J. Razquin, C. Baca Osorio, A. Gil Zarzosa, J. Becerra-Tomás, Nerea Guarner, A. Sánchez Luque, J.J. Eguaras, S. Vargas López, E. Ruiz-Gutiérrez, Valentina Ibarrola-Jurado, Nuria Tur, Josep A. García Roselló, J. Perona, Javier S. Vigata López, M.D. Montero Romero, Emilio García-García, M. Isach, A. Basora, J. González, R. Nissensohn, M. Díaz-González, V. Ruano-Rodríguez, C. Ortiz-Andrelluchi, A.P. Macías Gutiérrez, B. Santana-Santana, A.J. Pintó, Xavier de la Cruz, E. García-Arellano, A. Mena, G. Marti, A. Salas-Huetos, A. Díaz-López, A. Arceiz Campo, M.T. Arranz, S. Martín, F. Galera, A. Soler, Y. Trias, F. Elosua, R. Sarasa, I. Quiles, L. Padres, E. Corbella, Emili Muñoz-Aguayo, Daniel Molina, C. Cabezas, C. Martín-Rillo, M.J. Vinyoles, E. Rovira, M.A. Goñi, E. Urtasun Samper, A. Tort, N. Sola, A. García, L. Baena, J.M. Flores, G. Verdú, J.M. Tello, S. Arroyo-Azpa, C. García-Pérez, L. Vazquez, Z. Amat, J. Duaso, I. García, Y. Iglesias, C. Simón, C. Quinzavos, L. Parra, L. Liroz, M. Pascual, V. García de la Noceda Montoy, M.D. Berrade, N. Llopis-Osorio, E. Vila, J. Villanueva Telleria, J. Benavent, J. Clos, J. Pla, I. Amorós, M. Bonet, M.T. Sanz, E. Extremera-Urabayen, V. Martin Monzón, Maria Teresa Prieto, R. Sánchez, M.S. Altirriba, J. Ruiz-Baixauli, J. Cortés Ugalde, F. Manzano, E. Lamuela-Raventós, Rosa M. Altés, A. Sala-Vila, A. Francisco, S. Riera, C. |
| author_role |
author |
| author2 |
Serra-Mir, M. Martínez-González, M.A. Corella, D. Salas-Salvadó, J. Fitó, Montserrat Estruch, R. Serra-Majem, L. Arós, F. Babio, Nancy Ros, E. Cofán, M. Lecea, O. Rosique Esteban, N. Valls-Pedret, C. Freitas-Simoes, T.M. Doménech, M. Gilabert, R. Sagredo Arce, T. Bertolín-Muñoz, A. Tresserra-Rimbau, A. Jurado-Ruíz, Enrique Salaverría, I. Pages, M.A. Cabré, J.J. Mestres, G. Paris, F. Llauradó, M. Pedret, R. Basells, J. Vizcaino, J. Segarra, R. Sacanella, E. Casas, Ricard Frontera, G. Alonso-Gómez, A. Godoy, D. López-Sabater, M.C. de la Torre, Rafael del Hierro, T. Hernandez-Alonso, P. Giardina, S. Ferreira-Pego, C. Pérez-Cabrera, J. Papandreou, C. Baby, P. Camacho, L. Toledo, E. Casanas Quintana, T. Carratalá-Calvo, A. Buil-Cosiales, P. Rovira, A. Ruiz-Canela, M. Martínez, J. Alfredo Fiol, Miquel Castellote-Bargalló, Ana I. Algorta, J. Álvarez-Pérez, J. Sanjulián, B. Ortega, E. Sánchez-Tainta, A. Díez-Espino, Javier Sánchez-Villegas, A. Ginard, M. Fiol, F. García-Valdueza, M. Marrugat, J. Schröder, H. Molina, N. Maestre, E. Castañer, O. Farré, M. Sorli, J.V. Ramos, A. García, J. Moñino, M. Santamaría, M.I. Fernández-Rodríguez, M. J. Jover, A. Pérez-Heras, A. Zanon-Moreno, V. Díaz-Benítez, E.M. Carrasco, P. Ortega-Azorín, Carolina Asensio, E.M. Oller, M. Proenza, A. Osma, R. Bargalló, Núria Barragán, Rocío Francés, F. García, M. Romaguera, D. Guillén, M. Márquez, F. González, J.I. Saiz, C. Portillo, María P. Mengual, L. Viñas, C. Bautista-Castaño, Inmaculada de Santamaría, L. Portolés, Olga Giménez, F.J. Coltell, O. Guillem-Saiz, P. Chiva, G. Mata, M. Sorli, M. de Juan, C. Roura, P. Rekondo, J. Belló, M.C. Loma-Osorio, A. Gómez-Gracia, Enrique Warnberg, J. Benítez Pont, R. Bianchi Alba, M. Gómez-Huelgas, R. Gueto Rubio, M.V. Bulló, M. Sáez, G. Yuste, M.C. Martínez, P. Valderas, P. Brau, A. Martínez-González, J. Velasco García, V. Romero, S. de Diego Salas, J. Razquin, C. Baca Osorio, A. Gil Zarzosa, J. Becerra-Tomás, Nerea Guarner, A. Sánchez Luque, J.J. Eguaras, S. Vargas López, E. Ruiz-Gutiérrez, Valentina Ibarrola-Jurado, Nuria Tur, Josep A. García Roselló, J. Perona, Javier S. Vigata López, M.D. Montero Romero, Emilio García-García, M. Isach, A. Basora, J. González, R. Nissensohn, M. Díaz-González, V. Ruano-Rodríguez, C. Ortiz-Andrelluchi, A.P. Macías Gutiérrez, B. Santana-Santana, A.J. Pintó, Xavier de la Cruz, E. García-Arellano, A. Mena, G. Marti, A. Salas-Huetos, A. Díaz-López, A. Arceiz Campo, M.T. Arranz, S. Martín, F. Galera, A. Soler, Y. Trias, F. Elosua, R. Sarasa, I. Quiles, L. Padres, E. Corbella, Emili Muñoz-Aguayo, Daniel Molina, C. Cabezas, C. Martín-Rillo, M.J. Vinyoles, E. Rovira, M.A. Goñi, E. Urtasun Samper, A. Tort, N. Sola, A. García, L. Baena, J.M. Flores, G. Verdú, J.M. Tello, S. Arroyo-Azpa, C. García-Pérez, L. Vazquez, Z. Amat, J. Duaso, I. García, Y. Iglesias, C. Simón, C. Quinzavos, L. Parra, L. Liroz, M. Pascual, V. García de la Noceda Montoy, M.D. Berrade, N. Llopis-Osorio, E. Vila, J. Villanueva Telleria, J. Benavent, J. Clos, J. Pla, I. Amorós, M. Bonet, M.T. Sanz, E. Extremera-Urabayen, V. Martin Monzón, Maria Teresa Prieto, R. Sánchez, M.S. Altirriba, J. Ruiz-Baixauli, J. Cortés Ugalde, F. Manzano, E. Lamuela-Raventós, Rosa M. Altés, A. Sala-Vila, A. Francisco, S. Riera, C. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Instituto de Salud Carlos III Centro Nacional de Investigaciones Cardiovasculares (España) Ministerio de Ciencia e Innovación (España) California Walnut Commission Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
PREDIMED Framingham-REGICOR equation Cardiovascular risk prediction Cardiovascular disease Mediterraneam diet |
| topic |
PREDIMED Framingham-REGICOR equation Cardiovascular risk prediction Cardiovascular disease Mediterraneam diet |
| description |
Background-The usefulness of cardiovascular disease (CVD) predictive equations in different populations is debatable. We assessed the efficacy of the Framingham-REGICOR scale, validated for the Spanish population, to identify future CVD in participants, who were predefined as being at high-risk in the PREvención con DIeta MEDiterránea (PREDIMED) study-a nutrition-intervention primary prevention trial-and the impact of adherence to the Mediterranean diet on CVD across risk categories. Methods and Results-In a post hoc analysis, we assessed the CVD predictive value of baseline estimated risk in 5966 PREDIMED participants (aged 55-74 years, 57% women; 48% with type 2 diabetes mellitus). Major CVD events, the primary PREDIMED end point, were an aggregate of myocardial infarction, stroke, and cardiovascular death. Multivariate-adjusted Cox regression was used to calculate hazard ratios for major CVD events and effect modification from the Mediterranean diet intervention across risk strata (low, moderate, high, very high). The Framingham-REGICOR classification of PREDIMED participants was 25.1% low risk, 44.5% moderate risk, and 30.4% high or very high risk. During 6-year follow-up, 188 major CVD events occurred. Hazard ratios for major CVD events increased in parallel with estimated risk (2.68, 4.24, and 6.60 for moderate, high, and very high risk), particularly in men (7.60, 13.16, and 15.85, respectively, versus 2.16, 2.28, and 3.51, respectively, in women). Yet among those with low or moderate risk, 32.2% and 74.3% of major CVD events occurred in men and women, respectively. Mediterranean diet adherence was associated with CVD risk reduction regardless of risk strata (P > 0.4 for interaction). Conclusions-Incident CVD increased in parallel with estimated risk in the PREDIMED cohort, but most events occurred in non- high-risk categories, particularly in women. Until predictive tools are improved, promotion of the Mediterranean diet might be useful to reduce CVD independent of baseline risk. |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017 2018 2018 2018 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
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article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10261/166179 |
| url |
http://hdl.handle.net/10261/166179 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
#PLACEHOLDER_PARENT_METADATA_VALUE# info:eu-repo/grantAgreement/MINECO/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/AGL2010‐22319‐C03‐02 ; Sí |
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info:eu-repo/semantics/openAccess |
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openAccess |
| dc.publisher.none.fl_str_mv |
John Wiley & Sons |
| publisher.none.fl_str_mv |
John Wiley & Sons |
| dc.source.none.fl_str_mv |
reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC) |
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Consejo Superior de Investigaciones Científicas (CSIC) |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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1869408588956434432 |
| spelling |
Prediction of cardiovascular disease by the framingham-REGICOR equation in the high-risk PREDIMED cohort: Impact of the mediterranean diet across different risk strataAmor, A.J.Serra-Mir, M.Martínez-González, M.A.Corella, D.Salas-Salvadó, J.Fitó, MontserratEstruch, R.Serra-Majem, L.Arós, F.Babio, NancyRos, E.Cofán, M.Lecea, O.Rosique Esteban, N.Valls-Pedret, C.Freitas-Simoes, T.M.Doménech, M.Gilabert, R.Sagredo Arce, T.Bertolín-Muñoz, A.Tresserra-Rimbau, A.Jurado-Ruíz, EnriqueSalaverría, I.Pages, M.A.Cabré, J.J.Mestres, G.Paris, F.Llauradó, M.Pedret, R.Basells, J.Vizcaino, J.Segarra, R.Sacanella, E.Casas, RicardFrontera, G.Alonso-Gómez, A.Godoy, D.López-Sabater, M.C.de la Torre, Rafaeldel Hierro, T.Hernandez-Alonso, P.Giardina, S.Ferreira-Pego, C.Pérez-Cabrera, J.Papandreou, C.Baby, P.Camacho, L.Toledo, E.Casanas Quintana, T.Carratalá-Calvo, A.Buil-Cosiales, P.Rovira, A.Ruiz-Canela, M.Martínez, J. AlfredoFiol, MiquelCastellote-Bargalló, Ana I.Algorta, J.Álvarez-Pérez, J.Sanjulián, B.Ortega, E.Sánchez-Tainta, A.Díez-Espino, JavierSánchez-Villegas, A.Ginard, M.Fiol, F.García-Valdueza, M.Marrugat, J.Schröder, H.Molina, N.Maestre, E.Castañer, O.Rovira, A.Farré, M.Sorli, J.V.Ramos, A.García, J.Moñino, M.Santamaría, M.I.Fernández-Rodríguez, M. J.Jover, A.Pérez-Heras, A.Zanon-Moreno, V.Díaz-Benítez, E.M.Carrasco, P.Ortega-Azorín, CarolinaAsensio, E.M.Oller, M.Proenza, A.Osma, R.Bargalló, NúriaBarragán, RocíoFrancés, F.García, M.Romaguera, D.Guillén, M.Márquez, F.González, J.I.Saiz, C.Portillo, María P.Mengual, L.Viñas, C.Bautista-Castaño, Inmaculadade Santamaría, L.Portolés, OlgaGiménez, F.J.Coltell, O.Guillem-Saiz, P.Chiva, G.Mata, M.Sorli, M.de Juan, C.Roura, P.Rekondo, J.Belló, M.C.Loma-Osorio, A.Gómez-Gracia, EnriqueWarnberg, J.Benítez Pont, R.Bianchi Alba, M.Gómez-Huelgas, R.Gueto Rubio, M.V.Bulló, M.Sáez, G.Yuste, M.C.Martínez, P.Valderas, P.Brau, A.Martínez-González, J.Velasco García, V.Romero, S.de Diego Salas, J.Razquin, C.Baca Osorio, A.Gil Zarzosa, J.Becerra-Tomás, NereaGuarner, A.Sánchez Luque, J.J.Eguaras, S.Vargas López, E.Ruiz-Gutiérrez, ValentinaIbarrola-Jurado, NuriaTur, Josep A.García Roselló, J.Perona, Javier S.Vigata López, M.D.Montero Romero, EmilioGarcía-García, M.Isach, A.Basora, J.González, R.Nissensohn, M.Díaz-González, V.Ruano-Rodríguez, C.Ortiz-Andrelluchi, A.P.Macías Gutiérrez, B.Santana-Santana, A.J.Pintó, Xavierde la Cruz, E.García-Arellano, A.Mena, G.Marti, A.Salas-Huetos, A.Díaz-López, A.Arceiz Campo, M.T.Arranz, S.Martín, F.Galera, A.Soler, Y.Trias, F.Elosua, R.Sarasa, I.Quiles, L.Padres, E.Corbella, EmiliMuñoz-Aguayo, DanielMolina, C.Cabezas, C.Martín-Rillo, M.J.Vinyoles, E.Rovira, M.A.Goñi, E.Urtasun Samper, A.Tort, N.Sola, A.García, L.Baena, J.M.Flores, G.Verdú, J.M.Tello, S.Arroyo-Azpa, C.García-Pérez, L.Vazquez, Z.Amat, J.Duaso, I.García, Y.Iglesias, C.Simón, C.Quinzavos, L.Parra, L.Liroz, M.Pascual, V.García de la Noceda Montoy, M.D.Berrade, N.Llopis-Osorio, E.Vila, J.Villanueva Telleria, J.Benavent, J.Clos, J.Goñi, E.Pla, I.Amorós, M.Bonet, M.T.Sanz, E.Extremera-Urabayen, V.Martin Monzón, Maria TeresaPrieto, R.Sánchez, M.S.Altirriba, J.Ruiz-Baixauli, J.Cortés Ugalde, F.Manzano, E.Lamuela-Raventós, Rosa M.Altés, A.Sala-Vila, A.Francisco, S.Riera, C.PREDIMEDFramingham-REGICOR equationCardiovascular risk predictionCardiovascular diseaseMediterraneam dietBackground-The usefulness of cardiovascular disease (CVD) predictive equations in different populations is debatable. We assessed the efficacy of the Framingham-REGICOR scale, validated for the Spanish population, to identify future CVD in participants, who were predefined as being at high-risk in the PREvención con DIeta MEDiterránea (PREDIMED) study-a nutrition-intervention primary prevention trial-and the impact of adherence to the Mediterranean diet on CVD across risk categories. Methods and Results-In a post hoc analysis, we assessed the CVD predictive value of baseline estimated risk in 5966 PREDIMED participants (aged 55-74 years, 57% women; 48% with type 2 diabetes mellitus). Major CVD events, the primary PREDIMED end point, were an aggregate of myocardial infarction, stroke, and cardiovascular death. Multivariate-adjusted Cox regression was used to calculate hazard ratios for major CVD events and effect modification from the Mediterranean diet intervention across risk strata (low, moderate, high, very high). The Framingham-REGICOR classification of PREDIMED participants was 25.1% low risk, 44.5% moderate risk, and 30.4% high or very high risk. During 6-year follow-up, 188 major CVD events occurred. Hazard ratios for major CVD events increased in parallel with estimated risk (2.68, 4.24, and 6.60 for moderate, high, and very high risk), particularly in men (7.60, 13.16, and 15.85, respectively, versus 2.16, 2.28, and 3.51, respectively, in women). Yet among those with low or moderate risk, 32.2% and 74.3% of major CVD events occurred in men and women, respectively. Mediterranean diet adherence was associated with CVD risk reduction regardless of risk strata (P > 0.4 for interaction). Conclusions-Incident CVD increased in parallel with estimated risk in the PREDIMED cohort, but most events occurred in non- high-risk categories, particularly in women. Until predictive tools are improved, promotion of the Mediterranean diet might be useful to reduce CVD independent of baseline risk.This study was funded in part by Instituto de Salud Carlos III (ISCIII) (Spanish Ministry of Economy) through grants RTIC G03/140, RTIC RD 06/0045, Centro Nacional de Investigaciones Cardiovasculares CNIC 06/2007, ISCIII FIS PS09/01292, the Spanish Ministry of Science and Innovation (MICINN) AGL2010‐22319‐C03‐02 and AGL2009‐13906‐C02‐02, and an unrestricted grant from the California Walnut CommissionPeer ReviewedJohn Wiley & SonsInstituto de Salud Carlos IIICentro Nacional de Investigaciones Cardiovasculares (España)Ministerio de Ciencia e Innovación (España)California Walnut CommissionConsejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]2018201820172018info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/166179reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/MINECO/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/AGL2010‐22319‐C03‐02 ; Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/1661792026-05-22T06:33:51Z |
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