Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done...

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Autores: Gallardo-Alfaro, Laura, Bibiloni Esteva, Maria Del Mar, Mascaró, Catalina M, Montemayor, Sofía, Ruiz-Canela, Miguel, Salas-Salvado, Jordi, Corella, Dolores, Fito, Montserrat, Romaguera, Dora, Vioque, Jesus, Alonso-Gomez, Angel M., Wärnberg, Julia, Martinez, Jose Alfredo, Serra-Majem, Lluis, Estruch, Ramon, Fernandez-Garcia, Jose Carlos, Lapetra, Jose, Pinto, Xavier, Garcia Rios, Antonio, Bueno-Cavanillas, Aurora, Gaforio, José J, Matia-Martin, Pilar, Daimiel, Lidia, Mico-Perez, Rafael M., Vidal, Josep, Vazquez, Clotilde, Ros, Emilio, Ignacio Fernandez-Lazaro, Cesar, Becerra-Tomas, Nerea, Manuel Gimenez-Alba, Ignacio, Zomeño-Fajardo, María Dolores, Konieczna, Jadwiga, Compañ-Gabucio, Laura M, Tojal-Sierra, Lucas, Perez-Lopez, Jessica, Angeles Zulet, M., Casañas-Quintana, Tamara, Castro-Barquero, Sara, Maria Gomez-Perez, Ana, Manuel Santos-Lozano, Jose, Galera, Ana, Javier Basterra-Gortari, F., Basora, Josep, Saiz, Carmen, Alejandra Perez-Vega, Karla, Galmes-Panades, Aina Maria, Tercero-Maciá, Cristina, Sorto-Sanchez, Carolina, Sayon-Orea, Carmen, Garcia-Gavilan, Jesus, Munoz-Martinez, Julia, Tur, Josep A., PREDIMED-Plus Investigators
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/11121
Acceso en línea:https://hdl.handle.net/20.500.13003/11121
Access Level:acceso abierto
Palabra clave:Metabolic Syndrome
Aged
Energy Intake
Food Preferences
Humans
Leisure Activities
Middle Aged
Cross-Sectional Studies
Male
Severity of Illness Index
Sedentary Behavior
Female
Exercise
Ejercicio Físico
Conducta Sedentaria
Síndrome Metabólico
Femenino
Masculino
Actividades Recreativas
Estudios Transversales
Humanos
Persona de Mediana Edad
Ingestión de Energía
Anciano
Índice de Severidad de la Enfermedad
Preferencias Alimentarias
metabolic syndrome severity
physical activity
Mediterranean diet
depression risk
sedentary behaviour
Descripción
Sumario:Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55-75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses' Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.

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