Metabolic Syndrome Features and Excess Weight Were Inversely Associated with Nut Consumption after 1-Year Follow-Up in the PREDIMED-Plus Study

BACKGROUND: High nut consumption has been previously associated with decreased prevalence of metabolic syndrome (MetS) regardless of race and dietary patterns. OBJECTIVES: The aim of this study was to assess whether changes in nut consumption over a 1-y follow-up are associated with changes in featu...

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Detalles Bibliográficos
Autores: Julibert, Alicia, Bibiloni Esteva, Maria Del Mar, Gallardo-Alfaro, Laura, Abbate, Manuela, Martínez-González, Miguel Á, Salas-Salvadó, Jordi, Corella, Dolores, Fitó, Montse, Martínez, J Alfredo, Alonso-Gómez, Ángel M, Wärnberg, Julia, Vioque, Jesús, Romaguera, Dora, Lopez-Miranda, José, Estruch, Ramon, Tinahones, Francisco J, Lapetra, José, Serra-Majem, Lluís, Cano-Ibañez, Naomi, Martín-Sánchez, Vicente, Pintó, Xavier, Gaforio, José J, Matía-Martín, Pilar, Vidal, Josep, Vázquez, Clotilde, Daimiel, Lidia, Ros, Emilio, Sayon-Orea, Carmen, Becerra-Tomás, Nerea, Gimenez-Alba, Ignacio M, Castañer, Olga, Abete, Itziar, Tojal-Sierra, Lucas, Pérez-López, Jéssica, Notario-Barandiaran, Leyre, Colom Fernández, Antoni, Garcia-Rios, Antonio, Castro-Barquero, Sara, Bernal, Rosa, Santos-Lozano, José M, Fernández-Lázaro, Cesar I, Hernández-Alonso, Pablo, Saiz, Carmen, Zomeño, Maria D, Zulet, Maria A, Belló-Mora, Maria C, Basterra-Gortari, Javier, Canudas, Silvia, Goday, Albert, Tur, Josep A.
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:20.500.13003/26115
Acceso en línea:https://hdl.handle.net/20.500.13003/26115
Access Level:acceso abierto
Palabra clave:Diet, Mediterranean
Weight Gain
Metabolic Syndrome
Nuts
Obesity
Overweight
Dieta Mediterránea
Aumento de Peso
Síndrome Metabólico
Nueces
Obesidad
Sobrepeso
Mediterranean diet
PREDIMED-Plus study
excess weight
features of metabolic syndrome
lifestyle
metabolic syndrome
nut consumption
obesity
older adults
overweight
Descripción
Sumario:BACKGROUND: High nut consumption has been previously associated with decreased prevalence of metabolic syndrome (MetS) regardless of race and dietary patterns. OBJECTIVES: The aim of this study was to assess whether changes in nut consumption over a 1-y follow-up are associated with changes in features of MetS in a middle-aged and older Spanish population at high cardiovascular disease risk. METHODS: This prospective 1-y follow-up cohort study, conducted in the framework of the PREvención con DIeta MEDiterránea (PREDIMED)-Plus randomized trial, included 5800 men and women (55-75 y old) with overweight/obesity [BMI (in kg/m2) ≥27 and <40] and MetS. Nut consumption (almonds, pistachios, walnuts, and other nuts) was assessed using data from a validated FFQ. The primary outcome was the change from baseline to 1 y in features of MetS [waist circumference (WC), glycemia, HDL cholesterol, triglyceride (TG), and systolic and diastolic blood pressure] and excess weight (body weight and BMI) according to tertiles of change in nut consumption. Secondary outcomes included changes in dietary and lifestyle characteristics. A generalized linear model was used to compare 1-y changes in features of MetS, weight, dietary intakes, and lifestyle characteristics across tertiles of change in nut consumption. RESULTS: As nut consumption increased, between each tertile there was a significant decrease in WC, TG, systolic blood pressure, weight, and BMI (P < 0.05), and a significant increase in HDL cholesterol (only in women, P = 0.044). The interaction effect between time and group was significant for total energy intake (P < 0.001), adherence to the Mediterranean diet (MedDiet) (P < 0.001), and nut consumption (P < 0.001). Across tertiles of increasing nut consumption there was a significant increase in extra virgin olive oil intake and adherence to the MedDiet; change in energy intake, on the other hand, was inversely related to consumption of nuts. CONCLUSIONS: Features of MetS and excess weight were inversely associated with nut consumption after a 1-y follow-up in the PREDIMED-Plus study cohort. This trial was registered at isrctn.com as ISRCTN89898870.

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