TY - JOUR
T1 - Metabolic Syndrome Features and Excess Weight Were Inversely Associated with Nut Consumption after 1-Year Follow-Up in the PREDIMED-Plus Study
AU - Julibert, Alicia
AU - Del Mar Bibiloni, Maria
AU - Gallardo-Alfaro, Laura
AU - Abbate, Manuela
AU - Martínez-González, Miguel
AU - Salas-Salvadó, Jordi
AU - Corella, Dolores
AU - Fitó, Montse
AU - Martínez, J. Alfredo
AU - Alonso-Gómez, Ángel M.
AU - Wärnberg, Julia
AU - Vioque, Jesús
AU - Romaguera, Dora
AU - Lopez-Miranda, José
AU - Estruch, Ramon
AU - Tinahones, Francisco J.
AU - Lapetra, José
AU - Serra-Majem, Lluís
AU - Cano-Ibañez, Naomi
AU - Martín-Sánchez, Vicente
AU - Pintó, Xavier
AU - Gaforio, José J.
AU - Matía-Martín, Pilar
AU - Vidal, Josep
AU - Vázquez, Clotilde
AU - Daimiel, Lidia
AU - Ros, Emilio
AU - Sayon-Orea, Carmen
AU - Becerra-Tomás, Nerea
AU - Gimenez-Alba, Ignacio M.
AU - Castañer, Olga
AU - Abete, Itziar
AU - Tojal-Sierra, Lucas
AU - Pérez-López, Jéssica
AU - Notario-Barandiaran, Leyre
AU - Colom, Antoni
AU - Garcia-Rios, Antonio
AU - Castro-Barquero, Sara
AU - Bernal, Rosa
AU - Santos-Lozano, José M.
AU - Fernández-Lázaro, Cesar I.
AU - Hernández-Alonso, Pablo
AU - Saiz, Carmen
AU - Zomeño, Maria D.
AU - Zulet, Maria A.
AU - Belló-Mora, Maria C.
AU - Basterra-Gortari, Javier
AU - Canudas, Silvia
AU - Goday, Albert
AU - Tur, Josep A.
N1 - Publisher Copyright:
© 2020 The Author(s) 2020. Published by Oxford University Press on behalf of the American Society for Nutrition.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - 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.
AB - 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.
KW - Mediterranean diet
KW - PREDIMED-Plus study
KW - excess weight
KW - features of metabolic syndrome
KW - lifestyle
KW - metabolic syndrome
KW - nut consumption
KW - obesity
KW - older adults
KW - overweight
UR - http://www.scopus.com/inward/record.url?scp=85097916789&partnerID=8YFLogxK
U2 - 10.1093/jn/nxaa289
DO - 10.1093/jn/nxaa289
M3 - Article
C2 - 33300039
AN - SCOPUS:85097916789
SN - 0022-3166
VL - 150
SP - 3161
EP - 3170
JO - Journal of Nutrition
JF - Journal of Nutrition
IS - 12
ER -