Please use this identifier to cite or link to this item: https://hdl.handle.net/11000/30764

Pro‑vegetarian food patterns and cardiometabolic risk in the PREDIMED‑Plus study: a cross‑sectional baseline analysis

Title:
Pro‑vegetarian food patterns and cardiometabolic risk in the PREDIMED‑Plus study: a cross‑sectional baseline analysis
Authors:
Oncina Canovas, Alejandro  
Vioque, Jesús
González Palacios, Sandra  
Martínez González, Miguel Ángel  
Salas-Salvadó, Jordi  
Corella, Dolores
Zomeño, M. Dolores  
Martínez, J. Alfredo
Alonso-Gómez, Ángel  
Wärnberg, Julia
Romaguera, Dora  
López-Miranda, José
Estruch, Ramón
Bernal-López, Rosa M.
Lapetra, José
Serra-Majem, J. Luis
Bueno Cavanillas, Aurora  
Tur, Josep A.
Martín-Sánchez, Vicente
Pintó, Xavier
Delgado-Rodríguez, Miguel
Matía-Martín, Pilar
Vidal, Josep
Vázquez, Clotilde  
Daimiel, Lidia
Ros, Emili
Toledo, Estefanía
Bablo, Nancy
Sorli, José V.
Schöder, Helmut
Zulet, M. Angeles  
Sorto-Sánchez, Carolina
Barón López, Francisco Javier  
Compañ Gabucio, Laura M  
Morey, Marga
García-Ríos, Antonio
Casas, Rosa  
Gómez Pérez, Ana María  
Santos Lozano, José Manuel  
Vazquez-Ruiz, Zenaida  
Nishi, Stephanie  
Asensio, Eva M.
Soldevilla, Nuria
Abete, Itziar  
Goikolea-Güemez, Leire
Buil-Cosiales, Pilar  
García-Gavilán, Jesús F.
Canals, Erik
Torres-Collado, Laura  
Garcia de la Hera, Manuela  
Editor:
Springer
Department:
Departamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecología
Issue Date:
2021-08-09
URI:
https://hdl.handle.net/11000/30764
Abstract:
Purpose We explored the cross-sectional association between the adherence to three different provegetarian (PVG) food patterns defined as general (gPVG), healthful (hPVG) and unhealthful (uPVG), and the cardiometabolic risk in adults with metabolic syndrome (MetS) of the PREDIMED-Plus randomized intervention study. Methods We performed a cross-sectional analysis of baseline data from 6439 participants of the PREDIMED-Plus randomized intervention study. The gPVG food pattern was built by positively scoring plant foods (vegetables/fruits/legumes/ grains/potatoes/nuts/olive oil) and negatively scoring, animal foods (meat and meat products/animal fats/eggs/fish and seafood/dairy products). The hPVG and uPVG were generated from the gPVG by adding four new food groups (tea and coffee/ fruit juices/sugar-sweetened everages/sweets and desserts), splitting grains and potatoes and scoring them differently. Multivariable-adjusted robust linear regression using MM-type estimator was used to assess the association between PVG food patterns and the standardized Metabolic Syndrome score (MetS z-score), a composed index that has been previously used to ascertain the cardiometabolic risk, adjusting for potential confounders. Results A higher adherence to the gPVG and hPVG was associated with lower cardiometabolic risk in multivariable models. The regression coefficients for 5th vs. 1st quintile were − 0.16 (95% CI: − 0.33 to 0.01) for gPVG (p trend: 0.015), and − 0.23 (95% CI: − 0.41 to − 0.05) for hPVG (p trend: 0.016). In contrast, a higher adherence to the uPVG was associated with higher cardiometabolic risk, 0.21 (95% CI: 0.04 to 0.38) (p trend: 0.019). Conclusion Higher adherence to gPVG and hPVG food patterns was generally associated with lower cardiovascular risk, whereas higher adherence to uPVG was associated to higher cardiovascular risk.
Keywords/Subjects:
Dietary food patterns
Cardiometabolic risk
Metabolic syndrome
Pro-vegetarian
Type of document:
application/pdf
Access rights:
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
DOI:
https://doi.org/10.1007/s00394-021-02647-4
Appears in Collections:
Artículos Salud Pública, Historia de la Ciencia y Ginecología



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