Physical activity and metabolic syndrome severity among older adults at cardiovascular risk: 1-Year trends
Por:
Gallardo-Alfaro, L, Bibiloni, M, Bouzas, C, Mascaro, C, Martinez-Gonzalez, M, Salas-Salvado, J, Corella, D, Schroder, H, Martinez, J, Alonso-Gomez, A, Warnberg, J, Vioque, J, Romaguera, D, Lopez-Miranda, J, Estruch, R, Tinahones, F, Lapetra, J, Serra-Majem, L, Bueno-Cavanillas, A, Mico, R, Pinto, X, Gaforio, J, Ortiz-Ramos, M, Altes-Boronat, A, Luca, B, Daimiel, L, Ros, E, Sayon-Orea, C, Becerra-Tomas, N, Gimenez-Alba, I, Castaner, O, Abete, I, Tojal-Sierra, L, Perez-Lopez, J, Torres-Collado, L, Colom, A, Garcia-Rios, A, Castro-Barquero, S, Bernal, R, Santos-Lozano, J, Fernandez-Lazaro, C, Hernandez-Alonso, P, Saiz, C, Zomeno, M, Zulet, M, Bello-Mora, M, Basterra-Gortari, F, Canudas, S, Goday, A and Tur, J
Publicada:
22 sep 2021
Ahead of Print:
30 jun 2021
Resumen:
Background and aims: Modifiable lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease metabolic syndrome (MetS). The aim was to assess 1-year changes of leisure-time physical activity (LTPA), sedentary behavior, and diet quality according to MetS severity in older population at high cardiovascular risk. Methods and results: Prospective analysis of 55-75-year-old 4359 overweight/obese participants with MetS (PREDIMED-Plus trial) categorized in tertiles according to 1-year changes of a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, triglycerides and glucose index, dietary nutrient intake, biochemical marker levels, dietary inflammatory index, and depression symptoms were measured. Diet quality was assessed by 17-item MD questionnaire. PAs were self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire and 30-s chair stand test. Sedentary behaviors were measured using the Spanish version of the Nurses' Health Study questionnaire. After 1-year follow-up, decreasing MetSSS was associated with an anti-inflammatory dietary pattern, high intake of vegetables, fruits, legumes, nuts, whole grain cereals, white fish, and bluefish and low intake of refined cereals, red and processed meat, cookies/sweets, and snacks/ready-to-eat-meals. It resulted in high intake of polyunsaturated fatty acids, omega-3 fatty acids, protein, fiber, vitamins B1, B6, B9, C, D, potassium, magnesium, and phosphorus and low glycemic index and saturated fatty acid, trans fatty acid, and carbohydrates intake. Regarding PA and sedentary behavior, decreasing MetSSS was associated with increased moderate-to-vigorous LTPA, chair stand test, and decreased sedentary and TV-viewing time. Conclusion: Decreasing MetSSS was associated with an anti-inflammatory dietary pattern, high LTPA, high MD adherence, low sedentary time, and low depression risk. 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.
Filiaciones:
Gallardo-Alfaro, L:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Bibiloni, M:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Bouzas, C:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Mascaro, C:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Martinez-Gonzalez, M:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Navarra, Dept Prevent Med & Publ Hlth, IDISNA, Pamplona 31008, Spain
Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA
Salas-Salvado, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Rovira & Virgili, Biochem & Biotechnol Dept, Human Nutr Unit, IISPV,Hosp Univ St Joan, Reus 43201, Spain
Corella, D:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Valencia, Dept Prevent Med, Valencia 46100, Spain
Schroder, H:
Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain
Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
Martinez, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
CEI UAM CSIC, IMDEA Food, Cardiomet Nutr Program, Madrid 28049, Spain
Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain
Alonso-Gomez, A:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Basque Country, Araba Univ Hosp, Bioaraba Hlth Res Inst, Osakidetza Basque Hlth Serv,UPV EHU, Vitoria 48013, Spain
Warnberg, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Malaga IBIMA, Sch Hlth Sci, Dept Nursing, Malaga 29071, Spain
:
Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
Miguel Hernandez Univ, Inst Invest Sanitaria & Biomed Alicante, ISABIAL UMH, Alicante 46020, Spain
Romaguera, D:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Lopez-Miranda, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Cordoba, Rei Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Dept Internal Med,Lipids & Atherosclerosis Unit, Cordoba 14004, Spain
Estruch, R:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Barcelona, Hosp Clin, Dept Internal Med, IDIBAPS, Barcelona 08036, Spain
Tinahones, F:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Malaga, Virgen de la Victoria Hosp, Dept Endocrinol, Malaga 29010, Spain
Lapetra, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Dist Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville 41013, Spain
Serra-Majem, L:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Las Palmas Gran Canaria, Inst Biomed Res, Las Palmas Gran Canaria 35016, Spain
Bueno-Cavanillas, A:
Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
Univ Granada, Dept Prevent Med, Granada 18071, Spain
Mico, R:
Inst Salud Carlos III ISCIII, CIBER Diabet & Enfermedades Metab CIBERDEM, Madrid 28029, Spain
Univ Leon, Inst Biomed IBIOMED, Leon 24071, Spain
Pinto, X:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Barcelona 08907, Spain
Gaforio, J:
Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
Univ Jaen, Ctr Adv Studies Olive Grove & Olive Oils, Dept Hlth Sci, Jaen 23071, Spain
Ortiz-Ramos, M:
Inst Invest Sanitaria San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid 28040, Spain
Altes-Boronat, A:
Univ Barcelona, Hosp Clin, Dept Endocrinol, IDIBAPS, Barcelona 08036, Spain
Luca, B:
Fdn Jimenez Diaz, Dept Endocrinol, Madrid 28040, Spain
Daimiel, L:
CEI UAM CSIC, Precis Nutr & Obes Program IMDEA Food, Nutr Control Epigenome Grp, Madrid 28049, Spain
Ros, E:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Hosp Clin Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Endocrinol & Nutr, Lipid Clin, Barcelona 08036, Spain
Sayon-Orea, C:
Univ Navarra, Dept Prevent Med & Publ Hlth, IDISNA, Pamplona 31008, Spain
Serv Navarro Salud, Osasunbidea, Pamplona 31003, Spain
Becerra-Tomas, N:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Rovira & Virgili, Biochem & Biotechnol Dept, Human Nutr Unit, IISPV,Hosp Univ St Joan, Reus 43201, Spain
Gimenez-Alba, I:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Valencia, Dept Prevent Med, Valencia 46100, Spain
Castaner, O:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain
Abete, I:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain
Tojal-Sierra, L:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Basque Country, Araba Univ Hosp, Bioaraba Hlth Res Inst, Osakidetza Basque Hlth Serv,UPV EHU, Vitoria 48013, Spain
Perez-Lopez, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Malaga IBIMA, Sch Hlth Sci, Dept Nursing, Malaga 29071, Spain
:
Miguel Hernandez Univ, Inst Invest Sanitaria & Biomed Alicante, ISABIAL UMH, Alicante 46020, Spain
Colom, A:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
Garcia-Rios, A:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Cordoba, Rei Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Dept Internal Med,Lipids & Atherosclerosis Unit, Cordoba 14004, Spain
Castro-Barquero, S:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Barcelona, Hosp Clin, Dept Internal Med, IDIBAPS, Barcelona 08036, Spain
Bernal, R:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Malaga, Virgen de la Victoria Hosp, Dept Endocrinol, Malaga 29010, Spain
Santos-Lozano, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Dist Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville 41013, Spain
Fernandez-Lazaro, C:
Univ Navarra, Dept Prevent Med & Publ Hlth, IDISNA, Pamplona 31008, Spain
Hernandez-Alonso, P:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Rovira & Virgili, Biochem & Biotechnol Dept, Human Nutr Unit, IISPV,Hosp Univ St Joan, Reus 43201, Spain
Saiz, C:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Valencia, Dept Prevent Med, Valencia 46100, Spain
Zomeno, M:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain
Zulet, M:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain
Bello-Mora, M:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Basque Country, Araba Univ Hosp, Bioaraba Hlth Res Inst, Osakidetza Basque Hlth Serv,UPV EHU, Vitoria 48013, Spain
Basterra-Gortari, F:
Univ Navarra, Dept Prevent Med & Publ Hlth, IDISNA, Pamplona 31008, Spain
Serv Navarro Salud, Osasunbidea, Pamplona 31003, Spain
Canudas, S:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Rovira & Virgili, Biochem & Biotechnol Dept, Human Nutr Unit, IISPV,Hosp Univ St Joan, Reus 43201, Spain
Goday, A:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain
Tur, J:
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain
Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
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