Dietary indexes, food patterns and incidence of metabolic syndrome in a Mediterranean cohort: The SUN project. Issue 3 (June 2015)

• Record Type: Journal Article
• Authors: Pimenta, Adriano M.; Toledo, Estefanía; Rodriguez-Diez, Maria C.; Gea, Alfredo; Lopez-Iracheta, Roberto; Shivappa, Nitin; Hébert, James R.; Martinez-Gonzalez, Miguel A.
• Is Part Of: Clinical nutrition. Volume 34:Issue 3(2015:Jun.)
• Page Start: 508
• Page End: 514
• Publication Date: 2015-06
• Subjects: Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2014.06.002
• Languages: English
• ISSNs: 0261-5614

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Summary</title> <sec> <title id="sectitle0015">Background & aims</title> <p id="abspara0010">We prospectively assessed the association between adherence to several <italic>a priori</italic> defined healthy food patterns and risk of metabolic syndrome (MetS).</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">We assessed 6851 participants of a Spanish dynamic prospective cohort of university graduates, initially free of any MetS-specific definition criteria, and followed-up for a median of 8.3 years. We calculated the adherence to thirteen different <italic>a priori</italic> defined food patterns or dietary indexes. MetS was classified according to the updated harmonizing criteria. We estimated multivariable-adjusted Incidence Rate Ratios (IRR) of metabolic syndrome and their 95% Confidence Intervals (95% CI), using Poisson regression models.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">The cumulative incidence of MetS was 5.0%. Moderate adherence to the Pro-Vegetarian Diet (PVEG) was significantly associated with a lower risk for developing MetS (IRR = 0.75, 95% CI = 0.59–0.97). Among women, an inverse association with the PVEG was significant not only for a moderate adherence (IRR = 0.54, 95% CI = 0.36–0.82), but also for higher adherence (IRR = 0.63, 95% CI = 0.43–0.93). A higher adherence to the Dietary Approaches to Stop Hypertension (DASH) diet showed an inverse association with the MetS among participants, but only if they had low alcohol intake (RR = 0.41, 95% CI = 0.20–0.85).</p> </sec> <sec> <title id="sectitle0030">Conclusions</title> <p id="abspara0025">Our findings support the adoption of a PVEG dietary pattern for the reduction of MetS risk. The same statement can be applied in relation to the DASH diet, insofar a limited consumption of alcoholic beverages is also maintained.</p> </sec> </abstract>