scholarly journals Association between adherence to the Mediterranean diet and the prevalence of cardiovascular risk factors

Author(s):  
Enrique Ramón-Arbués ◽  
Blanca Martínez-Abadía ◽  
José Manuel Granada-López ◽  
Emmanuel Echániz-Serrano ◽  
Isabel Huércanos-Esparza ◽  
...  

Objective: to determine the prevalence of cardiovascular risk factors in a cohort of workers and to quantify its association with compliance with the Mediterranean diet follow-up. Method: a cross-sectional descriptive study was carried out on a cohort of 23,729 workers. Clinical data from annual medical examinations and the Mediterranean Diet Adherence Screener were used to assess adherence to the Mediterranean diet. Results: 51.3% of the participants showed good adherence to the Mediterranean diet. The multivariate analysis showed an inverse and significant association between the follow-up of the Mediterranean diet and the prevalence of abdominal obesity (Odds Ratio = 0.64, 95% CI 0.56; 0.73), dyslipidemia (Odds Ratio = 0.55, 95% CI 0.42; 0.73), and metabolic syndrome (Odds Ratio = 0.76, 95% CI 0.67; 0.86). Conclusions: our results suggest that the Mediterranean diet is potentially effective in promoting cardiovascular health. Implementing the interventions promoting the Mediterranean diet in the working population seems justified.

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Lindsay B. Kimbro ◽  
W. Neil Steers ◽  
Carol M. Mangione ◽  
O. Kenrik Duru ◽  
Susan L. Ettner

Diabetic patients are nearly three times as likely to have depression as their nondiabetic counterparts. Patients with diabetes are already at risk for poor cardiovascular health. Using cross-sectional data from the translating research into action for diabetes (TRIAD) study, the authors tested the association of depression with cardiovascular risk factors in diabetic patients. Depression was measured using the patient health questionnaire (PHQ8). Patients who scored greater than 9 on the PHQ8 were classified as depressed and were compared with those who were not depressed(n=2,341). Depressed patients did not have significantly different blood pressure levels than those who were not depressed. However, those who were depressed had higher HbA1c levels than those who were not depressed(P<0.01)and higher BMIs than those who were not depressed(P<0.01). These results indicate that depressed diabetic patients are at greater risk of having poor control of cardiovascular risk factors and suggest that depression screening should be a standard practice among this patient group.


Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1018 ◽  
Author(s):  
Rocío Barragán ◽  
Juan Llopis ◽  
Olga Portolés ◽  
Jose V. Sorlí ◽  
Oscar Coltell ◽  
...  

Several studies have shown that a low magnesium (Mg) intake in the diet is associated with greater cardiovascular risk and greater risk of diabetes. However, the results are not consistent in all populations. To minimize the biases derived from diet measurement, more objective biomarkers of magnesium status have been proposed. Although there is still no ideal biomarker for Mg, several studies have shown that plasma Mg concentrations could be a relatively acceptable biomarker for cardiovascular risk assessment. However, further studies are required to better characterize this marker in different populations. Our aim was to analyze the association between plasma Mg concentrations (measured through inductively coupled plasma mass spectrometry (ICP-MS)) methods, and cardiovascular risk factors in individuals from a general Mediterranean population (aged 18–80 years). The influence of demographic and lifestyle variables, including adherence to the Mediterranean diet, on plasma Mg concentrations was analyzed. The mean Mg level of the population studied was 0.77 ± 0.08 mmol/L, the prevalence of hypomagnesemia (<0.70 mmol/L) being 18.6%. We did not find any statistically significant differences between plasma Mg concentrations and sex, age, tobacco smoking and total adherence to the Mediterranean diet (p > 0.05). We found a statistically significant association between plasma Mg concentrations and the prevalence of type-2 diabetes (0.77 ± 0.08 mmol/L in non-diabetics versus 0.73 ± 0.13 mmol/L in diabetics; p = 0.009). Despite the low prevalence of type-2 diabetes in this population (11.24% in subjects with hypomagnesemia versus 3.91%, in normomagnesemia; p = 0.005), hypomagnesemia was associated with greater odds of being diabetic in comparison with normomagnesemia (OR = 3.36; p = 0.016, even after adjustment for sex, age, obesity, and medications). On the other hand, no statistically significant association of plasma Mg concentrations with obesity, hypertension, fasting triglycerides, HDL-cholesterol or uric acid was found. However, in contrast to what was initially expected, a statistically significant association was found between plasma Mg concentrations (basically in the highest quartile) and greater total cholesterol (p < 0.05) and LDL-cholesterol concentrations (p < 0.05). In conclusion, our results contribute to increasing the evidence gathered by numerous studies on the inverse association between hypomagnesemia and type-2 diabetes, as well as to the observation, previously reported in some studies, of a direct association with hypercholesterolemia. This paradoxical link should be deeply investigated in further studies.


2020 ◽  
Vol 29 (3) ◽  
pp. 182-190 ◽  
Author(s):  
Aleksander Kwater ◽  
Jerzy Gąsowski ◽  
Barbara Wizner ◽  
Zofia Kasprzyk ◽  
Marcin Cwynar ◽  
...  

2019 ◽  
Vol 72 (11) ◽  
pp. 925-934
Author(s):  
Ismael Álvarez-Álvarez ◽  
Miguel Á. Martínez-González ◽  
Ana Sánchez-Tainta ◽  
Dolores Corella ◽  
Andrés Díaz-López ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1099 ◽  
Author(s):  
Ilse G. Pranger ◽  
Frits A. J. Muskiet ◽  
Ido P. Kema ◽  
Cécile Singh-Povel ◽  
Stephan J. L. Bakker

Dairy fat intake, reflected by the biomarkers C14:0, C15:0, C17:0, trans-C16:1 (n-7), trans-C18:1 (n-7) and CLA, may have beneficial effects on cardiovascular health. It has, however, been questioned whether this association is genuine, since C15:0 and C17:0 are also biomarkers from fish. We investigated whether the above biomarkers are reliable markers for dairy fat intake in 864 healthy subjects. Subsequently, we explored the association between these biomarkers and cardiovascular risk factors. Intakes of dairy and fish were determined by Food Frequency Questionnaires FFQs. Fatty acids were analyzed in plasma triglycerides (TG) and phospholipids (PL). Median intakes of dairy and fish fat were 12.3 (8.4–17.4) g/day and 1.14 (0.53–1.75) g/day. All fatty acids, except TG C17:0, were associated with dairy fat (std.β range TG: 0.12 for C14:0 till 0.25 for C15:0 and Trans-C18:1 (n-7); and std.β range PL: 0.12 for C17:0 and Trans-C16:1 (n-7) till 0.24 for Trans-C18:1 (n-7) and CLA; p < 0.001). TG C17:0 was associated with fish fat (std.β = 0.08; p = 0.03), whereas PL C17:0 was not. Associations remained after adjustment for fish/dairy fat intake. Strongest inverse associations with biological variables were found with PL C17:0 and Trans-C18:1 (n-7) (Std.βs: waist circumference: −0.18, p < 0.001 and −0.10, p < 0.05; BMI: −0.17, p < 0.001, −0.11, p < 0.01; glucose: −0.10, p <0.01 and −0.08, p <0.05; high sensitive C-reactive protein (hs-CRP): −0.22, p < 0.001 and −0.16, p < 0.01; uric acid: −0.27, p < 0.001 and −0.24, p < 0.001). In conclusion, fatty acid biomarkers, except plasma TG C17:0, were associated with dairy fat intake, independent of fish fat intake. PL C17:0 and trans-C18:1 (n-7) were inversely associated with adiposity, diabetes, inflammation and uric acid.


Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1067 ◽  
Author(s):  
Marilena Vitale ◽  
Maria Masulli ◽  
Ilaria Calabrese ◽  
Angela Rivellese ◽  
Enzo Bonora ◽  
...  

This study evaluates the relation of a Mediterranean dietary pattern and its individual components with the cardiovascular risk factors profile, plasma glucose and body mass index (BMI) in people with type 2 diabetes. We studied 2568 participants at 57 diabetes clinics. Diet was assessed with the EPIC (European Prospective Investigation into Cancer and Nutrition) questionnaire, adherence to the Mediterranean diet was evaluated with the relative Mediterranean diet score (rMED). A high compared to a low score was associated with a better quality of diet and a greater adherence to the nutritional recommendations for diabetes. However, even in the group achieving a high score, only a small proportion of participants met the recommendations for fiber and saturated fat (respectively 17% and 30%). Nonetheless, a high score was associated with lower values of plasma lipids, blood pressure, glycated hemoglobin, and BMI. The relationship of the single food items components of the rMED score with the achievement of treatment targets for plasma lipids, blood pressure, glucose, and BMI were also explored. The study findings support the Mediterranean dietary model as a suitable model for type 2 diabetes and the concept that the beneficial health effects of the Mediterranean diet lie primarily in its synergy among various nutrients and foods rather than on any individual component.


2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Jéssica Borges Kroth ◽  
Helena Maria Silveira Fraga Maia

INTRODUÇAO: Os fatores de risco cardiovascular existentes durante a infância e adolescência tendem a se manter e influenciar a condição de saúde na vida adulta, portanto, as doenças cardiovasculares tratam-se igualmente de um problema de cunho infanto-juvenil. OBJETIVO: Estimar a prevalência de pré-hipertensão, hipertensão arterial e demais fatores de risco cardiovascular em escolares da rede pública. MÉTODOS: Foi realizado um estudo transversal com adolescentes de 14 a 19 anos regularmente matriculados em escolas públicas na cidade do Salvador, Bahia, entre agosto de 2014 a maio de 2015. Foram coletados dados antropométricos, clínicos, relativos a hábitos de vida e fatores de risco. Análises bivariadas e multivariadas utilizando a regressão logística foram utilizadas. A magnitude da associação entre estas e a pressão arterial elevada foi estimada pelo cálculo do Odds Ratio e IC95%%. Utilizou-se o Stata (V. 12.0) e o projeto foi aprovado pelo CEP/UNEB. RESULTADOS: Foram incluídos 160 escolares, dentre estes, 24,4% apresentavam níveis tensionais elevados. Idade entre 14 a 15 anos (OR 0,32; IC95% = 0,13 – 0,75), Acanthosis Nigricans (AN) (OR= 4,5; IC95% = 1,01 – 19,8) e atividades sedentárias inferiores a 2 horas diárias (OR = 0,35; IC95% = 0,14 – 0,84) se mostraram associados com PA elevada. CONCLUSÕES: Os resultados apontam elevada prevalência de valores alterados de PA, que a presença de AN se configura como importante fator de risco, que idade mais jovem e tempo menor que 2 horas de inatividade física representam fatores de proteção. Espera-se contribuir para um rastreamento mais efetivo dos fatores de risco cardiovascular em adolescentes.INTRODUCTION: Cardiovascular risk factors that exist during childhood and adolescence tend to maintain and influence health condition in adulthood, therefore, cardiovascular diseases are also an infant juvenile issue. OBJECTIVE: To estimate the prevalence of prehypertension, hypertension and others cardiovascular risk factors in students from public schools. METHODS: A cross-sectional study of adolescents aged 14 to 19 years regularly attending public schools was conducted in the city of Salvador, Bahia, from august 2014 to may 2015. Anthropometric, clinical, related to life habits and risk factors data were collected. Bivariate and multivariate analyses using logistic regression were used. The magnitude of the association between them and high blood pressure was estimated by calculating the Odds Ratio and IC95%. Stata (V. 12.0) was used and the project was approved by the CEP / UNEB. RESULTS: 160 students were included, among these, 24.4 % had high blood pressure (BP) levels. Aged 14-15 years (OR 0.32 , 95% CI 0.13 to 0.75), Acanthosis Nigricans (AN) ( OR = 4.5 , 95% CI 1.01 to 19.8 ) and sedentary activities less than 2 hours per day (OR = 0.35 , 95% CI 0.14 to 0.84 ) were associated with high BP. CONCLUSIONS: The results indicate high prevalence of altered values of BP, that the presence of AN is configured as an important risk factor, that younger age and less than two hours of physical inactivity represent protective factors. It is expected to contribute to a more effective screening of risk factors in adolescents. 


Sign in / Sign up

Export Citation Format

Share Document