scholarly journals A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1553 ◽  
Author(s):  
Gómez-Donoso ◽  
Martínez-González ◽  
Martínez ◽  
Gea ◽  
Sanz-Serrano ◽  
...  
Keyword(s):  
Healthy Plant ◽  
Plant Foods ◽  
Food Pattern ◽  
Initial Body Mass Index ◽  
Vegetarian Diets ◽  
Sugary Beverages ◽  
Large Prospective Cohort ◽  
Overweight Or Obesity

Provegetarian diets (i.e., preference for plant-derived foods but not exclusion of animal foods) have been associated with a reduced risk of long-term weight gain and could be more easily embraced than strict vegetarian diets. However, not all plant-derived foods are equally healthy. In the “Seguimiento Universidad de Navarra” (SUN) cohort, we prospectively evaluated the association between different provegetarian food patterns and the incidence of overweight/obesity in 11,554 participants with initial body mass index <25 kg/m2. A provegetarian food pattern (FP) was built by assigning positive scores to plant foods and reverse scores to animal foods. A healthful and an unhealthful provegetarian FP, which distinguished between healthy (fruits/vegetables/whole grains/nuts/legumes/olive oil/coffee) and less-healthy plant foods (fruit juices/potatoes/refined grains/pastries/sugary beverages), were also built. A total of 2320 new cases of overweight or obesity were identified after a median follow-up of 10.3 years. Higher baseline conformity with the overall provegetarian FP was inversely associated with overweight/obesity (HR comparing extreme quintiles: 0.85; 95% CI: 0.75 to 0.96; p-trend: 0.014). This association was stronger for the healthful FP (HR: 0.78; 95% CI: 0.67 to 0.90; p-trend: <0.001) and was not apparent for the unhealthful FP (HR: 1.07; 95% CI: 0.92 to 1.23; p-trend: 0.551). In a large prospective cohort of relatively young adults, better conformity with a healthy provegetarian diet was associated with a reduced long-term risk of overweight/obesity, whereas no consistent trend was found for a FP that emphasized less-healthy plant foods.

Differential Effect of Baseline Adiponectin on All-Cause Mortality in Hemodialysis Patients Depending on Initial Body Mass Index. Long-Term Follow-Up Data of 4.5 Years

2013 ◽  
Vol 23 (1) ◽  
pp. 45-56 ◽  
Author(s):  
Christina Tsigalou ◽  
Georgios Chalikias ◽  
Konstantina Kantartzi ◽  
Dimitrios Tziakas ◽  
Georgia Kampouromiti ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Differential Effect ◽  
Hemodialysis Patients ◽  
All Cause Mortality ◽  
Long Term Follow Up ◽  
Initial Body Mass Index

scholarly journals The stability of soft drinks intake from adolescence to adult age and the association between long-term consumption of soft drinks and lifestyle factors and body weight

2005 ◽  
Vol 8 (2) ◽  
pp. 149-157 ◽  
Author(s):  
Elisabeth Kvaavik ◽  
Lene Frost Andersen ◽  
Knut-Inge Klepp
Keyword(s):  
Body Weight ◽  
Early Adulthood ◽  
Lifestyle Factors ◽  
Soft Drinks ◽  
Physically Active ◽  
Adult Age ◽  
The Stability ◽  
Overweight Or Obesity

AbstractObjectivesTo investigate the tracking of sugar-sweetened, carbonated soft drinks intake from age 15 to 33 years and the association between this intake and lifestyle factors and body weight.DesignA longitudinal study with 18–20 years of follow-up. Data about diet, physical activity, smoking and dieting were collected in 1981/1979, 1991 and 1999. Body weight and height were measured in 1981/1979 and self-reported in 1999.SettingOslo, Norway.SubjectsFour hundred and twenty-two men and women.ResultsTracking of soft drinks intake from adolescence into early adulthood (age 25 years) and from early adulthood into later adulthood (33 years) was moderate to high, while tracking from adolescence into later adulthood was low. Comparing those reporting a high intake of soft drinks in both 1991 and 1999 with those reporting a low intake at both times, male long-term high consumers were more likely to smoke (48 vs. 21%, P = 0.002) and reported higher intakes of energy (12.2 vs. 10.2 MJ day−1, P = 0.005) and sugar (142 vs. 50 g day−1, P < 0.001) in 1999 than did long-term low consumers. Women high consumers were less likely to be physically active (14 vs. 42%, P = 0.03) and had higher sugar intake (87 vs. 41 g day−1, P < 0.001) in 1999 than did women low consumers. There were no differences in body mass index, overweight or obesity in 1999 between long-term high and low consumers.ConclusionIn this study, stability of soft drinks intake from age 15 to 25 years and from age 25 to 33 years was moderate to high, while from age 15 to 33 years it was low. Soft drinks intake from age 25 to 33 years was associated with smoking and physical inactivity, but not with body weight.

scholarly journals Changes in bread consumption and 4-year changes in adiposity in Spanish subjects at high cardiovascular risk

2012 ◽  
Vol 110 (2) ◽  
pp. 337-346 ◽  
Author(s):  
I. Bautista-Castaño ◽  
A. Sánchez-Villegas ◽  
R. Estruch ◽  
M. A. Martínez-González ◽  
D. Corella ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Dietary Habits ◽  
White Bread ◽  
Whole Grain ◽  
Anthropometric Measures ◽  
Food Pattern ◽  
Consumption Change ◽  
Over Time

The effects of bread consumption change over time on anthropometric measures have been scarcely studied. We analysed 2213 participants at high risk for CVD from the PREvención con DIeta MEDiterránea (PREDIMED) trial to assess the association between changes in the consumption of bread and weight and waist circumference gain over time. Dietary habits were assessed with validated FFQ at baseline and repeatedly every year during 4 years of follow-up. Using multivariate models to adjust for covariates, long-term weight and waist circumference changes according to quartiles of change in energy-adjusted white and whole-grain bread consumption were calculated. The present results showed that over 4 years, participants in the highest quartile of change in white bread intake gained 0·76 kg more than those in the lowest quartile (Pfor trend = 0·003) and 1·28 cm more than those in the lowest quartile (Pfor trend < 0·001). No significant dose–response relationships were observed for change in whole-bread consumption and anthropometric measures. Gaining weight (>2 kg) and gaining waist circumference (>2 cm) during follow-up was not associated with increase in bread consumption, but participants in the highest quartile of changes in white bread intake had a reduction of 33 % in the odds of losing weight (>2 kg) and a reduction of 36 % in the odds of losing waist circumference (>2 cm). The present results suggest that reducing white bread, but not whole-grain bread consumption, within a Mediterranean-style food pattern setting is associated with lower gains in weight and abdominal fat.

scholarly journals Diet quality and risk and severity of COVID-19: a prospective cohort study

2021 ◽  
Author(s):  
Jordi Merino ◽  
Amit D Joshi ◽  
Long Nguyen ◽  
Emily Leeming ◽  
David Alden Drew ◽  
...  
Keyword(s):  
Diet Quality ◽  
Lower Risk ◽  
Socioeconomic Deprivation ◽  
Healthy Plant ◽  
Cox Models ◽  
Plant Foods ◽  
Hazard Ratios ◽  
High Deprivation ◽  
Diet Score

Objective: Poor metabolic health and certain lifestyle factors have been associated with risk and severity of coronavirus disease 2019 (COVID-19), but data for diet are lacking. We aimed to investigate the association of diet quality with risk and severity of COVID-19 and its intersection with socioeconomic deprivation. Design: We used data from 592,571 participants of the smartphone-based COVID Symptom Study. Diet quality was assessed using a healthful plant-based diet score, which emphasizes healthy plant foods such as fruits or vegetables. Multivariable Cox models were fitted to calculate hazard ratios (HR) and 95% confidence intervals (95% CI) for COVID-19 risk and severity defined using a validated symptom-based algorithm or hospitalization with oxygen support, respectively. Results: Over 3,886,274 person-months of follow-up, 31,815 COVID-19 cases were documented. Compared with individuals in the lowest quartile of the diet score, high diet quality was associated with lower risk of COVID-19 (HR, 0.91; 95% CI, 0.88-0.94) and severe COVID-19 (HR, 0.59; 95% CI, 0.47-0.74). The joint association of low diet quality and increased deprivation on COVID-19 risk was higher than the sum of the risk associated with each factor alone (Pinteraction=0.005). The corresponding absolute excess rate for lowest vs highest quartile of diet score was 22.5 (95% CI, 18.8-26.3) and 40.8 (95% CI, 31.7-49.8; 10,000 person-months) among persons living in areas with low and high deprivation, respectively. Conclusions: A dietary pattern characterized by healthy plant-based foods was associated with lower risk and severity of COVID-19. These association may be particularly evident among individuals living in areas with higher socioeconomic deprivation.

scholarly journals Diet quality and risk and severity of COVID-19: a prospective cohort study

Gut ◽  
2021 ◽  
Vol 70 (11) ◽  
pp. 2096-2104 ◽  
Author(s):  
Jordi Merino ◽  
Amit D Joshi ◽  
Long H Nguyen ◽  
Emily R Leeming ◽  
Mohsen Mazidi ◽  
...  
Keyword(s):  
Diet Quality ◽  
Lower Risk ◽  
Socioeconomic Deprivation ◽  
Healthy Plant ◽  
Unhealthy Lifestyle ◽  
Cox Models ◽  
Plant Foods ◽  
High Deprivation ◽  
Diet Score

ObjectivePoor metabolic health and unhealthy lifestyle factors have been associated with risk and severity of COVID-19, but data for diet are lacking. We aimed to investigate the association of diet quality with risk and severity of COVID-19 and its interaction with socioeconomic deprivation.DesignWe used data from 592 571 participants of the smartphone-based COVID-19 Symptom Study. Diet information was collected for the prepandemic period using a short food frequency questionnaire, and diet quality was assessed using a healthful Plant-Based Diet Score, which emphasises healthy plant foods such as fruits or vegetables. Multivariable Cox models were fitted to calculate HRs and 95% CIs for COVID-19 risk and severity defined using a validated symptom-based algorithm or hospitalisation with oxygen support, respectively.ResultsOver 3 886 274 person-months of follow-up, 31 815 COVID-19 cases were documented. Compared with individuals in the lowest quartile of the diet score, high diet quality was associated with lower risk of COVID-19 (HR 0.91; 95% CI 0.88 to 0.94) and severe COVID-19 (HR 0.59; 95% CI 0.47 to 0.74). The joint association of low diet quality and increased deprivation on COVID-19 risk was higher than the sum of the risk associated with each factor alone (Pinteraction=0.005). The corresponding absolute excess rate per 10 000 person/months for lowest vs highest quartile of diet score was 22.5 (95% CI 18.8 to 26.3) among persons living in areas with low deprivation and 40.8 (95% CI 31.7 to 49.8) among persons living in areas with high deprivation.ConclusionsA diet characterised by healthy plant-based foods was associated with lower risk and severity of COVID-19. This association may be particularly evident among individuals living in areas with higher socioeconomic deprivation.

Predictive Factors of “Forgotten Knee” Acquisition After Total Knee Arthroplasty: Long-Term Follow-Up of a Large Prospective Cohort

2017 ◽  
Vol 32 (2) ◽  
pp. 413-418.e1 ◽  
Author(s):  
Florent Eymard ◽  
Anais Charles-Nelson ◽  
Sandrine Katsahian ◽  
Xavier Chevalier ◽  
Michel Bercovy
Keyword(s):  
Total Knee Arthroplasty ◽  
Predictive Factors ◽  
Knee Arthroplasty ◽  
Prospective Cohort ◽  
Long Term Follow Up ◽  
Total Knee ◽  
Large Prospective Cohort

scholarly journals Healthful and Unhealthful Provegetarian Food Patterns and the Incidence of Overweight/obesity in the Seguimiento Universidad De Navarra (SUN) Cohort (OR33-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Clara Gómez-Donoso ◽  
Miguel Ángel Martínez-González ◽  
Alfredo Martínez ◽  
Julen Sanz-Serrano ◽  
Maria Hershey ◽  
...  
Keyword(s):  
Healthy Plant ◽  
Regional Government ◽  
Inverse Association ◽  
The Sun ◽  
Development Fund ◽  
Plant Foods ◽  
Funding Sources ◽  
Food Patterns ◽  
Reduced Risk

Abstract Objectives Provegetarian diets (i.e., preference for plant-derived foods) have been associated with a reduced risk of long-term weight gain and could be more easily embraced than strict vegetarian diets. However, not all plant-derived foods are equally healthy. The objective was to identify the association between provegetarian food patterns and the incidence of overweight/obesity. Methods The analysis included 11,554 participants with a baseline BMI < 25 kg/m2 from the SUN (Seguimiento Universidad de Navarra/University of Navarra Follow-up) prospective, open-recruitment cohort. Food consumption was assessed using a 136-item validated food-frequency questionnaire. A provegetarian food pattern (FP) was built by assigning positive scores to plant foods and reverse scores to animal foods as proposed by Martínez-González et al (2014). We also created a healthful provegetarian FP where healthy plant foods (fruits, vegetables, whole grains, nuts, legumes and olive oil) were positively weighted but less-healthy plant foods (juices, potatoes, refined grains, pastries and other vegetable oils) and animal foods were negatively weighted. To build an unhealthful provegetarian FP, less-healthy plant foods were positively weighted and animal and healthy plant foods were negatively weighted as suggested by Satija et al (2017). Participants were categorized into energy-adjusted quintiles of the different versions of a provegetarian FP. We calculated adjusted hazard ratios (HR) of overweight/obesity (BMI ≥ 25 kg/m2) and their 95% confidence intervals (CI). Results A total of 2320 new cases of overweight or obesity were identified after a median follow-up of 10.3 years. Higher baseline conformity with the overall provegetarian FP was inversely associated with overweight/obesity (multivariable-adjusted HR comparing extreme quintiles: 0.86; 95% CI: 0.74, 0.99; P-trend: 0.061). This inverse association was stronger for the healthful version (HR: 0.82; 95% CI: 0.72, 0.95; p trend: 0.001) and was not apparent for the unhealthful version (HR: 1.07; 95% CI: 0.94, 1.23; p trend: 0.363). Conclusions Among relatively young graduates, better conformity with a healthy provegetarian diet was associated with a reduced risk of overweight/obesity, whereas no consistent trend was found for a FP that emphasized less-healthy plant foods. Funding Sources The SUN Project has been supported by the Institute of Health Carlos III, the European Regional Development Fund, the Navarra Regional Government, and the University of Navarra. Supporting Tables, Images and/or Graphs

scholarly journals Changes in intake of plant-based diets and weight change: results from 3 prospective cohort studies

2019 ◽  
Vol 110 (3) ◽  
pp. 574-582 ◽  
Author(s):  
Ambika Satija ◽  
Vasanti Malik ◽  
Eric B Rimm ◽  
Frank Sacks ◽  
Walter Willett ◽  
...  
Keyword(s):  
Weight Gain ◽  
Cohort Studies ◽  
Weight Change ◽  
The United States ◽  
Health Study ◽  
Healthy Plant ◽  
Plant Foods ◽  
Beneficial Effects ◽  
Adult Men

ABSTRACT Background Studies have found beneficial effects of plant-based diets on weight. However, not all plant foods are necessarily beneficial. Objectives The aim of this study was to examine associations of changes in intake of 3 variations of plant-based diet indices (overall, healthful, and unhealthful) with weight change over 4-y intervals spanning >20 y. Methods Data from 3 ongoing prospective observational cohort studies in the United States were used, namely the Nurses’ Health Study (NHS), NHS2, and the Health Professionals Follow-up Study (HPFS), with 126,982 adult men and women. Self-reported diet data were collected every 4 y, and self-reported weight data were used to compute weight change every 4 y over >20 y of follow-up. Results On average, participants gained a mean of 0.90 kg (HPFS) to 1.98 kg (NHS2) over 4-y intervals. Different types of plant-based diet indices were associated with different amounts of weight gain. After adjusting for several potential confounders, including concomitant changes in other lifestyle factors, a 1-SD increase in intake of an overall plant-based diet index was associated with 0.04 kg less weight gain over 4-y periods (95% CI: 0.05, 0.02 kg; P < 0.001). A 1-SD increase in intake of a healthful version of a plant-based diet index (emphasizing whole grains, fruits/vegetables, nuts/legumes, vegetable oils, tea/coffee) was associated with 0.68 kg less weight gain over 4-y periods (95% CI: 0.69, 0.66 kg; P < 0.001). Conversely, a 1-SD increase in an unhealthful version of a plant-based diet index (emphasizing refined grains, potato/fries, sweets, sweetened drinks/juices) was associated with 0.36 kg more weight gain (95% CI: 0.34, 0.37 kg, P < 0.001). Conclusion Plant-based diets, especially when rich in healthier plant foods, are associated with less weight gain over 4-y intervals. This supports current recommendations to increase intake of healthy plant foods, and reducing intake of less-healthy plant foods and animal foods, for improved health outcomes.

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