Leyre López-González1,2,3, Nerea Becerra-Tomás1,2,4,5, Nancy Babio6,7,8,9, Miguel Ángel Martínez-González4,10,11, Stephanie K Nishi1,2,4,12,13, Dolores Corella4,14, Albert Goday4,15,16, Dora Romaguera4,17, Jesús Vioque18,19, Ángel M Alonso-Gómez4,20, Julia Wärnberg4,21, J Alfredo Martínez4,22,23, Luís Serra-Majem4,24, Ramon Estruch4,25, M Rosa Bernal-López4,26, José Lapetra4,27, Xavier Pintó4,28,29, Josep A Tur4,30, José López-Miranda4,31, Aurora Bueno-Cavanillas18,32, Miguel Delgado-Rodríguez18,33, Pilar Matía-Martín34, Lidia Daimiel35, Vicente Martín-Sánchez18,36, Josep Vidal37,38, Clotilde Vázquez4,39, Emilio Ros4,40, Zenaida Vázquez-Ruiz4,10, Francisco M Martín-Luján41,42, José V Sorlí4,14, Olga Castañer4,15, M Angeles Zulet4,22, Lucas Tojal-Sierra4,20, Rosa Carabaño-Moral43, Josefa Román-Maciá44, Elena Rayó17, Antonio García-Ríos4,31, Rosa Casas4,25, Ana M Gómez-Pérez4,45, José M Santos-Lozano4,27, Pilar Buil-Cosiales4,10,46,47, Eva M Asensio4,14, Camille Lassale4,15, Itziar Abete4,22, Itziar Salaverria-Lete4,20, Carmen Sayón-Orea4,10, Helmut Schröder15,18, Jordi Salas-Salvadó48,49,50,51. 1. Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain. 2. Institut d'Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. 3. University Hospital of Sant Joan de Reus, Nutrition Unit, Reus, Spain. 4. Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain. 5. Department of Epidemiology and Biostatistics, School of Public Health, Imperial College of London, London, United Kingdom. 6. Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain. nancy.babio@urv.cat. 7. Institut d'Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. nancy.babio@urv.cat. 8. University Hospital of Sant Joan de Reus, Nutrition Unit, Reus, Spain. nancy.babio@urv.cat. 9. Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain. nancy.babio@urv.cat. 10. University of Navarra, Department of Preventive Medicine and Public Health, University of Navarra, Navarra, Spain. 11. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA. 12. Toronto 3D (Diet, Digestive tract and Disease) Knowledge Synthesis and Clinical Trials Unit, Toronto, ON, Canada. 13. Clinical Nutrition and Risk Factor Modification Centre, St. Michael´s Hospital, Unity Health Toronto, Toronto, ON, Canada. 14. Department of Preventive Medicine, University of Valencia, Valencia, Spain. 15. Cardiovascular Risk and Nutrition research group (CARIN), Hospital del Mar Research Institute (IMIM), Barcelona, Spain. 16. Departament de Medicina, Universidad Autónoma de Barcelona, Barcelona, Spain. 17. Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Spain. 18. CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. 19. Alicante Institute for Health and Biomedical Research (ISABIAL-UMH), Alicante, Spain. 20. Bioaraba Health Research Institute; Osakidetza Basque Health Service, Araba University Hospital; University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain. 21. Epi-PHAAN Research Group, School of Health Science, Universidad de Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), 29071, Málaga, Spain. 22. University of Navarra, Department of Nutrition, Food Science and Physiology, IDISNA, Pamplona, Spain. 23. Precision Nutrition Program, IMDEA Food, CEI UAM+CSIC, Madrid, Spain. 24. University of Las Palmas de Gran Canaria, Research Institute of Biomedical and Health Sciences (IUIBS), Preventive Medicine Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain. 25. Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain. 26. Servicio de Medicina Interna, Hospital Regional Universitario de Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), Málaga, Spain. 27. Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, Spain. 28. Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge-IDIBELL, Hospitalet de Llobregat, Barcelona, Spain. 29. Barcelona University, Barcelona, Spain. 30. Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain. 31. Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain. 32. Department of Preventive Medicine, University of Granada, Granada, Spain. 33. Division of Preventive Medicine, Faculty of Medicine, University of Jaén, Jaén, Spain. 34. Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), Universidad Complutense, Madrid, Spain. 35. Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM+CSIC, Madrid, Spain. 36. Institute of Biomedicine (IBIOMED), University of León, León, Spain. 37. CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. 38. Departament of Endocrinology, IDIBAPS, Hospital Clínic, University of Barcelona, Barcelona, Spain. 39. Department of Endocrinology, Fundación Jiménez-Díaz, Madrid, Spain. 40. Lipid Clinic, Department of Endocrinology and Nutrition, Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain. 41. Research Support Unit Tarragona-Reus, Institut Universitari d´Investigació en l´Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Tarragona, Spain. 42. Universitat Rovira i Virgili. Departament de Medicina i Cirurgia, Reus, Spain. 43. Unidad de Gestión Clínica Arroyo de la Miel. Distrito de Atención Primaria Costa del Sol. Servicio Andaluz de Salud, Benalmádena, Málaga, Spain. 44. Centro de Salud Santa Pola, Alicante, Spain. 45. Unidad de Gestión Clínica de Endocrinología y Nutrición, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Universitario de Málaga (Virgen de la Victoria), Universidad de Málaga, Málaga, Spain. 46. Atención Primaria. Servicio Navarro de Salud, Navarra, Spain. 47. IdiSNA, Instituto de Investigación Sanitaria de Navarra, Navarra, Spain. 48. Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain. jordi.salas@urv.cat. 49. Institut d'Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. jordi.salas@urv.cat. 50. University Hospital of Sant Joan de Reus, Nutrition Unit, Reus, Spain. jordi.salas@urv.cat. 51. Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain. jordi.salas@urv.cat.
Abstract
BACKGROUND AND AIMS: Previous studies have shown beneficial associations between fruit and vegetable (FV) consumption and cardiometabolic risk factors. However, variety in FV, which may play an important role on cardiovascular health due to the different nutrient and phytochemical content among the different groups and subgroups of FV has been poorly investigated. We longitudinally investigated associations between 1-year changes in variety and quantity of FV and concurrent changes in cardiometabolic risk factors in elderly subjects with overweight/obesity and metabolic syndrome. METHODS: a one-year data longitudinal analysis of 6647 PREDIMED-plus study participants (48% women) was conducted. Data were collected at baseline, six months and 1-year of follow-up. Variety and quantity of FV were estimated using a food frequency questionnaire and continuous scores for variety were created based on items/month of FV. Linear mixed-models adjusted for potential confounders were performed to estimate associations (β-coefficients and 95% confidence interval) between 1-year changes in FV variety and/or quantity and concurrent changes in cardiometabolic risk factors. RESULTS: Two points increment in the FV variety score over one year was associated with a concurrent decrease in glucose (-0.33 mg/dL (0.58, -0.07)), body weight (-0.07 kg (-0.13, -0.02)) and waist circumference (WC) (-0.08 cm (-0.16, -10.01)). An increment of 100 g/d of FV over one year was associated with a concurrent decrease in triglycerides (-0.50 mg/dL (-0.93, -0.08)), glucose (-0.21 mg/dL (-0.32, -0.11)), body weight (-0.11 kg (-0.15, -0.07)) and WC (-0.10 cm (-0.14, -0.06)) over 1-year. Changes in FV consumption which led to higher quantity and variety over one year were associated with downward changes in glucose (-1.26 mg/dL (-2.09, -0.43)), body weight (-0.40 kg (-0.58, -0.23)) and WC (-0.50 cm (-0.73, -0.28)). CONCLUSION: Greater variety, in combination with higher quantity of FV was significantly associated with a decrease in several cardiometabolic risk factors among elderly subjects at high cardiovascular risk.
BACKGROUND AND AIMS: Previous studies have shown beneficial associations between fruit and vegetable (FV) consumption and cardiometabolic risk factors. However, variety in FV, which may play an important role on cardiovascular health due to the different nutrient and phytochemical content among the different groups and subgroups of FV has been poorly investigated. We longitudinally investigated associations between 1-year changes in variety and quantity of FV and concurrent changes in cardiometabolic risk factors in elderly subjects with overweight/obesity and metabolic syndrome. METHODS: a one-year data longitudinal analysis of 6647 PREDIMED-plus study participants (48% women) was conducted. Data were collected at baseline, six months and 1-year of follow-up. Variety and quantity of FV were estimated using a food frequency questionnaire and continuous scores for variety were created based on items/month of FV. Linear mixed-models adjusted for potential confounders were performed to estimate associations (β-coefficients and 95% confidence interval) between 1-year changes in FV variety and/or quantity and concurrent changes in cardiometabolic risk factors. RESULTS: Two points increment in the FV variety score over one year was associated with a concurrent decrease in glucose (-0.33 mg/dL (0.58, -0.07)), body weight (-0.07 kg (-0.13, -0.02)) and waist circumference (WC) (-0.08 cm (-0.16, -10.01)). An increment of 100 g/d of FV over one year was associated with a concurrent decrease in triglycerides (-0.50 mg/dL (-0.93, -0.08)), glucose (-0.21 mg/dL (-0.32, -0.11)), body weight (-0.11 kg (-0.15, -0.07)) and WC (-0.10 cm (-0.14, -0.06)) over 1-year. Changes in FV consumption which led to higher quantity and variety over one year were associated with downward changes in glucose (-1.26 mg/dL (-2.09, -0.43)), body weight (-0.40 kg (-0.58, -0.23)) and WC (-0.50 cm (-0.73, -0.28)). CONCLUSION: Greater variety, in combination with higher quantity of FV was significantly associated with a decrease in several cardiometabolic risk factors among elderly subjects at high cardiovascular risk.
Authors: Miguel A Martínez-González; Pilar Buil-Cosiales; Dolores Corella; Monica Bulló; Montserrat Fitó; Jesús Vioque; Dora Romaguera; J Alfredo Martínez; Julia Wärnberg; Jose López-Miranda; Ramón Estruch; Aurora Bueno-Cavanillas; Fernando Arós; Josep A Tur; Francisco Tinahones; Lluis Serra-Majem; Vicente Martín; Jose Lapetra; Clotilde Vázquez; Xavier Pintó; Josep Vidal; Lidia Daimiel; Miguel Delgado-Rodríguez; Pilar Matía; Emilio Ros; Fernando Fernández-Aranda; Cristina Botella; María Puy Portillo; Rosa M Lamuela-Raventós; Ascensión Marcos; Guillermo Sáez; Enrique Gómez-Gracia; Miguel Ruiz-Canela; Estefania Toledo; Ismael Alvarez-Alvarez; Javier Díez-Espino; José V Sorlí; Josep Basora; Olga Castañer; Helmut Schröder; Eva María Navarrete-Muñoz; Maria Angeles Zulet; Antonio García-Rios; Jordi Salas-Salvadó Journal: Int J Epidemiol Date: 2019-04-01 Impact factor: 7.196
Authors: Kathryn A Kaiser; Andrew W Brown; Michelle M Bohan Brown; James M Shikany; Richard D Mattes; David B Allison Journal: Am J Clin Nutr Date: 2014-06-25 Impact factor: 7.045
Authors: Nerea Becerra-Tomás; Indira Paz-Graniel; Anna Tresserra-Rimbau; Miguel Á Martínez-González; Laura Barrubés; Dolores Corella; Júlia Muñoz-Martínez; Dora Romaguera; Jesús Vioque; Ángel M Alonso-Gómez; Julia Wärnberg; José A Martínez; Luís Serra-Majem; Ramon Estruch; Maria R Bernal-López; José Lapetra; Xavier Pintó; Josep A Tur; Antonio Garcia-Rios; Blanca Riquelme Gallego; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Lidia Daimiel; Sonsoles Velilla-Zancada; Josep Vidal; Clotilde Vázquez; Emilio Ros; Pilar Buil-Cosiales; Nancy Babio; Rebeca Fernández-Carrión; Karla A Pérez-Vega; Marga Morey; Laura Torres-Collado; Lucas Tojal-Sierra; Jessica Pérez-López; Itziar Abete; Judith P Cabrera; Rosa Casas; José C Fernández-García; José M Santos-Lozano; Virginia Esteve-Luque; Cristina Bouzas; Cesar I Fernandez-Lazaro; José V Sorlí; Gala Freixer; Marian Martín; Montserrat G Muñoz; Itziar Salaverria-Lete; Estefania Toledo; Olga Castañer; Jordi Salas-Salvadó Journal: Nutr Metab Cardiovasc Dis Date: 2021-02-17 Impact factor: 4.222