Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/106920
Title: Fruit consumption and cardiometabolic risk in the PREDIMED-plus study: A cross-sectional analysis
Authors: Becerra-Tomás, Nerea
Paz-Graniel, Indira
Tresserra-Rimbau, Anna
Martínez-González, Miguel
Barrubés, Laura
Corella, Dolores
Muñoz-Martínez, Júlia
Romaguera, Dora
Vioque, Jesús
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Martínez, José A.
Serra Majem, Luis 
Estruch, Ramon
Bernal-López, Maria R.
Lapetra, José
Pintó, Xavier
Tur, Josep A.
Garcia-Rios, Antonio
Riquelme Gallego, Blanca
Delgado-Rodríguez, Miguel
Matía-Martín, Pilar
Daimiel, Lidia
Velilla-Zancada, Sonsoles
Vidal, Josep
Vázquez, Clotilde
Ros, Emilio
Buil-Cosiales, Pilar
Babio, Nancy
Fernández-Carrión, Rebeca
Pérez-Vega, Karla A.
Morey, Marga
Torres-Collado, Laura
Tojal-Sierra, Lucas
Pérez-López, Jessica
Abete, Itziar
Cabrera, Judith P.
Casas, Rosa
Fernández-García, José C.
Santos-Lozano, José M.
Esteve-Luque, Virginia
Bouzas, Cristina
Fernandez-Lazaro, Cesar I.
Sorlí, José V.
Freixer, Gala
Martín, Marian
Muñoz, Montserrat G.
Salaverria-Lete, Itziar
Toledo, Estefania
Castañer, Olga
Salas-Salvadó, Jordi
UNESCO Clasification: 32 Ciencias médicas
3206 Ciencias de la nutrición
Keywords: Cardiovascular Diseases
Fruit Juices
Fruits
Issue Date: 2021
Project: Efecto de la dieta mediterránea hopocalórica y promoción de la actividad física en prevención primaria cardiovascular.Estudio piloto sobre marcadores intermedios. 
Journal: Nutrition, Metabolism and Cardiovascular Diseases 
Abstract: Background and aims: Total fruit consumption is important for cardiovascular disease prevention, but also the variety and form in which is consumed. The aim of the study was to assess the associations between total fruit, subgroups of fruits based on their color and fruit juices consumption with different cardiometabolic parameters. Methods and results: A total of 6633 elderly participants (aged 55–75 years) with metabolic syndrome from the PREDIMED-Plus study were included in this analysis. Fruit and fruit juice consumption was assessed using a food frequency questionnaire. Linear regression models were fitted to evaluate the association between exposure variables (total fruit, subgroups based on the color, and fruit juices) and different cardiometabolic risk factors. Individuals in the highest category of total fruit consumption (≥3 servings/d) had lower waist circumference (WC) (β = −1.04 cm; 95%CI:-1.81, −0.26), fasting glucose levels (β = −2.41 mg/dL; 95%CI(-4.19, −0.63) and LDL-cholesterol (β = −4.11 mg/dL; 95%CI:-6.93, −1.36), but, unexpectedly, higher systolic blood pressure (BP) (β = 1.84 mmHg; 95%CI: 0.37, 3.30) and diastolic BP (β = 1.69 mmHg; 95%CI:0.83, 2.56) when compared to those in the lowest category of consumption (<1 servings/d). Participants consuming ≥1 serving/day of total fruit juice had lower WC (β = −0.92 cm; 95%CI:-1.56, −0.27) and glucose levels (β = −1.59 mg/dL; 95%CI:-2.95, −0.23) than those consuming <1 serving/month. The associations with cardiometabolic risk factors differed according to the color of fruits. Conclusion: Fruit consumption is associated with several cardiometabolic risk factors in Mediterranean elders with metabolic syndrome. The associations regarding BP levels could be attributed, at least partially, to reverse causality bias inherent to the cross-sectional design of the study.
URI: http://hdl.handle.net/10553/106920
ISSN: 0939-4753
DOI: 10.1016/j.numecd.2021.02.007
Source: Nutrition, Metabolism and Cardiovascular Diseases [ISSN 0939-4753], (Enero 2021)
Appears in Collections:Artículo preliminar
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