Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/21151
Title: Cross-Sectional Assessment of Nut Consumption andObesity, Metabolic Syndrome and Other Cardiometabolic Risk Factors: The PREDIMED Study
Authors: Ibarrola-Jurado, Nuria
Bulló, Mónica
Guasch-Ferré, Marta
Ros, Emilio
Martínez-González, Miguel Ángel
Corella, Dolores
Fiol, Miquel
Wärnberg, Julia
Estruch, Ramón
Román, Pilar
Arós, Fernando
Vinyoles, Ernest
Serra-Majem, Lluis 
Pintó, Xavier
Covas, María Isabel
Basora, Josep
Salas-Salvadó, Jordi
UNESCO Clasification: 3206 Ciencias de la nutrición
Keywords: Nut
Obesity
Metabolic syndrome
Cardiovascular risk
Issue Date: 2013
Journal: PLoS ONE 
Abstract: Introduction: Prospective studies have consistently suggested that nut consumption is inversely related to fatal and non-fatal coronary heart disease. Limited data are available on the epidemiological associations between nut intake and cardiometabolic risk factors.Objective: To evaluate associations between frequency of nut consumption and prevalence of cardiometabolic risk factors [obesity, metabolic syndrome (MetS), type-2 diabetes, hypertension, and dyslipidemia] in a Mediterranean population at high cardiovascular risk.Materials and Methods: Cross-sectional study of 7,210 men and women (mean age, 67 y) recruited into the PREDIMED study. MetS was defined by the harmonized ATPIII and IDF criteria. Diabetes and hypertension were assessed by clinical diagnosis and dyslipidemia (high triglycerides, low HDL-cholesterol, and hypercholesterolemia) by lipid analyses. Nut consumption was assessed using a validated food frequency questionnaire and categorized as <1, 1-3, and >3 servings/wk. Control of confounding was done with multivariate logistic regression.Results: Compared to participants consuming <1 serving/wk of nuts, those consuming >3 servings/wk had lower adjusted odds ratios (OR) for obesity (0.61, 95% confidence interval 0.54 to 0.68; P-trend <0.001), MetS (0.74, 0.65 to 0.85; P-trend<0.001), and diabetes (0.87, 0.78 to 0.99; P-trend = 0.043). Higher nut consumption was also associated with lower risk of the abdominal obesity MetS criterion (OR 0.68, 0.60 to 0.79; P-trend<0.001). No significant associations were observed for the MetS components high blood pressure, dyslipidemia, or elevated fasting glucose.Conclusions: Nut consumption was inversely associated with the prevalence of general obesity, central obesity, MetS, and diabetes in subjects at high cardiovascular risk.
URI: http://hdl.handle.net/10553/21151
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0057367
Source: PLoS ONE [ISSN 1932-6203], v. 8 (2), e5736 (Febrero 2013)
Rights: by-nc-nd
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