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Title: Metabolic Syndrome Features and Excess Weight Were Inversely Associated with Nut Consumption after 1-Year Follow-Up in the PREDIMED-Plus Study
Authors: Julibert, Alicia
Del Mar Bibiloni, Maria
Gallardo-Alfaro, Laura
Abbate, Manuela
Martínez-González, Miguel
Salas-Salvadó, Jordi
Corella, Dolores
Fitó, Montse
Martínez, J. Alfredo
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Vioque, Jesús
Romaguera, Dora
Lopez-Miranda, José
Estruch, Ramon
Tinahones, Francisco J.
Lapetra, José
Serra Majem, Luis 
Cano-Ibañez, Naomi
Martín-Sánchez, Vicente
Pintó, Xavier
Gaforio, José J.
Matía-Martín, Pilar
Vidal, Josep
Vázquez, Clotilde
Daimiel, Lidia
Ros, Emilio
Sayon-Orea, Carmen
Becerra-Tomás, Nerea
Gimenez-Alba, Ignacio M.
Castañer, Olga
Abete, Itziar
Tojal-Sierra, Lucas
Pérez-López, Jéssica
Notario-Barandiaran, Leyre
Colom, Antoni
Garcia-Rios, Antonio
Castro-Barquero, Sara
Bernal, Rosa
Santos-Lozano, José M.
Fernández-Lázaro, Cesar I.
Hernández-Alonso, Pablo
Saiz, Carmen
Zomeño, Maria D.
Zulet, Maria A.
Belló-Mora, Maria C.
Basterra-Gortari, Javier
Canudas, Silvia
Goday, Albert
Tur, Josep A.
UNESCO Clasification: 32 Ciencias médicas
3206 Ciencias de la nutrición
Keywords: Excess Weight
Features Of Metabolic Syndrome
Mediterranean Diet
Metabolic Syndrome, et al
Issue Date: 2020
Journal: Journal of Nutrition 
Abstract: .BACKGROUND: High nut consumption has been previously associated with decreased prevalence of metabolic syndrome (MetS) regardless of race and dietary patterns. OBJECTIVES: The aim of this study was to assess whether changes in nut consumption over a 1-y follow-up are associated with changes in features of MetS in a middle-aged and older Spanish population at high cardiovascular disease risk. METHODS: This prospective 1-y follow-up cohort study, conducted in the framework of the PREvención con DIeta MEDiterránea (PREDIMED)-Plus randomized trial, included 5800 men and women (55-75 y old) with overweight/obesity [BMI (in kg/m2) ≥27 and <40] and MetS. Nut consumption (almonds, pistachios, walnuts, and other nuts) was assessed using data from a validated FFQ. The primary outcome was the change from baseline to 1 y in features of MetS [waist circumference (WC), glycemia, HDL cholesterol, triglyceride (TG), and systolic and diastolic blood pressure] and excess weight (body weight and BMI) according to tertiles of change in nut consumption. Secondary outcomes included changes in dietary and lifestyle characteristics. A generalized linear model was used to compare 1-y changes in features of MetS, weight, dietary intakes, and lifestyle characteristics across tertiles of change in nut consumption. RESULTS: As nut consumption increased, between each tertile there was a significant decrease in WC, TG, systolic blood pressure, weight, and BMI (P < 0.05), and a significant increase in HDL cholesterol (only in women, P = 0.044). The interaction effect between time and group was significant for total energy intake (P < 0.001), adherence to the Mediterranean diet (MedDiet) (P < 0.001), and nut consumption (P < 0.001). Across tertiles of increasing nut consumption there was a significant increase in extra virgin olive oil intake and adherence to the MedDiet; change in energy intake, on the other hand, was inversely related to consumption of nuts. CONCLUSIONS: Features of MetS and excess weight were inversely associated with nut consumption after a 1-y follow-up in the PREDIMED-Plus study cohort. This trial was registered at as ISRCTN89898870.
DOI: 10.1093/jn/nxaa289
Source: The Journal of nutrition [EISSN 1541-6100],v. 150 (12), p. 3161-3170, (Diciembre 2020)
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