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Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study.
PLoS One 2013; 8(2):e57367Plos

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.

Authors+Show Affiliations

Human Nutrition Unit, Hospital Universitari de Sant Joan de Reus, Institut d'Investigació Sanitària Pere Virgili (IISPV), Universitat Rovira i Virgili, Reus, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23460844

Citation

Ibarrola-Jurado, Núria, et al. "Cross-sectional Assessment of Nut Consumption and Obesity, Metabolic Syndrome and Other Cardiometabolic Risk Factors: the PREDIMED Study." PloS One, vol. 8, no. 2, 2013, pp. e57367.
Ibarrola-Jurado N, Bulló M, Guasch-Ferré M, et al. Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PLoS ONE. 2013;8(2):e57367.
Ibarrola-Jurado, N., Bulló, M., Guasch-Ferré, M., Ros, E., Martínez-González, M. A., Corella, D., ... Salas-Salvadó, J. (2013). Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PloS One, 8(2), pp. e57367. doi:10.1371/journal.pone.0057367.
Ibarrola-Jurado N, et al. Cross-sectional Assessment of Nut Consumption and Obesity, Metabolic Syndrome and Other Cardiometabolic Risk Factors: the PREDIMED Study. PLoS ONE. 2013;8(2):e57367. PubMed PMID: 23460844.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. AU - Ibarrola-Jurado,Núria, AU - Bulló,Mònica, AU - Guasch-Ferré,Marta, AU - Ros,Emilio, AU - Martínez-González,Miguel A, AU - Corella,Dolores, AU - Fiol,Miquel, AU - Wärnberg,Julia, AU - Estruch,Ramón, AU - Román,Pilar, AU - Arós,Fernando, AU - Vinyoles,Ernest, AU - Serra-Majem,Lluis, AU - Pintó,Xavier, AU - Covas,María-Isabel, AU - Basora,Josep, AU - Salas-Salvadó,Jordi, AU - ,, Y1 - 2013/02/27/ PY - 2012/09/21/received PY - 2013/01/23/accepted PY - 2013/3/6/entrez PY - 2013/3/6/pubmed PY - 2013/9/4/medline SP - e57367 EP - e57367 JF - PloS one JO - PLoS ONE VL - 8 IS - 2 N2 - 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. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/23460844/Cross_sectional_assessment_of_nut_consumption_and_obesity_metabolic_syndrome_and_other_cardiometabolic_risk_factors:_the_PREDIMED_study_ L2 - http://dx.plos.org/10.1371/journal.pone.0057367 DB - PRIME DP - Unbound Medicine ER -