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Dietary folate intake and metabolic syndrome in participants of PREDIMED-Plus study: a cross-sectional study

Dietary folate intake and metabolic syndrome in participants of PREDIMED-Plus study: a cross-sectional study

Authors :
Julia Wärnberg
Manoli Garcia-de-la-Hera
José M Antonio Garcia-Rios
Raul Martinez-Lacruz
J. Alfredo Martínez
Ana Isabel de Cos Blanco
Itziar Abete
Maria Dolors Zomeño
Ángel M. Alonso-Gómez
Nancy Babio
Dolores Corella
Silvia Canudas
Andrés Díaz-López
Laura Compañ-Gabucio
Vicente Martín Sánchez
José Manuel Santos-Lozano
Pilar Matía-Martín
I. Sarasa
José Lapetra
Alejando Oncina-Canovas
Jordi Salas-Salvadó
Josep Vidal
Sandra Martín-Peláez
Cristina Gisbert Sellés
Rosa Casas
Francisco J. Tinahones
Dora Romaguera
E. Ros
Albert Goday
Miguel Ruiz-Canela
Laura Tomaino
Eva-María Navarrete-Muñoz
Josep A. Tur
José M Gámez
Javier Díez-Espino
José Carlos Fernández-García
Ramon Estruch
Montserrat Fitó
Jesús Vioque
Rebeca Fernández-Carrión
Luis Serra-Majem
Itziar Salaverria Lete
Olga Castañer
Xavier Pintó
Miguel Ángel Martínez-González
Antoni Colom
Elena Rayó
Aurora Bueno-Cavanillas
Edelys Crespo-Oliva
Estefanía Toledo
Jose Lopez-Miranda
Lidia Daimiel
Instituto de Salud Carlos III
European Commission
European Research Council
Junta de Andalucía
Generalitat Valenciana
International Nut and Dried Fruit Foundation
AstraZeneca
Fundació Institut d'Investigació Sanitària Illes Balears
Institución Catalana de Investigación y Estudios Avanzados
Source :
EUROPEAN JOURNAL OF NUTRITION, r-FISABIO. Repositorio Institucional de Producción Científica, instname, r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante, Digital.CSIC. Repositorio Institucional del CSIC, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Publication Year :
2020

Abstract

[Purpose]: We examined the association between dietary folate intake and a score of MetS (metabolic syndrome) and its components among older adults at higher cardiometabolic risk participating in the PREDIMED-Plus trial.<br />[Methods]: A cross-sectional analysis with 6633 with overweight/obesity participants with MetS was conducted. Folate intake (per 100 mcg/day and in quintiles) was estimated using a validated food frequency questionnaire. We calculated a MetS score using the standardized values as shown in the formula: [(body mass index + waist-to-height ratio)/2] + [(systolic blood pressure + diastolic blood pressure)/2] + plasma fasting glucose–HDL cholesterol + plasma triglycerides. The MetS score as continuous variable and its seven components were the outcome variables. Multiple robust linear regression using MM-type estimator was performed to evaluate the association adjusting for potential confounders.<br />[Results]: We observed that an increase in energy-adjusted folate intake was associated with a reduction of MetS score (β for 100 mcg/day = − 0.12; 95% CI: − 0.19 to − 0.05), and plasma fasting glucose (β = − 0.03; 95% CI: − 0.05 to − 0.02) independently of the adherence to Mediterranean diet and other potential confounders. We also found a positive association with HDL-cholesterol (β = 0.07; 95% CI: 0.04–0.10). These associations were also observed when quintiles of energy-adjusted folate intake were used instead.<br />[Conclusion]: This study suggests that a higher folate intake may be associated with a lower MetS score in older adults, a lower plasma fasting glucose, and a greater HDL cholesterol in high-risk cardio-metabolic subjects.<br />The PREDIMED-Plus trial was supported by grants from the Instituto de Salud Carlos III, co-financed by the Fondo Europeo de Desarrollo Regional-FEDER including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, and PI17/00926; the Cohorte PREDIMED-Plus grant; the European Research Council (Advanced Research Grant 2013–2018, 340918) to M.Á.M.-G., the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus grant to J.S.-S., the Recercaixa grant to J.S.-S. (2013ACUP00194), grants from the Consejería de Salud de la Junta de Andalucía (PI0458/2013, PS0358/2016, and PI0137/2018), a grant from the Generalitat Valenciana (PROMETEO/2017/017), a SEMERGEN grant, and funds from the European Regional Development Fund (CB06/03 and CB12/03), The International Nut & Dried Fruit Council—FESNAD (Long-term effects of an energy-restricted Mediterranean diet on mortality and cardiovascular disease 2014–2015, No. 201302) [M.A.M.-G.]; the AstraZeneca Young Investigators Award in Category of Obesity and T2D 2017 [D.R.], EU-COST Action CA16112, Grant of support to research groups no. 35/2011 from the Balearic Islands Government, Grants from Balearic Islands Health Research Institute (IDISBA). This work is partially supported by ICREA under the ICREA Academia programme.

Details

Language :
English
ISSN :
14366207
Database :
OpenAIRE
Journal :
EUROPEAN JOURNAL OF NUTRITION, r-FISABIO. Repositorio Institucional de Producción Científica, instname, r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante, Digital.CSIC. Repositorio Institucional del CSIC, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Accession number :
edsair.doi.dedup.....ae76bb48372bd405798745c0f056dcaa