Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

被引：81

作者：

Gallardo-Alfaro, Laura ^{[1
,2
,3
]}

del Mar Bibiloni, Maria ^{[1
,2
,3
]}

Mascaro, Catalina M. ^{[1
,2
,3
]}

Montemayor, Sofia ^{[1
,2
,3
]}

Ruiz-Canela, Miguel ^{[1
,4
]}

Salas-Salvado, Jordi ^{[1
,5
]}

Corella, Dolores ^{[1
,6
]}

Fito, Montserrat ^{[1
,7
]}

Romaguera, Dora ^{[1
,3
]}

Vioque, Jesus ^{[8
,9
]}

Alonso-Gomez, Angel M. ^{[1
,10
]}

Warnberg, Julia ^{[1
,11
]}

Alfredo Martinez, J. ^{[1
,12
,13
]}

Serra-Majem, Lluis ^{[1
,14
]}

Estruch, Ramon ^{[1
,15
]}

Carlos Fernandez-Garcia, Jose ^{[1
,16
]}

Lapetra, Jose ^{[1
,17
]}

Pinto, Xavier ^{[1
,18
]}

Garcia Rios, Antonio ^{[1
,19
]}

Bueno-Cavanillas, Aurora ^{[9
,20
]}

Gaforio, Jose J. ^{[9
,21
]}

Matia-Martin, Pilar ^{[22
]}

Daimiel, Lidia ^{[23
]}

Mico-Perez, Rafael M. ^{[24
,25
]}

Vidal, Josep ^{[26
]}

Vazquez, Clotilde ^{[1
,27
]}

Ros, Emilio ^{[1
,28
]}

Ignacio Fernandez-Lazaro, Cesar ^{[1
,4
]}

Becerra-Tomas, Nerea ^{[1
,5
]}

Manuel Gimenez-Alba, Ignacio ^{[1
,6
]}

Zomeno, Maria Dolors ^{[1
,7
]}

Konieczna, Jadwiga ^{[1
,3
]}

Compan-Gabucio, Laura ^{[8
,9
]}

Tojal-Sierra, Lucas ^{[1
,10
]}

Perez-Lopez, Jessica ^{[1
,11
]}

Angeles Zulet, M. ^{[1
,12
]}

Casanas-Quintana, Tamara ^{[1
,14
]}

Castro-Barquero, Sara ^{[1
,29
]}

Maria Gomez-Perez, Ana ^{[1
,16
]}

Manuel Santos-Lozano, Jose ^{[1
,17
]}

Galera, Ana ^{[1
,18
]}

Javier Basterra-Gortari, F. ^{[1
,4
,30
]}

Basora, Josep ^{[1
,5
]}

Saiz, Carmen ^{[1
,6
]}

Alejandra Perez-Vega, Karla ^{[1
,7
]}

Galmes-Panades, Aina M. ^{[1
,3
]}

Tercero-Macia, Cristina ^{[31
]}

Sorto-Sanchez, Carolina ^{[1
,10
]}

Sayon-Orea, Carmen ^{[1
,4
,30
]}

Garcia-Gavilan, Jesus ^{[1
,5
]}

机构：

[1] Inst Salud Carlos III, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain

[2] Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma de Mallorca 07122, Spain

[3] Hlth Res Inst Balear Isl IdISBa, Palma de Mallorca 07120, Spain

[4] Univ Navarra, IdISNA, Dept Prevent Med & Publ Hlth, Pamplona 31008, Spain

[5] Univ Rovira & Virgili, IISPV, Dept Biochem & Biotechnol, Human Nutr Unit, Reus 43201, Spain

[6] Univ Valencia, Dept Prevent Med, Valencia 46100, Spain

[7] Inst Hosp Mar Invest Med Municipal Invest Med IMI, Barcelona 08003, Spain

[8] Miguel Hernandez Univ, Nutr Epidemiol Unit, Inst Invest Sanitaria & Biomed Alicante ISABIAL, Alicante 46020, Spain

[9] Inst Salud Carlos III, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain

[10] Univ Basque Country, Bioaraba Hlth Res Inst, Osakidetza Basque Hlth Serv, Araba Univ Hosp,UPV EHU, Vitoria 48013, Spain

[11] Univ Malaga, IBIMA, Sch Hlth Sci, Dept Nursing, Malaga 29071, Spain

[12] CEI UAM CSIC, IMDEA Food, Precis Nutr Program, Madrid 28049, Spain

[13] Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain

[14] Univ Las Palmas Gran Canaria, Inst Biomed Res, Las Palmas Gran Canaria 35016, Spain

[15] Univ Barcelona, Hosp Clin, IDIBAPS, Dept Internal Med, Barcelona 08036, Spain

[16] Univ Malaga, Dept Endocrinol, Virgen Victoria Hosp, Malaga 29010, Spain

[17] Distrito Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville 41013, Spain

[18] Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Barcelona 08907, Spain

[19] Univ Cordoba, Reina Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Lipids & Atherosclerosis Unit,Dept Internal Med, Cordoba 14004, Spain

[20] Univ Granada, Dept Prevent Med, Granada 18071, Spain

[21] Univ Jaen, Dept Hlth Sci, Ctr Estudios Avanzados Olivar & Aceites Oliva, Jaen 23071, Spain

[22] Inst Invest Sanitaria Hosp Clin San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid 28040, Spain

[23] CEI UAM CSIC, IMDEA Food, Nutr Genom & Epigenom Grp, Madrid 28049, Spain

[24] Inst Salud Carlos III, CIBER Diabet & Enfermedades Metabol CIBERDEM, Madrid 28029, Spain

[25] Network Researchers REDI Fdn SEMERGEN, Madrid 28009, Spain

[26] Univ Barcelona, Hosp Clin, IDIBAPS, Dept Endocrinol, Barcelona 08036, Spain

[27] Fdn Jimenez Diaz, Dept Endocrinol, Madrid 28040, Spain

[28] Hosp Clin Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Endocrinol & Nutr, Lipid Clin, Barcelona 08036, Spain

[29] Univ Barcelona, Fac Med & Hlth Sci, Dept Med, Barcelona 08036, Spain

[30] Osasunbidea, Serv Navarro Salud, Pamplona 31071, Spain

[31] Ctr Salud Raval, Elche 03203, Spain

来源：

NUTRIENTS | 2020年 / 12卷 / 04期

基金：

欧盟地平线“2020”; 欧洲研究理事会;

关键词：

metabolic syndrome severity; physical activity; Mediterranean diet; depression risk; sedentary behaviour; CARDIOVASCULAR RISK; ALL-CAUSE; MORTALITY; METAANALYSIS; PREVALENCE; OBESITY; ADULTS; CONSUMPTION; DISEASES; SMOKING;

D O I：

10.3390/nu12041013

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55-75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses' Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.

引用

页数：20

共 57 条

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