2026-04-17T19:18:54Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.14342/52702025-05-24T19:14:41Zcom_2072_482405com_2072_183628col_2072_482409

00925njm 22002777a 4500 dc González Palacios, Sandra author Oncina Canovas, Alejandro author Garcia de la Hera, Manuela author Martínez-González, Miguel Ángel author Salas Salvadó, Jordi author Corella Piquer, Dolores author Schröder, Helmut author Martínez, José Alfredo author Alonso Gómez, Ángel M. author Wärnberg, Julia author Romaguera, Dora author López Miranda, José author Estruch Riba, Ramon author Tinahones Madueño, Francisco J. author Lapetra, José author Serra Majem, Lluís author Cano-Ibáñez, Naomi author Tur, Josep A. author Martín Sánchez, Vicente author Pintó Sala, Xavier author Delgado-Rodríguez, Miguel author Matía Martín, Pilar author Vidal, Josep author Vázquez, Clotilde author Daimiel, Lidia author Ros, Emilio author Bes-Rastrollo, Maira author Atzeni, Alessandro author Sorli, Jose V. author Zomeño, M. Dolores author Peña Orihuela, Patricia J author Compañ-Gabucio, Laura author Barón López, Francisco Javier author Zulet, M. Angeles author Konieczna, Jadwiga author Casas, Rosa author Garrido-Garrido, Eva author Tojal Sierra, Lucas author Gómez-Pérez, Ana Maria author Ruiz-Canela, Miguel author Palau Galindo, Antoni author Saiz, Carmen author Pérez-Vega, Karla Alejandra author García Rios, Antonio author Torres-Collado, Laura author Basterra-Gortari, Francisco Javier author Garcidueñas Fimbres, Tany Elizabeth author Malcampo, Mireia author Vioque, Jesús author 2023-07 Background and aims The association between changes in ultra-processed food (UPF) consumption and cardiometabolic risk (CMR) factors remains understudied. We evaluated the association between changes in UPF consumption over 12 months of follow-up and changes in CMR factors in adults diagnosed with metabolic syndrome. Methods We analysed data from 5373 adults (aged 55–75 years) participating in the PREDIMED-Plus trial. Diet was evaluated at baseline, 6- and 12-month visits using a validated food frequency questionnaire, and UPF consumption (in grams/day and percentage of total daily dietary intake in grams) was categorized based on NOVA classification. We used mixed-effects linear models with repeated measurements at baseline, 6 and 12 months of follow-up to assess the associations between changes in UPF consumption and changes in CMR factors adjusting for sociodemographic and lifestyles variables. Results In multivariable-adjusted models, when comparing the highest versus the lowest quartile of UPF consumption, positive associations were found for several CMR factors: weight (kg, β = 1.09; 95% confidence interval 0.91 to 1.26); BMI (kg/m2, β = 0.39; 0.33 to 0.46); waist circumference (cm, β = 1.03; 0.81 to 1.26); diastolic blood pressure (mm Hg, β = 0.67; 0.29 to 1.06); fasting blood glucose (mg/dl, β = 1.66; 0.61 to 2.70); HbA1c (%, β = 0.04; 0.01 to 0.07); triglycerides (mg/dl, β = 6.79; 3.66 to 9.91) and triglycerides and glucose index (β = 0.06; 0.04 to 0.08). Conclusions Higher UPF consumption was associated with adverse evolution in objectively measured CMR factors after 12 months of follow-up in adults with metabolic syndrome. Further research is needed to explore whether these changes persist for longer periods. http://hdl.handle.net/20.500.14342/5270 https://doi.org/10.1016/j.atherosclerosis.2023.05.022 Aliments processats Sistema cardiovascular -- Malalties Factors de risc Síndrome metabòlica Índex de masa corporal Pressió sanguínia Glucèmia Increased ultra-processed food consumption is associated with worsening of cardiometabolic risk factors in adults with metabolic syndrome: Longitudinal analysis from a randomized trial