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Martínez-González MÁ, Toledo E, Arós F, Fiol M, Corella D, Salas-Salvadó J, Ros E, Covas MI, Fernández-Crehuet J, Lapetra J, Muñoz MA, Fitó M, Serra-Majem L, Pintó X, Lamuela-Raventós RM, Sorlí JV, Babio N, Buil-Cosiales P, Ruiz-Gutierrez V, Estruch R, Alonso A. Extravirgin Olive Oil Consumption Reduces Risk of Atrial Fibrillation. Circulation 2014; 130:18-26. [PMID: 24787471 DOI: 10.1161/circulationaha.113.006921] [Citation(s) in RCA: 159] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background—
The PREDIMED (Prevención con Dieta Mediterránea) primary prevention trial showed that a Mediterranean diet enriched with either extravirgin olive oil or mixed nuts reduces the incidence of stroke, myocardial infarction, and cardiovascular mortality. We assessed the effect of these diets on the incidence of atrial fibrillation in the PREDIMED trial.
Methods and Results—
Participants were randomly assigned to 1 of 3 diets: Mediterranean diet supplemented with extravirgin olive oil, Mediterranean diet supplemented with mixed nuts, or advice to follow a low-fat diet (control group). Some departures from individual randomization occurred in a subset of the trial because members of the same household and small clinics in one of the 11 recruiting centers were allocated by clusters instead of individually. Incident atrial fibrillation was adjudicated during follow-up by an events committee blinded to dietary group allocation. Among 6705 participants without prevalent atrial fibrillation at randomization, we observed 72 new cases of atrial fibrillation in the Mediterranean diet with extravirgin olive oil group, 92 in the Mediterranean diet with mixed nuts group, and 89 in the control group after median follow-up of 4.7 years. The Mediterranean diet with extravirgin olive oil significantly reduced the risk of atrial fibrillation (hazard ratio, 0.62; 95% confidence interval, 0.45–0.86 compared with the control group) after adjusting for propensity scores and using robust variance estimators to account for the intra-cluster correlations. No effect was found for the Mediterranean diet with nuts (hazard ratio, 0.86; 95% confidence interval, 0.63–1.16). In secondary analyses done after excluding all participants randomized in clusters, the results did not materially change.
Conclusions—
In the absence of proven interventions for the primary prevention of atrial fibrillation, this post hoc analysis of the PREDIMED trial suggests that a lower incidence of atrial fibrillation was found after an intervention with extravirgin olive oil in the context of a Mediterranean dietary pattern.
Clinical Trial Registration—
URL:
http://www.controlled-trials.com
. Unique identifier: ISRCTN35739639.
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Affiliation(s)
- Miguel Á Martínez-González
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Estefanía Toledo
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Fernando Arós
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Miquel Fiol
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Dolores Corella
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Jordi Salas-Salvadó
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Emilio Ros
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Maria I Covas
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Joaquín Fernández-Crehuet
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - José Lapetra
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Miguel A Muñoz
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Monserrat Fitó
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Luis Serra-Majem
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Xavier Pintó
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Rosa M Lamuela-Raventós
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Jose V Sorlí
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Nancy Babio
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Pilar Buil-Cosiales
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Valentina Ruiz-Gutierrez
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Ramón Estruch
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
| | - Alvaro Alonso
- From the Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (M.A.M.-G., E.T., P.B.-C., A.A.); the PREDIMED (Prevención con Dieta Mediterránea) Research Network (M.A.M.-G., E.T., F.A., J.S.-S., J.F.-C., N.B., P.B.-C., V.R.-G., A.A.) and Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (M.A.M.-G., E.T., F.A., M. Fiol, D.C., J.S.-S., E.R., M.I.C., J.F.-C., J.L., M.A.M., M. Fitó, L.S.-M., X.P., R.M.L.-R., J.V.S., N.B., P.B.-C., V.R.-G., R.E., A.A.), Instituto de Salud Carlos III, Madrid, Spain; Department of Cardiology, University Hospital of Alava, Vitoria, Spain (F.A.); Institute of Health Sciences, Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Spain (M.Fiol); Department of Preventive Medicine, University of Valencia, Valencia, Spain (D.C., J.V.S.); Human Nutrition Unit, Faculty of Medicine and Health Sciences, Biochemistry Biotechnology Department, Universitat Rovira i Virgili, and Hospital Universitari de Sant Joan de Reus, IISPV, Reus, Spain (J.S.-S., N.B.); Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic (E.R., R.E.) and Department of Nutrition and Food Science, School of Pharmacy, Xarxa de Referència en Tecnologia dels Aliments, Instituto de Investigación en Nutrición y Seguridad Alimentaria (R.M.L.-R.), University of Barcelona, Barcelona, Spain; Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, and Primary Care Division of Barcelona. Institut Català de la Salut and IDiap-Jordi Gol, Barcelona, Spain (M.I.C., M.A.M., M. Fitó); Department of Preventive Medicine, University of Malaga, Malaga, Spain (J.F.-C.); Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville, Spain (J.L.); Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (L.S.-M.); Lipids and Vascular Risk Unit, Internal Medicine, Hospital
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