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Bastos AA, Félix PV, Valentini Neto J, Rogero MM, Fisberg RM, Yannakoulia M, Ribeiro SML. High Adherence to the Mediterranean Dietary Pattern Is Inversely Associated with Systemic Inflammation in Older but Not in Younger Brazilian Adults. Nutrients 2024; 16:1385. [PMID: 38732631 PMCID: PMC11085370 DOI: 10.3390/nu16091385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/07/2023] [Accepted: 12/15/2023] [Indexed: 05/13/2024] Open
Abstract
The Mediterranean dietary pattern (MPD) has shown promise in preventing low-grade systemic inflammation (LGSI). This study tested if a high adherence to the MDP by younger and older Brazilian adults is associated with lower LGSI and investigated which Mediterranean food components may contribute to these associations. We performed a secondary study on 2015 ISA-Nutrition (290 younger adults (20-59 years old) and 293 older adults (≥60 years old)), a cross-sectional population-based study in São Paulo, SP, Brazil. The adherence to the MDP was assessed using the Mediterranean Diet Score (MedDietScore), obtained from two non-consecutive 24 h dietary recalls (24HDRs). The LGSI score (from plasma CRP, TNF-α, and adiponectin) identified the inflammatory status. Linear regression models assessed the association between LGSI and the MedDietScore. In older adults only, a high adherence to the MDP signified an 11.5% lower LGSI score. Older adults, classified with high adherence to the MDP, differed by consuming lower meat intake and full-fat dairy. Between older adults, the intake of vegetables and olive oil was inversely associated with the levels of LGSI. Thus, among older adults, the intake of some specific Mediterranean food determined high adherence to the MDP and was associated with decreased LGSI.
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Affiliation(s)
- Amália Almeida Bastos
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
| | - Paula Victória Félix
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
| | - João Valentini Neto
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
| | - Marcelo Macedo Rogero
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
| | - Regina Mara Fisberg
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
| | - Mary Yannakoulia
- Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, 17671 Athens, Greece;
| | - Sandra Maria Lima Ribeiro
- Department of Nutrition, Public Health School, University of Sao Paulo, Sao Paulo 01246-904, Brazil; (P.V.F.); (J.V.N.); (M.M.R.); (R.M.F.); (S.M.L.R.)
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Rosa A, Pinna I, Piras A, Porcedda S, Masala C. Sex Differences in the Bitterness Perception of an Aromatic Myrtle Bitter Liqueur and Bitter Compounds. Nutrients 2023; 15:2030. [PMID: 37432169 DOI: 10.3390/nu15092030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 03/30/2023] [Accepted: 04/21/2023] [Indexed: 07/12/2023] Open
Abstract
We evaluated sex differences in the perception of bitter compounds and an aromatic bitter herbal liqueur (Mirtamaro) obtained by the infusion of myrtle leaves/berries together with a mixture of Mediterranean herbs/plants as flavoring/bittering ingredients. In a healthy population (n = 231 participants), using bivariate correlations and multivariate linear regression analyses, significant sex differences emerged in quinine bitterness perception, with women showing a higher bitter taste intensity rating than men. Among all participants, 40 subjects (subpopulation) were randomly selected for the evaluation of sex differences in Mirtamaro gustatory and olfactory perception using a hedonic Likert-type scale. Women showed higher ratings in Mirtamaro aroma (odor intensity) and bitterness (taste intensity) perception than men, with a superior capacity to perceive/describe its sensory attributes. 1,8-Cineole and methyl chavicol were the main contributors to the bitter liqueur aroma. A significant correlation (r = 0.564, p < 0.01) between Mirtamaro odor pleasantness/taste pleasantness was observed in women, indicating a positive contribution of aromatic herbs to bitter taste acceptability. Moreover, a higher bitter intensity rating of 6-n-propylthiouracil was evidenced in women than men. Our results highlighted sex differences in bitter taste acuity and the role of aromatic herbs/plants in modulating bitter taste acceptance, which is useful information in the field of precision nutrition and medicine.
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Affiliation(s)
- Antonella Rosa
- Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, SS 554, Km 4.5, 09042 Monserrato, Italy
| | - Ilenia Pinna
- Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, SS 554, Km 4.5, 09042 Monserrato, Italy
| | - Alessandra Piras
- Department of Chemical and Geological Sciences, University of Cagliari, Cittadella Universitaria, SS 554, Km 4.5, 09042 Monserrato, Italy
| | - Silvia Porcedda
- Department of Chemical and Geological Sciences, University of Cagliari, Cittadella Universitaria, SS 554, Km 4.5, 09042 Monserrato, Italy
| | - Carla Masala
- Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, SS 554, Km 4.5, 09042 Monserrato, Italy
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Martínez-Rodríguez A, Vidal-Martínez L, Martínez-Olcina M, Miralles-Amorós L, Sánchez-Sáez JA, Ramos-Campo DJ, Sánchez-Sánchez J, Martínez-Amorós N, Cheikh-Moussa K, Asencio-Mas N, Andreu-Caravaca L, Rubio-Arias JÁ. Study the Effect of an Innovative Educational Program Promoting Healthy Food Habits on Eating Disorders, Mediterranean Diet Adherence and Body Composition in University Students. Healthcare (Basel) 2023; 11:healthcare11070965. [PMID: 37046892 PMCID: PMC10094267 DOI: 10.3390/healthcare11070965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/24/2023] [Accepted: 03/24/2023] [Indexed: 03/30/2023] Open
Abstract
The university stage is a good time to promote healthy eating strategies. The sociological and cultural changes experienced by students lead them to skip meals, increase their intake of fast food and energy-dense foods, decreasing adherence to the Mediterranean diet (MD). Professionals related to food such as nutritionists and dietitians are also considered a population at risk of developing eating disorders due to the extensive knowledge they possess, which can be used for both good and bad practice. The objective was to analyze the impact of a 4-month educational program promoting the Mediterranean diet on risky eating behaviors, adherence to the Mediterranean diet, and body composition in nutrition and dietetics students, studying the differences according to the group investigated (control group and educated group). The context of the research was 196 students (49 males and 147 females) from two consecutive years. The control group did not receive any type of intervention, while with the control group (educated) an educational program was carried out. Results showed that women with greater control over energy intake, carbohydrates, and sugar had a lower percentage of fat mass, while in men, the relationship was established with weight. Regarding adherence to the Mediterranean diet, at post, it is adequate in both men (8.25 ± 2.87) and women (7.90 ± 2.89), with no significant differences between the intervention groups.
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Du W, Zhang P, Zhang J, Li Y, He FJ, Zhang X, Su C, Jia X, Li L, Song J, Zhang B, Wang H. Sodium Reduction in Restaurant Food: A Randomized Controlled Trial in China. Nutrients 2022; 14:nu14245313. [PMID: 36558472 PMCID: PMC9781955 DOI: 10.3390/nu14245313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/02/2022] [Accepted: 12/13/2022] [Indexed: 12/15/2022] Open
Abstract
Restaurant food is one of the important sources of sodium intake in China. We aimed to determine whether a restaurant-based comprehensive intervention program may induce lower sodium content in restaurant food. A randomized controlled trial was implemented between 2019 and 2020 in 192 restaurants in China. After baseline assessment, the restaurants were randomly assigned to either an intervention or a control group (1:1). Comprehensive activities designed for intervention restaurants were conducted for one year. The primary outcome was the difference in change of sodium content estimated by the mean values of five best-selling dishes for each restaurant, from baseline to the end of the trial between groups. In total, 66 control restaurants and 80 intervention restaurants completed the follow-up assessment. The average sodium content of dishes at baseline was 540.9 ± 176.8 mg/100 g in control and 551.9 ± 149.0 mg/100 g in intervention restaurants. The mean effect of intervention after adjusting for confounding factors was -43.63 mg/100 g (95% CI: from -92.94 to 5.66, p = 0.08), representing an 8% reduction in sodium content. The restaurant-based intervention led to a modest but not significant reduction in the sodium content of restaurant food. There is great urgency for implementing effective and sustainable salt reduction programs, due to the rapid increase in the consumption of restaurant food in China.
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Affiliation(s)
- Wenwen Du
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Puhong Zhang
- George Institute for Global Health, Peking University Health Science Center, Beijing 100600, China
- Faculty of Medicine, University of New South Wales, Sydney, NSW 1466, Australia
| | - Jiguo Zhang
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Yuan Li
- George Institute for Global Health, Peking University Health Science Center, Beijing 100600, China
- Faculty of Medicine, University of New South Wales, Sydney, NSW 1466, Australia
| | - Feng J. He
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 4NS, UK
| | - Xiaofan Zhang
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Chang Su
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Xiaofang Jia
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Li Li
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Jing Song
- Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 4NS, UK
| | - Bing Zhang
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
| | - Huijun Wang
- National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
- Key Laboratory of Trace Element Nutrition, National Health Commission, Beijing 100050, China
- Correspondence: ; Tel.: +86-10-66237089
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