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Li Y, Yatsuya H, Wang C, Uemura M, Matsunaga M, He Y, Khine M, Ota A. Dietary Patterns Derived from Reduced Rank Regression Are Associated with the 5-Year Occurrence of Metabolic Syndrome: Aichi Workers' Cohort Study. Nutrients 2022; 14:nu14153019. [PMID: 35893873 PMCID: PMC9332382 DOI: 10.3390/nu14153019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 07/13/2022] [Accepted: 07/18/2022] [Indexed: 02/01/2023] Open
Abstract
The aim of the present study was to derive dietary patterns to explain variation in a set of nutrient intakes or in the measurements of waist circumference (WC) and fasting blood glucose (FBG) using reduced rank regression (RRR) and to prospectively investigate these patterns in relation to the risk of developing metabolic syndrome (MetS) and its components during the follow-up. The study participants were comprised of 2944 government employees aged 30−59 years without MetS. RRR was applied with 38 food groups as predictors and with two sets of response variables. The first set included intake of putatively beneficial nutrients, and the first factor retained was named the Healthy Dietary Pattern (HDP). The second one included baseline WC and FBG, and the first factor was named the Unhealthy Dietary Pattern (UHDP). Multivariable Cox proportional hazard model was used to estimate hazard ratio and 95% confidence intervals with adjustments for age, sex, total energy consumption and other potential confounders. During the 5-year median follow-up, we ascertained 374 cases of MetS. The HDP score was inversely associated with the incidence of MetS (p-trend = 0.009) and hypertension (p-trend = 0.002) and marginally significantly associated with elevated triglyceride and decreased high-density lipoprotein cholesterol (p-trend = 0.08). The UHDP score was linearly positively associated with the incidence of MetS and all its components (all p-trend < 0.05). Both the HDP and UHDP predicted the development of MetS and its components.
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Affiliation(s)
- Yuanying Li
- Department of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan; (M.M.); (Y.H.); (M.K.); (A.O.)
- Correspondence: ; Tel.: +81-562-93-2476
| | - Hiroshi Yatsuya
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan; (H.Y.); (M.U.)
| | - Chaochen Wang
- Japan Value, Evidence and Outcomes, Japan Drug Development and Medical Affairs, Eli Lilly Japan K.K., Kobe 651-0086, Japan;
| | - Mayu Uemura
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan; (H.Y.); (M.U.)
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Masaaki Matsunaga
- Department of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan; (M.M.); (Y.H.); (M.K.); (A.O.)
| | - Yupeng He
- Department of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan; (M.M.); (Y.H.); (M.K.); (A.O.)
| | - Maythet Khine
- Department of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan; (M.M.); (Y.H.); (M.K.); (A.O.)
| | - Atsuhiko Ota
- Department of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan; (M.M.); (Y.H.); (M.K.); (A.O.)
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Perez-Rodriguez M, Talavera JO, Salmeron J. Diet Quality, Physical Activity, and Weight Changes and Their Association With 6-Year Risk of Metabolic Syndrome in Mexican Adults. Am J Lifestyle Med 2021. [DOI: 10.1177/15598276211017488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background. Among lifestyle factors, obesity has been postulated as the most important risk factor for metabolic syndrome (MS). Lifestyle factors such as physical activity (PA), diet quality, and weight management are so closely related, it is not clear if the role of lifestyle factors is exclusively through its effect on weight, or if they contribute independently. Objective. To examine the effect of lifestyle factors such as diet quality, weight change, and leisure time PA on MS occurrence in lean and overweight/obese (OW/OB) adults over a 6-year period. Methods. This was a longitudinal analysis of data from adults participating in the Health Workers Cohort Study. Results. A total of 1046 participants were included; 37.2% of the OW/OB group and 16.2% of the lean participants developed MS. Becoming overweight had a hazard ratio (HR) of 3.06 for developing MS compared with remaining lean (95% CI = 1.98, 4.74). Going from OW/OB to lean was associated with lower risk of MS (HR = 0.41; 95% CI = 0.22, 0.79). Among OW/OB, becoming active was associated with lower risk (HR = 0.63; 95% CI = 0.42, 0.95) in comparison with an inactive pattern; diet quality was not associated with occurrence of MS. Conclusion. Weight change was the most relevant factor predicting MS over a 6-year period.
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Affiliation(s)
| | | | - Jorge Salmeron
- Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Coyoacán, Ciudad de México
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Ham D, Cho Y, Park MS, Park YS, Kim SY, Seol HM, Park YM, Woo S, Joung H, Lim DS. Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program. Nutr Res Pract 2020; 14:621-636. [PMID: 33282124 PMCID: PMC7683205 DOI: 10.4162/nrp.2020.14.6.621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 08/01/2019] [Accepted: 04/09/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND/OBJECTIVES The Seoul Metabolic Syndrome Management (SMESY) program is a 1-yr lifestyle modification program targeting metabolic syndrome (MetS) in Seoul residents. This study investigated the associations between adherence to dietary guidelines and MetS among the SMESY program participants. SUBJECTS/METHODS Data of 54,385 participants aged 20–64 yrs who completed the SMESY program in 2015, had information on adherence to dietary guidelines, and were not medicated for diabetes, hypertension, or dyslipidemia were analyzed. Participants underwent MetS screening and completed a lifestyle questionnaire including adherence to 10 dietary guidelines before and after participation. Participants were classified according to the number of MetS risk factors at baseline (MetS group, ≥ 3; risk group, 1–2; healthy group, none). Adherence to dietary guidelines was determined from the number of “yes” responses regarding the fulfillment of each guideline on ≥ 5 days/week. Multiple logistic regression was used to evaluate associations between newly diagnosed MetS and changes in adherence to dietary guidelines. RESULTS In the MetS group, MetS prevalence decreased after the SMESY program (men, −41.9%p; women, −48.7%p), and all risk factors were significantly improved (P < 0.0001). All groups exhibited improved adherence to all dietary guidelines after participation (P < 0.0001). In the MetS group with positively changed adherence scores, the MetS prevalence decreased by −44.1%p for men and −49.5%p for women, whereas the prevalence in those with negative changes decreased by −38.1%p for men and −48.6%p for women. In the risk group, those with positively changed adherence scores had significantly decreased odds ratios (ORs) for newly diagnosed MetS compared with those with negative changes (OR, 0.70; 95% confidence interval [CI], 0.61–0.80 for men; OR, 0.88; 95% CI, 0.79–0.99 for women). CONCLUSIONS The SMESY program may effectively reduce the risk of MetS among adults with risk factors by improving adherence to dietary guidelines.
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Affiliation(s)
- Dongwoo Ham
- Institute of Health and Environment, Seoul National University, Seoul 08826, Korea
| | - YoungYun Cho
- Department of Public Health, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea.,The Korean Dietetic Association, Seoul 07345, Korea
| | - Mi-Suk Park
- Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea
| | - Yun-Sug Park
- Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea
| | - Sun-Young Kim
- Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea
| | - Hye-Min Seol
- Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea
| | - Yoo Mi Park
- Health Care Policy Division, Citizen's Health Bureau, Seoul Metropolitan Government, Seoul 04524, Korea
| | - Sunok Woo
- Health Care Policy Division, Citizen's Health Bureau, Seoul Metropolitan Government, Seoul 04524, Korea
| | - Hyojee Joung
- Institute of Health and Environment, Seoul National University, Seoul 08826, Korea.,Department of Public Health, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea
| | - Do-Sun Lim
- Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea.,Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul 02841, Korea
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Plessz M, Kesse-Guyot E, Zins M, Matta J, Czernichow S. Poverty does not modify the association between perceived diet healthiness and adherence to nutritional guidelines in the Constances cohort (France). Appetite 2019; 138:190-197. [PMID: 30928517 DOI: 10.1016/j.appet.2019.03.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 03/04/2019] [Accepted: 03/23/2019] [Indexed: 10/27/2022]
Abstract
Poor individuals have less healthy diets and seem to benefit less from nutrition information campaigns. One may wonder if they are less aware of their diets' shortcomings. The aim of this paper is to assess whether the association between perceived diet healthiness and adherence to nutritional guidelines is weaker among poor people. Data were collected from 40,000 participants from the Constances study, a large population-based observational cohort in France. Adherence to French nutritional guidelines was measured by a validated score based on a 22 item food frequency questionnaire and poverty was defined as facing material deprivation. These variables and their interaction were the variables of interest of a linear regression predicting perceived diet healthiness, with controls for confounders and 95% CI. Poor participants had lower nutrition scores and diet healthiness perceptions. Among respondents who had never faced material deprivation, for each increase in the guideline adherence score there was a +0.21 change (95% CI [0.18,0.23]) in perceived diet healthiness for men (women: +0.19 [0.17,0.22]). The coefficients were not smaller among poor respondents. Our results do not support the assumption that people facing poverty might overestimate their diet healthiness. This suggests that information campaigns are not enough: policies or interventions making healthy eating easier and more manageable are necessary.
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Affiliation(s)
- Marie Plessz
- INRA, Centre Maurice Halbwachs (CNRS, ENS, EHESS, PSL), 48 bd Brandebourg, 75014 Paris, France.
| | - Emmanuelle Kesse-Guyot
- Sorbonne Paris Cité Epidemiology and Statistics Research Center (CRESS), Inserm U1153, Inra U1125, Cnam, Paris 13 University, Nutritional Epidemiology Research Team (EREN), F-93017, Bobigny, France.
| | - Marie Zins
- UMS 011 Cohortes épidémiologiques en population, Hôpital Paul Brousse, 16, ave. Paul Vaillant Couturier, 94807, Villejuif, France.
| | - Joane Matta
- UMS 011 Cohortes épidémiologiques en population, Hôpital Paul Brousse, 16, ave. Paul Vaillant Couturier, 94807, Villejuif, France.
| | - Sébastien Czernichow
- APHP, Department of Nutrition, Georges Pompidou European Hospital, Paris, France; Inserm, UMR 1153 Epidemiology and Biostatistics Sorbonne Paris Cité Centre (CRESS), METHODS Team, 75004 Paris, France; Paris Descartes University, Paris, France.
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Kadawathagedara M, Kersuzan C, Wagner S, Tichit C, Gojard S, Charles MA, Lioret S, de Lauzon-Guillain B. Adéquation des consommations alimentaires des femmes enceintes de l’étude ELFE aux recommandations du Programme national nutrition santé. CAHIERS DE NUTRITION ET DE DIETETIQUE 2017. [DOI: 10.1016/j.cnd.2016.12.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Sarma R, Kumari S, Elancheran R, Deori M, Devi R. Polyphenol Rich Extract of Garcinia pedunculata Fruit Attenuates the Hyperlipidemia Induced by High Fat Diet. Front Pharmacol 2016; 7:294. [PMID: 27642282 PMCID: PMC5015480 DOI: 10.3389/fphar.2016.00294] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 08/22/2016] [Indexed: 12/17/2022] Open
Abstract
Fatty foods, the most common diet today are the crux of many metabolic disorders which need urgent attention. Garcinia pedunculata Roxb. (GP, Clusiaceae) is a plant found available in Northeast (NE) region of India, is considered to have versatile therapeutic properties. The people of this region has been using dried pulp of GP fruit for the treatment of different stomach related diseases traditionally. This study aimed at evaluating the potential therapeutic action of the polyphenol-rich methanolic extract of the fruit in experimental induced obese rats. In vitro antioxidant and antidiabetic activity of GP extracts, i.e., fruit extract (GF) and seed extract (GS) were determined by using various methods viz., 1,1-diphenyl-2 picrylhydrazyl (DPPH), 2,2′-Azinobis (3-ethyl benzthiazoline-6-sulphonic acid) (ABTS•+), nitroblue tetrazolium (NBT) and α-glucosidase inhibition assay for detection of antihyperglycemic activity. In vivo antilipidemic and antiobesity activities were evaluated by administrating oral dose of GF for 60 days on a high-fat diet (HFD) induced hyperlipidemia in the rat. GF showed higher antioxidant activity than GS by DPPH radical scavenging (IC50 = 4.01 μg/ml), ABTS•+ (IC50 = 0.82 μg/ml), NBT (IC50 = 0.07 μg/ml) and also showed notable α-glucosidase inhibitory activity (IC50 = 19.26 μg/ml). Furthermore, GF treated rat revealed a reduction in the body weight (~60%), serum total cholesterol (33%), triglycerides (32%), low-density lipoprotein (38%) and liver biomarker enzymes after 60 days HFD fed animals. Simultaneously, GF supplementation significantly protected the HFD induced changes in hematological parameters. Histological observations clearly differentiate the structural changes in liver of HFD and GF treated group. This novel dietary lipid adsorbing agent of GF exhibited prevention of hyperlipidemia induced by HFD in the rat.
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Affiliation(s)
- Rahul Sarma
- Biochemistry Laboratory, Life Sciences Division, Institute of Advanced Study in Science and Technology Guwahati, India
| | - Sima Kumari
- Biochemistry Laboratory, Life Sciences Division, Institute of Advanced Study in Science and Technology Guwahati, India
| | - Ramakrishnan Elancheran
- Drug Discovery Laboratory, Life Sciences Division, Institute of Advanced Study in Science and Technology Guwahati, India
| | - Meetali Deori
- Department of Zoology, Nalbari College Nalbari, India
| | - Rajlakshmi Devi
- Biochemistry Laboratory, Life Sciences Division, Institute of Advanced Study in Science and Technology Guwahati, India
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Sonestedt E, Hellstrand S, Drake I, Schulz CA, Ericson U, Hlebowicz J, Persson MM, Gullberg B, Hedblad B, Engström G, Orho-Melander M. Diet Quality and Change in Blood Lipids during 16 Years of Follow-up and Their Interaction with Genetic Risk for Dyslipidemia. Nutrients 2016; 8:nu8050274. [PMID: 27171109 PMCID: PMC4882687 DOI: 10.3390/nu8050274] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 04/29/2016] [Accepted: 05/03/2016] [Indexed: 12/26/2022] Open
Abstract
A high diet quality according to the Swedish nutrition recommendations is associated with a reduced risk of cardiovascular disease in the population-based Malmö Diet and Cancer cohort. To further clarify this protective association, we examined the association between high diet quality and change in triglycerides, high density lipoprotein-cholesterol (HDL-C), and low density lipoprotein-cholesterol (LDL-C) after 16 years of follow-up in 3152 individuals (61% women; 46–68 years at baseline). In addition, we examined if genetic risk scores composed of 80 lipid-associated genetic variants modify these associations. A diet quality index based on intakes of saturated fat, polyunsaturated fat, sucrose, fiber, fruit and vegetables, and fish was constructed. A high diet quality was associated with lower risk of developing high triglycerides (p = 0.02) and high LDL-C (p = 0.03) during follow-up compared with a low diet quality. We found an association between diet quality and long-term change in HDL-C only among those with lower genetic risk for low HDL-C as opposed to those with higher genetic risk (p-interaction = 0.04). Among those with lower genetic risk for low HDL-C, low diet quality was associated with decreased HDL-C during follow-up (p = 0.05). In conclusion, individuals with high adherence to the Swedish nutrition recommendation had lower risk of developing high triglycerides and LDL-C during 16 years of follow-up.
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Affiliation(s)
- Emily Sonestedt
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Sophie Hellstrand
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Isabel Drake
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Christina-Alexandra Schulz
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Ulrika Ericson
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Joanna Hlebowicz
- Experimental Cardiovascular Research Unit, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Margaretha M Persson
- Internal Medicine Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 32, SE-20502 Malmö, Sweden.
| | - Bo Gullberg
- Nutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Bo Hedblad
- Cardiovascular Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Gunnar Engström
- Cardiovascular Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
| | - Marju Orho-Melander
- Diabetes and Cardiovascular Disease-Genetic Epidemiology, Department of Clinical Sciences Malmö, Lund University, Jan Waldenströms gata 35, SE-20502 Malmö, Sweden.
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Julia C, Fézeu LK, Ducrot P, Méjean C, Péneau S, Touvier M, Hercberg S, Kesse-Guyot E. The Nutrient Profile of Foods Consumed Using the British Food Standards Agency Nutrient Profiling System Is Associated with Metabolic Syndrome in the SU.VI.MAX Cohort. J Nutr 2015; 145:2355-61. [PMID: 26290007 DOI: 10.3945/jn.115.213629] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Accepted: 07/07/2015] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Metabolic syndrome (MetS), comprising high waist circumference, blood pressure, glycemia, and triglycerides, and lower HDL cholesterol could in part be prevented by adequate nutrition. Nutrient profiling systems could be useful public health tools to help consumers make healthier food choices. An individual dietary index (DI) based on nutrient profiling of foods consumed could characterize dietary patterns in relation to the onset of MetS. OBJECTIVE The objective of this study was to prospectively investigate the association between the Food Standards Agency (FSA) Nutrient Profiling System (NPS) DI and the onset of MetS in a middle-aged French cohort. METHODS Participants from the SUpplémentation en VItamines et Minéraux AntioXydants cohort (SU.VI.MAX, n = 3741) were included in the present study. The FSA NPS DI was computed by using dietary data from 24 h records at inclusion. MetS was identified at baseline and at year 13 of follow-up with the use of self-reported medication, data from clinical investigations, and biological measurements. A prospective association between the FSA NPS DI (in quartiles and continuous) and the onset of MetS was investigated by using logistic regression. RESULTS Poorer diets identified with the use of the FSA NPS DI were significantly associated with a higher risk of developing MetS (OR for poorer vs. healthier FSA NPS DI: 1.43; 95% CI: 1.08, 1.89; P-trend across quartiles = 0.02). The FSA NPS DI was significantly associated with the systolic blood pressure (SBP) and diastolic blood pressure (DBP) components of MetS (difference between healthier vs. poorer FSA NPS DI: 2.16 mm Hg for SBP and 1.5 mm Hg for DBP, P-trend across quartiles = 0.02). CONCLUSION The FSA NPS DI was prospectively associated with the onset of MetS in a middle-aged French population. The application of NPSs in public health initiatives may help the population make healthier food choices, which might reduce the risk of developing MetS.
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Affiliation(s)
- Chantal Julia
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and Public Health Department, Avicenne Hospital (AP-HP), Bobigny, France
| | - Léopold K Fézeu
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
| | - Pauline Ducrot
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
| | - Caroline Méjean
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
| | - Sandrine Péneau
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
| | - Mathilde Touvier
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
| | - Serge Hercberg
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and Public Health Department, Avicenne Hospital (AP-HP), Bobigny, France
| | - Emmanuelle Kesse-Guyot
- Paris 13 University, Nutritional Epidemiology Research Team (EREN), Research Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Inserm (U1153), INRA (U1125), CNAM, COMUE Sorbonne Paris Cité, Bobigny, France; and
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Alam MA, Subhan N, Rahman MM, Uddin SJ, Reza HM, Sarker SD. Effect of citrus flavonoids, naringin and naringenin, on metabolic syndrome and their mechanisms of action. Adv Nutr 2014; 5:404-17. [PMID: 25022990 PMCID: PMC4085189 DOI: 10.3945/an.113.005603] [Citation(s) in RCA: 416] [Impact Index Per Article: 41.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Flavonoids are important natural compounds with diverse biologic activities. Citrus flavonoids constitute an important series of flavonoids. Naringin and its aglycone naringenin belong to this series of flavonoids and were found to display strong anti-inflammatory and antioxidant activities. Several lines of investigation suggest that naringin supplementation is beneficial for the treatment of obesity, diabetes, hypertension, and metabolic syndrome. A number of molecular mechanisms underlying its beneficial activities have been elucidated. However, their effect on obesity and metabolic disorder remains to be fully established. Moreover, the therapeutic uses of these flavonoids are significantly limited by the lack of adequate clinical evidence. This review aims to explore the biologic activities of these compounds, particularly on lipid metabolism in obesity, oxidative stress, and inflammation in context of metabolic syndrome.
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Affiliation(s)
- M Ashraful Alam
- School of Biomedical Sciences, The University of Queensland, Brisbane Australia Department of Pharmaceutical Sciences, North South University, Dhaka, Bangladesh
| | - Nusrat Subhan
- School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, Australia
| | - M Mahbubur Rahman
- Department of Pharmaceutical Sciences, North South University, Dhaka, Bangladesh
| | - Shaikh J Uddin
- Pharmacy Discipline, Khulna University, Khulna, Bangladesh; and
| | - Hasan M Reza
- Department of Pharmaceutical Sciences, North South University, Dhaka, Bangladesh
| | - Satyajit D Sarker
- School of Pharmacy and Biomolecular Sciences, Faculty of Sciences, Liverpool John Moores University, Liverpool, UK
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Mattei J, Bhupathiraju S, Tucker KL. Higher adherence to a diet score based on American Heart Association recommendations is associated with lower odds of allostatic load and metabolic syndrome in Puerto Rican adults. J Nutr 2013; 143:1753-9. [PMID: 24005611 PMCID: PMC3796346 DOI: 10.3945/jn.113.180141] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
A score based on diet and lifestyle recommendations from the AHA has been associated with cardiovascular risk factors. We aimed to assess whether the diet components alone were associated with metabolic syndrome (MetS) and allostatic load (AL; a composite measure of 10 physiologically dysregulated variables). The diet score ranged from 0 to 90 and included intake components for dietary fats, fruits and vegetables, whole grains, salt, added sugars, and alcohol and was tested in a cross-sectional analysis of 1318 Puerto Rican adults (aged 45-75 y; 72% women) living in Boston, MA. The mean ± SD diet score was 28.0 ± 9.9 for men and 30.0 ± 10.1 for women. Replicating findings from a previous study in this cohort that used both the diet and lifestyle components, we observed associations between the diet-only score and insulin, waist circumference, and HDL cholesterol. We found novel significant associations between the continuous diet score and AL components, namely an inverse association with urinary cortisol and a positive association with serum dehydroepiandrosterone sulfate in women as well as an inverse association with urinary norepinephrine in men (all P < 0.05). In multinomial logistic regression, every 10 AHA diet score units were associated with 22% (95% CI: 1, 38; P = 0.043) lower odds of having ≥6 (vs. ≤2) dysregulated AL components in women. In men, every 10 diet score units were associated with lower odds of MetS (OR: 0.69; 95% CI: 0.52, 0.93; P = 0.016). Following AHA recommendations for a healthy diet may protect against the development of components of MetS and AL in Puerto Rican adults.
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Affiliation(s)
- Josiemer Mattei
- Department of Nutrition, Harvard School of Public Health, Boston, MA
| | | | - Katherine L. Tucker
- Center for Population Health and Health Disparities, Northeastern University, Boston, MA; and,Department of Clinical Laboratory and Nutritional Sciences, University of Massachusetts, Lowell, MA,To whom correspondence should be addressed: E-mail:
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Lassale C, Galan P, Julia C, Fezeu L, Hercberg S, Kesse-Guyot E. Association between adherence to nutritional guidelines, the metabolic syndrome and adiposity markers in a French adult general population. PLoS One 2013; 8:e76349. [PMID: 24124548 PMCID: PMC3790685 DOI: 10.1371/journal.pone.0076349] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Accepted: 08/22/2013] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Few studies have focused on the association between diet quality scores and the Metabolic Syndrome (MetS), a multi-component condition predictive of cardiovascular diseases (CVD) and death. The present study aims at investigating, in a cross-sectional design, the association between adherence to the French dietary guidelines through an a priori score - the French Nutrition and Health Program-Guideline Score (PNNS-GS) - and cardiovascular risk factors (CVRF) including the MetS and adiposity markers. METHODS 7902 French adults participating in the NutriNet-Santé study (an on-going web-based cohort study) attended a clinical and biological examination between January 2011 and November 2012: a fasting blood sample was drawn, blood pressure and body composition (bio-impedance) were measured. Multivariate linear and logistic regression models were used to assess the association between PNNS-GS and CVRF or the MetS. RESULTS An increase of PNNS-GS was significantly negatively associated with waist circumference (WC), systolic and diastolic blood pressure (SBP and DBP) and serum triglycerides concentrations. From bottom to top quartile of PNNS-GS, SBP decreased from 129.9 to 128.8 mm Hg, DBP from 76.7 to 75.9 mm Hg, serum triglycerides concentrations from 110.8 to 104.6 mg/dL and WC from 94.8 to 90.1 cm for men and 81.3 to 78.9 cm for women. All adiposity markers (waist and hip circumference, % body fat, % trunk fat, % leg fat) were markedly reduced across quartiles of PNNS-GS and linearly. Individuals with a better PNNS-GS (quartile 4 vs quartile 1) were less likely to have the MetS (OR=0.71, 95% CI: 0.56-0.89). CONCLUSION The negative association between a higher adherence to the French dietary guidelines and a number of CVRF, the MetS prevalence and regional adiposity supports the importance of promoting the PNNS dietary guidelines in the population for the prevention of cardiometabolic abnormalities and hence, cardiovascular diseases.
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Affiliation(s)
- Camille Lassale
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
| | - Pilar Galan
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
| | - Chantal Julia
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
- Public Health Department, Hôpital Avicenne, Université Paris 13, Bobigny, France
| | - Leopold Fezeu
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
| | - Serge Hercberg
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
- Public Health Department, Hôpital Avicenne, Université Paris 13, Bobigny, France
| | - Emmanuelle Kesse-Guyot
- Université Paris 13, Sorbonne Paris Cité, Nutritional Epidemiology Research Unit, INSERM (U557), INRA (U1125), CNAM, Bobigny, France
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Dietary patterns, inflammation and the metabolic syndrome. DIABETES & METABOLISM 2012; 39:99-110. [PMID: 23062863 DOI: 10.1016/j.diabet.2012.08.007] [Citation(s) in RCA: 198] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2011] [Revised: 06/10/2012] [Accepted: 08/16/2012] [Indexed: 11/21/2022]
Abstract
AIM The study of dietary patterns offers a comprehensive, real-life approach towards examining the complex diet and disease relationship. The simultaneous association of dietary patterns with inflammation and the metabolic syndrome (MetS) has not been extensively reviewed. This report reviews the association of dietary patterns with inflammation in the context of the MetS. METHODS Original English-language research studies with humans were identified via MEDLINE, using inflammation, MetS, whole diets and dietary patterns as keywords. The findings were carefully examined and synthesized along consistent axes. RESULTS Many observational and a few prospective studies, as well as some randomized controlled trials (RCTs), support an inverse association between a Mediterranean dietary pattern and markers of inflammation. The link is generally independent of traditional cardiovascular disease (CVD) risk factors and weight loss. The few studies that have examined the association between following a healthy dietary pattern, evaluated using various diet quality scores, and inflammation report an inverse association; however, this association was attenuated upon adjusting for CVD risk factors. A Mediterranean dietary pattern has also been associated with a reduced risk of the MetS in several cross-sectional studies and a few prospective studies conducted with healthy people. Few RCTs (lasting 1-2years) have confirmed the benefits of following a Mediterranean diet on MetS risk in obese individuals, in those with the MetS or in those at CVD risk. The evidence, albeit limited, for a link between healthy diets based on other diet quality scores and the MetS supports a similar inverse association for the primary and secondary prevention of the MetS. CONCLUSION Adhering to healthy diets such as the Mediterranean diet and/or national dietary guidelines can reduce inflammation and the MetS.
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Galleano M, Calabro V, Prince PD, Litterio MC, Piotrkowski B, Vazquez-Prieto MA, Miatello RM, Oteiza PI, Fraga CG. Flavonoids and metabolic syndrome. Ann N Y Acad Sci 2012; 1259:87-94. [PMID: 22758640 DOI: 10.1111/j.1749-6632.2012.06511.x] [Citation(s) in RCA: 81] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Increasing evidence indicates that several mechanisms, associated or not with antioxidant actions, are involved in the effects of flavonoids on health. Flavonoid-rich beverages, foods, and extracts, as well as pure flavonoids are studied for the prevention and/or amelioration of metabolic syndrome (MS) and MS-associated diseases. We summarize evidence linking flavonoid consumption with the risk factors defining MS: obesity, hypertriglyceridemia, hypercholesterolemia, hypertension, and insulin resistance. Nevertheless, a number of molecular mechanisms have been identified; the effects of flavonoids modifying major endpoints of MS are still inconclusive. These difficulties are explained by the complex relationships among the risk factors defining MS, the multiple biological targets controlling these risk factors, and the high number of flavonoids (including their metabolites) present in the diet and potentially responsible for the in vivo effects. Consequently, extensive basic and clinical research is warranted to assess the final relevance of flavonoids for MS.
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Affiliation(s)
- Monica Galleano
- Physical Chemistry, School of Pharmacy and Biochemistry, University of Buenos Aires, Buenos Aires, Argentina.
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Kimokoti RW, Gona P, Zhu L, Newby PK, Millen BE, Brown LS, D’Agostino RB, Fung TT. Dietary patterns of women are associated with incident abdominal obesity but not metabolic syndrome. J Nutr 2012; 142:1720-7. [PMID: 22833658 PMCID: PMC3417833 DOI: 10.3945/jn.112.162479] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Data on the relationship between empirical dietary patterns and metabolic syndrome (MetS) and its components in prospective study designs are limited. In addition, demographic and lifestyle determinants of MetS may modify the association between dietary patterns and the syndrome. We prospectively examined the relationship between empirically derived patterns and MetS and MetS components among 1146 women in the Framingham Offspring/Spouse cohort. They were aged 25-77 y with BMI ≥18.5 kg/m(2) and free of cardiovascular disease, diabetes, cancer, and MetS at baseline, and followed for a mean of 7 y. Five dietary patterns, Heart Healthier, Lighter Eating, Wine and Moderate Eating, Higher Fat, and Empty Calorie, were previously identified using cluster analysis from food intake collected using a FFQ. After adjusting for potential confounders, we observed lower odds for abdominal obesity for Higher Fat [OR = 0.48 (95% CI: 0.25, 0.91)] and Wine and Moderate Eating clusters [OR = 0.28 (95% CI: 0.11, 0.72)] compared with the Empty Calorie cluster. Additional adjustment for BMI somewhat attenuated these OR [Higher Fat OR = 0.52 (95% CI: 0.27, 1.00); Wine and Moderate Eating OR = 0.34 (95% CI: 0.13, 0.89)]. None of the clusters was associated with MetS or other MetS components. Baseline smoking status and age did not modify the relation between dietary patterns and MetS. The Higher Fat and Wine and Moderate Eating patterns showed an inverse association with abdominal obesity; certain foods might be targeted in these habitual patterns to achieve optimal dietary patterns for MetS prevention.
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Affiliation(s)
- Ruth W. Kimokoti
- Department of Nutrition, Simmons College, Boston, MA,To whom correspondence should be addressed. E-mail:
| | - Philimon Gona
- Framingham Heart Study, Framingham, MA,Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA
| | - Lei Zhu
- Department of Mathematics and Statistics
| | - P. K. Newby
- Department of Pediatrics, School of Medicine, and,Department of Epidemiology, School of Public Health, Boston University, Boston, MA; and
| | | | - Lisa S. Brown
- Department of Nutrition, Simmons College, Boston, MA
| | - Ralph B. D’Agostino
- Framingham Heart Study, Framingham, MA,Department of Mathematics and Statistics
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