Influence of lifestyle factors and staple foods from the Mediterranean diet on non-alcoholic fatty liver disease among older individuals with metabolic syndrome features

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• dc.contributor.author Bullón Vela, María Vanessa
• dc.contributor.author Abete, Itziar
• dc.contributor.author Tur, J. Antoni
• dc.contributor.author Pintó Sala, Xavier
• dc.contributor.author Corbella, Emili
• dc.contributor.author Martínez-González, Miguel Ángel, 1957-
• dc.contributor.author Toledo, Estefania
• dc.contributor.author Corella, Dolores
• dc.contributor.author Macías-González, Manuel
• dc.contributor.author Tinahones Madueño, Francisco José
• dc.contributor.author Fitó Colomer, Montserrat
• dc.contributor.author Estruch, Ramón
• dc.contributor.author Ros, Emilio
• dc.contributor.author Salas Salvadó, Jordi
• dc.contributor.author Daimiel, Lidia
• dc.contributor.author Zulet, M. Angeles
• dc.contributor.author Martínez, José Alfredo
• dc.contributor.author PREDIMED-PLUS investigators
• dc.date.accessioned 2021-10-28T06:41:26Z
• dc.date.available 2021-10-28T06:41:26Z
• dc.date.issued 2021
• dc.description.abstract Objective: Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver morbidity. This condition often is accompanied by obesity, diabetes, and metabolic syndrome (MetS). The aim of this study was to evaluate the connection between lifestyle factors and NAFLD in individuals with MetS. Methods: A cross-sectional study with 328 participants (55-75 y of age) diagnosed with MetS participating in the PREDIMED-Plus trial was conducted. NAFLD status was evaluated using the non-invasive hepatic steatosis index (HSI). Sociodemographic, clinical, and dietary data were collected. Adherence to the Mediterranean diet (mainly assessed by the consumption of olive oil, nuts, legumes, whole grain foods, fish, vegetables, fruits, and red wine) and physical activity were assessed using validated questionnaires. Results: Linear regression analyses revealed that HSI values tended to be lower with increasing physical activity tertiles (T2, β = -1.47; 95% confidence interval [CI], -2.73 to -0.20; T3, β = -1.93; 95% CI, -3.22 to -0.65 versus T1, Ptrend = 0.001) and adherence to the Mediterranean diet was inversely associated with HSI values: (moderate adherence β = -0.70; 95% CI, -1.92 to 0.53; high adherence β = -1.57; 95% CI, -3.01 to -0.13 versus lower, Ptrend = 0.041). Higher tertiles of legume consumption were inversely associated with the highest tertile of HSI (T2, relative risk ratio [RRR], 0.45; 95% CI, 0.22-0.92; P = 0.028; T3, RRR, 0.48; 95% CI, 0.24-0.97; P = 0.041 versus T1). Conclusion: Physical activity, adherence to the Mediterranean diet, and consumption of legumes were inversely associated with a non-invasive marker of NAFLD in individuals with MetS. This data can be useful in implementing precision strategies aimed at the prevention, monitoring, and management of NAFLD.
• dc.description.sponsorship This work was supported by the Instituto de Salud Carlos III (ISCIII), through the Fondo de Investigación para la Salud (FIS, PI14/01919 and PI17/00926), co-funded by the European Regional Development Fund (ERDF), CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) and by European Research Council (Advanced Research Grant 2014-2019; agreement #340918 granted to MAM-G). VBV received a grant from the Center for Nutrition Research of the University of Navarra.
• dc.format.mimetype application/pdf
• dc.identifier.citation Bullón-Vela V, Abete I, Tur JA, Pintó X, Corbella E, Martínez-González MA, Toledo E, Corella D, Macías M, Tinahones F, Fitó M, Estruch R, Ros E, Salas-Salvadó J, Daimiel L, Zulet MA, Martínez JA; PREDIMED Plus investigators. Influence of lifestyle factors and staple foods from the Mediterranean diet on non-alcoholic fatty liver disease among older individuals with metabolic syndrome features. Nutrition. 2020;71:110620. DOI: 10.1016/j.nut.2019.110620
• dc.identifier.doi http://dx.doi.org/10.1016/j.nut.2019.110620
• dc.identifier.issn 0899-9007
• dc.identifier.uri http://hdl.handle.net/10230/48837
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Nutrition. 2020;71:110620
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/340918
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.nut.2019.110620
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Inflammation
• dc.subject.keyword NAFLD
• dc.subject.keyword Nutrition
• dc.subject.keyword Obesity
• dc.title Influence of lifestyle factors and staple foods from the Mediterranean diet on non-alcoholic fatty liver disease among older individuals with metabolic syndrome features
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion