0000000000134242

AUTHOR

Almudena Sánchez-villegas

showing 17 related works from this author

Health-related quality of life in individuals with metabolic syndrome: A cross-sectional study

2020

Abstract Introduction and objectives Metabolic syndrome (MetS) is a combination of various cardiovascular risk factors with a major impact on morbidity and premature mortality. However, the impact of MetS on self-reported health-related quality of life (HRQoL) is unknown. This study evaluated the HRQoL in a Spanish adult population aged 55 years and older with MetS. Method A cross-sectional analysis was performed with baseline data from the PREDIMED-Plus multicentre randomized trial. The participants were 6430 men and women aged 55–75 years with overweight/obesity (body mass index ≥27 and ≤40 kg/m2) and MetS. The SF-36 questionnaire was used as a tool to measure HRQoL. Scores were calculate…

MaleCross-sectional study030204 cardiovascular system & hematologyOverweightAffect (psychology)Body Mass Indexlaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled trialQuality of lifelawSurveys and QuestionnairesmedicineHumans030212 general & internal medicineAgedMetabolic Syndromebusiness.industryPublic Health Environmental and Occupational HealthMiddle Agedmedicine.diseaseObesityCross-Sectional StudiesQuality of LifeFemaleMetabolic syndromemedicine.symptomFamily PracticebusinessBody mass indexDemographyMedicina de Familia. SEMERGEN
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Effect of an Intensive Weight-Loss Lifestyle Intervention on Kidney Function: A Randomized Controlled Trial

2021

Introduction: Large randomized trials testing the effect of a multifactorial weight-loss lifestyle intervention including Mediterranean diet (MedDiet) on renal function are lacking. Here, we evaluated the 1-year efficacy of an intensive weight-loss intervention with an energy-reduced MedDiet (erMedDiet) plus increased physical activity (PA) on renal function. Methods: Randomized controlled "PREvención con DIeta MEDiterránea-Plus"(PREDIMED-Plus) trial is conducted in 23 Spanish centers comprising 208 primary care clinics. Overweight/obese (n = 6,719) adults aged 55-75 years with metabolic syndrome were randomly assigned (1:1) to an intensive weight-loss lifestyle intervention with an erMedDi…

MaleWeight lossmedicine.medical_specialtyMediterranean diet*PREDIMED-PlusRenal functionUrineOverweightKidneyKidney Function Testsurologic and male genital diseases*Kidney function*Weight losslaw.invention*Mediterranean dietKidney functionRandomized controlled trialWeight losslawMediterranean dietInternal medicinemedicineHumans*Glomerular filtration rateObesity*Dietary interventionLife StyleAgedbusiness.industryIncidence (epidemiology)PREDIMED-PlusMiddle Agedmedicine.diseaseDietary interventionNephrologyFemaleGlomerular filtration ratemedicine.symptomMetabolic syndromebusinessAmerican Journal of Nephrology
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Vitamin K dietary intake is associated with cognitive function in an older adult Mediterranean population.

2022

Abstract Background In the last years, evidence that dietary vitamin K could have a role in the cognitive domain has increased. However, data from large trials are limited. The objective of this study was to assess the association of 2 year changes in the dietary intake of vitamin K with cognitive function measured through neuropsychological performance tests. Methods In 5,533 participants of the multicentre PREDIMED-Plus study (48.1% women, age 65.1 ± 4.9 years with overweight/obesity and metabolic syndrome), we assessed the adjusted odds ratios of cognitive function decline according to 2 year changes in vitamin K intake. Participants answered a battery of cognitive function tests and Foo…

MaleAgingVitamin Kcognitive-neuropsychological testsNutritional StatusGeneral MedicineMiddle AgedNeuropsychological Testsolder peopleEatingphylloquinoneCognitionHumansFemaleGeriatrics and Gerontologycognitive impairmentAgedAge and ageing
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Total and Subtypes of Dietary Fat Intake and its Association with Components of the Metabolic Syndrome in a Mediterranean Population at High Cardiova…

2019

Background: The effect of dietary fat intake on the metabolic syndrome (MetS) and in turn on cardiovascular disease (CVD) remains unclear in individuals at high CVD risk. Objective: To assess the association between fat intake and MetS components in an adult Mediterranean population at high CVD risk. Design: Baseline assessment of nutritional adequacy in participants (n = 6560, men and women, 55&ndash

Blood GlucoseMaleMediterranean diethumanosPhysiologyÀcids grassos030204 cardiovascular system & hematologyOverweightDiet Mediterraneanchemistry.chemical_compound0302 clinical medicineRisk Factorsevaluación de riesgosMedicine030212 general & internal medicinemediana edadlípidos2. Zero hungerchemistry.chemical_classificationMetabolic Syndromeeducation.field_of_studyancianoNutrition and Dieteticsdietaresultado del tratamientofood and beveragesMiddle AgedLipidscardiovascular disease risk3. Good healthfat intakeTreatment OutcomeCardiovascular Diseasesdietary fatObesitatFemalemedicine.symptomlcsh:Nutrition. Foods and food supplyPolyunsaturated fatty acidglucosa sanguíneaMediterranean diet cardiovascular disease risk dietary fat fat intake fatty acidsLinoleic acidPopulationdislipidemiasenfermedades cardiovasculareslcsh:TX341-641Risk Assessmentfatty acidsArticle03 medical and health sciencesgrasas dietéticasMediterranean cooking:Ciencias de la Salud::Medicina preventiva [Materias Investigacion]Mediterranean dietCuina mediterràniafactores de riesgoHumansObesitycardiovascular diseaseseducationhiperglucemiaAgedDyslipidemiasbusiness.industryMalalties cardiovascularsHypertriglyceridemiamedicine.diseaseObesityDietary FatsDietCross-Sectional StudieschemistrySpainHyperglycemiaMetabolic syndromebusinessBiomarkersFood Scienceestudios transversalesNutrients
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Legume consumption is inversely associated with type 2 diabetes incidence in adults: A prospective assessment from the PREDIMED study

2018

Background & aims: Legumes, a low-energy, nutrient-dense and low glycemic index food, have shown beneficial effects on glycemic control and adiposity. As such, legumes are widely recommended in diabetic diets, even though there is little evidence that their consumption protects against type 2 diabetes. Therefore the aim of the present study was to examine the associations between consumption of total legumes and specific subtypes, and type 2 diabetes risk. We also investigated the effect of theoretically substituting legumes for other protein- or carbohydrate-rich foods. Methods: Prospective assessment of 3349 participants in the PREvención con DIeta MEDiterránea (PREDIMED) study without ty…

0301 basic medicineGerontologyBlood GlucoseMaleLentilsMediterranean dietPREDIMED-study030209 endocrinology & metabolismContext (language use)Type 2 diabetesCritical Care and Intensive Care MedicineLower riskDiet Mediterranean03 medical and health sciences0302 clinical medicineRisk FactorsDiabetes mellitusmedicineHumansProspective StudiesGlycemicAdiposityAgedProportional Hazards Models030109 nutrition & dieteticsNutrition and Dieteticsbusiness.industryFabaceaeType 2 diabetesMiddle Agedmedicine.diseaseLegumesDietGlycemic indexQuartileDiabetes Mellitus Type 2Glycemic IndexFemalebusinessDemographyFollow-Up Studies
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Benefits of the Mediterranean diet: Epidemiological and molecular aspects

2019

Abstract More than 50 years after the Seven Countries Study, a large number of epidemiological studies have explored the relationship between the Mediterranean diet (MD) and health, through observational, case-control, some longitudinal and a few experimental studies. The overall results show strong evidence suggesting a protective effect of the MD mainly on the risk of cardiovascular disease (CVD) and certain types of cancer. The beneficial effects have been attributed to the types of food consumed, total dietary pattern, components in the food, cooking techniques, eating behaviors and lifestyle behaviors, among others. The aim of this article is to review and summarize the knowledge deriv…

0301 basic medicinemedicine.medical_specialtyMediterranean dietClinical BiochemistryDiseaseDiet MediterraneanBiochemistrylaw.invention03 medical and health sciences0302 clinical medicineQuality of life (healthcare)Randomized controlled triallawSeven Countries StudyNeoplasmsEnvironmental healthEpidemiologymedicineHumansMetabolomicsMolecular BiologyRandomized Controlled Trials as Topicbusiness.industryGeneral MedicineMental healthEpidemiologic StudiesObservational Studies as Topic030104 developmental biologyCardiovascular Diseases030220 oncology & carcinogenesisMolecular MedicineObservational studybusinessBiomarkersMolecular Aspects of Medicine
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Seafood Consumption, Omega-3 Fatty Acids Intake, and Life-Time Prevalence of Depression in the PREDIMED-Plus Trial.

2018

Background: The aim of this analysis was to ascertain the type of relationship between fish and seafood consumption, omega-3 polyunsaturated fatty acids (&omega

0301 basic medicineMaleeicosapentaenoic acidmodelos logísticoshumanosdepresiónencuestas sobre dietas0302 clinical medicineClinical trialsSurveys and QuestionnairesOdds RatioPrevalence030212 general & internal medicineDepressió psíquicamediana edadDietoteràpia2. Zero hungerancianoNutrition and Dieteticsintegumentary systemdietaDepressionEuropean researchFatty AcidsprevalenciaFishesfood and beveragesMiddle Ageddocosahexaenoic acidcociente de probabilidades relativasMental depressiondepressionChristian ministryFemaleomega-3lcsh:Nutrition. Foods and food supplyEuropean Regional Development Fundlcsh:TX341-641Àcids grassos omega-3Diet SurveysArticle03 medical and health sciencesalimentos del marDepression (economics)pecestrastorno depresivoEnvironmental healthPolitical scienceFatty Acids Omega-3ingesta energéticaOmega-3 fatty acidsAnimalsHumansácidos grasosAgedConsumption (economics)fishconducta alimentariaDepressive Disorder030109 nutrition & dieteticsDiet therapyLife timeFeeding BehaviorPredimedDietCross-Sectional StudiesLogistic ModelsSeafoodanimalesEnergy IntakeFood Scienceestudios transversalesAssaigs clínicsNutrients
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Mediterranean dietary pattern and depression: the PREDIMED randomized trial

2013

Background: A few observational studies have found an inverse association between adherence to a Mediterranean diet and the risk of depression. Randomized trials with an intervention based on this dietary pattern could provide the most definitive answer to the findings reported by observational studies. The aim of this study was to compare in a randomized trial the effects of two Mediterranean diets versus a low-fat diet on depression risk after at least 3 years of intervention. Methods: This was a multicenter, randomized, primary prevention field trial of cardiovascular disease (Prevencion con Dieta Mediterranea (PREDIMED Study)) based on community-dwelling men aged 55 to 80 years and wome…

MaleMediterranean diethumanosdepresiónType 2 diabetesDiet MediterraneanTriallaw.inventionRandomized controlled triallawRisk FactorsNutsDepressió psíquicamediana edadDepression (differential diagnoses)Aged 80 and overMedicine(all)ancianoPrimary preventionTraditional medicinedietaDepressionHàbits alimentarisIncidence (epidemiology)Hazard ratioDiabetesGeneral MedicineMiddle AgedLow-fatMental depressionCardiovascular DiseasesFemaleDietaaceites de plantasResearch Articlemedicine.medical_specialtyFood habitsenfermedades cardiovasculares:Ciencias de la Salud::Nutrición y dietética [Materias Investigacion]Mediterranean cookingInternal medicineStatistical significanceMediterranean dietCuina mediterràniaDiabetes Mellitusmedicinefactores de riesgoHumansPlant OilsOlive OilAgedbusiness.industrymedicine.diseaseDietnuecesDiabetes Mellitus Type 2SpainObservational studybusinessOlive oil
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Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional An…

2019

Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55&ndash

0301 basic medicineMaleSíndrome metabòlicamodelos logísticosCross-sectional studydietary diversityhumanosOverweightRecommended Dietary AllowancesFood groupencuestas sobre dietas0302 clinical medicineMedicinemediana edad2. Zero hungereducation.field_of_studyancianoNutrition and DieteticsdietaPREDIMED-Plus studyMiddle Aged3. Good healthestado nutricionalnutritionQuartileAvaluació de l'estat nutricionalDietary Reference IntakeDietaFemalemedicine.symptomNutritional status measurementcantidad dietética recomendadalcsh:Nutrition. Foods and food supplynutrient adequacyPopulationNutritional Status030209 endocrinology & metabolismlcsh:TX341-641Diet SurveysArticlemetabolic syndrome03 medical and health sciencesPremides-plus studyEnvironmental healthPREDIMED-Plus study aging dietary diversity metabolic syndrome nutrient adequacyHumansObesityanálisis multifactorialeducationobesidadAged030109 nutrition & dieteticsbusiness.industryagingOdds ratiomedicine.diseaseObesityDietCross-Sectional StudiesLogistic ModelsMultivariate AnalysisbusinessFood Scienceestudios transversales
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Psychological and metabolic risk factors in older adults with a previous history of eating disorder: A cross-sectional study from the Predimed-Plus s…

2021

Goals To explore affective and cognitive status, later in life, in individuals with and without previous history of eating disorder (ED), and also its association with higher risk for metabolic syndrome (MetS) symptomatology. Methods A cross-sectional analysis of 6756 adults, aged 55-75 years with overweight/obesity and MetS participating in the Predimed-Plus study was conducted. Participants completed self-reported questionnaires to examine lifetime history of ED, according to DSM-5 criteria, and other psychopathological and neurocognitive factors. Anthropometric and metabolic measurements were also collected. Results Of the whole sample, 24 individuals (0.35%) reported a previous history …

cardiovascular risk050103 clinical psychologyCross-sectional studyOverweightmetabolic syndromeBody Mass IndexFeeding and Eating Disorders03 medical and health sciences0302 clinical medicinedepressive symptomsRisk FactorsmedicineHumans0501 psychology and cognitive sciencesObesityAgedMetabolic Syndromebusiness.industry05 social sciencesMiddle AgedAnthropometrymedicine.disease030227 psychiatryPsychiatry and Mental healthClinical PsychologyEating disordersCross-Sectional Studieseating disorderFemaleneuropsychological profileMetabolic syndromemedicine.symptombusinessNeurocognitiveBody mass indexClinical psychologyPsychopathology
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Effect of a Mediterranean Diet Intervention on Dietary Glycemic Load and Dietary Glycemic Index: The PREDIMED Study

2014

© 2014 Ana Isabel Rodríguez-Rejón et al. Objective. To compare the one year effect of two dietary interventions with MeDiet on GL and GI in the PREDIMED trial. Methods. Participants were older subjects at high risk for cardiovascular disease. This analysis included 2866 nondiabetic subjects. Diet was assessed with a validated 137-item food frequency questionnaire (FFQ). The GI of each FFQ item was assigned by a 5-step methodology using the International Tables of GI and GL Values. Generalized linear models were fitted to assess the relationship between the intervention group and dietary GL and GI at one year of follow-up, using control group as reference. Results. Multivariate-adjusted mode…

medicine.medical_specialtyMediterranean dietArticle SubjectEndocrinology Diabetes and MetabolismIntervention groupDietary interventionsInternal medicineMediterranean dietGlycemic loadmedicineNutslcsh:RC620-627Nutrition and Dieteticsbusiness.industryFood frequency questionnaireControl groupsPredimedPredimedlcsh:Nutritional diseases. Deficiency diseasesGlycemic indexCardiovascular diseasesbusinessOlive oilFood ScienceOlive oilResearch ArticleJournal of Nutrition and Metabolism
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Association Between Lifestyle and Hypertriglyceridemic Waist Phenotype in the PREDIMED-Plus Study.

2019

Objective: The hypertriglyceridemic waist (HTGW) phenotype is characterized by abdominal obesity and high levels of triglycerides. In a cross-sectional assessment of PREDIMED-Plus trial participants at baseline, HTGW phenotype prevalence was evaluated, associated risk factors were analyzed, and the lifestyle of individuals with metabolic syndrome and HTGW was examined. Methods: A total of 6,874 individuals aged 55 to 75 with BMI ≥ 27 and < 40 kg/m2 were included and classified by presence (HTGW+ ) or absence (HTGW- ) of HTGW (waist circumference: men ≥ 102 cm, women ≥ 88 cm; fasting plasma triglycerides ≥ 150 mg/dL). Analytical parameters and lifestyle (energy intake and expenditure) were a…

MaleEndocrinology Diabetes and MetabolismMedicine (miscellaneous)030209 endocrinology & metabolismTriglycerides blood03 medical and health sciences0302 clinical medicineEndocrinologyRisk FactorsMedicineHumans030212 general & internal medicineLife StyleTriglyceridesAged2. Zero hungerNutrition and Dieteticsbusiness.industryLife styleEuropean researchHypertriglyceridemic WaistMiddle AgedPredimed3. Good healthHypertriglyceridemic WaistCross-Sectional StudiesPhenotypeMulticenter studyObesity AbdominalFemaleWaist CircumferencebusinessDemographyObesity (Silver Spring, Md.)References
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Sleep Duration is Inversely Associated with Serum Uric Acid Concentrations and Uric Acid to Creatinine Ratio in an Elderly Mediterranean Population a…

2019

The aim of the study was to evaluate sleep duration and sleep variability in relation to serum uric acid (SUA) concentrations and SUA to creatinine ratio. This is a cross-sectional analysis of baseline data from 1842 elderly participants with overweight/obesity and metabolic syndrome in the (Prevencion con Dieta Mediterranea) PREDIMED-Plus trial. Accelerometry-derived sleep duration and sleep variability were measured. Linear regression models were fitted to examine the aforementioned associations. A 1 hour/night increment in sleep duration was inversely associated with SUA concentrations ( = -0.07, p = 0.047). Further adjustment for leukocytes attenuated this association (p = 0.050). Each …

Male0301 basic medicinesueñoNefrología y urologíahumanosserum uric acid to creatinine ratioOverweightchemistry.chemical_compound0302 clinical medicineRisk FactorsMedicinemediana edadancianoeducation.field_of_studyNutrition and DieteticsMediterranean RegionCommunicationácido úricoMiddle AgedcreatininaSleep in non-human animals3. Good healthCardiovascular DiseasesCreatinineObesitatFemalemedicine.symptomlcsh:Nutrition. Foods and food supplymedicine.medical_specialtyserum uric acidPopulationenfermedades cardiovascularesDietética y nutriciónlcsh:TX341-641Cardiología03 medical and health sciences:Ciencias de la Salud::Medicina preventiva [Materias Investigacion]Internal medicineHumansfactores de riesgoObesityeducationAgedCreatininebusiness.industryActigraphymedicine.diseaseObesityactigraphy serum uric acid serum uric acid to creatinine ratio sleep durationSonUric AcidÀcid úricCross-Sectional Studies030104 developmental biologyEndocrinologychemistrySpainUric acidsleep durationMetabolic syndromebusinessSleepUric acidBiomarkers030217 neurology & neurosurgeryestudios transversalesFood Scienceactigraphy
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Association between dietary and beverage consumption patterns in the SUN (Seguimiento Universidad de Navarra) cohort study.

2008

Objective: The objective of the present study was to determine the dietary patterns of a Mediterranean cohort and relate them to the observed patterns of beverage consumption. Design: Prospective cohort study. Dietary habits were assessed with a semiquantitative FFQ validated in Spain. A principal components factor analysis was used to identify dietary patterns and to classify subjects according to their adherence to these patterns. The association between adherence to each dietary pattern and beverage consumption was assessed cross-sectionally. In a longitudinal analysis (2-year follow-up), the relationship between adherence to the baseline dietary patterns and the likelihood of changing a…

AdultMaleCross-sectional studyMedicine (miscellaneous):Ciencias de la Salud::Nutrición y dietética [Materias Investigacion]Diet MediterraneanBeveragesCohort StudiesEnvironmental healthSurveys and QuestionnairesMedicineAnimalsHumansProspective StudiesProspective cohort studyConsumption (economics)Orange juiceBeverage consumptionLikelihood FunctionsPrincipal Component AnalysisNutrition and Dieteticsbusiness.industryAlcoholic BeveragesPublic Health Environmental and Occupational HealthFeeding BehaviorDietary patternDietCross-Sectional StudiesMilkSpainFruitCohortFemalebusinessCohort studyPublic health nutrition
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Influence of a Mediterranean Dietary Pattern on Body Fat Distribution: Results of the PREDIMED-Canarias Intervention Randomized Trial

2016

Objective: To assess the influence of a Mediterranean dietary pattern (MeDiet) on anthropometric and body composition parameters in one of the centers of the PREDIMED randomized dietary trial. Subjects/Settings: 351 Canarian free-living subjects aged 55 to 80 years, with type 2 diabetes or ≥3 cardiovascular risk factors. Intervention: Participants were randomly assigned to one of 3 different dietary interventions: MeDiet + extra-virgin olive oil (EVOO), MeDiet + nuts (walnuts, almonds, and hazelnuts), or a control low-fat diet. Total energy intake was ad libitum. Outcome measures: Measures included changes in anthropometric measures (weight, body mass index [BMI] and waist circumference [WC…

0301 basic medicineMaleobesityWaistMediterranean dietBody waterMedicine (miscellaneous)JuglansType 2 diabetesPREDIMED StudyDiet MediterraneanBody Mass Index03 medical and health sciencesCorylusClassification of obesityMediterranean dietMedicineBody Fat DistributionHumansNutsFood scienceDiet Fat-RestrictedOlive OilAgedAged 80 and overbody composition030109 nutrition & dieteticsNutrition and Dieteticsbusiness.industryBody WeightAnthropometryMiddle Agedmedicine.diseaseObesityPrunus dulcisbody fatDiabetes Mellitus Type 2Cardiovascular DiseasesSpainoctapolar bioimpedance analysisFemaleWaist CircumferencebusinessBody mass index
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Dietary total antioxidant capacity and mortality in the PREDIMED study

2015

PURPOSE: The aim of the present study was to assess the association between the dietary total antioxidant capacity, the dietary intake of different antioxidants and mortality in a Mediterranean population at high cardiovascular disease risk. METHODS: A total of 7,447 subjects from the PREDIMED study (multicenter, parallel group, randomized controlled clinical trial), were analyzed treating data as an observational cohort. Different antioxidant vitamin intake and total dietary antioxidant capacity were calculated from a validated 137-item food frequency questionnaire at baseline and updated yearly. Deaths were ascertained through contact with families and general practitioners, review of med…

Male0301 basic medicineAntioxidantmedicine.medical_treatmentMedicine (miscellaneous)Diet MediterraneanAntioxidantsRisk FactorsSurveys and QuestionnairesSingle-Blind MethodProspective StudiesFood scienceAged 80 and overeducation.field_of_studyNutrition and DieteticsMediterranean RegionVitaminsMiddle AgedCardiovascular DiseasesCohortFemalePREDIMEDmedicine.medical_specialtyPopulationAntioxidant intakeMotor ActivityDietary antioxidant capacityNational Death Index03 medical and health sciencesInternal medicineMortalitatmedicineHumansMortalityeducationAgedProportional Hazards Models030109 nutrition & dieteticsProportional hazards modelbusiness.industryPredimedTrace ElementsClinical trialNutrition AssessmentMultivariate AnalysisObservational studyEnergy IntakebusinessFollow-Up StudiesEuropean Journal of Nutrition
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Dietary inflammatory index and all-cause mortality in large cohorts: The SUN and PREDIMED studies

2019

[Background]: Inflammation is known to be related to the leading causes of death including cardiovascular disease, several types of cancer, obesity, type 2 diabetes, depression-suicide and other chronic diseases. In the context of whole dietary patterns, the Dietary Inflammatory Index (DII®) was developed to appraise the inflammatory potential of the diet. [Objective]: We prospectively assessed the association between DII scores and all-cause mortality in two large Spanish cohorts and valuated the consistency of findings across these two cohorts and results published based on other cohorts.

AdultMale0301 basic medicinemedicine.medical_specialtyMediterranean diet030209 endocrinology & metabolismContext (language use)Type 2 diabetesDiet MediterraneanCritical Care and Intensive Care MedicineDietary inflammatory indexBody Mass IndexYoung Adult03 medical and health sciences0302 clinical medicineRisk FactorsInternal medicineMediterranean dietHumansMedicineObesityProspective StudiesMortalityProspective cohort studyRandomized Controlled Trials as TopicInflammation030109 nutrition & dieteticsNutrition and Dieteticsbusiness.industrySmokingHazard ratioMiddle Agedmedicine.diseaseObesityDietC-Reactive ProteinDiabetes Mellitus Type 2CohortPatient ComplianceCohort studiesFemalebusinessCRPCohort study
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