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Dietary folate intake and metabolic syndrome in participants of PREDIMED-Plus study: a cross-sectional study

Authors: Navarrete-Muñoz, Eva María; Vioque, Jesus; Toledo, Estefania; Oncina Canovas, Alejandro; Martínez González, Miguel Ángel; Salas-Salvadó, Jordi; Corella, Dolores; +45 Authors

Dietary folate intake and metabolic syndrome in participants of PREDIMED-Plus study: a cross-sectional study

Abstract

We examined the association between dietary folate intake and a score of MetS (metabolic syndrome) and its components among older adults at higher cardiometabolic risk participating in the PREDIMED-Plus trial.A cross-sectional analysis with 6633 with overweight/obesity participants with MetS was conducted. Folate intake (per 100 mcg/day and in quintiles) was estimated using a validated food frequency questionnaire. We calculated a MetS score using the standardized values as shown in the formula: [(body mass index + waist-to-height ratio)/2] + [(systolic blood pressure + diastolic blood pressure)/2] + plasma fasting glucose-HDL cholesterol + plasma triglycerides. The MetS score as continuous variable and its seven components were the outcome variables. Multiple robust linear regression using MM-type estimator was performed to evaluate the association adjusting for potential confounders.We observed that an increase in energy-adjusted folate intake was associated with a reduction of MetS score (β for 100 mcg/day = - 0.12; 95% CI: - 0.19 to - 0.05), and plasma fasting glucose (β = - 0.03; 95% CI: - 0.05 to - 0.02) independently of the adherence to Mediterranean diet and other potential confounders. We also found a positive association with HDL-cholesterol (β = 0.07; 95% CI: 0.04-0.10). These associations were also observed when quintiles of energy-adjusted folate intake were used instead.This study suggests that a higher folate intake may be associated with a lower MetS score in older adults, a lower plasma fasting glucose, and a greater HDL cholesterol in high-risk cardio-metabolic subjects.

Countries
Spain, Italy
Keywords

Metabolic Syndrome, Folate, Diabetes, Cardiometabolic risk, 3206 Ciencias de la nutrición, Body Mass Index, Cholesterol, Cross-Sectional Studies, Folic Acid, Metabolic syndrome score, Risk Factors, Folate; Cardiometabolic risk; Metabolic syndrome score; Diabetes; Cholesterol, Metabolic Syndrome Score, Humans, Obesity, Cardiometabolic Risk, Aged

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
OpenAIRE UsageCountsViews provided by UsageCounts
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14
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