Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

Gallardo-Alfaro, Laura; del Mar Bibiloni, Maria; Mascaró, Catalina M; Montemayor, Sofía; Ruiz-Canela, Miguel; Salas-Salvado, Jordi; Corella, Dolores; Fito, Montserrat; Romaguera, Dora; Vioque, Jesus; Alonso-Gomez, Angel M.; Warnberg, Julia; Alfredo Martinez, J.; Serra-Majem, Lluis; Estruch, Ramon; Carlos Fernandez-Garcia, Jose; Lapetra, Jose; Pinto, Xavier; Garcia Rios, Antonio; Bueno-Cavanillas, Aurora; Gaforio, Jose J.; Matia-Martin, Pilar; Daimiel, Lidia; Mico-Perez, Rafael M.; Vidal, Josep; Vazquez, Clotilde; Ros, Emilio; Ignacio Fernandez-Lazaro, Cesar; Becerra-Tomas, Nerea; Manuel Gimenez-Alba, Ignacio; Zomeno, Maria Dolors; Konieczna, Jadwiga; Compan-Gabucio, Laura; Tojal-Sierra, Lucas; Perez-Lopez, Jessica; Angeles Zulet, M.; Casanas-Quintana, Tamara; Castro-Barquero, Sara; Maria Gomez-Perez, Ana; Manuel Santos-Lozano, Jose; Galera, Ana; Javier Basterra-Gortari, F.; Basora, Josep; Saiz, Carmen; Alejandra Perez-Vega, Karla; Galmes-Panades, Aina M.; Tercero-Macia, Cristina; Sorto-Sanchez, Carolina; Sayon-Orea, Carmen; Garcia-Gavilan, Jesus; Munoz-Martinez, Julia; Tur, Josep Antoni; PREDIMED-Plus Investigators

doi:10.3390/nu12041013

Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/11121

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URI: http://hdl.handle.net/20.500.13003/11121

DOI: 10.3390/nu12041013

eISSN: 2072-6643

WOS ID: 000531831300133

Scopus EID: 2-s2.0-85083256628

PMID: 32272653

Embase PUI: L2004152849

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Publication date

2020-04

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research article

Citation

Gallardo-Alfaro L, Bibiloni MM, Mascaro CM, Montemayor S, Ruiz-Canela M, Salas-Salvado J, et al. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study. Nutrients. 2020 Apr;12(4):1013.

Abstract

Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55-75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses' Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.