Adherence to the Mediterranean dietary pattern and heart rate in the SUN project

García–López, Martín; Martínez-González, M. Á.; Basterra-Gortari, F Javier; Barrio-López, María Teresa; Gea, Alfredo; Beunza, Juan-José

doi:10.1177/2047487312467871

Cited by 15 publications

(9 citation statements)

References 47 publications

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“…Moreover, coherently with our hypothesis of finding an association between elevated HR and cluster membership at each wave, the most maladaptive lifestyle profile at T2 had many members with elevated HR who are, perhaps, more likely to be at risk of subsequent cardiovascular death and morbidity [ 21 ]. This latter result is congruent with previous empirical evidence of the detrimental effect of low physical activity, heavy smoking, and inadequate diet on elevated HR [ 22 – 23 ]. However, we found no link between HR and cluster membership at baseline or T1.…”

Section: Discussionsupporting

confidence: 91%

“…At each wave, which are the associations between cluster membership and HR cutoff? Following evidence of the detrimental influence of unhealthy lifestyles on the autonomic nervous systems, as shown by elevated HR in people with low physical activity, heavy smoking, and inadequate diet [ 22 – 23 ], we expected an association between maladaptive cluster membership and elevated HR.…”

Section: Introductionmentioning

confidence: 99%

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Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event

et al. 2017

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BackgroundAcute coronary syndrome (ACS) is a major cause of morbidity and mortality. Lifestyle and health behavior changes play an important role in the primary and secondary prevention of ACS recurrence. Changes in unhealthy lifestyles after an acute coronary event have been analyzed by considering separate behaviors individually, even though research on the healthy population has demonstrated that unhealthy behaviors tend to co-occur.PurposeThe aim of this study was to identify lifestyle profiles of ACS patients and to explore their pathways of change for one year after their first coronary event by adopting a typological approach.MethodsTwo hundred and twenty-three patients (84% male; mean age = 57.14) completed self-report measures of health-related behaviors at the beginning of cardiac rehabilitation, and six months and twelve months after. At each wave depression, anxiety and heart rate were also evaluated. Cluster analysis was performed to identify lifestyle profiles and to analyze their change over time. Differences in psychological factors and heart rate among clusters were assessed.ResultsPatients' diet, physical activity, and smoking behavior greatly improved six months after their first coronary event. No further improvements were detected after one year. At each wave specific lifestyle profiles were identified, ranging from more maladaptive to healthier clusters. Patients with multiple unhealthy behaviors experience greater difficulties in maintaining a healthier lifestyle over time. Moreover, the results demonstrated the association between lifestyle profiles at twelve months after the acute coronary event and depression measured six months earlier. Finally, the most maladaptive lifestyle profile had many members with elevated heart rate at twelve months after the cardiac rehabilitation.ConclusionsCurrent findings may have a strong practical impact in the development and implementation of personalized secondary prevention programs targeting lifestyles of ACS patients.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event

et al. 2017

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“…It is important to note that Mediterranean Diet Scores and PNNS-GS scores predicted obesity risk equally well among French adults and that strong adherence to the PNNS guidelines was protective against weight gain and obesity 30. The current results are in line with those of previous studies that reported lower HRs with adherence to the Mediterranean diet 40. However, although the aforementioned trial had used a semi-automatic oscillometer during HR assessment, such a finding has yet to be confirmed in a prospective 5-year diet intervention 41.…”

Section: Discussionsupporting

confidence: 90%

<p>Association Between Adherence To The French Dietary Guidelines And Lower Resting Heart Rate, Longer Diastole Duration, And Lower Myocardial Oxygen Consumption. The NUTRIVASC Study</p>

Fysekidis¹,

Kesse‐Guyot²,

Valensi³

et al. 2019

VHRM

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BackgroundTo investigate whether chronic adherence to the French Nutrition and Health Program (PNNS) guidelines was associated with better cardiovascular health.MethodsA study nested within the SU.VI.MAX2 cohort was conducted on participants without cardiovascular risk factors. Long-term adherence to the PNNS guidelines was estimated using validated dietary scores from 2007 and 2012. Individuals who did (PNNS+) and did not (PNNS−) continuously adhere to the PNNS guidelines were included. Applanation tonometry, impedance cardiography, laser doppler flowmetry, heart rate, heart rate variability, endothelial function was used for the assessment of cardiovascular health.ResultsA total of 49 subjects (mean age 65.4 ± 5.6 years, 75.5% women) had been included. Those in the PNNS+ group (n=26) were older, had a higher BMI and fat mass than those in the PNNS− group, both groups had similar metabolic parameters. After adjusting for sex, age, and BMI, PNNS+ subjects were found to have a lower heart rate (60.2 ± 8.0 vs 64.3 ± 8.4 beats/min, p=0.042), a lower heart rate × systolic blood pressure product (7166 ± 1323 vs 7788 ± 1680 beats× mmHg/min, p = 0.009), a longer diastole duration (66.7 ± 3.1% vs 64.6 ± 4.1% of the cardiac cycle duration, p=0.049), and a shorter tension–time index (2145 ± 489 vs 2307 ± 428 ms * mmHg, p=0.018) compared to the PNNS− group.ConclusionLong-term adherence to the PNNS guidelines had a favorable impact on heart rate, diastole duration, and myocardial oxygen consumption.Clinical Trial Registration numberNCT01579409.

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“…Its cross-sectional nature and the lack of hard outcome data preclude strong conclusions relating to temporal relationships, causality and risk. Several recent studies suggest that dietary patterns may affect HR and autonomic control [31,32]. We were, however, also unable to account for the effect of diet on the relationship between obesity and exercise HR.…”

Section: Discussionmentioning

confidence: 79%

Obesity Modifies the Effect of Fitness on Heart Rate Indices during Exercise Stress Testing in Asymptomatic Individuals

Aneni¹,

Oni

Osondu

et al. 2015

Cardiology

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Objective: To assess the impact of aerobic fitness on exercise heart rate (HR) indices in an asymptomatic cohort across different body mass index (BMI) categories. Methods: We performed a cross-sectional analysis of 506 working-class Brazilian subjects, free of known clinical cardiovascular disease (e.g. ischemic heart disease and stroke) who underwent an exercise stress test. Results: There was a significant trend towards decreased HR at peak exercise, HR recovery and chronotropic index (CI) measures as BMI increased, but resting HR increased significantly across BMI categories. In multivariate analysis, the change in CI per unit change in metabolic equivalents of task was greater among the obese subjects than the normal-weight (2.7 vs. -0.07; p interaction = 0.029) and overweight (2.7 vs. 0.7; p interaction = 0.044) subjects. A similar pattern was seen with peak HR and HR recovery, although the formal tests of interaction did not achieve statistical significance. Conclusion: Our findings strongly suggest that fitness is associated with a favorable HR profile and is modified by BMI. Intervention programs should place emphasis on fitness and not only on weight loss.

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Adherence to the Mediterranean dietary pattern and heart rate in the SUN project

Cited by 15 publications

References 47 publications

Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event

Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event

<p>Association Between Adherence To The French Dietary Guidelines And Lower Resting Heart Rate, Longer Diastole Duration, And Lower Myocardial Oxygen Consumption. The NUTRIVASC Study</p>

Obesity Modifies the Effect of Fitness on Heart Rate Indices during Exercise Stress Testing in Asymptomatic Individuals

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