Metabolic syndrome in adolescents in the Balearic Islands, a Mediterranean region

Bibiloni, M M; Martínez, Esther; Llull, Rosa; Maffiotte, E.; Riesco, Maria Luiza Gonzalez; Llompart, Isabel; Pons, Antoni

doi:10.1016/j.numecd.2009.11.008

Cited by 40 publications

(43 citation statements)

References 31 publications

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“…1). Therefore, possible associations that can be assessed between the degree of adherence to Mediterranean dietary pattern and diseases may be biased, in spite of numerous references indicating an inverse relationship (6,(11)(12)(13)16,20) . All the indexes included in the present study measure the same concept: the degree of adherence to a dietary pattern based on consumption of certain foods that are characteristic of the Mediterranean area.…”

Section: Discussionmentioning

confidence: 99%

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Comparison and evaluation of the reliability of indexes of adherence to the Mediterranean diet

Milà-Villarroel

Bach-Faig²,

Puig

et al. 2011

Public Health Nutr.

104

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Factor analysis using the correlations between indexes was applied. The correlation with factors and the reliability coefficient were calculated. Setting: A total of 324 healthy undergraduates at the University of Barcelona, Spain, were surveyed. Results: The highest correlations were observed between MDP adherence index and MAI (0?82); MAI and MSDPS (0?80); and MDS and rMED (0?77). Factor analysis showed a hidden common factor that explained over 70 % of the variability (71?03 %). This factor is understood as 'adherence to the Mediterranean diet'. The indexes that showed the highest correlation with this factor were Med-DQI (0?85), MDS (0?84), rMED (0?80) and MAI (0?80). These indexes showed acceptable performance in measuring the adherence to the Mediterranean diet. The components that correlated strongly with this factor were monounsaturated-to-saturated fatty acid ratio (MS ratio), fruit and vegetables. Furthermore, a second common factor was found explaining 18 % of the variability. This second factor is highly positive related to dairy products and lean meat, and negative related to MS ratio. Conclusions: The indexes showed satisfactory performance in assessing adherence to the Mediterranean diet. However, in order to improve the reliability and concordance between the indexes, further studies are required to select the components, the number of components, and the scoring criteria of the indexes to improve their internal consistency.

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Section: Discussionmentioning

confidence: 99%

“…nutrient-related diseases). For instance, indexes evaluating adherence to the Mediterranean diet have been successfully applied to studies on life expectancy (7,8,11) , cardiovascular risk (12)(13)(14) , cancer (15,16) , hypertension (17) , obesity (18,19) and diabetes (20) .…”

mentioning

confidence: 99%

Comparison and evaluation of the reliability of indexes of adherence to the Mediterranean diet

Milà-Villarroel

Bach-Faig²,

Puig

et al. 2011

Public Health Nutr.

104

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“…21 All participants were informed of the purpose and methods of this study, and provided written informed consent before enrolment. The study protocol was in accordance with the Declaration of Helsinki and was approved by the Balearic Islands Ethics Committee.…”

Section: Methodsmentioning

confidence: 99%

“…Triceps and subscapular skinfold thickness were measured using a Holtain skinfold caliper (Tanner/ Whitehouse, Crymych, UK), and the mean of three measurements (right arm) was used, and used to calculate body fat as described previously. 21 Waist circumference (WC) and hip circumference (HC) were measured using a non-stretchable measuring tape (Kawe, ref. no.…”

Section: Anthropometric Measurementsmentioning

confidence: 99%

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Inflammatory markers and metabolic syndrome among adolescents

et al. 2012

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BACKGROUND/OBJECTIVES:The alarming increase in obesity worldwide is of concern, owing to the associations of obesity with metabolic syndrome (MetS), which has been associated with a proinflammatory state characterized by elevated plasma concentrations of several markers of inflammation. The aim of this study was to assess levels of inflammatory markers and their association with MetS among adolescents. SUBJECTS/METHODS: A random sample of adolescents (n ¼ 362, 143 boys and 219 girls, 12-17 years) was interviewed, anthropometrically measured and provided a fasting blood sample. Circulating levels of adiponectin, leptin, tumour necrosis factor-alpha, plasminogen activator inhibitor 1 (PAI-1), interleukin-6 and high-sensitivity C-reactive protein were measured. The association between inflammatory markers and sex, age, body mass index (BMI) status, MetS, physical activity and blood pressure was also calculated. RESULTS: Adiponectin levels are inversely associated and leptin levels are directly associated with MetS and BMI, but directly with gender (females show higher levels than boys), and PAI-1 levels are directly associated with MetS, among adolescents.

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Mediterranean Diet and Cardiometabolic Biomarkers in Children and Adolescents

López-Gil,

García-Hermoso,

Martínez-González

et al. 2024

JAMA Netw Open

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ImportanceNo prior systematic review and meta-analysis has specifically verified the association of Mediterranean diet (MedDiet)–based interventions with biomarkers of cardiometabolic health in children and adolescents.ObjectiveTo review and analyze the randomized clinical trials (RCTs) that assessed the effects of MedDiet-based interventions on biomarkers of cardiometabolic health among children and adolescents.Data SourcesFour electronic databases were searched (PubMed, Cochrane Library, Web of Science, and Scopus) from database inception to April 25, 2024.Study SelectionOnly RCTs investigating the effect of interventions promoting the MedDiet on cardiometabolic biomarkers (ie, systolic blood pressure [SBP], diastolic blood pressure [DBP], triglycerides [TGs], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C], low-density lipoprotein cholesterol [LDL-C], glucose, insulin, and homeostatic model assessment for insulin resistance [HOMA-IR]) among children and adolescents (aged ≤18 years) were included.Data Extraction and SynthesisA systematic review and meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Data were extracted from the studies by 2 independent reviewers. Results across studies were summarized using random-effects meta-analysis.Main Outcome and MeasuresThe effect size of each trial was computed by unstandardized mean differences (MDs) of changes in biomarker levels (ie, SBP, DBP, TGs, TC, HDL-C, LDL-C, glucose, insulin, HOMA-IR) between the intervention and the control groups. The quality of the evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations approach.ResultsNine RCTs were included (mean study duration, 17 weeks; range, 8-40 weeks). These studies involved 577 participants (mean age, 11 years [range, 3-18 years]; 344 girls [59.6%]). Compared with the control group, the MedDiet-based interventions showed a significant association with reductions in SBP (mean difference, −4.75 mm Hg; 95% CI, −8.97 to −0.52 mm Hg), TGs (mean difference, −16.42 mg/dL; 95% CI, −27.57 to −5.27 mg/dL), TC (mean difference, −9.06 mg/dL; 95% CI, −15.65 to −2.48 mg/dL), and LDL-C (mean difference, −10.48 mg/dL; 95% CI, −17.77 to −3.19 mg/dL) and increases in HDL-C (mean difference, 2.24 mg/dL; 95% CI, 0.34-4.14 mg/dL). No significant associations were observed with the other biomarkers studied (ie, DBP, glucose, insulin, and HOMA-IR).Conclusions and RelevanceThese findings suggest that MedDiet-based interventions may be useful tools to optimize cardiometabolic health among children and adolescents.

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Metabolic syndrome in adolescents in the Balearic Islands, a Mediterranean region

Cited by 40 publications

References 31 publications

Comparison and evaluation of the reliability of indexes of adherence to the Mediterranean diet

Comparison and evaluation of the reliability of indexes of adherence to the Mediterranean diet

Inflammatory markers and metabolic syndrome among adolescents

Mediterranean Diet and Cardiometabolic Biomarkers in Children and Adolescents

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