Optimal adherence to a mediterranean diet may not overcome the deleterious effects of low physical fitness on cardiovascular disease risk in adolescents: a cross-sectional pooled analysis

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dc.contributor.authorAgostinis-Sobrinho, César
dc.contributor.authorSantos, Rute
dc.contributor.authorRosário, Rafaela
dc.contributor.authorMoreira, Carla
dc.contributor.authorLopes, Luís
dc.contributor.authorMota, Jorge
dc.contributor.authorMartinkenas, Arvydas
dc.contributor.authorGarcía Hermoso, Antonio
dc.contributor.authorCorrea Bautista, Jorge Enrique
dc.contributor.authorRamírez Vélez, Robinson
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-10-01T10:52:26Z
dc.date.available2024-10-01T10:52:26Z
dc.date.issued2018
dc.date.updated2024-10-01T10:50:19Z
dc.description.abstractTo examine the combined association of cardiorespiratory fitness (CRF), muscular fitness (MF), and adherence to a Mediterranean diet (MeDiet) on cardiovascular risk in adolescents, a pooled study, including cross-sectional data from two projects [2477 adolescents (1320 girls) aged 12-18 years], was completed. A shuttle run test was used to assess CRF. MF was assessed by the standing-long jump and handgrip tests. Adherence to a MeDiet was assessed by the Kidmed questionnaire. A cardiovascular risk score was computed from the following components: Age and sex, waist circumference, triglycerides, systolic blood pressure, high-density lipoprotein cholesterol (HDL), and glucose. Analysis of covariance showed that participants classified as having optimal (High) adherence to a MeDiet/HighMF/HighCRF, as well those classified as low adherence to a MeDiet/HighMF/HighCRF, had, on average, the lowest cardiovascular risk score (F = 15.6; p < 0.001). In addition, the high adherence to a MeDiet/LowMF/LowCRF group had the highest odds of having a high cardiovascular risk (OR = 7.1; 95% CI: 3.4-15.1; p < 0.001), followed by the low adherence to a MeDiet/LowMF/LowCRF group (OR = 3.7; 95% CI: 2.2-6.3; p < 0.001), high adherence to a MeDiet/HighMF/LowCRF group (OR = 3.1; 95% CI: 1.4-7.0; p = 0.006), and low adherence to a MeDiet/LowMF/HighCRF group (OR = 2.5; 95% CI: 1.5-4.4; p = 0.002) when compared to those with high adherence to a MeDiet/HighMF/HighCRF, after adjustments for potential confounders. In conclusion, our findings showed that, regardless of the MeDiet status, adolescents with low MF and low CRF cumulatively, presented the highest cardiovascular disease risk. Therefore, these findings suggest that the combination of these two fitness components may be beneficial to adolescents¿ cardiometabolic profile, independent of MeDiet behaviour.en
dc.description.sponsorshipThe doctoral research grant to C.A.-S. from Brazilian government by CAPES (Coordination of Improvement of Higher Education Personnel) (Proc: 9588-13-2). The Research Centre on Physical Activity Health and Leisure (CIAFEL) is supported by UID/DTP/00617/2013 (FCT). The research grant to R.S. from the Australian Research Council (DE150101921). This research was funded by Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología 'Francisco José de Caldas' COLCIENCIAS grant number Contract Nº 671-2014 Code 122265743978.
dc.format.mimetypeapplication/pdfen
dc.identifier.citationAgostinis-Sobrinho, C., Santos, R., Rosário, R., Moreira, C., Lopes, L., Mota, J., Martinkenas, A., García-Hermoso, A., Correa-Bautista, J. E., Ramírez-Vélez, R. (2018) Optimal adherence to a mediterranean diet may not overcome the deleterious effects of low physical fitness on cardiovascular disease risk in adolescents: a cross-sectional pooled analysis. Nutrients, 10(7), 1-11. https://doi.org/10.3390/nu10070815
dc.identifier.doi10.3390/nu10070815
dc.identifier.issn2072-6643
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/51916
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofNutrients, 10(7), 1-11
dc.relation.publisherversionhttps://doi.org/10.3390/nu10070815
dc.rights© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAerobic fitnessen
dc.subjectCardiometabolic healthen
dc.subjectDiet patternsen
dc.subjectMuscular strengthen
dc.subjectYouthen
dc.titleOptimal adherence to a mediterranean diet may not overcome the deleterious effects of low physical fitness on cardiovascular disease risk in adolescents: a cross-sectional pooled analysisen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicatione84ae68a-fa4a-4e00-be27-bedfffc8612e
relation.isAuthorOfPublicationd0c2c11e-01d0-46ff-93b4-36b11beaf269
relation.isAuthorOfPublication.latestForDiscoveryd0c2c11e-01d0-46ff-93b4-36b11beaf269

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