Person: Martínez González, Miguel Ángel
Universidad Complutense de Madrid
Faculty / Institute
Now showing 1 - 2 of 2
- PublicationUse of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort)(MPDI, 2021-07-20) Martínez Pérez, Celia; San Cristobal, Rodrigo; Guallar Castillon, Pilar; Martínez González, Miguel Ángel; Salas Salvadó, Jordi; Corella, Dolores; Castañer, Olga; Martínez, José Alfredo; Alonso Gómez, Ángel M.; Wärnberg, Julia; Vioque, Jesús; Romaguera, Dora; López Miranda, José; Estruch, Ramon; Tinahones, Francisco J.; Lapetra, José; Serra-Majem, Lluis; Bueno Cavanillas, Aurora; Tur, Josep A.; Sánchez, Vicente Martín; Pintó, Xavier; Gaforio, José J.; Matía Martín, Pilar; Vidal, Josep; Vázquez, Clotilde; Ros, Emilio; Bes Rastrollo, Maira; Babio, Nancy; Sorlí, Jose V.; Lassale, Camille; Pérez Sanz, Beatriz; Vaquero Luna, Jessica; Bazán, María Julia Ajejas; Barceló Iglesias, María Concepción; Konieczna, Jadwiga; Ríos, Antonio García; Bernal López, María Rosa; Santos Lozano, José Manuel; Toledo, Estefanía; Becerra Tomás, Nerea; Portoles, Olga; Zomeño, María Dolores; Abete, Itziar; Moreno Rodríguez, Anai; Lecea Juarez, Oscar; Nishi, Stephanie K.; Muñoz Martínez, Júlia; Ordovás, José M.; Daimiel, LidiaThe association between ultra-processed food (UPF) and risk of cardiometabolic disorders is an ongoing concern. Different food processing-based classification systems have originated discrepancies in the conclusions among studies. To test whether the association between UPF consumption and cardiometabolic markers changes with the classification system, we used baseline data from 5636 participants (48.5% female and 51.5% male, mean age 65.1 ± 4.9) of the PREDIMED-Plus (“PREvention with MEDiterranean DIet”) trial. Subjects presented with overweight or obesity and met at least three metabolic syndrome (MetS) criteria. Food consumption was classified using a 143-item food frequency questionnaire according to four food processing-based classifications: NOVA, International Agency for Research on Cancer (IARC), International Food Information Council (IFIC) and University of North Carolina (UNC). Mean changes in nutritional and cardiometabolic markers were assessed according to quintiles of UPF consumption for each system. The association between UPF consumption and cardiometabolic markers was assessed using linear regression analysis. The concordance of the different classifications was assessed with intra-class correlation coefficients (ICC3, overall = 0.51). The highest UPF consumption was obtained with the IARC classification (45.9%) and the lowest with NOVA (7.9%). Subjects with high UPF consumption showed a poor dietary profile. We detected a direct association between UPF consumption and BMI (p = 0.001) when using the NOVA system, and with systolic (p = 0.018) and diastolic (p = 0.042) blood pressure when using the UNC system. Food classification methodologies markedly influenced the association between UPF consumption and cardiometabolic risk markers.
- PublicationAdopting a High-Polyphenolic Diet Is Associated with an Improved Glucose Profile: Prospective Analysis within the PREDIMED-Plus Trial(MDPI, 2022-02-01) Tresserra Rimbau, Anna; Castro Barquero, Sara; Becerra Tomás, Nerea; Babio, Nancy; Martínez González, Miguel Ángel; Corella, Dolores; Fitó, Montserrat; Romaguera, Dora; Vioque, Jesús; Alonso Gómez, Ángel M.; Wärnberg, Julia; Martínez, José Alfredo; Serra Majem, Luís; Estruch, Ramon; Tinahones, Francisco J.; Lapetra, José; Pintó, Xavier; Tur, Josep A.; López Miranda, José; Cano Ibáñez, Naomi; Delgado Rodríguez, Miguel; Matía Martín, Pilar; Daimiel, Lidia; Martín Sánchez, Vicente; Vidal, Josep; Vázquez, Clotilde; Ros, Emilio; Basterra, Francisco Javier; Fernández de la Puente, María; Asensio, Eva María; Castañer, Olga; Bullón Vela, Vanessa; Tojal Sierra, Lucas; Gómez Gracia, Enrique; Cases Pérez, Eugenio; Konieczna, Jadwiga; García Ríos, Antonio; Casañas Quintana, Tamara; Bernal López, María Rosa; Santos Lozano, José Manuel; Esteve Luque, Virginia; Bouzas, Cristina; Vázquez Ruiz, Zenaida; Palau Galindo, Antoni; Barragan, Rocio; López Grau, Mercè; Razquín, Cristina; Goicolea Güemez, Leire; Toledo, Estefanía; Vergaz, Manel Vila; Lamuela Raventós, Rosa María; Salas Salvadó, JordiPrevious studies suggested that dietary polyphenols could reduce the incidence and complications of type-2 diabetes (T2D); although the evidence is still limited and inconsistent. This work analyzes whether changing to a diet with a higher polyphenolic content is associated with an improved glucose profile. At baseline, and at 1 year of follow-up visits, 5921 participants (mean age 65.0 ± 4.9, 48.2% women) who had overweight/obesity and metabolic syndrome filled out a validated 143-item semi-quantitative food frequency questionnaire (FFQ), from which polyphenol intakes were calculated. Energy-adjusted total polyphenols and subclasses were categorized in tertiles of changes. Linear mixed-effect models with random intercepts (the recruitment centers) were used to assess associations between changes in polyphenol subclasses intake and 1-year plasma glucose or glycosylated hemoglobin (HbA1c) levels. Increments in total polyphenol intake and some classes were inversely associated with better glucose levels and HbA1c after one year of follow-up. These associations were modified when the analyses were run considering diabetes status separately. To our knowledge, this is the first study to assess the relationship between changes in the intake of all polyphenolic groups and T2D-related parameters in a senior population with T2D or at high-risk of developing T2D.