Multiple approaches to associations of physical activity and adherence to the Mediterranean diet with all-cause mortality in older adults: the PREvención con DIeta MEDiterránea study

Cárdenas-Fuentes, Gabriela; Subirana, Isaac; Martínez‐González, Miguel Ángel; Salas‐Salvadó, Jordi; Corella, Dolores; Estruch, Ramón; Fitó, Montserrat; Muñoz-Bravo, Carlos; Fiol, Miguel; Lapetra, José; Arós, Fernando; Serra-Majem, Luís; Tur, Josep A.; Pintó, Xavier; Ros, Emilio; Coltell, Óscar; Díaz-López, Andrés; Ruiz‐Canela, Miguel

doi:10.1007/s00394-018-1689-y

Cited by 20 publications

(23 citation statements)

References 37 publications

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“…Many of the indices considered alcoholic beverage intake in low to moderate amounts or within a threshold (eg, 10-25 g/d; 0.5-1.5 drinks/d for women and 0.5-2.0 drinks/d for men) as a positive The associations reported between a priori-derived dietary patterns and ACM remained in sensitivity or subgroup analyses after combining the dietary patterns with anthropometry, physical activity, and/or smoking status 24,35,37,44,53,118 ; performing stratification or additional adjustment for anthropometry, sex, age, educational level, race/ethnicity, and/or smoking status 25,34,37,46,47,52,76,83,[85][86][87]95,96,98,99,104,111,113,115,119,125,126 ; excluding early deaths or the first few years of follow-up results 25,35,49,57,58,63,65,72,76,82,96,99,[111][112][113]119,125,128 ; accounting for chronic disease status (eg, diabetes or CVD…”

Section: A Priori Studiesmentioning

confidence: 99%

Evaluation of Dietary Patterns and All-Cause Mortality

et al. 2021

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IMPORTANCE The 2020 Dietary Guidelines Advisory Committee conducted a systematic review of existing research on diet and health to inform the current Dietary Guidelines for Americans. The committee answered this public health question: what is the association between dietary patterns consumed and all-cause mortality (ACM)? OBJECTIVE To ascertain the association between dietary patterns consumed and ACM. EVIDENCE REVIEW Guided by an analytical framework and predefined inclusion and exclusion criteria developed by the committee, the US Department of Agriculture's Nutrition Evidence Systematic Review (NESR) team searched PubMed, the Cochrane Central Register of Controlled Trials, and Embase and dual-screened the results to identify articles that were published between

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Section: A Priori Studiesmentioning

confidence: 99%

Evaluation of Dietary Patterns and All-Cause Mortality

et al. 2021

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Section: Interaction Analysis For the Potential Synergism Between The Mediterranean Diet And Physical Activitymentioning

confidence: 99%

“…Three articles studied diet and PA as individual factors on mortality (22,43,44) ; meanwhile, one article included PA and diet as components of a lifestyle score and analysed the combined effect of diet and PA as a secondary analysis (45) . Three studies included the sample size and hazard ratios (HR) with 95 % CI for each combination (22,44,45) . The most recent article employed the parametric G-formula to estimate the relative risk associated with hypothetical interventions on the individual and combined effects of the Mediterranean-style diet and PA on all-cause mortality (43) .…”

Section: Interaction Analysis For the Potential Synergism Between The Mediterranean Diet And Physical Activitymentioning

confidence: 99%

“…The most recent article employed the parametric G-formula to estimate the relative risk associated with hypothetical interventions on the individual and combined effects of the Mediterranean-style diet and PA on all-cause mortality (43) . Three articles assessed the MedDiet and PA in tertiles (22,43,44) , whereas the other used dichotomous variables (45) . The diverse cut-off points indicated great heterogeneity for the categorisation of exposures, reinforcing categories are subject to the available data (46) .…”

Section: Interaction Analysis For the Potential Synergism Between The Mediterranean Diet And Physical Activitymentioning

confidence: 99%

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The Mediterranean diet and physical activity: better together than apart for the prevention of premature mortality

et al. 2021

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Diet and physical activity (PA) have been studied extensively in epidemiology as single or combined lifestyle factors; however, their interaction has not been studied thoroughly. Studying potential synergisms between lifestyle components with a comprehensive interaction analysis, including additive measures of interaction, provides key insights into the nature of their joint effect and helps target interventions more effectively. First, a comprehensive review was conducted to assess the potential research gap regarding reported interaction analyses conducted in studies assessing the Mediterranean diet (MedDiet) in combination with PA on all-cause mortality. Thereafter, we prospectively assessed the joint association of the MedDiet with PA on all-cause mortality in the Seguimiento Universidad de Navarra (SUN) cohort, followed by both multiplicative and additive interaction analyses. The conjoint effect of low adherence to the MedDiet and low PA observed an increased risk greater than the individual risk factors, suggesting a potential additive interaction or synergism between both exposures, with relative risk due to interaction (RERI) and (95 % confidence interval (95 % CI)) = 0·46 (–0·83 to 1·75) and attributable proportion (95 % CI) due to interaction of 36 % (–0·62, 1·34). No multiplicative interacaltion was detected. Studying interactions between lifestyle factors, such as the MedDiet and PA, is particularly relevant given the current research gaps in studying the complexities of combined aspects of lifestyle in comparison with isolated behaviours. Our findings underline the important public health message of adhering to both the MedDiet and PA for the prevention of premature mortality.

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“…Physical activity (PA) [13][14][15] plays an important role of improving glycemic control [16] in type 2 diabetes (T2D) as shown in Figure 1 [17]. Moreover, PA achieves several healthcare goals such as [18,19], reducing the risk of cardiovascular disease (CVD) [20,21], increasing the vigour [22], reducing levels of triglyceride-rich VLDL [23], decreasing the insulin resistance [24,25], improving the blood pressure (BP) [26,27], preventing the obesity [28,29], reducing the mortality [30,31] [32,33], enhance cognitive performance [34], enhance the mood [35], and increasing the energy expenditure [36,37]. In recent years, several glucose-monitoring techniques have been conducted [38][39][40][41][42].…”

Section: Introductionmentioning

confidence: 99%

A review of wearable sensors based monitoring with daily physical activity to manage type 2 diabetes

AlShorman

Alshorman²,

Alkahtani

2021

IJECE

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Globally, the aging and the lifestyle lead to rabidly increment of the number of type two diabetes (T2D) patients. Critically, T2D considers as one of the most challenging healthcare issue. Importantly, physical activity (PA) plays a vital role of improving glycemic control T2D. However, daily monitoring of T2D using wearable devices/ sensors have a crucial role to monitor glucose levels in the blood. Nowadays, daily physical activity (PA) and exercises have been used to manage T2D. The main contribution of the proposed study is to review the literature about managing and monitoring T2D with daily PA through wearable devices and sensors. Finally, challenges and future trends are also highlighted.

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Multiple approaches to associations of physical activity and adherence to the Mediterranean diet with all-cause mortality in older adults: the PREvención con DIeta MEDiterránea study

Cited by 20 publications

References 37 publications

Evaluation of Dietary Patterns and All-Cause Mortality

Evaluation of Dietary Patterns and All-Cause Mortality

The Mediterranean diet and physical activity: better together than apart for the prevention of premature mortality

A review of wearable sensors based monitoring with daily physical activity to manage type 2 diabetes

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