Variability of nutrients intake, lipid profile and cardiovascular mortality among geographical areas in Spain: The DRECE study

Cámara, Agustı́n Gómez de la; Esteban, Eva De Andrés; Urrútia, Gerard; Sandubete, Enrique Calderón; Herrera, Miguel Angel Rubio; Orenga, Miguel Menéndez; Pablos, David Lora

doi:10.4081/gh.2017.524

Cited by 4 publications

(8 citation statements)

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“…In addition, all regions saw a progressive increase in the consumption of this type of food (5.2–11%) during the 17 years of the study, similar to the overall increase in Spain. The Canary Islands is one of the regions with higher relative consumption of ultra-processed foods, which is in agreement with the dietary pattern found in other studies on this region, in which it has been characterized by high intakes of fats and carbohydrates (present at high levels in UPFs) with respect to other regions of Spain [ 76 ]. The north, north-west, and west regions showed worsening in their dietary patterns, being the regions with the highest increases in UPF consumption over time, and reaching the highest percentages of intake in 2008 (36%, 35.5%, and 34% of total intake, respectively) together with the Canary Islands.…”

Section: Discussionsupporting

confidence: 90%

Geographical and Temporal Variability of Ultra-Processed Food Consumption in the Spanish Population: Findings from the DRECE Study

et al. 2022

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The consumption of ultra-processed foods (UPFs) has increased in recent decades, worldwide. Evidence on the negative impacts of food processing on health outcomes has also been steadily increasing. The aim of this study is to describe changes in consumption patterns of ultra-processed foods in the Spanish population over time and their geographical variability. Data from four representative cohorts of the Spanish population were used (1991–1996–2004–2008). Dietary information was collected using a validated frequency questionnaire and categorized using the NOVA classification. A total increase of 10.8% in UPF consumption between 1991 and 2008 was found in Spain (p-value < 0.001). The products contributing most to UPF consumption were sugar-sweetened beverages, processed meats, dairy products, and sweets. Those who consumed more ultra-processed foods were younger (p-value < 0.001) and female (p-value = 0.01). Significant differences between the different geographical areas of Spain were found. The eastern part of Spain was the area with the lowest UPF consumption, whereas the north-western part was the area with the highest increase in UPF consumption. Given the negative effect that the consumption of ultra-processed foods has on health, it is necessary to implement public health policies to curb this increase in UPF consumption.

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Section: Discussionsupporting

confidence: 90%

Geographical and Temporal Variability of Ultra-Processed Food Consumption in the Spanish Population: Findings from the DRECE Study

et al. 2022

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“…The recently published DRECE study ( Diet and Risk of Cardiovascular Diseases in Spain ) prospectively evaluated the nutrient consumption and lipid profile of the diets of 4783 individuals by geographical area, between 1991 and 2010. Researchers found that the East and Southern areas of Spain had the highest fat intake, coupled with a high unhealthy lipid profile rate and cardiovascular mortality [ 12 ]. In addition, micronutrient intakes can be seriously compromised by poor or unbalanced dietary patterns, especially for those target population groups in which requirements are increased (i.e., women of childbearing age, children, and seniors).…”

Section: Discussionmentioning

confidence: 99%

“…In fact, when assessing food consumption, the potential recall bias introduced by respondents in reporting their diets is strongly associated with a tendency to overestimate food consumption accepted as healthy and underestimate the least healthy food. This must be taken into account [ 12 ]. It is crucial to improve the tools for studying and assessing the energy intakes and losses of “free living” independent subjects.…”

Section: Discussionmentioning

confidence: 99%

“…Many factors have been shown to influence our food selection and dietary habits, including geographical situation or place of residence, cultural and intrapersonal variables, and other SEFs, such as education and income [ 3 ]. Nevertheless, only few studies describe the present situation in our country [ 11 , 12 , 13 , 14 ]. What we do know, is that the Spanish diet has slowly but continuously drifted away from the Mediterranean dietary pattern over the last two decades, and this pattern is recognized as the healthy model to pursue [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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The Influence of Place of Residence, Gender and Age Influence on Food Group Choices in the Spanish Population: Findings from the ANIBES Study

et al. 2018

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Socioeconomic factors (SEF) can exert a great impact on food choices. However, limited data are available from the Spanish population. Our aim was to describe the influence of place of residence and habitat size on food group intakes. Data were obtained from the ANIBES study. A 3-day dietary record provided information on food and beverage consumption. Data analysis compared gender, age, Nielsen geographic areas, and habitat population size (urban, semi-urban, and rural). Place of residence did not appear to be a determinant for specific food group consumption during childhood and adolescence, as only higher intakes of non-alcoholic beverages were observed among children aged 9 to 12 years living in the East, when compared to those from the Northwest of Spain (p < 0.05). Food choices within adults (18 to 64 years) and seniors (65 to 75 years) were conditioned: sugar and sweets intake was significantly higher (p < 0.05) for adult men living in the Northwest than those from the South, and senior males from North Central areas had significantly higher consumption of eggs (p < 0.05) compared to the Northeast. Basic food group consumption was only affected during childhood and aging. Adults who inhabited rural areas consumed greater quantities of fats and oils than those from higher population densities (p < 0.01). Our results indicate that place of residence and habitat size have a limited influence on food choices, regardless of age and gender in the ANIBES study population. It is fundamental to acknowledge that other SEF variables are important and further studies are needed to monitor and assess these influences are warranted.

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“…Disorders of glucose homeostasis and lipid metabolism are commonly seen in CVDs and T2DM. Lipid profile abnormalities including representative markers such as triglyceride (TG), high-density lipoprotein-cholesterol (HDL-C), and low-density lipoprotein-cholesterol (LDL-C), are important indicators of cardiac metabolic risk and play a significant role in the development of CVDs 6. Insulin (INS) resistance is the main etiology and pathogenesis of T2DM 7.…”

Section: Introductionmentioning

confidence: 99%

<p>Endoplasmic reticulum stress may be involved in insulin resistance and lipid metabolism disorders of the white adipose tissues induced by high-fat diet containing industrial trans-fatty acids</p>

Zhu¹,

Niu²,

Wang³

et al. 2019

DMSO

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Background Consumption of industrially produced trans-fatty acids (iTFAs) can result in alteration to lipid profile and glucose metabolism. Moreover, a diet high in iTFAs could increase the risk of obesity, cardiovascular diseases (CVDs) and type 2 diabetes mellitus. Glucose and lipid metabolism are closely linked in white adipose tissue (WAT), yet the underlying mechanisms of the effect of iTFAs in WAT are poorly understood. Materials and methods Parameters of glucose homeostasis, lipid profiles and markers of endoplasmic reticulum (ER) stress of WAT were measured in rats maintained on a high-fat diet containing margarine (HFD-M) (n=10) compared to controls maintained on standard chow (n=10) over 16 weeks. Results Fat mass and body weight was significantly increased in rats maintained on the HFD-M compared to controls ( P <0.01). HFD-M rats had increased levels of insulin (INS), homeostasis model assessment of insulin resistance and serum lipid profile was significantly altered. The expression of glucose-regulated protein 78 (GRP78) and the phosphorylation of inositol-requiring enzyme 1-alpha and c-Jun N-terminal kinase (JNK) were significantly increased in subcutaneous and retroperitoneal adipose depots of HFD-M-fed rats. In vitro, wider ER lumens were observed in 100μmol/L elaidic acid (EA)-treated human mature adipocytes. We observed activation of ER stress markers, impaired INS receptor signaling and increased lipogenesis in adipocytes after EA exposure. These effects could be alleviated by inhibiting ER stress in adipocytes in vitro. Conclusion Collectively these data suggest that ER stress may be involved in INS resistance and lipid metabolism disorders induced by high-fat diet containing iTFAs. These findings suggest that WAT could be regarded as a key target organ for inhibiting ER stress to reverse the impaired INS receptor signaling, alleviate lipid metabolism disorders, and provide a novel approach to prevent and treat INS resistance and dyslipidemia-related chronic diseases such as T2MD and CVDs.

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Variability of nutrients intake, lipid profile and cardiovascular mortality among geographical areas in Spain: The DRECE study

Cited by 4 publications

References 42 publications

Geographical and Temporal Variability of Ultra-Processed Food Consumption in the Spanish Population: Findings from the DRECE Study

Geographical and Temporal Variability of Ultra-Processed Food Consumption in the Spanish Population: Findings from the DRECE Study

The Influence of Place of Residence, Gender and Age Influence on Food Group Choices in the Spanish Population: Findings from the ANIBES Study

<p>Endoplasmic reticulum stress may be involved in insulin resistance and lipid metabolism disorders of the white adipose tissues induced by high-fat diet containing industrial trans-fatty acids</p>

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