title: Mediterranean diet impact on changes in abdominal fat and 10-year incidence of abdominal obesity in a Spanish population.
abstract: Abdominal obesity is a strong predictor of metabolic disorders. Prospective data on the association between the Mediterranean diet and surrogate markers of abdominal adiposity are scarce. The present study evaluated the relationship between adherence to the Mediterranean diet and (1) changes in waist circumference (WC) and (2) 10-year incidence of abdominal obesity. We conducted a prospective, population-based study in 3058 male and female Spaniards aged 25-74 years, followed from 2000 to 2009. Dietary intake and leisure-time physical activity levels were recorded using validated questionnaires. Weight, height and WC were measured. Adherence to the Mediterranean diet, determined using the previously validated REGICOR-Mediterranean diet score (R-MDS), based on the distribution of population food intake and on the dietary recommendations (MDS-rec), was negatively associated with WC gain (P = 0.007 and 0.024, respectively) in fully adjusted models. In the multivariate logistic analysis, the odds of abdominal obesity incidence decreased across the tertiles of the R-MDS, but the association was not significant. In conclusion, adherence to the Mediterranean diet was associated with lower abdominal fat gain, but not with 10-year incidence of abdominal obesity.
authors.affiliation: Cardiovascular Risk and Nutrition Research Group (CARIN-ULEC), Research Program in Inflammatory and Cardiovascular Disorders (RICAD), Institut de Recerca Hospital del Mar (IMIM), Biomedical Research Park, c/Doctor Aiguader 88, Barcelona 08003, Spain.
authors.forename: Anna N
authors.initials: AN
authors.lastname: Funtikova
authors.affiliation: Faculty of Medicine, Autonomous University of Mexico State, Toluca, Mexico.
authors.forename: Alejandra A
authors.initials: AA
authors.lastname: Benítez-Arciniega
authors.affiliation: Cardiovascular Risk and Nutrition Research Group (CARIN-ULEC), Research Program in Inflammatory and Cardiovascular Disorders (RICAD), Institut de Recerca Hospital del Mar (IMIM), Biomedical Research Park, c/Doctor Aiguader 88, Barcelona 08003, Spain.
authors.forename: Santiago F
authors.initials: SF
authors.lastname: Gomez
authors.affiliation: Cardiovascular Risk and Nutrition Research Group (CARIN-ULEC), Research Program in Inflammatory and Cardiovascular Disorders (RICAD), Institut de Recerca Hospital del Mar (IMIM), Biomedical Research Park, c/Doctor Aiguader 88, Barcelona 08003, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Fitó
authors.affiliation: Cardiovascular Epidemiology and Genetics (EGEC-ULEC), Research Program in Inflammatory and Cardiovascular Disorders (RICAD), Institut de Recerca Hospital del Mar (IMIM), Barcelona, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Elosua
authors.affiliation: Cardiovascular Risk and Nutrition Research Group (CARIN-ULEC), Research Program in Inflammatory and Cardiovascular Disorders (RICAD), Institut de Recerca Hospital del Mar (IMIM), Biomedical Research Park, c/Doctor Aiguader 88, Barcelona 08003, Spain.
authors.forename: Helmut
authors.initials: H
authors.lastname: Schröder
mesh_terms: D050153:Abdominal Fat / Q000378:metabolism*; D000328:Adult; D000368:Aged; D038441:Diet, Mediterranean; D002149:Energy Intake; D015444:Exercise; D005260:Female; D006801:Humans; D015994:Incidence; D007899:Leisure Activities; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000453:epidemiology* / Q000378:metabolism / Q000517:prevention & control; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055105:Waist Circumference