Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)

OBJECTIVE: To evaluate the association of snacking between main meals with the risk of developing metabolic syndrome. DESIGN: A dynamic prospective cohort study (the SUN Project; Seguimiento Universidad de Navarra). Snack consumption was evaluated using the question: 'Do you have the hab...

Full description

Bibliographic Details
Main Authors: Martinez-Gonzalez, M.A. (Miguel Ángel), Lopez-Iracheta, R. (Roberto), Zazpe, I. (Itziar), Sayon-Orea, C. (Carmen), Gea, A. (Alfredo), Bes-Rastrollo, M. (Maira), Pimenta, A.M. (Adriano Marçal)
Format: info:eu-repo/semantics/article
Language:eng
Published: Cambridge University 2017
Subjects:
Online Access:https://hdl.handle.net/10171/43077
_version_ 1793399992546754560
author Martinez-Gonzalez, M.A. (Miguel Ángel)
Lopez-Iracheta, R. (Roberto)
Zazpe, I. (Itziar)
Sayon-Orea, C. (Carmen)
Gea, A. (Alfredo)
Bes-Rastrollo, M. (Maira)
Pimenta, A.M. (Adriano Marçal)
author_facet Martinez-Gonzalez, M.A. (Miguel Ángel)
Lopez-Iracheta, R. (Roberto)
Zazpe, I. (Itziar)
Sayon-Orea, C. (Carmen)
Gea, A. (Alfredo)
Bes-Rastrollo, M. (Maira)
Pimenta, A.M. (Adriano Marçal)
author_sort Martinez-Gonzalez, M.A. (Miguel Ángel)
collection DSpace
description OBJECTIVE: To evaluate the association of snacking between main meals with the risk of developing metabolic syndrome. DESIGN: A dynamic prospective cohort study (the SUN Project; Seguimiento Universidad de Navarra). Snack consumption was evaluated using the question: 'Do you have the habit of snacking between main meals?' Metabolic syndrome was defined according to the updated harmonizing criteria. We estimated multivariable-adjusted relative risks (RR) of metabolic syndrome and their 95 % confidence intervals using Poisson regression models. An exploratory factor analysis was also used to identify patterns of snacking. SETTING: University of Navarra, Spain. SUBJECTS: The study included 6851 university graduates, initially free of metabolic syndrome, and followed-up them for a median of 8·3 years. RESULTS: Among our participants, 34·6% reported usual snacking between main meals. The cumulative incidence of metabolic syndrome was 5·1 % (9·5% among men and 2·8% among women). Snacking between main meals was significantly associated with higher risk for developing metabolic syndrome after multivariable adjustment (RR=1·44; 95%CI 1·18, 1·77). Higher adherence to an 'unhealthy snacking pattern' was also independently associated with increased incidence of metabolic syndrome (fourth quartile of adherence compared with non-snacking: RR=1·68; 95% CI 1·23, 2·29; P for trend <0·001). CONCLUSIONS: Our findings suggest that avoidance of snacking between main meals can be included among the preventive approaches to reduce the risk of metabolic syndrome development, especially when snacks contain foods of poor nutritional quality.
format info:eu-repo/semantics/article
id oai:dadun.unav.edu:10171-43077
institution Universidad de Navarra
language eng
publishDate 2017
publisher Cambridge University
record_format dspace
spelling oai:dadun.unav.edu:10171-430772022-06-29T09:41:39Z Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra) Martinez-Gonzalez, M.A. (Miguel Ángel) Lopez-Iracheta, R. (Roberto) Zazpe, I. (Itziar) Sayon-Orea, C. (Carmen) Gea, A. (Alfredo) Bes-Rastrollo, M. (Maira) Pimenta, A.M. (Adriano Marçal) Spain Snacks Metabolic syndrome X Meals Cohort studies Materias Investigacion::Ciencias de la Salud::Salud pública OBJECTIVE: To evaluate the association of snacking between main meals with the risk of developing metabolic syndrome. DESIGN: A dynamic prospective cohort study (the SUN Project; Seguimiento Universidad de Navarra). Snack consumption was evaluated using the question: 'Do you have the habit of snacking between main meals?' Metabolic syndrome was defined according to the updated harmonizing criteria. We estimated multivariable-adjusted relative risks (RR) of metabolic syndrome and their 95 % confidence intervals using Poisson regression models. An exploratory factor analysis was also used to identify patterns of snacking. SETTING: University of Navarra, Spain. SUBJECTS: The study included 6851 university graduates, initially free of metabolic syndrome, and followed-up them for a median of 8·3 years. RESULTS: Among our participants, 34·6% reported usual snacking between main meals. The cumulative incidence of metabolic syndrome was 5·1 % (9·5% among men and 2·8% among women). Snacking between main meals was significantly associated with higher risk for developing metabolic syndrome after multivariable adjustment (RR=1·44; 95%CI 1·18, 1·77). Higher adherence to an 'unhealthy snacking pattern' was also independently associated with increased incidence of metabolic syndrome (fourth quartile of adherence compared with non-snacking: RR=1·68; 95% CI 1·23, 2·29; P for trend <0·001). CONCLUSIONS: Our findings suggest that avoidance of snacking between main meals can be included among the preventive approaches to reduce the risk of metabolic syndrome development, especially when snacks contain foods of poor nutritional quality. 2017-03-10T13:02:13Z 2017-03-10T13:02:13Z 2015 info:eu-repo/semantics/article https://hdl.handle.net/10171/43077 eng info:eu-repo/semantics/openAccess application/pdf Cambridge University
spellingShingle Spain
Snacks
Metabolic syndrome X
Meals
Cohort studies
Materias Investigacion::Ciencias de la Salud::Salud pública
Martinez-Gonzalez, M.A. (Miguel Ángel)
Lopez-Iracheta, R. (Roberto)
Zazpe, I. (Itziar)
Sayon-Orea, C. (Carmen)
Gea, A. (Alfredo)
Bes-Rastrollo, M. (Maira)
Pimenta, A.M. (Adriano Marçal)
Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title_full Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title_fullStr Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title_full_unstemmed Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title_short Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)
title_sort snacking between main meals is associated with a higher risk of metabolic syndrome in a mediterranean cohort: the sun project (seguimiento universidad de navarra)
topic Spain
Snacks
Metabolic syndrome X
Meals
Cohort studies
Materias Investigacion::Ciencias de la Salud::Salud pública
url https://hdl.handle.net/10171/43077
work_keys_str_mv AT martinezgonzalezmamiguelangel snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT lopezirachetarroberto snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT zazpeiitziar snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT sayonoreaccarmen snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT geaaalfredo snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT besrastrollommaira snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra
AT pimentaamadrianomarcal snackingbetweenmainmealsisassociatedwithahigherriskofmetabolicsyndromeinamediterraneancohortthesunprojectseguimientouniversidaddenavarra