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

Public Health Nutrition

Alfredo Gea¹  Carmen Sayón-Orea¹  Itziar Zazpe¹  Maira Bes-Rastrollo¹  Miguel A Martinez-Gonzalez¹  Adriano M Pimenta¹  Roberto Lopez-Iracheta¹ 

关键词: Snacks;    Meals;    Metabolic syndrome X;    Cohort studies;    Spain;   

DOI  :  10.1017/S1368980015001342

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

AbstractObjective To evaluate the association of snacking between main meals with the risk of developing metabolic syndrome.DesignA 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.SettingUniversity of Navarra, Spain.SubjectsThe study included 6851 university graduates, initially free of metabolic syndrome, and followed-up them for a median of 8·3 years.ResultsAmong 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

【 授权许可】

Unknown