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Optimal adherence to a mediterranean diet and high muscular fitness are associated with a healthier cardiometabolic profile in collegiate students

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Ramírez-Vélez, Robinson
Correa Bautista, Jorge Enrique
Ojeda-Pardo, Mónica Liliana
Sandoval-Cuellar, Carolina
García-Hermoso, Antonio
Carrillo, Hugo Alejandro
González-Ruíz, Katherine
Prieto Benavides, Daniel Humberto
Tordecilla Sanders, María Alejandra
Martinkenas, Arvydas

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2018

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Abstract
The aim of the study was to investigate the combined association of adherence to a Mediterranean diet (MedDiet) and muscular fitness (MF) with cardiometabolic health in collegiate students. The present cross-sectional analysis consisted of 1248 (714 females) healthy collegiate students (20.1 ± 2.7 years old). Adherence to a MedDiet was assessed by a KIDMED (Mediterranean Diet Quality Index) questionnaire. Standing broad jump, standing vertical jump, and isometric handgrip dynamometry were used as indicators of MF. The cardiometabolic profile was assessed using the following components: triglycerides, blood pressure, triglycerides, high-density lipoprotein (HDL)-cholesterol, glucose, and waist circumference. Analysis of covariance shows a significant difference in the cardiometabolic profile of both genders between the high MF/low MedDiet and high MF/optimal MedDiet groups, and the low MF/low MedDiet and low MF/optimal MedDiet groups (p < 0.001). No difference was found on cardiometabolic profile between high MF/optimal MedDiet and high MF/low MedDiet, both in males and females. Additionally, logistic regression shows that both female (odds ratio (OR) = 2.01; 95% confidence interval (CI): (1.8–3.7); p = 0.02) and male (OR = 3.38; 95% CI: (1.9–5.8); p < 0.001) participants in the optimal MedDiet/high MF group had the highest odds of expressing a healthier cardiometabolic profile as compared to those in the low MF/low MedDiet group. In conclusion, a combination of high MF levels and optimal adherence to a MedDiet is associated with a healthier cardiometabolic profile; however, high MF levels seem to circumvent the deleterious effects of having a low adherence to a MedDiet. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.
Palabras clave
Cholesterol , Skeletal , High Density Lipoprotein Cholesterol , Triacylglycerol , Biological Marker , High Density Lipoprotein Cholesterol , Triacylglycerol , Anthropometry , Body Mass , Cardiovascular Performance , Cardiovascular Risk , College Student , Cross-Sectional Study , Dietary Compliance , Human , Kinanthropometry , Major Clinical Study , Male , Mean Arterial Pressure , Mediterranean Diet , Muscle Strength , Muscular Fitness , Musculoskeletal System Parameters , Physical Activity , Social Status , Waist Circumference , Adolescent , Analysis , Blood , Blood Pressure , Chi Square Distribution , Colombia , Diet , Feeding Behavior , Fitness , Glucose Blood Level , Healthy Diet , Metabolic Syndrome X , Muscle Contraction , Muscle Strength , Nutritional Status , Nutritional Value , Pathophysiology , Physiology , Protection , Risk Factor , Skeletal Muscle , Statistical Model , Student , Young Adult , Adolescent , Biomarkers , Blood Glucose , Blood Pressure , Chi-Square Distribution , Cholesterol , Colombia , Cross-Sectional Studies , Diet Surveys , Diet , Feeding Behavior , Healthy Diet , Logistic Models , Male , Metabolic Syndrome , Muscle Contraction , Muscle Strength , Muscle , Nutritional Status , Nutritive Value , Physical Fitness , Protective Factors , Students , Triglycerides , Waist Circumference , Young Adult , Colesterol , Glucosa , Colesterol HDL , Triacilglicerol
Keywords
Metabolic syndrome , Healthy dietary patterns , Muscular strength , Adult , Article , Female , Odds Ratio , Adult , Female , Humans , Odds Ratio , Risk Factors
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