Resumen de Dietary Glycemic Index and Glycemic Load Are Positively Associated with Risk of Developing Metabolic Syndrome in Middle-Aged and Elderly Adults
Martí Juanola-Falgarona, Jordi Salas Salvadó, Pilar Buil Cosiales, Dolores Corella Piquer, Ramón Estruch Riba, Emilio Ros Rahola, Montserrat Fitó Colomer, Javier Recondo, Enrique Gómez Gracia, Miguel Fiol Sala, José Lapetra Peralta, Rosa María Lamuela Raventós, Lluís Serra Majem, Xavier Pintó Sala, Miguel A. Muñoz, Valentina Ruiz Gutiérrez, José Alfredo Martínez Hernández, Itandehui Castro Quezada, Mònica Bulló Bonet
Objectives To evaluate how glycemic index (GI) and glycemic load (GL) are associated with the metabolic syndrome (MetS) and its features in middle-aged and elderly adults at high cardiovascular risk.
Design Prospective, longitudinal, population-based cohort.
Setting PREvención con DIeta MEDiterránea study.
Participants Men and women (N = 6,606) divided into three age groups (<65, 65–74, ≥75).
Measurements Energy and nutrient intake was evaluated using a validated 137-item food frequency questionnaire. MetS and its features were defined in accordance with the criteria of the American Heart Association and National Heart, Lung, and Blood Institute.
Results A positive association was observed between GI and MetS prevalence in the youngest and middle age groups for participants without diabetes mellitus, but no relationship was found for those with diabetes mellitus. During the median follow-up of 4.8 years, higher GI and GL were related to greater risk of MetS in the middle age group, independent of the presence of diabetes mellitus. Changes in dietary GI were associated with risk of developing the high fasting glucose component of the MetS in the oldest age category, and changes in dietary GL were associated with risk of developing abdominal obesity, hypertriglyceridemia, low high-density lipoprotein cholesterol, and high blood pressure in the youngest age category.
Conclusion Dietary GI and GL have a potential role in the development of MetS and associated clinical features, with particular age-dependent considerations.
