High-quality intake of carbohydrates is associated with lower prevalence of subclinical atherosclerosis in femoral arteries: The AWHS study
Entidad
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaEditor
Churchill LivingstoneFecha de edición
2021-06-01Cita
10.1016/j.clnu.2021.04.049
Clinical Nutrition 40.6 (2021): 3883-3889
ISSN
15321983 (online); 0261-5614 (print)DOI
10.1016/j.clnu.2021.04.049Financiado por
This study was supported in part by CIBERCV and grants PIE16/ 00022, PI18/01929, PI19/00020, PI19/00948 and PI20/00144 from the Instituto de Salud Carlos III (co-supported by the European Regional Development Fund ‘Investing in your future’).ML's research activity is funded by Agencia Aragonesa para la Investigación y el Desarrollo (ARAID).Proyecto
Gobierno de España. PIE16/00022; Gobierno de España. PI18/01929; Gobierno de España. PI19/00020; Gobierno de España. PI19/00948; Gobierno de España. PI20/00144Materias
Atherosclerosis; Carbohydrate quality index; Carbohydrates; Cardiovascular disease; MedicinaDerechos
© 2021 The Author(s)Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Resumen
Background and aims: High-quality of the carbohydrates consumed, apart from their total amount, appear to protect from cardiovascular disease (CVD). However, the relationship between the quality of carbohydrates and the early appearance of atherosclerosis has not yet been described. Our objective was to estimate the association between the quality of dietary carbohydrates and subclinical atherosclerosis in femoral and carotid arteries. Methods: Cross-sectional study of femoral and carotid atherosclerosis assessed using ultrasounds of 2074 middle-aged males, 50.9 (SD 3.9) years old, with no previous CVD, and pertaining to the Aragon Workers’ Health Study (AWHS) cohort. Food frequency questionnaires were used to calculate a carbohydrate quality index (CQI) defined as: consumption of dietary fiber, a lower glycemic index, the ratio of whole grains/total grains, and the ratio of solid carbohydrates/total carbohydrates. The presence of plaques across four CQI intervals was studied using adjusted logistic regression models. Results: The CQI showed a direct inverse association with subclinical atherosclerosis in femoral territories. Participants with a higher consumption of high-quality carbohydrates (13–15 points) were less likely to have femoral plaques when compared with participants in the lowest index interval (4–6 points) (OR = 0.59; 95% CI = 0.39, 0.89; p = 0.005). No association was found between the CQI and the presence of subclinical atherosclerosis in carotid territories. A lower consumption of high-quality carbohydrates tended to be associated with a greater atherosclerosis extension, considered as the odds for having more affected territories (p = 0.011). Conclusions: Among middle-aged males, a high-quality intake of carbohydrates is associated with a lower prevalence of femoral artery subclinical atherosclerosis when compared with a lower consumption. Thus, indicating an early relationship between the quality of carbohydrates and the development of CVD.
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Google Scholar:Muñoz-Cabrejas, A.
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Laclaustra, M.
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Guallar Castillón, María Pilar
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Casasnovas, J. A.
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Jarauta, E.
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Sandoval-Insausti, H.
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Donat-Vargas, C.
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Moreno-Franco, B.
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