Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 63, Issue 10, Pages 1991-2000Publisher
WILEY-BLACKWELL
DOI: 10.1111/jgs.13668
Keywords
glycemic index; glycemic load; metabolic syndrome; cardiovascular disease; PREDIMED
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ObjectivesTo 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. DesignProspective, longitudinal, population-based cohort. SettingPREvencion con DIeta MEDiterranea study. ParticipantsMen and women (N=6,606) divided into three age groups (<65, 65-74, 75). MeasurementsEnergy 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. ResultsA 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 4.8years, 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. ConclusionDietary GI and GL have a potential role in the development of MetS and associated clinical features, with particular age-dependent considerations.
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