Nutrition patterns and metabolic syndrome A need for action in young adults (French Nutrition and Health Survey - ENNS, 2006-2007)

Objective The objective of this study was to investigate the relationship between adherence to French diet and physical activity recommendations and metabolic syndrome (MetS) risk Methods 18-74-year-old subjects who underwent dietary assessment and health examination in the 2006-2007 French Nutrition and Health Survey (Etude Nationale Nutrition Sante ENNS 2006-2007) were included in the analyses (n = 1608) Quintiles of PNNS-GS the score measuring adherence to French recommendations were generated The prevalence of overall MetS risk and separate components across quintiles of PNNS-GS was estimated by adjusted logistic regressions Interactions were searched for between PNNS-GS and sex age and currently used medication Results The PNNS GS was inversely associated with overall MetS risk in subjects not taking antidiabetic antihypertensive or lipid-lowering medication (128% in the lowest quintile vs 46% in the highest PNNS GS quintile P<0 01) This was true in 18-49-year old subjects (100% vs 1 7% P<0 01) but not in 50-74-year-olds (238% vs 112% P = 0 15) In 18-49 year-old adults including those taking such medication the HDL component was associated with PNNS-GS (22 1% vs 79% P<0 01) Conclusion Improvement in diet and physical activity in line with recommendations could be effective in young adults for MetS prevention so as to decrease the risk of cardiovascular disease in France (C) 2010 Elsevier Inc All rights reserved