2026-09-14T06:55:14Zhttps://gredos.usal.es/oai/request
oai:gredos.usal.es:10366/1696992026-02-11T01:01:56Zcom_10366_4074com_10366_4055com_10366_3946com_10366_3823col_10366_4075
Gestión del Repositorio Documental de la Universidad de Salamanca author Gómez Sánchez, Leticia author González Falcón, David Eleazar author Llamas Ramos, Rocío author Cortés Rodríguez, María author Rodríguez Sánchez, Emiliano author García Ortiz, Luis author Llamas Ramos, Inés author Gómez Sánchez, Marta author Gómez Marcos, Manuel Ángel 2026-02-10T11:30:57Z 2026-02-10T11:30:57Z 2024-08-05 Gómez-Sánchez, L., González-Falcon, D., Llamas-Ramos, R., Rodríguez, M. C., Rodríguez-Sánchez, E., García-Ortiz, L., Llamas-Ramos, I., Gómez-Sánchez, M., & Gómez-Marcos, M. A. (2024). The Relationship between Healthy Vascular Aging with the Mediterranean Diet and Other Lifestyles in the Spanish Population: The EVA Study. Nutrients, 16(15), 2565. https://doi.org/10.3390/nu16152565 http://hdl.handle.net/10366/169699 10.3390/nu16152565 39125444 2072-6643 [EN]The aim of this study was to analyze the relationship between healthy vascular aging (HVA) and the Mediterranean diet alongside other lifestyles in a Spanish population aged 35 to 75 years without previous cardiovascular diseases. In this cross-sectional descriptive study, 501 individuals aged 35 to 75 years were recruited from five health centers by random sampling stratified by age and sex (55.90 ± 14.24 years, 49.70% men). HVA was determined in two steps. Step 1: Subjects with vascular damage to the carotid arteries or peripheral arterial disease were classified as non-HVA. Step 2: The study population was classified by age and sex using the percentiles of the vascular aging index (VAI), with VAI ≤p25 considered HVA and >p25 considered non-HVA. The VAI was estimated using the following formula (VAI = (log (1.09) × 10 cIMT + log (1.14) cfPWV) × 39.1 + 4.76. Carotid-femoral pulse wave velocity (cfPWV) was measured with the SphygmoCor® device, and carotid intima-media thickness using Sonosite Micromax® ultrasound. Mediterranean diet (MD) adherence, alcohol and tobacco use were recorded through validated questionnaires. Physical activity was assessed with the ActiGraph-GT3X® accelerometer. The mean VAI value was 61.23 ± 12.86 (men-63.47 ± 13.75 and women-59.04 ± 11.54; p < 0.001). HVA was found in 18.9% (men-19.9% and women-17.8%). In the multiple regression analysis after adjusting for possible confounding factors, the mean VAI value showed a positive association with alcohol use (β = 0.020) and sedentary hours per week (β = 0.109) and a negative association with hours of activity per week (β = -0.102) and with the number of healthy lifestyles (β = -0.640). In the logistic regression analysis, after adjusting for possible confounding factors and compared to those classified as non-HVA, subjects classified as HVA were more likely to show MD adherence (OR = 0.571), do more than 26 h per week of physical activity (OR = 1.735), spend under 142 h per week being sedentary (OR = 1.696), and have more than two healthy lifestyles (OR = 1.877). The results of this study suggest that the more time spent doing physical activity and the less time spent in a sedentary state, the lower the vascular aging index and the greater the likelihood of being classified in the group of subjects with HVA. eng Attribution-NonCommercial-NoDerivs 3.0 Unported Mediterranean diet Tobacco Alcohol Physical activity Sedentary time Healthy vascular aging The Relationship between Healthy Vascular Aging with the Mediterranean Diet and Other Lifestyles in the Spanish Population: The EVA Study. info:eu-repo/semantics/article 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 URL https://gredos.usal.es/bitstream/10366/169699/1/nutrients-16-02565.pdf File MD5 35831e39a142b74183e3958d584c8c73 1886692 application/pdf nutrients-16-02565.pdf URL https://gredos.usal.es/bitstream/10366/169699/4/nutrients-16-02565.pdf.txt File MD5 af44159290bbe1f29bb41ffb57779dda 82583 text/plain nutrients-16-02565.pdf.txt