Associations of energy intake and type 2 diabetes with hypertryglyceridemia in older adults living in the Mediterranean islands: The Medis study

Stefanos Tyrovolas, George Pounis, Akis Zeimbekis, Mary Antonopoulou, Vassiliki Bountziouka, Efthimios Gotsis, George Metallinos, Anna Polystipioti, Evangelos Polychronopoulos, Christos Lionis, Demosthenes B. Panagiotakos

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Abstract

The aim of the present work was to evaluate the associations of bio-clinical, dietary, and other lifestyle characteristics with the prevalence of hypertriglyceridemia among older individuals living in the Mediterranean islands. Information was collected for an extensive array of demographic, bio-clinical, and dietary characteristics, including serum lipids, body weight and height, and food group and nutrient information derived from a food frequency questionnaire. Serum lipid analyses showed that 37% and 35% of males and females, respectively, had elevated triglyceride (TG) levels. After adjustment for a variety of potential confounders, including age, gender, hypertension, physical activity, smoking, and energy consumption, individuals with type 2 diabetes (T2D) had a 112% higher likelihood of hypertriglyceridemia (95% CI 1.28-3.51). When reported energy intake was quantified in tertiles of consumption, those in the highest tertile (i.e., intakes > 1300 kcal) had a 156% higher (p < 0.01) likelihood of having hypertriglyceridemia compared to the lowest tertile (i.e., < 1000 kcal). Analysis by gender showed that energy intake did not predict hypertriglyceridemia in females (p = 0.31) or in those who were normal weight (p = 0.16) or overweight (p = 0.96). However, in males (odds ratio per 1 kcal = 1.001, 95% CI 1.000-1.002) and obese participants (odds ratio per 1 kcal = 1.001, 95% CI 1.000-1.002), excess energy consumption was associated with elevated TG. In conclusion, we found that a considerable proportion of the older adults living in the Mediterranean islands and participating in this study had elevated TG levels. Furthermore, the energy intake and a finding of T2D were positively associated with occurrence of hypertriglyceridemia.

Original languageEnglish
Pages (from-to)72-86
Number of pages15
JournalJournal of Nutrition for the Elderly
Volume29
Issue number1
DOIs
Publication statusPublished - Jan 2010

Keywords

  • Diet
  • Energy
  • Hypertriglyceridemia
  • Nutrients
  • Older adults
  • Triglycerides

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    Tyrovolas, S., Pounis, G., Zeimbekis, A., Antonopoulou, M., Bountziouka, V., Gotsis, E., Metallinos, G., Polystipioti, A., Polychronopoulos, E., Lionis, C., & Panagiotakos, D. B. (2010). Associations of energy intake and type 2 diabetes with hypertryglyceridemia in older adults living in the Mediterranean islands: The Medis study. Journal of Nutrition for the Elderly, 29(1), 72-86. https://doi.org/10.1080/01639360903574668