Relationship of Mediterranean Diet and Its Components with Parameters of Structure, Vascular Function, and Vascular Aging in Subjects Diagnosed with Long COVID: BioICOPER Study.

Introduction: Long COVID (LC) is associated with an increase in cardiovascular risk and chronic inflammation, whereas the Mediterranean Diet (MD) seems to improve the aforementioned factors. The aim of this study is to analyse the relationship between MD and its components with vascular structure, f...

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Published in:Nutrients Vol. 17; no. 20; pp. 3226 - 3246
Main Authors: Navarro-Cáceres, Alicia, Gómez-Sánchez, Leticia, Arroyo-Romero, Silvia, Suárez-Moreno, Nuria, Domínguez-Martín, Andrea, Lugones-Sánchez, Cristina, González-Sánchez, Susana, Rodríguez-Sánchez, Emiliano, García-Ortiz, Luis, Gómez-Sánchez, Marta, Navarro-Matias, Elena, Gómez-Marcos, Manuel A.
Format: clinical trial research tables/charts Journal Article
Published: MDPI Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
      vid: 17
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      pid: 97109
      pub: MDPI
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        10.3390/nu17203226
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        atl: Relationship of Mediterranean Diet and Its Components with Parameters of Structure, Vascular Function, and Vascular Aging in Subjects Diagnosed with Long COVID: BioICOPER Study.
      aug:
        au:
          Navarro-Cáceres, Alicia
          Gómez-Sánchez, Leticia
          Arroyo-Romero, Silvia
          Suárez-Moreno, Nuria
          Domínguez-Martín, Andrea
          Lugones-Sánchez, Cristina
          González-Sánchez, Susana
          Rodríguez-Sánchez, Emiliano
          García-Ortiz, Luis
          Gómez-Sánchez, Marta
          Navarro-Matias, Elena
          Gómez-Marcos, Manuel A.
        affil: Primary Care Research Unit of Salamanca (APISAL), Salamanca Primary Care Management, Institute of Biomedical Research of Salamanca (IBSAL), 37005 Salamanca, Spain
      sug:
        subj:
          Aging Physiology
          Vascular Diseases Diet Therapy
          Mediterranean Diet Evaluation
          Post-Acute COVID-19 Syndrome Complications
          Cardiovascular System Physiology Evaluation
          Cardiovascular Risk Factors Prevention and Control
          Heart Anatomy and Histology
          Sex Factors Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Funding Source
          Ankle Brachial Index
          Carotid Intima-Media Thickness
          Pulse Wave Velocity
          Cross Sectional Studies
          Questionnaires
          Olive Oil Metabolism
          Dietary Fats Metabolism
          Logistic Regression
          Dietary Patterns Evaluation
          Academic Medical Centers
          Guideline Adherence
          Life Style
          Anthropometry
          Blood Pressure Physiology
          Fasting
          Biochemical Phenomena
          Age Factors
          Sex Factors
          Alcohol Abuse Complications
          Smoking Complications
          Disease Duration
          Drugs, Prescription Therapeutic Use
          Metabolic Syndrome X Diet Therapy
          Odds Ratio
          Confidence Intervals
          Endothelium Metabolism
          Clinical Trials
          Lipoproteins, LDL Blood
          Lipoproteins, HDL Blood
          Triglycerides Blood
          Blood Glucose Analysis
          T-Tests
          Chi Square Test
          Descriptive Statistics
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Long COVID (LC) is associated with an increase in cardiovascular risk and chronic inflammation, whereas the Mediterranean Diet (MD) seems to improve the aforementioned factors. The aim of this study is to analyse the relationship between MD and its components with vascular structure, function, and aging in patients diagnosed with LC globally and by sex. Methods: This study was a cross-sectional study with 304 subjects diagnosed with LC; 207 were women and 97 men. Adherence to MD was evaluated with a validated MEDAS questionnaire, composed of 14 items. The vascular structure was assessed using carotid intima-media thickness (cIMT). Three measurements were carried out to evaluate vascular function: cardio-ankle vascular index (CAVI), brachial-ankle pulse wave velocity (baPWV), and carotid-femoral pulse wave velocity (cfPWV). Vascular aging index (VAI) was estimated. Results: The MD score was 7.80 ± 2.33, with no difference between sexes. Vascular function and aging parameter values were higher in men than in women. Use of olive oil as the principal source of fat for cooking, and consuming <1 serving of butter/day and <1 sugar-sweetened beverage/day showed >90% adherence. Logistic regression analysis displayed associations between cIMT < 0.625 and use of olive oil in the global analysis (OR = 0.148) and among men (OR = 0.120), and <2 commercial pastries/week in global (OR = 0.536). cfPWV < 7.400 m/s was associated with DM score ≥ 8 in global (OR = 0.444) and in women, as well as with <2 pastries/week in women (OR = 0.405). baPWV < 12.315 m/s was associated with ≥3 servings of pulses/week in global (OR = 0.481) and among women, as was <2 pastries/week in global (OR = 0.471) and in women. CAVI < 7.450 was associated with ≥4 tablespoons of olive oil/day in men. VAI < 63.693 was associated with DM score ≥ 8 in global (OR = 0.458) and in women, as well as <2 pastries/week in global (OR = 0.392). Conclusions: Adherence to MD was associated with lower cfPWV and VAI measures in the global analysis and among women. In particular, several of the components were associated with a better vascular profile in LC patients.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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