Prevention & lipidsCross-sectional study

Association of healthy dietary patterns and cardiorespiratory fitness in the community

Eur J Prev CardiolPublished

  • Cross-sectional study
  • community-based
  • metabolomic profiling

Authors' conclusion

Higher diet quality is associated with greater CRF cross-sectionally in a middle-aged community-dwelling sample, and metabolites highlight potential shared favourable effects on cardiometabolic health.

Study context

Population
Framingham Heart Study participants (54 ± 9 years, 54% female, BMI 28 ± 5 kg/m²) with cardiopulmonary exercise testing and food frequency questionnaires1,154 with metabolite profiling
Participants
2,380 participants
Exposure
Dietary quality indices vs peak VO2
Outcome
Peak VO2 (CRF) by dietary indices (AHEI, MDS)

Main finding

As reported in the abstract

Peak VO2 per 1 SD higher dietary index

1 SD higher Alternative Healthy Eating Index (AHEI): greater peak VO2 (1.2 mL/kg/min), 95% CI 4.3-6.0%, P < 0.0001

5.2%

1 SD higher MDS: greater peak VO2 (1.0 mL/kg/min), 95% CI 3.6-5.3%, P < 0.0001

4.5%

Observational data: associations, not effects.

Further findings

Metabolites associated with both dietary indices and peak VO2

Metabolites concordantly associated (FDR < 5%)
24
Lower cardiorespiratory fitness (CRF) and poorer diet: C6 and C7 carnitines, C16:0 ceramide, dimethylguanidino valeric acid
Higher CRF and favourable diet: C38:7 phosphatidylcholine plasmalogen, C38:7 and C40:7 phosphatidylethanolamine plasmalogens
  • N = 1154 with metabolite profiling

Original publication

Association of healthy dietary patterns and cardiorespiratory fitness in the community. Eur J Prev Cardiol. Published 28 April 2023. doi:10.1093/eurjpc/zwad113

Summarised from the published abstract; every number is checked against it