Nutrition (Burbank, Los Angeles County, Calif.) · 2026
The Amazonian diet and its association with metabolic syndrome in adolescents: Insights from the ERICA study.
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Medina Marcela, Rosa Priscila Bárbara Zanini, Cureau Felipe V, Tavares Bruno M, Bloch Katia V, Leotti Vanessa B, de Leon Elisa Brosina, da Costa Mayara Suelirta, Schaan Beatriz D, Drehmer Michele
Аннотация
BACKGROUND: The Amazon region offers a diverse array of foods rich in phenolic compounds, unsaturated fatty acids, carotenoids, phytosterols, tocopherols, and vitamins, which are associated with a reduced cardiovascular risk, but evidence linking the Amazonian diet with metabolic syndrome (MetS) in adolescents from northern Brazil is limited.
OBJECTIVES: To examine the association between the Amazonian diet and MetS, as well as its components, among adolescents in the northern region of Brazil.
METHODS: The Study of Cardiovascular Risks in Adolescents (ERICA) includes 7041 adolescents aged 12 to 17 y residing in this northern region of Brazil, who had blood samples taken. The Amazonian diet was assessed through 24-h food recall. Associations with MetS and its components were evaluated using multivariate Poisson regression, adjusted for sociodemographic, nutritional, behavioral, and anthropometric factors.
RESULTS: Higher Amazonian diet intake was linked to a 23% lower prevalence of high blood pressure (PR 0.77, 95% CI 0.61-0.96), 14% lower insulin resistance (PR 0.86, 95% CI 0.76-0.97), and a borderline 5% lower prevalence of low HDL-cholesterol (PR 0.95, 95% CI 0.90-1.00), but a 38% higher prevalence of elevated triglycerides (PR 1.38, 95% CI 1.07-1.59) compared to those with intake levels below the median. No significant association was found between the Amazonian diet and the prevalence of MetS.
CONCLUSIONS: Higher consumption of the Amazonian diet was associated with a lower prevalence of high blood pressure, low HDL levels, and reduced insulin resistance in adolescents, along with a higher prevalence of elevated triglycerides.
OBJECTIVES: To examine the association between the Amazonian diet and MetS, as well as its components, among adolescents in the northern region of Brazil.
METHODS: The Study of Cardiovascular Risks in Adolescents (ERICA) includes 7041 adolescents aged 12 to 17 y residing in this northern region of Brazil, who had blood samples taken. The Amazonian diet was assessed through 24-h food recall. Associations with MetS and its components were evaluated using multivariate Poisson regression, adjusted for sociodemographic, nutritional, behavioral, and anthropometric factors.
RESULTS: Higher Amazonian diet intake was linked to a 23% lower prevalence of high blood pressure (PR 0.77, 95% CI 0.61-0.96), 14% lower insulin resistance (PR 0.86, 95% CI 0.76-0.97), and a borderline 5% lower prevalence of low HDL-cholesterol (PR 0.95, 95% CI 0.90-1.00), but a 38% higher prevalence of elevated triglycerides (PR 1.38, 95% CI 1.07-1.59) compared to those with intake levels below the median. No significant association was found between the Amazonian diet and the prevalence of MetS.
CONCLUSIONS: Higher consumption of the Amazonian diet was associated with a lower prevalence of high blood pressure, low HDL levels, and reduced insulin resistance in adolescents, along with a higher prevalence of elevated triglycerides.