TABLE 3.
Association between adherence to the alternate Mediterranean Diet Score (aMED) and adjusted geometric mean concentrations of plasma lipid peroxidation and serum antioxidants1
| Outcome and model | Difference per 1-unit increase in aMED | 95% CI | Mean aMED2 |
P value3 | |||
| 0–2 | 2.01–3 | 3.01–4 | 4.01–9 | ||||
| % | |||||||
| No. of cycles | — | — | 128 | 187 | 126 | 68 | — |
| Lipid peroxidation | |||||||
| 8-iso-PGF2α (pg/mL) | |||||||
| Energy adjusted | −4.48 | (−6.35, −2.58) | 50.57 | 48.67 | 46.61 | 45.06 | 0.01 |
| Fully adjusted4 | −4.50 | (−6.32, −2.65) | 54.49 | 52.33 | 49.98 | 48.85 | 0.003 |
| 9-HODE (μmol/L) | |||||||
| Energy adjusted | −13.45 | (−17.21, −9.53) | 0.19 | 0.16 | 0.13 | 0.11 | 0.05 |
| Fully adjusted4 | −14.01 | (−17.88, −9.96) | 0.19 | 0.15 | 0.13 | 0.12 | <0.001 |
| TBARS (nmol/mL) | |||||||
| Energy adjusted | 0.87 | (−0.21, 1.96) | 0.84 | 0.84 | 0.83 | 0.88 | 0.19 |
| Fully adjusted4 | 1.01 | (−0.10, 2.22) | 0.83 | 0.83 | 0.82 | 0.86 | 0.12 |
| Antioxidants | |||||||
| α-Tocopherol (μg/mL) | |||||||
| Energy adjusted | −0.04 | (−0.90, 0.83) | 8.00 | 7.91 | 8.06 | 7.97 | 0.69 |
| Fully adjusted5 | 0.16 | (−0.67, 0.99) | 8.25 | 8.19 | 8.33 | 8.24 | 0.75 |
| δ-Tocopherol (μg/mL) | |||||||
| Energy adjusted | 0.64 | (−0.35, 1.64) | 0.17 | 0.17 | 0.18 | 0.19 | 0.48 |
| Fully adjusted5 | 0.64 | (−0.41, 1.64) | 0.15 | 0.15 | 0.16 | 0.17 | 0.39 |
| γ-Tocopherol (μg/mL) | |||||||
| Energy adjusted | −1.39 | (−3.04, 0.32) | 1.67 | 1.67 | 1.66 | 1.60 | 0.27 |
| Fully adjusted5 | −1.29 | (−2.75, 0.67) | 1.65 | 1.65 | 1.64 | 1.59 | 0.44 |
| Retinol (μg/mL) | |||||||
| Energy adjusted | −0.12 | (−0.98, 0.76) | 0.37 | 0.37 | 0.37 | 0.37 | 0.60 |
| Fully adjusted5 | −0.08 | (−0.94, 0.79) | 0.38 | 0.38 | 0.38 | 0.38 | 0.89 |
| Ascorbic acid6 (mg/dL) | |||||||
| Energy adjusted | 1.44 | (0.14, 2.77) | 1.69 | 1.67 | 1.73 | 1.73 | 0.04 |
| Fully adjusted5 | 1.39 | (0.07, 2.72) | 1.67 | 1.65 | 1.71 | 1.70 | 0.07 |
8-iso-PGF2α, F2-isoprostane; 9-HODE, 9-hydroxyoctadecadieneoic acid; TBARS, thiobarbituric acid reactive substances. Analyses used linear mixed models with random intercepts.
Values are geometric means.
P values were calculated by using a test for trend across aMED category.
Adjusted for energy intake (kcal, continuous), age (continuous), race (white, black, other), BMI (continuous), plasma ascorbic acid (continuous), and serum cholesterol (continuous).
Adjusted for energy intake (kcal, continuous), age (continuous), race (white, black, other), BMI (continuous), and serum cholesterol (continuous).
Ascorbic acid was measured in plasma.