Recent advances in precision nutrition and cardiometabolic diseases
Rev Esp Cardiol (Engl Ed). 2024 Sep 30:S1885-5857(24)00279-2.
doi: 10.1016/j.rec.2024.09.003.
Online ahead of print.
[Article in
English,
Spanish]
Authors
Miguel A Martínez-González
1
, Francisco J Planes
2
, Miguel Ruiz-Canela
3
, Estefanía Toledo
3
, Ramón Estruch
4
, Jordi Salas-Salvadó
5
, Rafael Valdés-Más
6
, Pedro Mena
7
, Olga Castañer
8
, Montse Fitó
9
, Clary Clish
10
, Rikard Landberg
11
, Clemens Wittenbecher
12
, Liming Liang
13
, Marta Guasch-Ferré
14
, Rosa M Lamuela-Raventós
15
, Dong D Wang
16
, Nita Forouhi
17
, Cristina Razquin
3
, Frank B Hu
18
Affiliations
- 1 Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Universidad de Navarra, Departamento de Medicina Preventiva y Salud Pública, Pamplona, Navarra, Spain; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States. Electronic address: [email protected].
- 2 Tecnun Escuela de Ingeniería, Departamento de Ingeniería Biomédica y Ciencias, Universidad de Navarra, San Sebastián, Guipúzcoa, Spain.
- 3 Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Universidad de Navarra, Departamento de Medicina Preventiva y Salud Pública, Pamplona, Navarra, Spain.
- 4 Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; Departamento de Medicina Interna, Instituto de Investigaciones Biomédicas August Pi Sunyer (IDIBAPS), Hospital Clínico, Universidad de Barcelona, Barcelona, Spain.
- 5 Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; Instituto de Investigación Sanitaria Pere i Virgili, Departamento de Bioquímica y Biotecnología, Unidad de Nutrición Humana Universidad Rovira i Virgili, Reus, Tarragona, Spain.
- 6 Immunology Department, Weizmann Institute of Science, Rehovot, Israel.
- 7 Dipartimento di Scienze degli Alimenti e del Farmaco, Universitá di Parma, Parma, Italy.
- 8 Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain.
- 9 Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; Unidad de Riesgo Cardiovascular y Nutrición, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, Spain.
- 10 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, United States.
- 11 Division of Food and Nutrition Science, Department of Life Sciences, Chalmers University of Technology, Gothenburg, Sweden.
- 12 Department of Life Sciences, SciLifeLab, Chalmers University of Technology, Gothenburg, Sweden.
- 13 Departments of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States.
- 14 Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States; Department of Public Health and Novo Nordisk Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
- 15 Grup de recerca antioxidants naturals: polifenols, Departament de Nutrició, Ciències de l'Alimentació i Gastronomia, Facultat de Farmàcia, Universitat de Barcelona, Barcelona, Spain; Institut de Nutrició i Seguretat Alimentària (INSA), Universitat de Barcelona (UB), Barcelona, Spain.
- 16 Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States.
- 17 MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
- 18 Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States.
Abstract
A growing body of research on nutrition omics has led to recent advances in cardiovascular disease epidemiology and prevention. Within the PREDIMED trial, significant associations between diet-related metabolites and cardiovascular disease were identified, which were subsequently replicated in independent cohorts. Some notable metabolites identified include plasma levels of ceramides, acyl-carnitines, branched-chain amino acids, tryptophan, urea cycle pathways, and the lipidome. These metabolites and their related pathways have been associated with incidence of both cardiovascular disease and type 2 diabetes. Future directions in precision nutrition research include: a) developing more robust multimetabolomic scores to predict long-term risk of cardiovascular disease and mortality; b) incorporating more diverse populations and a broader range of dietary patterns; and c) conducting more translational research to bridge the gap between precision nutrition studies and clinical applications.
Keywords:
Cardiopatía isquémica; Cardiovascular disease; Diabetes mellitus tipo 2; Dieta mediterránea; Enfermedad cerebrovascular; Epidemiología de la nutrición; Mediterranean diet; Metabolomics; Metabolómica; Nutrición de precisión; Nutritional epidemiology; Precision nutrition; Type 2 diabetes.
Copyright © 2024 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.