RT Journal Article T1 Dietary folate intake and metabolic syndrome in participants of PREDIMED‑Plus study: a cross‑sectional study. A1 Navarrete-Muñoz, Eva-Maria A1 Vioque, Jesus A1 Toledo, Estefania A1 Oncina-Canovas, Alejando A1 Martinez-Gonzalez, Miguel Angel A1 Salas-Salvado, Jordi A1 Corella, Dolores A1 Fito, Montserrat A1 Romaguera, Dora A1 Alonso-Gomez, Angel M A1 Wärnberg, Julia A1 Martínez, J Alfredo A1 Serra-Majem, Luís A1 Estruch, Ramon A1 Tinahones, Francisco J A1 Lapetra, Jose A1 Pinto, Xavier A1 Tur, Josep A A1 Lopez-Miranda, Jose A1 Bueno-Cavanillas, Aurora A1 Matia-Martin, Pilar A1 Daimiel, Lidia A1 Martin-Sanchez, Vicente A1 Vidal, Josep A1 de-Cos-Blanco, Ana Isabel A1 Ros, Emili A1 Diez-Espino, Javier A1 Babio, Nancy A1 Fernandez-Carrion, Rebeca A1 Castañer, Olga A1 Colom, Antoni A1 Compañ-Gabucio, Laura A1 Salaverria-Lete, Itziar A1 Crespo-Oliva, Edelys A1 Abete, Itziar A1 Tomaino, Laura A1 Casas, Rosa A1 Fernandez-Garcia, Jose Carlos A1 Santos-Lozano, Jose Manuel A1 Sarasa, Iziar A1 Gamez, Jose M A1 Garcia-Rios, Jose M Antonio A1 Martín-Pelaez, Sandra A1 Ruiz-Canela, Miguel A1 Diaz-Lopez, Andres A1 Martinez-Lacruz, Raul A1 Zomeño, Maria Dolors A1 Rayo, Elena A1 Gisbert-Selles, Cristina A1 Canudas, Silvia A1 Goday, Albert A1 García-de-la-Hera, Manoli K1 Folate intake K1 Dietary intake K1 Cardiometabolic risk K1 Obesity K1 Overweight K1 Blood pressure K1 Glucose metabolism K1 Triglycerides AB We examined the association between dietary folate intake and a score of MetS (metabolic syndrome) and its components among older adults at higher cardiometabolic risk participating in the PREDIMED-Plus trial. A cross-sectional analysis with 6633 with overweight/obesity participants with MetS was conducted. Folate intake (per 100 mcg/day and in quintiles) was estimated using a validated food frequency questionnaire. We calculated a MetS score using the standardized values as shown in the formula: [(body mass index + waist-to-height ratio)/2] + [(systolic blood pressure + diastolic blood pressure)/2] + plasma fasting glucose-HDL cholesterol + plasma triglycerides. The MetS score as continuous variable and its seven components were the outcome variables. Multiple robust linear regression using MM-type estimator was performed to evaluate the association adjusting for potential confounders. We observed that an increase in energy-adjusted folate intake was associated with a reduction of MetS score (β for 100 mcg/day = - 0.12; 95% CI: - 0.19 to - 0.05), and plasma fasting glucose (β = - 0.03; 95% CI: - 0.05 to - 0.02) independently of the adherence to Mediterranean diet and other potential confounders. We also found a positive association with HDL-cholesterol (β = 0.07; 95% CI: 0.04-0.10). These associations were also observed when quintiles of energy-adjusted folate intake were used instead. This study suggests that a higher folate intake may be associated with a lower MetS score in older adults, a lower plasma fasting glucose, and a greater HDL cholesterol in high-risk cardio-metabolic subjects. PB Springer Medizin YR 2021 FD 2021-03 LK http://hdl.handle.net/10668/16735 UL http://hdl.handle.net/10668/16735 LA en NO Navarrete-Muñoz EM, Vioque J, Toledo E, Oncina-Canovas A, Martínez-González MÁ, Salas-Salvadó J, et al. Dietary folate intake and metabolic syndrome in participants of PREDIMED-Plus study: a cross-sectional study. Eur J Nutr. 2021 Mar;60(2):1125-1136. DS RISalud RD Oct 31, 2025