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Article

Metabolic syndrome criteria and severity and carbon dioxide (CO2) emissions in an adult population

Publicated to:Globalization And Health. 19 (1): 50-50 - 2023-07-13 19(1), DOI: 10.1186/s12992-023-00948-3

Authors: Garcia, Silvia; Pastor, Rosario; Monserrat-Mesquida, Margalida; Rubin-Garcia, Maria; Martinez-Gonzalez, Miguel Angel; Salas-Salvado, Jordi; Corella, Dolores; Goday, Albert; Martinez, J Alfredo; Alonso-Gomez, Angel M; Warnberg, Julia; Vioque, Jesus; Romaguera, Dora; Lopez-Miranda, Jose; Estruch, Ramon; Tinahones, Francisco J; Lapetra, Jose; Serra-Majem, Lluis; Riquelme-Gallego, Blanca; Pinto, Xavier; Gaforio, Jose J; Matia, Pilar; Vidal, Josep; Vazquez, Clotilde; Daimiel, Lidia; Ros, Emilio; Sayon-Orea, Carmen; Guillem-Saiz, Patricia; Valle-Hita, Cristina; Cabanes, Robert; Abete, Itziar; Goicolea-Guemez, Leire; Gomez-Gracia, Enrique; Tercero-Macia, Cristina; Colom, Antoni; Garcia-Rios, Antonio; Castro-Barquero, Sara; Fernandez-Garcia, Jose C; Santos-Lozano, Jose Manuel; Cenoz, Juan Carlos; Barragan, Rocio; Khoury, Nadine; Castaner, Olga; Zulet, Maria Angeles; Vaquero-Luna, Jessica; Bes-Rastrollo, Maira; de las Heras-Delgado, Sara; Ciurana, Ramon; Martin-Sanchez, Vicente; Tur, Josep A; Bouzas, Cristina

Affiliations

Biochemistry and Biotechnology Department. Human Nutrition Unit, Universitat Rovira i Virgili, IISPV, Hospital Universitari de Sant Joan, Reus, 43201, Spain. - Author
Cardiometabolics Precision Nutrition Program, IMDEA Food, CEI UAM + CSIC, Madrid, 28049, Spain. - Author
Catholic Univ Avila, Fac Hlth Sci, Avila 05005, Spain - Author
CEI UAM CSIC, Cardiometab Precis Nutr Program, IMDEA Food, Madrid 28049, Spain - Author
CEI UAM CSIC, Precis Nutr & Obes Program, IMDEA Food Nutr Control Epigenome Grp, Madrid 28049, Spain - Author
Centro Salud Raval, Elche-Alicante, 03203, Spain. - Author
CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, 28029, Spain. - Author
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, 28029, Spain. - Author
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, 28029, Spain. pep.tur@uib.es. - Author
CIBEROBN, Guillem Colom Bldg, E-07122 Palma De Mallorca, Spain - Author
Ctr Salud Raval, Elche Alicante 03203, Spain - Author
Departament of Medicine, Universitat Autònoma de Barcelona, Barcelona, 08003, Spain. - Author
Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, 28040, Spain. - Author
Department of Endocrinology and Nutrition, Lipid Clinic, Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, Barcelona, 08036, Spain. - Author
Department of Endocrinology, Fundación Jiménez-Díaz, Madrid, 28040, Spain. - Author
Department of Endocrinology, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, 08036, Spain. - Author
Department of Endocrinology, Virgen de la Victoria Hospital, University of Málaga, Málaga, 29010, Spain. - Author
Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, 41013, Spain. - Author
Department of Health Sciences, Center for Advanced Studies in Olive Grove and Olive Oils, University of Jaen, Jaen, 23071, Spain. - Author
Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, 08036, Spain. - Author
Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, Málaga, 29071, Spain. - Author
Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, 31008, Spain. - Author
Department of Preventive Medicine and Public Health, University of Navarra, IDISNA, Pamplona, 31008, Spain. - Author
Department of Preventive Medicine, University of Granada, Granada, 18071, Spain. - Author
Department of Preventive Medicine, University of Valencia, Valencia, 46100, Spain. - Author
Department of Public Health and Psychiatry, School of Medicine, Biomedical Research Institute of Malaga (IBIMA), University of Malaga, Málaga, 29010, Spain. - Author
Dist Sanitario Atenc Primaria Sevilla, Dept Family Med, Res Unit, Seville 41013, Spain - Author
Faculty of Health Sciences, Catholic University of Avila, Avila, 05005, Spain. - Author
Fdn Jimenez Diaz, Dept Endocrinol, Madrid 28040, Spain - Author
Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, 07120, Spain. - Author
Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, 07120, Spain. pep.tur@uib.es. - Author
Hlth Res Inst Balearic Isl IdISBa, Palma de Mallorca 07120, Spain - Author
Hosp Clin Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Endocrinol & Nutr, Lipid Clin, Barcelona 08036, Spain - Author
Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Barcelona 08907, Spain - Author
Inst Hosp del Mar Invest Med Municipal Invest Med, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain - Author
Inst Invest Sanitaria San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid 28040, Spain - Author
Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain - Author
Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain - Author
Institute for Biomedical Research, University of Las Palmas de Gran Canaria, Las Palmas, 35016, Spain. - Author
Institute of Biomedicine (IBIOMED), University of León, Leon, 24071, Spain. - Author
Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández (ISABIAL-UMH), Alicante, 03550, Spain. - Author
Lipids and Atherosclerosis Unit, Department of Internal Medicine, Reina Sofia University Hospital, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Córdoba, 14004, Spain. - Author
Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, 08907, Spain. - Author
Navarra Institute of Public Health. Regional Health Service of Navarra, Pamplona, Spain. - Author
Navarra Regional Health Service, Primary Health Care Services, Pamplona, Spain. - Author
Osakidetza Basque Health Service, Bioaraba Health Research Institute, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, 48013, Spain. - Author
Precision Nutrition and Obesity Program.IMDEA Food, Nutritional Control of the Epigenome Group, CEI UAM + CSIC, Madrid, 28049, Spain. - Author
Primary Hlth Care Serv, Navarra Reg Hlth Serv, Pamplona, Spain - Author
Reg Hlth Serv Navarra, Navarra Inst Publ Hlth, Pamplona, Spain - Author
Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands & CIBEROBN, Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain. - Author
Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands & CIBEROBN, Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain. pep.tur@uib.es. - Author
Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, 08003, Spain. - Author
Univ Autonoma Barcelona, Dept Med, Barcelona 08003, Spain - Author
Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Guillem Colom Bldg, E-07122 Palma De Mallorca, Spain - Author
Univ Barcelona, Hosp Clin, Dept Endocrinol, IDIBAPS, Barcelona 08036, Spain - Author
Univ Barcelona, Hosp Clin, Dept Internal Med, IDIBAPS, Barcelona 08036, Spain - Author
Univ Basque Country UPV EHU, Araba Univ Hosp, Bioaraba Hlth Res Inst, Osakidetza Basque Hlth Serv, Vitoria 48013, Spain - Author
Univ Cordoba, Reina Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Dept Internal Med,Lipid & Atherosclerosis Unit, Cordoba 14004, Spain - Author
Univ Granada, Dept Prevent Med, Granada 18071, Spain - Author
Univ Jaen, Ctr Adv Studies Olive Grove & Olive Oils, Dept Hlth Sci, Jaen 23071, Spain - Author
Univ Las Palmas Gran Canaria, Inst Biomed Res, Las Palmas Gran Canaria 35016, Spain - Author
Univ Leon, Inst Biomed IBIOMED, Leon 24071, Spain - Author
Univ Malaga, Biomed Res Inst Malaga IBIMA, Sch Med, Dept Publ Hlth & Psychiat, Malaga 29010, Spain - Author
Univ Malaga, Sch Hlth Sci, Dept Nursing, IBIMA, Malaga 29071, Spain - Author
Univ Malaga, Virgen de la Victoria Hosp, Dept Endocrinol, Malaga 29010, Spain - Author
Univ Miguel Hernandez ISABIAL UMH, Inst Invest Sanitaria & Biomed Alicante, Alicante 03550, Spain - Author
Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain - Author
Univ Navarra, Dept Prevent Med & Publ Hlth, IDISNA, Pamplona 31008, Spain - Author
Univ Rovira i Virgili, Hosp Univ St Joan, Biochem & Biotechnol Dept, Human Nutr Unit,IISPV, Reus 43201, Spain - Author
Univ Valencia, Dept Prevent Med, Valencia 46100, Spain - Author
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Abstract

Metabolic syndrome (MetS) has become a growing risk factor of some non-communicable diseases. Increase of greenhouse gas emissions affects the planet.To assess the association between MetS severity and amount of carbon dioxide (CO2) emitted in an adult population.Cross-sectional study (n = 6646; 55-76-year-old-men; 60-75-year-old-women with MetS).Dietary habits were assessed using a pre-validated semi quantitative 143-item food frequency questionnaire. The amount of CO2 emitted due to the production of food consumed by person and day was calculated using a European database, and the severity of the MetS was calculated with the MetS Severity Score.Higher glycaemia levels were found in people with higher CO2 emissions. The risk of having high severe MetS was related to high CO2 emissions.Low CO2 emissions diet would help to reduce MetS severity. Advantages for both health and the environment were found following a more sustainable diet.ISRCTN, ISRCTN89898870 . Registered 05 September 2013.© 2023. The Author(s).

Keywords

Co2 emissionsDietEnvironmentGlycaemiaMetabolic syndromeNon-communicable diseases

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Globalization And Health due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 28/408, thus managing to position itself as a Q1 (Primer Cuartil), in the category Public, Environmental & Occupational Health. Notably, the journal is positioned above the 90th percentile.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.3, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-26, the following number of citations:

  • WoS: 2
  • Scopus: 2

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-26:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 41.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 41 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 9.08.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/20.500.11797/imarina9325569