Diet Quality and Consumption of Healthy and Unhealthy Foods Measured via the Global Diet Quality Score in Relation to Cardiometabolic Outcomes in Apparently Healthy Adults from the Mediterranean Region: The ATTICA Epidemiological Cohort Study (2002-2022).

The Global Diet Quality Score (GDQS) is a novel food-based score that assesses both nutrient adequacy and chronic disease risk, by evaluating healthy (GDQS+) and unhealthy foods (GDQS-). The aim of this study was to evaluate the association among GDQS, GDQS+, and GDQS- against the 20-year risk of cardiometabolic outcomes in a Mediterranean population. The sample was n = 2169 initially free of cardiovascular disease (CVD) participants of the ATTICA study (2002-2022) that participated in the 20-year follow-up. The incidence of CVD, hypertension, hypercholesterolemia, and type 2 diabetes mellitus (T2DM) was defined according to WHO-ICD-10 criteria. The GDQS was computed based on previously published instructions. In multivariate analyses, a higher diet quality, per 1/49 of the GDQS, was associated with an 8% [95% Confidence Interval-CI: 6-9%] and 2% [95% CI: 1-3%] lower CVD and T2DM risk, respectively. A higher consumption of healthy foods, per 1/32 of GDQS+, was associated with a 9% [95% CI: 7-11%] and 2% [95% CI: 1-3%] lower CVD and T2DM risk, respectively. Contrarily, a lower consumption of unhealthy foods (GDQS-) was not associated with cardiometabolic events in the adjusted models (all p value< 0.05). In clinical practice or future public health actions to ameliorate dietary habits and prevent CVD and T2DM, more attention should be focused on healthy foods that should be included in our diets.

Influence of temperature on female, embryonic and hatchling traits in syntopic newts, Ichthyosaura alpestris and Lissotriton vulgaris.

Amphibian populations have been declining globally for the last several decades, and climate change is often regarded as one of the most important factors driving these declines. Amphibians are particularly sensitive to climatic changes due to their physiological, ecological and behavioral characteristics. Here we performed a laboratory experiment to investigate how temperature affects ovipositing females, eggs and hatchlings in two syntopic populations of alpine newts, Ichthyosaura alpestris, and smooth newts, Lissotriton vulgaris. Female newts were assigned to two different oviposition temperatures (11°C and 14°C) for the duration of their oviposition period. Deposited eggs were equally divided and assigned to three different incubation temperatures (11°C, 14°C and 17°C). We hypothesized that oviposition will be affected by temperature, that the combination of different oviposition and incubation temperatures may have an effect on embryonic and hatchling traits (embryonic mortality, days to hatch and hatchling length), and that these effects might differ between the two newt species. Temperature affected the number of deposited eggs in smooth newts, but not in alpine newts. Larval hatching success was not affected by oviposition or incubation temperature. Temperature effects on hatching time and hatchling length differed between the two species. These results suggest that temperature changes may have disparate effects on amphibian reproduction, even in syntopic taxa.