Research Article

Adherence to the Mediterranean Diet and Circulating Levels of Sirtuin 4 in Obese Patients: A Novel Association

Table 8

Correlations of circulating levels of Sirt4 with PREDIMED score, total energy, and daily macronutrient/micronutrient intake.

ParametersCirculating levels of Sirt4 (ng/mL)
Simple correlationAdjusted for total energy (kcal)
r valuer value

PREDIMED score0.820<0.0010.3560.021
Total energy (kcal)−0.818<0.001
Protein (% of total kcal)0.511<0.0010.1000.529
INQ protein0.742<0.0010.4530.003
Carbohydrate (% of total kcal)−0.0700.656−0.0330.838
INQ carbohydrate0.661<0.0010.1840.242
 Complex (% of total kcal)0.3950.0090.0820.606
 Simple (% of total kcal)−0.4720.001−0.1330.477
Fat (% of total kcal)−0.822<0.001−0.2800.073
INQ Fat0.578<0.0010.0600.704
 SFA (% of total kcal)−0.730<0.001−0.3700.016
 MUFA (% of total kcal)0.739<0.0010.1380.384
 PUFA (% of total kcal)−0.1240.4300.0500.754
  n-6 PUFA (g/day)−0.546<0.001−0.1070.502
  n-3 PUFA (g/day)0.854<0.0010.646<0.001
  n-6/n-3 PUFAs ratio−0.541<0.0010.1230.438
Cholesterol (mg/day)−0.3360.028−0.0070.964
Fiber (g/day)0.3050.047−0.0260.872
Retinol Eq (μg/day)0.3370.027−0.0290.854
Vitamin C (mg/day)0.825<0.0010.4760.001
Vitamin D (μg/day)0.4070.0070.0830.601
Vitamin E (mg/day)0.834<0.0010.3290.034
Iron (mg/day)0.3350.0280.0670.673
Selenium (μg/day)0.4210.0050.2050.192
Zinc (mg/day)0.5050.0010.0200.900
MAI0.833<0.0010.4350.004

Correlations among variables were performed Spearman’s rho correlation coefficients. Circulating levels of Sirt4 were significantly associated with all the macronutrients/micronutrients evaluated in this study, except with carbohydrate and n-6 PUFA. After adjusting for total energy intake, the associations between circulating levels of Sirt4 and the study variables were lost, except for PREDIMED score, the consumption of fat, SFA and n-3 PUFA, and the intake of vitamins C and E. Sirt4: sirtuin 4; PREDIMED: PREvención con DIeta MEDiterránea; INQ: index of nutritional quality; SFA: saturated fatty acids; MUFA: monounsaturated fatty acids; PUFA: polyunsaturated fatty acids; MAI: Mediterranean adequacy index.