<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-14T03:40:13Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/16905" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/16905</identifier><datestamp>2025-04-28T06:38:19Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>com_20.500.12105_15322</setSpec><setSpec>col_20.500.12105_19608</setSpec><setSpec>col_20.500.12105_16963</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Sotos-Prieto, Mercedes</subfield>
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      <subfield code="a">Maroto-Rodriguez, Javier</subfield>
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      <subfield code="a">Ortolá, Rosario</subfield>
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      <subfield code="a">Martínez-Gómez, David</subfield>
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      <subfield code="a">García-Esquinas, Esther</subfield>
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      <subfield code="a">Buño-Soto, Antonio</subfield>
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      <subfield code="a">Rodríguez-Artalejo, Fernando</subfield>
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      <subfield code="c">2023-02-01</subfield>
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      <subfield code="a">Background: Growth Differentiation Factor 15 (GDF-15) is a marker of inflammation and oxidative stress that has been associated with multiple age-related chronic diseases. Since lifestyle is key for preventing these adverse health outcomes, we examined the association between a Mediterranean lifestyle and GDF-15 serum concentrations in Spanish older adults. Methods: We used cross-sectional data from 2502 older adults participating in the Seniors ENRICA-2 cohort. Adherence to the Mediterranean lifestyle was assessed with the 27-item MEDLIFE index, divided into three blocks: 1) "Mediterranean food consumption, 2) Mediterranean dietary habits, 3) Physical activity, rest, social habits, and conviviality". Analyses of the association between the MEFLIFE index and GDF-15 concentrations were performed using multivariable linear regression models adjusting for the main potential confounders. Results: The MEDLIFE index was inversely associated with GDF-15. Compared with participants in the lowest quartile of the MEDLIFE score, GDF-15 mean percentage differences (95% CI) were -3.0% (-8.0, 2.3) for the second quartile, -8.7% (-13.0, -4.1) for the third quartile, and -10.1% (-15.0, -4.9) for the fourth quartile (p-trend&lt;0.001). Block 3 of MEDLIFE, and particularly doing sufficient physical activity, adequate sleep duration, and participating in collective sports, was individually linked to lower concentrations of GDF-15. Results remained similar after excluding participants with cardiovascular disease, type 2 diabetes, or obesity. Conclusions: A Mediterranean lifestyle was associated with reduced levels of GDF-15, suggesting that a combination of multiple lifestyles may be an integral approach to reduce chronic inflammation and disease burden in older adults.</subfield>
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      <subfield code="a">Free Radic Biol Med. 2023 Feb 1:195:192-198.</subfield>
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      <subfield code="a">10.1016/j.freeradbiomed.2022.12.090</subfield>
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      <subfield code="a">1873-4596</subfield>
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      <subfield code="a">Free radical biology &amp; medicine</subfield>
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      <subfield code="a">36584798</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/16905</subfield>
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      <subfield code="a">Biomarkers</subfield>
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      <subfield code="a">Physical activity</subfield>
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      <subfield code="a">Inflammaging</subfield>
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      <subfield code="a">Association between a Mediterranean lifestyle and growth differentiation factor 15: The seniors ENRICA-2 cohort</subfield>
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