David Aguilar-Alvarez

David Aguilar-Alvarez


Research Focus & Metrics

Academic Career Length

8Years (2019-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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27 November 2019 in Nutrients
Verified
Journal Article
Open access
PDF file
SSSara Saltzgiver
Sara Saltzgiver
ANAlexander Nielson
Alexander Nielson
HCHeidi Costello
Heidi Costello
ABAdam Baker
Adam Baker
JCJulian Chan
Julian Chan
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
MyPlate is a guidance system for healthier eating choices. In this cross-sectional study, we investigated the influence of MyPlate food group consumption and exercise on metabolic syndrome (MetS) parameters in college students. Participant (n = 462) blood was analyzed using Cholestech for triglycerides (TG), glucose, low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C). In addition, weight, waist circumference (WC), and blood pressure (BP) were measured. Diet and Wellness Plus was used to compute participant diet records. Regression analysis and a recursive decision tree were made to predict MetS using RStudio (V.1.1.463). BP decision tree predicted high risk of elevated blood pressure with a recall rate of 93.7%. For males; exercise, empty calories, dairy, and protein were main predictors. For females, vegetable and empty calorie consumption were primary determinants. HDL-C decision tree had a recall rate of 91.8% and showed that the main low HDL-C risk determinants for males were; exercise and grain consumption. Conversely, for females; empty calories, grain, and vegetable consumption were the key factors determining low HDL-C risk. This study shows that MyPlate recommendations are valuable to achieve adequate HDL-C and blood pressure and provides insight into the importance of tailoring food intake guidance based on gender.

4 September 2020 in Nutrients
Verified
Journal Article
Open access
PDF file
ACApril Callister
April Callister
JGJoanna Gautney
Joanna Gautney
CAChristina Aguilar
Christina Aguilar
JCJulian Chan
Julian Chan
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
Multiple studies have demonstrated strong links between diet and anemia, but few have explored the impact of food groups on hemoglobin (Hb). We analyzed the correlation between Ghanaian diet and Hb levels to explore reduction of anemia prevalence through dietary interventions. Demographics, food frequency questionnaires (FFQ), and blood samples were obtained from 140 volunteers (ages 18–65) in five locations across Ghana. Hb was measured; estimated iron consumption was calculated. FFQ items were grouped by food type, and a regression analysis was performed to determine the most important dietary predictors of Hb. Moreover, 47% of total participants were anemic; 64% of females and 28% of males. Hb levels were highest in Mole (13.9 g/dL, SD = ±1.9), independent of sex distribution. The regression model revealed a 62.7% adjusted correlation between food groups and Hb levels. Animal foods (β = 0.016, t = 5.08, p < 0.01) and plant protein (β = 0.013, t = 2.86, p < 0.01) were the most influential groups to Hb levels. It is of vital importance to emphasize the benefits of consuming animal foods and plant proteins within the Ghanaian population. The ease of access to plant proteins makes it likely that this food group will be most influential and have the greatest impact in reduction of anemia in the Ghanaian population.

29 January 2026 in Nutrients
Verified
Journal Article
Open access
PDF file
DJDamon Joyner
Damon Joyner
TCTracy M Covey
Tracy M Covey
LKLeigh Komperda
Leigh Komperda
MLMargarita López
Margarita López
SHSaori Hanaki
Saori Hanaki
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
Background/Objectives: Carotenoids are pigmented phytochemicals known for their antioxidant properties, known to protect against oxidative damage, especially in the context of intense exercise. The purpose of this paper was to observe and analyze the short-term effects of running a full marathon on skin and plasma carotenoid levels in endurance runners. Methods: This study recruited 24 healthy endurance runners (12 male, 12 female; mean age 37 years) registered for a 26.2-mile marathon. Skin carotenoid (SC) measures were taken via reflection spectroscopy, and plasma carotenoid concentrations (lycopene and β-carotene) were assessed via HPLC at three time points: pre-race, immediately post-race, and 48 h post-race. Changes across time were analyzed using repeated-measures ANOVA. Results: Skin carotenoid levels significantly changed over time, dropping from pre-race to post-race (p < 0.001), reflecting rapid utilization. At 48 h post-race, SC levels rebounded significantly, exceeding baseline measurements (p = 0.019). Plasma lycopene concentrations increased significantly from pre-race to post-race (p = 0.018) and remained elevated at 48 h. Plasma β-carotene concentrations showed no statistically significant change. Conclusions: The significant acute depletion of SC levels immediately following the marathon reflects the rapid utilization of these dermal antioxidants in response to the high oxidative stress generated by intense exercise. The elevation in plasma lycopene may reflect hemoconcentration resulting from intense activity and possible mobilization from tissue stores. The rapid rebound and overshoot in SC levels 48 h after the race are consistent with a recovery pattern of dermal carotenoid levels following acute depletion.

30 September 2025 in Nutrients
Verified
Journal Article
Open access
PDF file
JGJoanna Gautney
Joanna Gautney
CAChristina Aguilar
Christina Aguilar
JCJulian Chan
Julian Chan
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
Background/Objectives: Diabetes mellitus is a global public health crisis, with cases projected to rise to 1.3 billion by 2050. Lifestyle interventions are crucial in preventing and managing Type 2 diabetes. This study used a machine learning approach to explore the relationship between dietary components and fasting blood glucose in a young adult population, with a focus on potential sex-specific differences. Methods: This cross-sectional study analyzed data from 288 young adults (195 females, 93 males; mean age 23 years). Participants provided two-day diet records, and their fasting capillary blood glucose was measured. Machine learning was used to predict blood glucose based on a variety of dietary variables, including fiber, macronutrient proportions, and fat types. Energy expenditure was used as a proxy for energy intake. Models were created for the overall population, males, and females. Results: In the overall population, the most important predictor of fasting blood glucose was fiber intake. For females, the most important predictor was energy expenditure, followed by fat quality (linoleic to alpha-linolenic acid ratio and saturated fat intake). For males, the most predictive factor was the percentage of calories from fat, followed by alpha-linolenic acid intake. Conclusions: The findings suggest that predictors of blood glucose differ between males and females, highlighting the need for sex-specific strategies in blood glucose management. The models emphasize the importance of increasing fiber intake, maintaining a healthy energy intake, and improving fat quality by prioritizing essential fatty acids. This approach can be used to inform personalized dietary recommendations for the prevention and management of diabetes.

30 June 2026 in Preprints.org
Verified
Preprint
Open access
PDF file
QJQi Jin
Qi Jin
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
DJDamon Joyner
Damon Joyner
SWStacie Wing-Gaia
Stacie Wing-Gaia
SHSaori Hanaki
Saori Hanaki
JSJamie Stein
Jamie Stein
Background: Marathon running triggers a robust systemic inflammatory response. Whether habitual dietary fat composition modulates pre-race cytokine concentrations or the magnitude and recovery of the exercise-induced inflammatory response remains unknown. Methods: Thirty-one recreational marathon runners (58.1% female; mean age 38.4 ± 10.2 years) completed the Diet History Questionnaire III to assess habitual dietary fat intake— including chain-length-specific SFA, MFA, PFA, trans fatty acids, and CLA — over the preceding three months. Circulating IFN-γ, IL-1β, IL-4, IL-6, IL-10, and TNF-α were measured pre-race, immediately post-race, and 48 hours post-race. Repeated-measures ANOVA examined cytokine changes; multivariable regression models estimated fat–cytokine associations adjusted for 11 pre-specified covariates, with Benjamini-Hochberg FDR correction applied across all models. Results: IL-6 rose markedly post-race (p < 0.001, generalized η2 = 0.615) before returning to pre-race levels by 48 hours. IL-10 followed a similar trajectory (p < 0.001, generalized η2 = 0.346). TNF-α showed a borderline non-significant trend (p = 0.056); IFN-γ, IL-1β, and IL-4 did not change significantly. MFA 20:1 was positively associated with IFN-γ concentrations at 48-hour post-race (β = 13.66; 95% CI: 8.94, 18.38, p<0.01, q=0.04) and TNF- α (β = 9.14; 95% CI: 6.43, 11.86, p<0.01, q=0.02). Conclusion: Habitual intake of the long-chain monounsaturated fatty acid 20:1 appear to be positively associated with IFN-γ and TNF-α at 48-hour post-race, suggesting it may slow resolution of exercise-induced inflammation. This pattern, emerging specifically during the recovery phase, suggests habitual fat quality may warrant consideration in future endurance-recovery nutrition research. This exploratory finding calls for replication in larger cohorts.

11 July 2026 in Nutrients
Verified
Journal Article
Open access
PDF file
QJQi Jin
Qi Jin
DADavid Aguilar-Alvarez
David Aguilar-Alvarez
DJDamon Joyner
Damon Joyner
SWStacie Wing-Gaia
Stacie Wing-Gaia
SHSaori Hanaki
Saori Hanaki
JSJamie Stein
Jamie Stein
Background: Marathon running triggers a robust systemic inflammatory response. Whether habitual dietary fat composition modulates pre-race cytokine concentrations or the magnitude and recovery of the exercise-induced inflammatory response remains unknown. Methods: Thirty-one recreational marathon runners (58.1% female; mean age 38.4 ± 10.2 years) completed the Diet History Questionnaire III to assess habitual dietary fat intake—including chain-length-specific SFA, MFA, PFA, trans fatty acids, and CLA—over the preceding three months. Circulating IFN-γ, IL-1β, IL-4, IL-6, IL-10, and TNF-α were measured pre-race, immediately post-race, and 48 h post-race. Repeated measures ANOVA examined cytokine changes; multivariable regression models estimated fat–cytokine associations adjusted for 11 pre-specified covariates, with Benjamini–Hochberg FDR correction applied across all models. Results: IL-6 rose markedly post-race (p < 0.001, generalized η2 = 0.615) before returning to pre-race levels by 48 h. IL-10 followed a similar trajectory (p < 0.001, generalized η2 = 0.346). TNF-α showed a borderline non-significant trend (p = 0.056); IFN-γ, IL-1β, and IL-4 did not change significantly. MFA 20:1 was positively associated with IFN-γ concentrations at 48 h post-race (β = 13.66; 95% CI: 8.94, 18.38, p < 0.01, q = 0.04) and TNF-α (β = 9.14; 95% CI: 6.43, 11.86, p < 0.01, q = 0.02). Conclusions: Habitual intake of the long-chain monounsaturated fatty acid 20:1 was positively associated with IFN-γ and TNF-α at 48 h post-race. This pattern, emerging specifically at the 48 h post-race phase, suggests that the post-race period, once acute exercise-induced signaling has subsided, may be a window in which habitual dietary fat quality is most detectable in relation to circulating cytokines. Habitual fat quality may warrant consideration in future endurance recovery nutrition research. This exploratory finding calls for replication in larger cohorts.