Please use this identifier to cite or link to this item:
https://hdl.handle.net/2445/176065
Title: | Dietary diversity and nutritional adequacy among an older Spanish population with metabolic syndrome in the PREDIMED-Plus study: a cross-sectional analysis |
Author: | Cano Ibáñez, Naomi Gea, Alfredo Martínez-González, Miguel Ángel, 1957- Salas Salvadó, Jordi Corella Piquer, Dolores Zomeño Fajardo, María Dolores Romaguera, Dora Vioque, Jesús Arós, Fernando Wärnberg, Julia Martínez, J. Alfredo, 1957- Serra Majem, Lluís Estruch Riba, Ramon Tinahones, Francisco J. Lapetra, José Pintó Sala, Xavier Tur, Josep Antoni García Rios, Antonio Riquelme Gallego, Blanca Delgado Rodríguez, Miguel Matía Martín, Pilar Daimiel, Lidia Martín Sánchez, Vicente Vidal i Cortada, Josep Vázquez, Clotilde Ros Rahola, Emilio Buil Cosiales, Pilar Díaz López, Andrés Fernández Carrión, Rebeca Fitó Colomer, Montserrat Konieczna, Jadwiga Notario Barandiaran, Leyre Alonso Gómez, Ángel M. Contreras-Fernandez, Eugenio Abete, Itziar Sánchez-Villegas, Almudena Casas Rodríguez, Rosa M. Muñoz-Garach, Araceli Santos Lozano, José Manuel Gallardo-Alfaro, Laura |
Keywords: | Dieta Síndrome metabòlica Avaluació de l'estat nutricional Diet Metabolic syndrome Nutritional status measurement |
Issue Date: | 26-Apr-2019 |
Publisher: | MDPI |
Abstract: | Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55-75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80-39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55-18.65), fruits OR = 11.62 (95% CI 6.81-19.81), dairy products OR = 6.54 (95% CI 4.64-9.22) and protein foods OR = 6.60 (95% CI 1.96-22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/nu11050958 |
It is part of: | Nutrients, 2019, vol. 11, num. 5, p. 958 |
URI: | https://hdl.handle.net/2445/176065 |
Related resource: | https://doi.org/10.3390/nu11050958 |
ISSN: | 2072-6643 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
708172.pdf | 529.38 kB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License