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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, 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
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:
It is part of: Nutrients, 2019, vol. 11, num. 5, p. 958
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ISSN: 2072-6643
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Medicina)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

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