García-Ríos, AntonioBouzas, CristinaPastor, RosarioGarcía, SilviaMonserrat Mesquida, MargalidaMartínez-González, Miguel ÁngelSalas Salvadó, JordiCorella Piquer, DoloresSchröder, HelmutMartínez, J. AlfredoAlonso-Gómez, Ángel M.Wärnberg, JuliaVioque, JesúsRomaguera, DoraLopez-Miranda, JoséEstruch Riba, RamonTinahones, Francisco J.Lapetra, JoséSerra Majem, LluísRiquelme Gallego, BlancaRomero-Secin, AnnyPintó Sala, XavierGaforio, José J.Matía Martín, PilarVidal i Cortada, JosepZapatero, MiriamDaimiel, LidiaRos Rahola, EmilioGarcía-Arellano, AnaBabio, NancyGonzález Monje, InmaculadaCastañer Niño, OlgaAbete, ItziarTojal Sierra, LucasBenavente Marín, Juan CarlosSignes Pastor, Antonio J.Konieczna, JadwigaCastro-Barquero, SaraFernández-García, José C.Santos Lozano, Jose ManuelBes Rastrollo, MairaMestres, CristinaGuillem Saiz, PatriciaGoday Arnó, AlbertGoicolea Güemez, LeirePuig-Aguiló, EstanislaoRuiz-Canela, MiguelPalau Galindo, AntoniFitó, MontseTur, Josep A.2025-12-092025-12-092023-07-252296-2565https://hdl.handle.net/2445/224774Background: A major barrier to a healthy diet may be the higher price of healthy foods compared to low-quality foods. Objectives: This study aimed to assess the association between the monetary cost of food and diet quality in Spanish older adults at high risk of cardiovascular disease. Methods: Cross-sectional analysis was carried out in Spanish older adults (n = 6,838; 48.6% female). A validated food frequency questionnaire was used to assess dietary intake. Metabolic syndrome severity, adherence to the Mediterranean diet (MedDiet), adherence to a provegetarian dietary pattern, and dietary inflammatory index were assessed. The economic cost of the foods was obtained from the Spanish Ministry of Agriculture Fisheries and Food database (2015-2017, the period of time when the participants were recruited). The total cost of diet adjusted per 1,000 kcal was computed. Results: The healthier dietary pattern was associated with a higher cost of the diet. Higher adherence to the MedDiet, anti-inflammatory diet, and the healthy version of the provegetarian dietary pattern were related to higher costs of the diet. Conclusion: Higher diet quality was associated with a higher dietary cost of the diet per 1,000 kcal/day. Food prices can be an important component of interventions and policies aimed at improving people's diets and preventing diet-related chronic diseases.11 p.application/pdfengcc-by (c) Bouzas, Cristina et al., 2023http://creativecommons.org/licenses/by/4.0/Cuina mediterràniaHàbits alimentarisPersones gransEspanyaMediterranean cookingFood habitsOlder peopleSpaininfo:eu-repo/semantics/article7386562025-12-09info:eu-repo/semantics/openAccess37559740