dc.creator | Cano-Ibáñez, Naomi | es |
dc.creator | Gea, Alfredo | es |
dc.creator | Martínez-González, Miguel A. | es |
dc.creator | Salas-Salvadó, Jordi | es |
dc.creator | Corella, Dolores | es |
dc.creator | Zomeño, M. Dolors | es |
dc.creator | Santos Lozano, José Manuel | es |
dc.creator | Bueno-Cavanillas, Aurora | es |
dc.date.accessioned | 2024-02-22T16:29:44Z | |
dc.date.available | 2024-02-22T16:29:44Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Cano-Ibáñez, N., Gea, A., Martínez-González, M.A., Salas-Salvadó, J., Corella, D., Zomeño, M.D.,...,Bueno-Cavanillas, A. (2019). Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis. Nutrients, 11 (5), 958. https://doi.org/10.3390/nu11050958. | |
dc.identifier.issn | 2072-6643 | es |
dc.identifier.uri | https://hdl.handle.net/11441/155492 | |
dc.description.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. | es |
dc.format | application/pdf | es |
dc.format.extent | 17 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Nutrients, 11 (5), 958. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Dietary diversity | es |
dc.subject | Nutrient adequacy | es |
dc.subject | Metabolic syndrome | es |
dc.subject | Aging | es |
dc.subject | PREDIMED-Plus study | es |
dc.title | Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.relation.publisherversion | https://www.mdpi.com/2072-6643/11/5/958 | es |
dc.identifier.doi | 10.3390/nu11050958 | es |
dc.journaltitle | Nutrients | es |
dc.publication.volumen | 11 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 958 | es |