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dc.contributor.authorCano Ibáñez, Naomi
dc.contributor.authorGea, Alfredo
dc.contributor.authorMartínez González, Miguel Ángel
dc.contributor.authorSalas Salvadó, Jordi
dc.contributor.authorCorella, Dolores
dc.contributor.authorZomeño Fajardo, María Dolores
dc.contributor.authorRomaguera, Dora
dc.contributor.authorVioque, Jesús
dc.contributor.authorArós Borau, Luis Fernando
dc.contributor.authorWärnberg, Julia
dc.contributor.authorMartínez, J. Alfredo
dc.contributor.authorSerra Majem, Lluís
dc.contributor.authorEstruch, Ramón
dc.contributor.authorTinahones, Francisco J.
dc.contributor.authorLapetra, José
dc.contributor.authorPintó, Xavier
dc.contributor.authorTur, Josep A.
dc.contributor.authorGarcía Ríos, Antonio
dc.contributor.authorRiquelme Gallego, Blanca
dc.contributor.authorDelgado Rodríguez, Miguel
dc.contributor.authorMatía Martín, Pilar
dc.contributor.authorDaimiel, Lidia
dc.contributor.authorMartín, Vicente
dc.contributor.authorVidal, Josep
dc.contributor.authorVázquez, Clotilde
dc.contributor.authorRos, Emilio
dc.contributor.authorBuil Cosiales, Pilar
dc.contributor.authorDíaz López, Andrés
dc.contributor.authorFernández Carrión, Rebeca
dc.contributor.authorFitó, Montserrat
dc.contributor.authorKonieczna, Jadwiga
dc.contributor.authorNotario Barandiaran, Leyre
dc.contributor.authorAlonso Gómez, Ángel María ORCID
dc.contributor.authorContreras Fernández, Eugenio
dc.contributor.authorAbete, Itziar
dc.contributor.authorSánchez Villegas, Almudena
dc.contributor.authorCasas, Rosa
dc.contributor.authorMuñoz Garach, Araceli
dc.contributor.authorSantos Lozano, José Manuel
dc.contributor.authorGallardo Alfaro, Laura
dc.contributor.authorBasora, Josep
dc.contributor.authorPortoles, Olga
dc.contributor.authorMuñoz, Miguel Ángel
dc.contributor.authorMoñino, Manuel
dc.contributor.authorMiralles Gisbert, Salvador
dc.contributor.authorMoreno Rodríguez, Anai
dc.contributor.authorRuiz Canela, Miguel
dc.contributor.authorPalau Galindo, Antoni
dc.contributor.authorPérez Vega, Karla Alejandra
dc.contributor.authorBueno Cavanillas, Aurora
dc.date.accessioned2019-05-10T11:18:41Z
dc.date.available2019-05-10T11:18:41Z
dc.date.issued2019-04-26
dc.identifier.citationNutrients 11(5) : (2019) // Article ID 958es_ES
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10810/32750
dc.description.abstractDietary 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_ES
dc.description.sponsorshipThe PREDIMED-Plus trial was supported by the o cial funding agency for biomedical research of the Spanish government, ISCIII through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund (three coordinated FIS projects led by J.S.-S. and J.V., including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926), the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus grant to J.S.-S., the European Research Council (Advanced Research Grant 2013-2018; 340918) grant to M.A.M.-G., the Recercaixa grant to J.S.-S. (2013ACUP00194), the grant from the Consejería de Salud de la Junta de Andalucía (PI0458/2013; PS0358/2016), the PROMETEO/2017/017 grant from the Generalitat Valenciana, the SEMERGEN grant and FEDER funds (CB06/03). None of the funding sources took part in the design, collection, analysis or interpretation of the data, or in the decision to submit the manuscript for publication. The corresponding author had full access to all the data in the study and had final responsibility to submit for publication.es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.subjectPREDIMED-Plus studyes_ES
dc.subjectaginges_ES
dc.subjectdietary diversityes_ES
dc.subjectmetabolic syndromees_ES
dc.subjectnutrient adequacyes_ES
dc.titleDietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Pl us Study:A Cross-Sectional Analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.holderThis is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).es_ES
dc.rights.holderAtribución 3.0 España*
dc.relation.publisherversionhttps://www.mdpi.com/2072-6643/11/5/958es_ES
dc.identifier.doi10.3390/nu11050958
dc.departamentoesMedicinaes_ES
dc.departamentoeuMedikuntzaes_ES


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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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