Diet quality and nutrient density in subjects with metabolic syndrome: Influence of socioeconomic status and lifestyle factors. A cross-sectional assessment in the PREDIMED-Plus study.
Socioeconomic disparities and lifestyle factors are likely to determine the overall quality of the diet. In addition, overeating is compatible with inadequate micronutrient intake and it can lead to adverse health outcomes. To assess adequacy of dietary nutrient intake and to investigate the influen...
| Publicado en: | Clinical Nutrition Vol. 39; no. 4; pp. 1161 - 1174 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Apr2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142518998&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142518998 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02615614 8IC jtl: Clinical Nutrition issn: 02615614 maglogo: N pubinfo: dt: Apr2020 vid: 39 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 142518998 142518998 142518998 10.1016/j.clnu.2019.04.032 142518998 ppf: 1161 ppct: 13 formats: tig: atl: Diet quality and nutrient density in subjects with metabolic syndrome: Influence of socioeconomic status and lifestyle factors. A cross-sectional assessment in the PREDIMED-Plus study. aug: au: Cano-Ibáñez, Naomi Gea, Alfredo Ruiz-Canela, Miguel Corella, Dolores Salas-Salvadó, Jordi Schröder, Helmut Navarrete-Muñoz, Eva M a. Romaguera, Dora Martínez, J. Alfredo Barón-López, F. Javier López-Miranda, José Estruch, Ramón Riquelme-Gallego, Blanca Alonso-Gómez, Ángel Tur, Josep A. Tinahones, Francisco J. Serra-Majem, Lluis Martín, Vicente Lapetra, José Vázquez, Clotilde affil: Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain sug: subj: Diet Food Quality Nutrients Metabolic Syndrome X Socioeconomic Factors Life Style Food Intake Evaluation Cardiovascular Risk Factors Prevention and Control Restricted Diet Mediterranean Diet Human Male Female Middle Age Aged Obesity Energy Intake Dietary Reference Intakes Multiple Linear Regression Vitamins Descriptive Statistics Questionnaires Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Socioeconomic disparities and lifestyle factors are likely to determine the overall quality of the diet. In addition, overeating is compatible with inadequate micronutrient intake and it can lead to adverse health outcomes. To assess adequacy of dietary nutrient intake and to investigate the influence of socioeconomic and lifestyle factors on nutrient density in a large primary cardiovascular prevention trial conducted in healthy participants with metabolic syndrome (MetS) to assess the cardiovascular effects of an energy-restricted Mediterranean diet (PREDIMED-Plus). Baseline cross-sectional analysis of the PREDIMED-Plus trial with 6646 Spanish participants (aged 55–75 years in men and 60–75 years in women) with overweight/obesity and MetS. Energy and nutrient intake (for 10 nutrients) were calculated using a validated 143-item Food Frequency Questionnaire (FFQ) and nutrient density was estimated dividing the absolute nutrient intake by total energy intake. The prevalence of inadequate intake was estimated according to dietary reference intakes. Multivariable linear regression models were fitted to examine associations between socioeconomic status or lifestyle factors and nutrient density. A considerable proportion of the screened participants showed a deficient intake of vitamins A, D, E, B 9 , calcium, magnesium and dietary fibre. Inadequate intake of four or more of the ten nutrients considered was present in 17% of participants. A higher nutrient density was directly and significantly associated with female sex, higher educational level and a better adherence to the Mediterranean diet. Lifestyle factors such as non-smoking and avoidance of sedentary lifestyles were also independently associated with better nutrient density. Patients with MetS, despite being overweight, exhibited suboptimal nutrient intake, especially among men. Low nutrient density diet can be largely explained by differences in socioeconomic and lifestyle factors. These results highlight the importance of focussing on nutritional education in vulnerable populations, taking into account nutrient requirements. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|