Nutritional adequacy according to carbohydrates and fat quality View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-01-24

AUTHORS

Ana Sánchez-Tainta, Itziar Zazpe, Maira Bes-Rastrollo, Jordi Salas-Salvadó, Mónica Bullo, José Vicente Sorlí, Dolores Corella, Mª Isabel Covas, Fernando Arós, Mario Gutierrez-Bedmar, Miquel Fiol, F. García de la Corte, Lluis Serra-Majem, Xavier Pinto, Helmut Schröeder, Emilio Ros, M. Carmen López-Sabater, Ramón Estruch, Miguel Angel Martínez-González, For the PREDIMED study investigators

ABSTRACT

Purpose To investigate the association between carbohydrate quality, fat quality or adherence to the Mediterranean diet and intake adequacy of 19 micronutrients in the PREDIMED (PREvención con DIeta MEDiterránea) trial, a multicenter, randomized, controlled, parallel group and primary prevention trial conducted in Spain.Methods We assessed baseline dietary intake of 6,542 elderly subjects at high cardiovascular risk through a validated food frequency questionnaire (FFQ) and a validated 14-item Mediterranean diet (Med-diet) score. We used a multidimensional carbohydrate quality index (CQI) using four criteria and a fat quality index (FQI) according to the ratio (MUFA + PUFA)/(SFA + TFA). The probability of intake adequacy was calculated comparing the intakes to DRI, and also using the probabilistic approach. Absolute and adjusted probability of having inadequate intake for either ≥6 DRI or ≥8 DRI were estimated to assess nutritional adequacy according to quintiles of each index. Results The lowest prevalence of inadequate micronutrient intake (≥8 DRI) was found in the highest quintile of CQI or Med-diet score, and in the lowest quintile of FQI (adjusted fold risk: 1.4, 3.4 and 10.2 respectively in comparison with the lowest quintile). P for trend <0.001 in three multivariable models. A higher CQI or Med-Diet score and a lower FQI were significantly associated with a lower fold risk of unmet EAR values.ConclusionsA multidimensional assessment of CQI can be a useful tool to evaluate the quality of carbohydrates. This score and a 14-item Med-diet score were positively related to overall micronutrient adequacy in elderly participants. More... »

PAGES

93-106

Journal

TITLE

European Journal of Nutrition

ISSUE

1

VOLUME

55

Author Affiliations

  • Department of Preventive Medicine and Public Health, School of Medicine–Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008, Pamplona, Navarra, Spain
  • Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn) Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Madrid, Spain
  • Human Nutrition Unit, Sant Joan Hospital, IISPV, Universitat Rovira i Virgili, Reus, Spain
  • Human Nutrition Department, University Rovira i Virgili, Reus, Spain
  • Primary Care Division, Valencia Institute of Health and Department of Preventive Medicine, University of Valencia, Valencia, Spain
  • Department of Preventive Medicine, University of Valencia, Valencia, Spain
  • Cardiovascular Epidemiology Unit, Municipal Institute for Medical Research (IMIM), Barcelona, Spain
  • Department of Cardiology, University Hospital Txagorritxu-University Hospital of Alava, Vitoria, Spain
  • Department of Preventive Medicine and Public Health, University of Málaga, Málaga, Spain
  • Instituto de Investigación Sanitaria de Palma (IdISPa), Hospital Son Espases, Palma de Mallorca, Spain
  • Primary Care Division of Sevilla, Department of Family Medicine, San Pablo Health Center, Sevilla, Spain
  • Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
  • Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
  • Instituto de Salud Carlos III, Madrid, Spain
  • Lipid Clinic, Department of Endocrinology and Nutrition, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Barcelona, Spain
  • Department of Nutrition and Food Science, Faculty of Pharmacy, University of Barcelona, Barcelona, Spain
  • Department of Internal Medicine, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00394-014-0828-3

    DOI

    http://dx.doi.org/10.1007/s00394-014-0828-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1018829884

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25616935


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