Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient ade...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | info:eu-repo/semantics/article |
| Language: | eng |
| Published: |
MDPI AG
2021
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10171/62036 |
| _version_ | 1793399997511761920 |
|---|---|
| author | Bibiloni, M.M. (Maria del Mar) Julibert, A. (Alicia) Bouzas, C. (Cristina) Martinez-Gonzalez, M.A. (Miguel Ángel) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Zomeño, M.D. (María Dolores) Vioque, J. (Jesús) Romaguera, D. (Dora) Martinez, J.A. (José Alfredo) Wärnberg, J. (Julia) López-Miranda, J. (José) Estruch, R. (Ramón) Bueno-Cavanillas, A. (Aurora) Aros, F. (Fernando) Tinahones, F.J. (Francisco J.) Serra-Majem, L. (Luis) Martin, V. (Vicente) Lapetra, J. (José) Vázquez, C. (Clotilde) Pinto, X. (Xavier) Vidal, J. (Josep) Daimiel, L. (Lidia) Delgado-Rodriguez, M. (Miguel) Matia, P. (Pilar) Ros, E. (Emilio) Fernandez-Carrion, R. (Rebeca) Garcia-Rios, A. (Antonio) Zulet, M.A. (María Ángeles) Orozco-Beltrán, D. (Domingo) Schröder, H. (Helmut) Fito, M. (Montserrat) Bullo, M. (Monica) Basora, J. (Josep) Cenoz, J.C. (Juan Carlos) Diez-Espino, J. (Javier) Toledo, E. (Estefanía) Tur, J.A. (Josep A.) |
| author_facet | Bibiloni, M.M. (Maria del Mar) Julibert, A. (Alicia) Bouzas, C. (Cristina) Martinez-Gonzalez, M.A. (Miguel Ángel) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Zomeño, M.D. (María Dolores) Vioque, J. (Jesús) Romaguera, D. (Dora) Martinez, J.A. (José Alfredo) Wärnberg, J. (Julia) López-Miranda, J. (José) Estruch, R. (Ramón) Bueno-Cavanillas, A. (Aurora) Aros, F. (Fernando) Tinahones, F.J. (Francisco J.) Serra-Majem, L. (Luis) Martin, V. (Vicente) Lapetra, J. (José) Vázquez, C. (Clotilde) Pinto, X. (Xavier) Vidal, J. (Josep) Daimiel, L. (Lidia) Delgado-Rodriguez, M. (Miguel) Matia, P. (Pilar) Ros, E. (Emilio) Fernandez-Carrion, R. (Rebeca) Garcia-Rios, A. (Antonio) Zulet, M.A. (María Ángeles) Orozco-Beltrán, D. (Domingo) Schröder, H. (Helmut) Fito, M. (Montserrat) Bullo, M. (Monica) Basora, J. (Josep) Cenoz, J.C. (Juan Carlos) Diez-Espino, J. (Javier) Toledo, E. (Estefanía) Tur, J.A. (Josep A.) |
| author_sort | Bibiloni, M.M. (Maria del Mar) |
| collection | DSpace |
| description | Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk.
Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk.
Design: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55⁻75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial.
Methods: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as 'non-nut consumers'. 'Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (vitamins B1, B2, B3, B6, B12, A, C, D, E and folic acid; Ca, K, P, Mg, Fe, Se, Cr, Zn, and iodine). The proportion of micronutrient inadequacy was estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI).
Results: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0⁻25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS).
Conclusions: nut consumers had better nutrient adequacy, diet quality, and adherence to the MedDiet than those non-nut consumers. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-62036 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2021 |
| publisher | MDPI AG |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-620362023-05-29T12:38:51Z Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk Bibiloni, M.M. (Maria del Mar) Julibert, A. (Alicia) Bouzas, C. (Cristina) Martinez-Gonzalez, M.A. (Miguel Ángel) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Zomeño, M.D. (María Dolores) Vioque, J. (Jesús) Romaguera, D. (Dora) Martinez, J.A. (José Alfredo) Wärnberg, J. (Julia) López-Miranda, J. (José) Estruch, R. (Ramón) Bueno-Cavanillas, A. (Aurora) Aros, F. (Fernando) Tinahones, F.J. (Francisco J.) Serra-Majem, L. (Luis) Martin, V. (Vicente) Lapetra, J. (José) Vázquez, C. (Clotilde) Pinto, X. (Xavier) Vidal, J. (Josep) Daimiel, L. (Lidia) Delgado-Rodriguez, M. (Miguel) Matia, P. (Pilar) Ros, E. (Emilio) Fernandez-Carrion, R. (Rebeca) Garcia-Rios, A. (Antonio) Zulet, M.A. (María Ángeles) Orozco-Beltrán, D. (Domingo) Schröder, H. (Helmut) Fito, M. (Montserrat) Bullo, M. (Monica) Basora, J. (Josep) Cenoz, J.C. (Juan Carlos) Diez-Espino, J. (Javier) Toledo, E. (Estefanía) Tur, J.A. (Josep A.) Materias Investigacion::Ciencias de la Salud::Medicina preventiva Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk. Design: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55⁻75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Methods: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as 'non-nut consumers'. 'Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (vitamins B1, B2, B3, B6, B12, A, C, D, E and folic acid; Ca, K, P, Mg, Fe, Se, Cr, Zn, and iodine). The proportion of micronutrient inadequacy was estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI). Results: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0⁻25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS). Conclusions: nut consumers had better nutrient adequacy, diet quality, and adherence to the MedDiet than those non-nut consumers. 2021-09-20T10:01:04Z 2021-09-20T10:01:04Z 2019 info:eu-repo/semantics/article https://hdl.handle.net/10171/62036 eng info:eu-repo/grantAgreement/EC/FP7/340918/EU info:eu-repo/semantics/openAccess application/pdf MDPI AG |
| spellingShingle | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy Bibiloni, M.M. (Maria del Mar) Julibert, A. (Alicia) Bouzas, C. (Cristina) Martinez-Gonzalez, M.A. (Miguel Ángel) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Zomeño, M.D. (María Dolores) Vioque, J. (Jesús) Romaguera, D. (Dora) Martinez, J.A. (José Alfredo) Wärnberg, J. (Julia) López-Miranda, J. (José) Estruch, R. (Ramón) Bueno-Cavanillas, A. (Aurora) Aros, F. (Fernando) Tinahones, F.J. (Francisco J.) Serra-Majem, L. (Luis) Martin, V. (Vicente) Lapetra, J. (José) Vázquez, C. (Clotilde) Pinto, X. (Xavier) Vidal, J. (Josep) Daimiel, L. (Lidia) Delgado-Rodriguez, M. (Miguel) Matia, P. (Pilar) Ros, E. (Emilio) Fernandez-Carrion, R. (Rebeca) Garcia-Rios, A. (Antonio) Zulet, M.A. (María Ángeles) Orozco-Beltrán, D. (Domingo) Schröder, H. (Helmut) Fito, M. (Montserrat) Bullo, M. (Monica) Basora, J. (Josep) Cenoz, J.C. (Juan Carlos) Diez-Espino, J. (Javier) Toledo, E. (Estefanía) Tur, J.A. (Josep A.) Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title | Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title_full | Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title_fullStr | Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title_full_unstemmed | Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title_short | Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk |
| title_sort | nut consumptions as a marker of higher diet quality in a mediterranean population at high cardiovascular risk |
| topic | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy |
| url | https://hdl.handle.net/10171/62036 |
| work_keys_str_mv | AT bibilonimmmariadelmar nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT julibertaalicia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT bouzasccristina nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinezgonzalezmamiguelangel nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT corelladdolores nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT salassalvadojjordi nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT zomenomdmariadolores nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vioquejjesus nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT romagueraddora nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinezjajosealfredo nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT warnbergjjulia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT lopezmirandajjose nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT estruchrramon nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT buenocavanillasaaurora nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT arosffernando nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT tinahonesfjfranciscoj nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT serramajemlluis nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinvvicente nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT lapetrajjose nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vazquezcclotilde nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT pintoxxavier nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vidaljjosep nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT daimielllidia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT delgadorodriguezmmiguel nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT matiappilar nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT roseemilio nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT fernandezcarrionrrebeca nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT garciariosaantonio nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT zuletmamariaangeles nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT orozcobeltranddomingo nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT schroderhhelmut nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT fitommontserrat nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT bullommonica nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT basorajjosep nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT cenozjcjuancarlos nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT diezespinojjavier nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT toledoeestefania nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT turjajosepa nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk |