Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort

Dietary guidelines play a key role in setting standards for nutrition policies and promoting healthy eating. Like other public health guidelines, they are often influenced by political and economic factors that could place other concerns ahead of the population’s health. In order to determine the...

詳細記述

書誌詳細
主要な著者: Gómez-Donoso, C. (Clara), Martinez-Gonzalez, M.A. (Miguel Ángel), Martinez, J.A. (José Alfredo), Sayon-Orea, C. (Carmen), Fuente-Arrillaga, C. (Carmen) de la, Bes-Rastrollo, M. (Maira)
フォーマット: info:eu-repo/semantics/article
言語:eng
出版事項: Public Library of Science (PLoS) 2022
主題:
オンライン・アクセス:https://hdl.handle.net/10171/63726
_version_ 1793400181241151488
author Gómez-Donoso, C. (Clara)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martinez, J.A. (José Alfredo)
Sayon-Orea, C. (Carmen)
Fuente-Arrillaga, C. (Carmen) de la
Bes-Rastrollo, M. (Maira)
author_facet Gómez-Donoso, C. (Clara)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martinez, J.A. (José Alfredo)
Sayon-Orea, C. (Carmen)
Fuente-Arrillaga, C. (Carmen) de la
Bes-Rastrollo, M. (Maira)
author_sort Gómez-Donoso, C. (Clara)
collection DSpace
description Dietary guidelines play a key role in setting standards for nutrition policies and promoting healthy eating. Like other public health guidelines, they are often influenced by political and economic factors that could place other concerns ahead of the population’s health. In order to determine their effectiveness on obesity prevention, we prospectively examined the association between adherence to the latest available national dietary guidelines and the incidence of overweight/obesity in a Spanish cohort study. A sample of 11,554 participants of the “Seguimiento Universidad de Navarra” (SUN) cohort, initially free of overweight or obesity, was included in the study. The Spanish Society of Community Nutrition (SENC) food pyramid (FP) score was computed based on the ratio of consumed to recommended daily servings of grains, fruits, vegetables, dairy, protein-rich foods, olive oil, red and processed meat, sweets, salty snacks and spreadable fats, fermented alcoholic beverages and water. The same approach was followed to calculate the SENC hydration pyramid (HP) score, considering the intake of water and different kind of beverages. Adherence was calculated at baseline and after 10 years of follow-up. Cox proportional hazards models were used to assess the incidence of overweight/obesity (BMI �25 kg/m2 ). During a median follow-up of 10.3 years, 2320 incident cases were identified. The highest level of adherence to the SENC FP score was modestly associated with a reduced risk of overweight/obesity (multivariable-adjusted HR for the fifth quintile vs. the first quintile = 0.78; 95% CI: 0.67–0.91; ptrend: 0.007). No consistent trends were found for the SENC HP. In a large prospective cohort of Spanish university graduates, we found an inverse linear association between adherence to the SENC FP and overweight/obesity risk, whereas this was not the case for the HP.
format info:eu-repo/semantics/article
id oai:dadun.unav.edu:10171-63726
institution Universidad de Navarra
language eng
publishDate 2022
publisher Public Library of Science (PLoS)
record_format dspace
spelling oai:dadun.unav.edu:10171-637262022-06-29T09:41:40Z Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort Gómez-Donoso, C. (Clara) Martinez-Gonzalez, M.A. (Miguel Ángel) Martinez, J.A. (José Alfredo) Sayon-Orea, C. (Carmen) Fuente-Arrillaga, C. (Carmen) de la Bes-Rastrollo, M. (Maira) Dietary guidelines Nutrition policies Incidence of overweight/obesity Political and economic factors Dietary guidelines play a key role in setting standards for nutrition policies and promoting healthy eating. Like other public health guidelines, they are often influenced by political and economic factors that could place other concerns ahead of the population’s health. In order to determine their effectiveness on obesity prevention, we prospectively examined the association between adherence to the latest available national dietary guidelines and the incidence of overweight/obesity in a Spanish cohort study. A sample of 11,554 participants of the “Seguimiento Universidad de Navarra” (SUN) cohort, initially free of overweight or obesity, was included in the study. The Spanish Society of Community Nutrition (SENC) food pyramid (FP) score was computed based on the ratio of consumed to recommended daily servings of grains, fruits, vegetables, dairy, protein-rich foods, olive oil, red and processed meat, sweets, salty snacks and spreadable fats, fermented alcoholic beverages and water. The same approach was followed to calculate the SENC hydration pyramid (HP) score, considering the intake of water and different kind of beverages. Adherence was calculated at baseline and after 10 years of follow-up. Cox proportional hazards models were used to assess the incidence of overweight/obesity (BMI �25 kg/m2 ). During a median follow-up of 10.3 years, 2320 incident cases were identified. The highest level of adherence to the SENC FP score was modestly associated with a reduced risk of overweight/obesity (multivariable-adjusted HR for the fifth quintile vs. the first quintile = 0.78; 95% CI: 0.67–0.91; ptrend: 0.007). No consistent trends were found for the SENC HP. In a large prospective cohort of Spanish university graduates, we found an inverse linear association between adherence to the SENC FP and overweight/obesity risk, whereas this was not the case for the HP. 2022-06-28T10:34:20Z 2022-06-28T10:34:20Z 2019 info:eu-repo/semantics/article https://hdl.handle.net/10171/63726 eng info:eu-repo/semantics/openAccess application/pdf Public Library of Science (PLoS)
spellingShingle Dietary guidelines
Nutrition policies
Incidence of overweight/obesity
Political and economic factors
Gómez-Donoso, C. (Clara)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martinez, J.A. (José Alfredo)
Sayon-Orea, C. (Carmen)
Fuente-Arrillaga, C. (Carmen) de la
Bes-Rastrollo, M. (Maira)
Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title_full Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title_fullStr Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title_full_unstemmed Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title_short Adherence to dietary guidelines for the Spanish population and risk of overweight/ obesity in the SUN cohort
title_sort adherence to dietary guidelines for the spanish population and risk of overweight/ obesity in the sun cohort
topic Dietary guidelines
Nutrition policies
Incidence of overweight/obesity
Political and economic factors
url https://hdl.handle.net/10171/63726
work_keys_str_mv AT gomezdonosocclara adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort
AT martinezgonzalezmamiguelangel adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort
AT martinezjajosealfredo adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort
AT sayonoreaccarmen adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort
AT fuentearrillagaccarmendela adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort
AT besrastrollommaira adherencetodietaryguidelinesforthespanishpopulationandriskofoverweightobesityinthesuncohort