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

被引：36

作者：

Cano-Ibanez, Naomi ^{[1
,2
,3
]}

Gea, Alfredo ^{[4
,5
,6
]}

Ruiz-Canela, Miguel ^{[4
,5
,6
]}

Corella, Dolores ^{[6
,7
]}

Salas-Salvado, Jordi ^{[6
,8
,9
,10
]}

Schroder, Helmut ^{[2
,11
]}

Navarrete-Munoz, Eva Ma ^{[2
,12
]}

Romaguera, Dora ^{[6
,13
]}

Alfredo Martinez, J. ^{[5
,6
,14
,15
]}

Javier Baron-Lopez, F. ^{[6
,16
]}

Lopez-Miranda, Jose ^{[6
,17
]}

Estruch, Ramon ^{[6
,18
]}

Riquelme-Gallego, Blanca ^{[1
]}

Alonso-Gomez, Angel ^{[6
,19
]}

Tur, Josep A. ^{[6
,20
]}

Tinahones, Francisco J. ^{[6
,21
]}

Serra-Majem, Lluis ^{[6
,22
]}

Martin, Vicente ^{[2
,23
]}

Lapetra, Jose ^{[6
,24
]}

Vazquez, Clotilde ^{[6
,25
]}

Pinto, Xavier ^{[6
,26
]}

Vidal, Josep ^{[27
,28
]}

Daimiel, Lidia ^{[15
]}

Juan Gaforio, Jose ^{[2
,29
]}

Matia, Pilar ^{[30
]}

Ros, Emilio ^{[6
,27
]}

Fernandez-Carrion, Rebeca ^{[6
,7
]}

Diaz-Lopez, Andres ^{[6
,8
,9
,10
]}

Dolors Zomeno, M. ^{[11
,31
]}

Candela, Inmaculada ^{[2
,12
]}

Konieczna, Jadwiga ^{[6
,13
]}

Abete, Itziar ^{[5
,6
,14
]}

Buil-Cosiales, Pilar ^{[4
,6
,32
]}

Basora, Josep ^{[6
,8
,9
,10
]}

Fito, Montserrat ^{[6
,11
]}

Martinez-Gonzalez, Miguel A. ^{[4
,5
,6
,33
]}

Bueno-Cavanillas, Aurora ^{[1
,2
,3
]}

机构：

[1] Univ Granada, Dept Prevent Med & Publ Hlth, Avda Invest 11, Granada 18016, Spain

[2] ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[3] IBS GRANADA, Inst Invest Biosanitaria Granada, Granada, Spain

[4] Univ Navarra, Med Sch, Dept Prevent Med & Publ Hlth, Pamplona, Spain

[5] Navarra Inst Hlth Res IdisNa, Pamplona, Spain

[6] ISCIII, CIBER Fisiopatol Obesidad & Nutric CIBEROBN, Madrid, Spain

[7] Univ Valencia, Dept Prevent Med, Valencia, Spain

[8] Univ Rovira & Virgili, Dept Bioquim & Biotecnol, Unitat Nutr, Reus, Spain

[9] IISPV, Reus, Spain

[10] Univ Hosp St Joan Reus, Nutr Unit, Reus, Spain

[11] Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona, Spain

[12] Miguel Hernandez Univ, Nutr Epidemiol Unit, ISABIAL FISABIO, Alicante, Spain

[13] Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca, Spain

[14] Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona, Spain

[15] CEI UAM CSIC, IMDEA Food, Nutr Genom & Epigen Grp, Madrid, Spain

[16] Univ Malaga IBIMA, Dept Publ Hlth, Malaga, Spain

[17] Univ Cordoba, Reina Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Lipids & Atherosclerosis Unit,Dept Internal Med, Cordoba, Spain

[18] Univ Barcelona, Hosp Clin, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Dept Internal Med, Barcelona, Spain

[19] Univ Basque Country, Univ Hosp Araba, Dept Cardiol, OSI ARABA,UPV EHU, Vitoria, Spain

[20] Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Palma De Mallorca, Spain

[21] Univ Malaga, Virgen Victoria Hosp, Inst Invest Biomed Malaga IBIMA, Dept Endocrinol, Malaga, Spain

[22] Univ Las Palmas Gran Canaria, Res Inst Biomed & Hlth Sci, Las Palmas Gran Canaria, Spain

[23] Univ Leon, Inst Biomed IBIOMED, Leon, Spain

[24] Dist Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville, Spain

[25] Fdn Jimenez Diaz, Dept Endocrinol, Madrid, Spain

[26] Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Lhospitalet De Llobregat, Spain

[27] Hosp Clin Barcelona, Endocrinol & Nutr Serv, IDIBAPS, Barcelona, Spain

[28] ISCIII, CIBER Diabet & Enfermedades Metabol CIBERDEM, Madrid, Spain

[29] Univ Jaen, Ctr Estudios Avanzados Olivar & Aceites Oliva, Jaen, Spain

[30] Inst Invest Sanitaria Hosp Clin San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid, Spain

[31] Blanquerna Ramon Llull Univ, Human Nutr Unit, Barcelona, Spain

[32] Serv Navarro Salud Osasunbidea, Atenc Primaria, Pamplona, Spain

[33] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA

来源：

CLINICAL NUTRITION | 2020年 / 39卷 / 04期

基金：

欧洲研究理事会;

关键词：

Diet quality; Nutrient density; Mediterranean diet; Socioeconomic factors; Lifestyle factors; Metabolic syndrome; PHYSICAL-ACTIVITY QUESTIONNAIRE; DWELLING OLDER-ADULTS; MEDITERRANEAN DIET; ENERGY-INTAKE; HEALTH; POPULATION; VALIDATION; PREVENTION; PATTERNS; ADEQUACY;

D O I：

10.1016/j.clnu.2019.04.032

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: 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. Objective: 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). Methods: 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. Results: 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. Conclusions: 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. (C) 2019 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

引用

页码：1161 / 1173

页数：13

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