Fluid and total water intake in a senior mediterranean population at high cardiovascular risk: demographic and lifestyle determinants in the PREDIMED-Plus study

Indira Paz-Graniel, Nancy Babio, Luís Serra-Majem, Jesús Vioque, Maria Dolores Zomeño, Dolores Corella, Andrés Díaz-López, Xavier Pintó, Aurora Bueno-Cavanillas, Josep A. Tur, Lidia Daimiel, J. Alfredo Martínez, Nerea Becerra-Tomás, Eva Mª Navarrete-Muñoz, Helmut Schröder, Rebeca Fernández-Carrión, Adriana Ortiz-Andrellucchi, Emili Corbella, Blanca Riquelme-Gallego, Laura Gallardo-AlfaroVíctor Micó, Marian Zulet, Laura Barrubés, Montserrat Fitó, Miguel Ruiz-Canela, Jordi Salas-Salvadó

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Purpose: We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. Methods: Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate–vigorous physical activity (MVPA). Results: The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). Conclusions: High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.

Idioma originalAnglès
Pàgines (de-a)1595-1606
Nombre de pàgines12
RevistaEuropean Journal of Nutrition
Estat de la publicacióPublicada - 1 de juny 2020


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