Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study

Maria del Mar Bibiloni, Cristina Bouzas, Manuela Abbate, Miguel A. Martínez-González, Dolores Corella, Jordi Salas-Salvadó, M. Dolors Zomeño, Jesús Vioque, Dora Romaguera, J. Alfredo Martínez, Julia Wärnberg, José López-Miranda, Ramón Estruch, Aurora Bueno-Cavanillas, Ángel Alonso-Gómez, Francisco Tinahones, Lluis Serra-Majem, Vicente Martín, José Lapetra, Clotilde VázquezXavier Pintó, Josep Vidal, Lidia Daimiel, Miguel Delgado-Rodríguez, Pilar Matía, Emilio Ros, Rebeca Fernández-Carrión, Antonio Garcia-Rios, M. Angeles Zulet, Alberto Asensio, Helmut Schröder, Montserrat Fitó, Nerea Becerra-Tomás, Josep Basora, Juan Carlos Cenoz, Javier Diez-Espino, Estefanía Toledo, Josep A. Tur

Producció científica: Article en revista indexadaArticleAvaluat per experts

3 Cites (Scopus)


Background & aims: Few studies have compared micronutrient intake and fulfilment of average requirements (EAR) in non-diabetic, pre-diabetic and diabetic adults at high cardiovascular risk. We assessed these variables in a large sample of participants in the PREDIMED-PLUS randomized trial of primary cardiovascular prevention with diet and physical activity. Design: Baseline assessment of nutritional adequacy in n = 5792 men and women, aged 55–75 years, with overweight/obesity and some metabolic syndrome features. Methods: Participants were categorised as non-diabetic (n = 2390), pre-diabetic (n = 1322) or diabetic (n = 2080) by standard criteria. Food and nutrient intake were assessed using a validated food frequency questionnaire. Micronutrients examined were 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 evaluated using the EAR or adequate intake (AI) cut-offs. Diet quality was also determined using a 17-item energy-restricted Mediterranean diet (MedDiet) questionnaire. Results: Compared to non-diabetic participants, those with pre-diabetes had lower intakes of total carbohydrates (CHO) and higher intakes of total fat and saturated fatty acids (SFA) and were more likely to be below EAR for folic, while diabetic participants had lower intakes of total CHO and higher intakes of protein, total fat, monounsaturated fatty acids, SFA and cholesterol and were less likely to be below EAR for vitamins B2, and B6, Ca, Zn and iodine. Diabetic participants disclosed higher adherence to the MedDiet than the other two groups. Conclusions: Older Mediterranean individuals with metabolic syndrome and diabetes had better nutrient adequacy and adherence to the MedDiet than those with pre-diabetes or no diabetes.

Idioma originalAnglès
Pàgines (de-a)853-861
Nombre de pàgines9
RevistaClinical Nutrition
Estat de la publicacióPublicada - de març 2020


Navegar pels temes de recerca de 'Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study'. Junts formen un fingerprint únic.

Com citar-ho