TY - JOUR
T1 - Dietary intake in population with metabolic syndrome
T2 - Is the prevalence of inadequate intake influenced by geographical area? Cross-sectional analysis from PREDIMED-plus study
AU - Cano-Ibáñez, Naomi
AU - Bueno-Cavanillas, Aurora
AU - Martínez-González, Miguel A.
AU - Corella, Dolores
AU - Salas-Salvadó, Jordi
AU - Zomeño, M. Dolors
AU - García-De-La-Hera, Manoli
AU - Romaguera, Dora
AU - Martínez, J. Alfredo
AU - Barón-López, F. Javier
AU - García-Ríos, Antonio
AU - Estruch, Ramón
AU - García-Molina, Laura
AU - Gómez, Ángel Alonso
AU - Tur, Josep A.
AU - Tinahones, Francisco
AU - Serra-Majem, Lluis
AU - Cubelos-Fernández, Naiara
AU - Lapetra, José
AU - Vázquez, Clotilde
AU - Pintó, Xavier
AU - Vidal, Josep
AU - Daimiel, Lidia
AU - Gaforio, José Juan
AU - Matía, Pilar
AU - Ros, Emilio
AU - Diez-Espino, Javier
AU - Fernández-Carrión, Rebeca
AU - Basora, Josep
AU - Fitó, Montse
AU - Zazo, Juan Manuel
AU - Colom, Antoni
AU - Toledo, Estefanía
AU - Díaz-López, Andrés
AU - Muñoz, Miguel Ángel
AU - Ruiz-Canela, Miguel
AU - Gea, Alfredo
N1 - Funding Information:
Acknowledgments: The first author would like to acknowledge support by the Ministry of Education of Spain (FPU14/03630). The authors especially thank the PREDIMED-Plus participants for their collaboration and the PREDIMED-Plus staff for their support and effort. The authors would like to thank Ingrid de Ruiter, MBChB for English language assistance.
Funding Information:
Conflicts of Interest: J.S.-S. reports serving on the board of and receiving grant support through his institution from International Nut and Dried Fruit Council; receiving consulting personal fees from Danone, Font Vella Lanjarón, Nuts for Life and Eroski; and receiving grant support through his institution from Nut and Dried Fruit Foundation and Eroski. E.R., reports grants, non-financial support and other fees from California Walnut Commission and Alexion; personal fees and non-financial support from Merck, Sharp & Dohme; personal fees, non-financial support and other fees from Aegerion and Ferrer International; grants and personal fees from Sanofi Aventis; grants from Amgen and Pfizer and; personal fees from Akcea, outside of the submitted work. X.P., reports serving on the board of and receiving consulting personal fees from Sanofi Aventis, Amgen and Abbott laboratories; receiving lecture personal fees from Esteve, Lacer and Rubio laboratories. L.D. reports grants from Fundación Cerveza y Salud. J.J.G. reports receiving grants from the Diputación Provincial de Jaén and the Fundación Caja Rural de Jaén. All other authors declare no competing interests.
Funding Information:
Funding: The PREDIMED-Plus trial was supported by the official funding agency for biomedical research of the Spanish government, ISCIII through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund (three coordinated FIS projects led by J.S.-S and J.V., including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926), the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus grant to J.S.-S, the European Research Council (Advanced Research Grant 2013–2018; 340918) grant to M.A.M.-G., the Recercaixa grant to J.S.-S (2013ACUP00194), the grant from the Consejería de Salud de la Junta de Andalucía (PI0458/2013; PS0358/2016), the PROMETEO/2017/017 grant from the Generalitat Valenciana, the SEMERGEN grant and FEDER funds (CB06/03). None of the funding sources took part in the design, collection, analysis or interpretation of the data, or in the decision to submit the manuscript for publication. The corresponding authors had full access to all the data in the study and had final responsibility to submit for publication.
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/11/4
Y1 - 2018/11/4
N2 - Inadequate diet influences chronic diseases such as cardiovascular disease (CVD), the leading cause of death in Spain. CVD figures vary from one geographical region to another; this could be associated with different food choices. Our aim was to analyse the influence of geographical area on nutrient intakes among the Spanish adult population with Metabolic Syndrome (MetS). We analysed cross-sectional baseline data from the PREDIMED-Plus study: 6646 Spanish adults, aged 55–75 years, with overweight/obesity and MetS in four geographical areas. A validated 143-item Food Frequency Questionnaire (FFQ) was used to assess energy and nutrient intakes. The prevalence of inadequate nutrient intake was estimated according to Dietary Reference Intakes (DRIs). Multivariable-adjusted logistic regression was used to assess the relationship between geographical area (North, Central, East and South areas) and inadequate nutrient intake. People in the North area consumed significantly lower amounts of vegetables and fish but more sugar and alcohol (p < 0.001) than other areas. Dietary fibre, vitamin A, E, calcium and magnesium intakes were all lower among men of North area than in the other areas (p < 0.001). Sex (women), non-smoker and physical activity were also associated to adequate nutrient intake. Geographical area influences nutrient intakes. Its effect on dietary quality should be taken into account when planning food policies.
AB - Inadequate diet influences chronic diseases such as cardiovascular disease (CVD), the leading cause of death in Spain. CVD figures vary from one geographical region to another; this could be associated with different food choices. Our aim was to analyse the influence of geographical area on nutrient intakes among the Spanish adult population with Metabolic Syndrome (MetS). We analysed cross-sectional baseline data from the PREDIMED-Plus study: 6646 Spanish adults, aged 55–75 years, with overweight/obesity and MetS in four geographical areas. A validated 143-item Food Frequency Questionnaire (FFQ) was used to assess energy and nutrient intakes. The prevalence of inadequate nutrient intake was estimated according to Dietary Reference Intakes (DRIs). Multivariable-adjusted logistic regression was used to assess the relationship between geographical area (North, Central, East and South areas) and inadequate nutrient intake. People in the North area consumed significantly lower amounts of vegetables and fish but more sugar and alcohol (p < 0.001) than other areas. Dietary fibre, vitamin A, E, calcium and magnesium intakes were all lower among men of North area than in the other areas (p < 0.001). Sex (women), non-smoker and physical activity were also associated to adequate nutrient intake. Geographical area influences nutrient intakes. Its effect on dietary quality should be taken into account when planning food policies.
KW - Dietary intake
KW - Geographical area
KW - Metabolic syndrome
KW - Nutrient adequacy
KW - Place of residence
KW - Predimed-plus study
UR - http://www.scopus.com/inward/record.url?scp=85056091918&partnerID=8YFLogxK
U2 - 10.3390/nu10111661
DO - 10.3390/nu10111661
M3 - Article
C2 - 30400355
AN - SCOPUS:85056091918
SN - 2072-6643
VL - 10
JO - Nutrients
JF - Nutrients
IS - 11
M1 - 1661
ER -