Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial

Background: Non-time-consuming and easy-to-administer dietary assessment tools specific for pregnancy are needed. Objectives: The aim of this validation study nested in the IMPACT BCN (Improving Mothers for a better PrenAtal Care Trial BarCeloNa) trial is to determine the concurrent validity of the...

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Autores: Castro-Barquero, Sara, Crovetto, Francesca, Estruch Riba, Ramon, Ruiz León, Ana María, Larroya, Marta, Sacanella Meseguer, Emilio, Casanovas Garriga, Francesc, Casas, Irene, Nakaki, Ayako, Youssef, Lina, Trejo Domínguez, Alejandra, Benitez, Leticia, Genero, Mariona, Vieta i Pascual, Eduard, 1963-, Gratacós Solsona, Eduard, Crispi Brillas, Fàtima, Casas Rodríguez, Rosa M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/214500
Acceso en línea:https://hdl.handle.net/2445/214500
Access Level:acceso abierto
Palabra clave:Embaràs
Dieta
Cuina mediterrània
Hipertensió en l'embaràs
Pregnancy
Diet
Mediterranean cooking
Hypertension in pregnancy
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spelling Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trialCastro-Barquero, SaraCrovetto, FrancescaEstruch Riba, RamonRuiz León, Ana MaríaLarroya, MartaSacanella Meseguer, EmilioCasanovas Garriga, FrancescCasas, IreneNakaki, AyakoYoussef, LinaTrejo Domínguez, AlejandraBenitez, LeticiaGenero, MarionaVieta i Pascual, Eduard, 1963-Gratacós Solsona, EduardCrispi Brillas, FàtimaCasas Rodríguez, Rosa M.EmbaràsDietaCuina mediterràniaHipertensió en l'embaràsPregnancyDietMediterranean cookingHypertension in pregnancyBackground: Non-time-consuming and easy-to-administer dietary assessment tools specific for pregnancy are needed. Objectives: The aim of this validation study nested in the IMPACT BCN (Improving Mothers for a better PrenAtal Care Trial BarCeloNa) trial is to determine the concurrent validity of the 17-item pregnancy-adapted Mediterranean diet score (preg-MEDAS) and to analyze whether changes in the preg-MEDAS score were associated with maternal favorable dietary and cardiometabolic changes after 3 mo of intervention in pregnant women. Methods: Dietary data was collected in 812 participants using the preg-MEDAS and a 151-item validated food frequency questionnaire (FFQ) at baseline (19-23 wk gestation) and final visit (31-34 wk gestation). Concurrent preg-MEDAS validity was evaluated by Pearson and intraclass correlation coefficients, κ statistic, and Bland-Altman methods. Results: The preg-MEDAS had a good correlation with the FFQ (r = 0.76 and intraclass correlation coefficient 0.75). The agreement of each of the preg-MEDAS items ranged from 40.9% to 93.8% with a substantial agreement mean concordance (κ = 0.61). A 2-point increase in preg-MEDAS was associated with a decrease in maternal mean and systolic blood pressure (β: -0.51 mmHg; 95% confidence interval [CI]: -0.97, -0.04 mmHg and -0.87 mmHg; 95% CI: -1.48, -0.26 mmHg, respectively). Conclusions: The preg-MEDAS displays good validity for assessing adherence to the Mediterranean diet, allowing detection of dietary changes over time. In addition, changes observed in preg-MEDAS are significantly associated with a decrease in maternal blood pressure. Therefore, we propose preg-MEDAS as a rapid and simple dietary assessment tool during pregnancy. This trial was registered at clinicaltrials.gov as NCT03166332.Elsevier B.V.2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/214500Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.ajcnut.2024.05.025The American Journal of Clinical Nutrition, 2024https://doi.org/10.1016/j.ajcnut.2024.05.025cc-by-nc-nd (c) Castro Barquero, Sara et al., 2024http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2145002026-05-27T06:46:51Z
dc.title.none.fl_str_mv Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
title Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
spellingShingle Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
Castro-Barquero, Sara
Embaràs
Dieta
Cuina mediterrània
Hipertensió en l'embaràs
Pregnancy
Diet
Mediterranean cooking
Hypertension in pregnancy
title_short Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
title_full Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
title_fullStr Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
title_full_unstemmed Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
title_sort Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
dc.creator.none.fl_str_mv Castro-Barquero, Sara
Crovetto, Francesca
Estruch Riba, Ramon
Ruiz León, Ana María
Larroya, Marta
Sacanella Meseguer, Emilio
Casanovas Garriga, Francesc
Casas, Irene
Nakaki, Ayako
Youssef, Lina
Trejo Domínguez, Alejandra
Benitez, Leticia
Genero, Mariona
Vieta i Pascual, Eduard, 1963-
Gratacós Solsona, Eduard
Crispi Brillas, Fàtima
Casas Rodríguez, Rosa M.
author Castro-Barquero, Sara
author_facet Castro-Barquero, Sara
Crovetto, Francesca
Estruch Riba, Ramon
Ruiz León, Ana María
Larroya, Marta
Sacanella Meseguer, Emilio
Casanovas Garriga, Francesc
Casas, Irene
Nakaki, Ayako
Youssef, Lina
Trejo Domínguez, Alejandra
Benitez, Leticia
Genero, Mariona
Vieta i Pascual, Eduard, 1963-
Gratacós Solsona, Eduard
Crispi Brillas, Fàtima
Casas Rodríguez, Rosa M.
author_role author
author2 Crovetto, Francesca
Estruch Riba, Ramon
Ruiz León, Ana María
Larroya, Marta
Sacanella Meseguer, Emilio
Casanovas Garriga, Francesc
Casas, Irene
Nakaki, Ayako
Youssef, Lina
Trejo Domínguez, Alejandra
Benitez, Leticia
Genero, Mariona
Vieta i Pascual, Eduard, 1963-
Gratacós Solsona, Eduard
Crispi Brillas, Fàtima
Casas Rodríguez, Rosa M.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Embaràs
Dieta
Cuina mediterrània
Hipertensió en l'embaràs
Pregnancy
Diet
Mediterranean cooking
Hypertension in pregnancy
topic Embaràs
Dieta
Cuina mediterrània
Hipertensió en l'embaràs
Pregnancy
Diet
Mediterranean cooking
Hypertension in pregnancy
description Background: Non-time-consuming and easy-to-administer dietary assessment tools specific for pregnancy are needed. Objectives: The aim of this validation study nested in the IMPACT BCN (Improving Mothers for a better PrenAtal Care Trial BarCeloNa) trial is to determine the concurrent validity of the 17-item pregnancy-adapted Mediterranean diet score (preg-MEDAS) and to analyze whether changes in the preg-MEDAS score were associated with maternal favorable dietary and cardiometabolic changes after 3 mo of intervention in pregnant women. Methods: Dietary data was collected in 812 participants using the preg-MEDAS and a 151-item validated food frequency questionnaire (FFQ) at baseline (19-23 wk gestation) and final visit (31-34 wk gestation). Concurrent preg-MEDAS validity was evaluated by Pearson and intraclass correlation coefficients, κ statistic, and Bland-Altman methods. Results: The preg-MEDAS had a good correlation with the FFQ (r = 0.76 and intraclass correlation coefficient 0.75). The agreement of each of the preg-MEDAS items ranged from 40.9% to 93.8% with a substantial agreement mean concordance (κ = 0.61). A 2-point increase in preg-MEDAS was associated with a decrease in maternal mean and systolic blood pressure (β: -0.51 mmHg; 95% confidence interval [CI]: -0.97, -0.04 mmHg and -0.87 mmHg; 95% CI: -1.48, -0.26 mmHg, respectively). Conclusions: The preg-MEDAS displays good validity for assessing adherence to the Mediterranean diet, allowing detection of dietary changes over time. In addition, changes observed in preg-MEDAS are significantly associated with a decrease in maternal blood pressure. Therefore, we propose preg-MEDAS as a rapid and simple dietary assessment tool during pregnancy. This trial was registered at clinicaltrials.gov as NCT03166332.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/214500
url https://hdl.handle.net/2445/214500
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.ajcnut.2024.05.025
The American Journal of Clinical Nutrition, 2024
https://doi.org/10.1016/j.ajcnut.2024.05.025
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Castro Barquero, Sara et al., 2024
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Castro Barquero, Sara et al., 2024
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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