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 fi c 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...

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Autores: Castro-Barquero S, Crovetto F, Estruch R, María Ruiz-León A, Larroya M, Sacanella E, Casanovas-Garriga F, Casas I, Nakaki A, Youssef L, Trejo-Domínguez A, Benitez L, Genero M, Vieta E, Gratacós E, Crispi F, Casas R
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p26364
Acesso em linha:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26364
Access Level:acceso abierto
Palavra-chave:validity
diet
Mediterranean diet
pregnancy
screener
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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 SCrovetto FEstruch RMaría Ruiz-León ALarroya MSacanella ECasanovas-Garriga FCasas INakaki AYoussef LTrejo-Domínguez ABenitez LGenero MVieta EGratacós ECrispi FCasas RvaliditydietMediterranean dietpregnancyscreenerBackground: Non-time-consuming and easy-to-administer dietary assessment tools specific fi c 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 pregMEDAS 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 - 23 wk gestation) and fi nal visit (31-34 - 34 wk gestation). Concurrent preg-MEDAS validity was evaluated by Pearson and intraclass correlation coefficients, fi cients, kappa statistic, and Bland-Altman methods. Results: The preg-MEDAS had a good correlation with the FFQ (r r 1 / 4 0.76 and intraclass correlation coefficient i cient 0.75). The agreement of each of the pregMEDAS items ranged from 40.9% to 93.8% with a substantial agreement mean concordance (kappa 1 / 4 0.61). A 2-point increase in preg-MEDAS was associated with a decrease in maternal mean and systolic blood pressure (beta: -0.51 mmHg; 95% confidence fi dence 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 fi cantly associated with a decrease in maternal blood pressure. Therefore, we propose pregMEDAS as a rapid and simple dietary assessment tool during pregnancy.ELSEVIER SCIENCE INC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26364AMERICAN JOURNAL OF CLINICAL NUTRITIONISSN: 00029165ISSNe: 19383207reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p263642026-05-27T12:37:41Z
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 S
validity
diet
Mediterranean diet
pregnancy
screener
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 S
Crovetto F
Estruch R
María Ruiz-León A
Larroya M
Sacanella E
Casanovas-Garriga F
Casas I
Nakaki A
Youssef L
Trejo-Domínguez A
Benitez L
Genero M
Vieta E
Gratacós E
Crispi F
Casas R
author Castro-Barquero S
author_facet Castro-Barquero S
Crovetto F
Estruch R
María Ruiz-León A
Larroya M
Sacanella E
Casanovas-Garriga F
Casas I
Nakaki A
Youssef L
Trejo-Domínguez A
Benitez L
Genero M
Vieta E
Gratacós E
Crispi F
Casas R
author_role author
author2 Crovetto F
Estruch R
María Ruiz-León A
Larroya M
Sacanella E
Casanovas-Garriga F
Casas I
Nakaki A
Youssef L
Trejo-Domínguez A
Benitez L
Genero M
Vieta E
Gratacós E
Crispi F
Casas R
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv validity
diet
Mediterranean diet
pregnancy
screener
topic validity
diet
Mediterranean diet
pregnancy
screener
description Background: Non-time-consuming and easy-to-administer dietary assessment tools specific fi c 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 pregMEDAS 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 - 23 wk gestation) and fi nal visit (31-34 - 34 wk gestation). Concurrent preg-MEDAS validity was evaluated by Pearson and intraclass correlation coefficients, fi cients, kappa statistic, and Bland-Altman methods. Results: The preg-MEDAS had a good correlation with the FFQ (r r 1 / 4 0.76 and intraclass correlation coefficient i cient 0.75). The agreement of each of the pregMEDAS items ranged from 40.9% to 93.8% with a substantial agreement mean concordance (kappa 1 / 4 0.61). A 2-point increase in preg-MEDAS was associated with a decrease in maternal mean and systolic blood pressure (beta: -0.51 mmHg; 95% confidence fi dence 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 fi cantly associated with a decrease in maternal blood pressure. Therefore, we propose pregMEDAS as a rapid and simple dietary assessment tool during pregnancy.
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://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26364
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=26364
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv AMERICAN JOURNAL OF CLINICAL NUTRITION
ISSN: 00029165
ISSNe: 19383207
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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