Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk

Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient adequa...

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Autores: Bibiloni Esteva, Maria Del Mar, Julibert, Alicia, Bouzas, Cristina, Martínez-González, Miguel Ángel, Corella, Dolores, Salas-Salvado, Jordi, Zomeño-Fajardo, María Dolores, Vioque, Jesus, Romaguera, Dora, Martinez, Jose Alfredo, Waernberg, Julia, Lopez-Miranda, Jose, Estruch, Ramon, Bueno-Cavanillas, Aurora, Aros, Fernando, Tinahones, Francisco J, Serra-Majem, Lluis, Martin, Vicente, Lapetra, Jose, Vazquez, Clotilde, Pinto, Xavier, Vidal, Josep, Daimiel, Lidia, Delgado-Rodriguez, Miguel, Matia, Pilar, Ros, Emilio, Fernandez-Carrion, Rebeca, Garcia-Rios, Antonio, Angeles Zulet, M., Orozco-Beltran, Domingo, Schroder, Helmut, Fito, Montserrat, Bullo, Monica, Basora, Josep, Cenoz-Osinaga, Juan Carlos, Díez-Espino, Javier, Toledo, Estefanía, Tur, Josep A.
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/17541
Acceso en línea:https://hdl.handle.net/20.500.13003/17541
Access Level:acceso abierto
Palabra clave:Cardiovascular Diseases
Metabolic Syndrome
Aged
Energy Intake
Nutrition Surveys
Humans
Middle Aged
Nuts
Obesity
Nutritional Status
Diet
Male
Female
Risk Factors
Diet, Mediterranean
Micronutrients
Dieta Mediterránea
Síndrome Metabólico
Micronutrientes
Femenino
Estado Nutricional
Dieta
Masculino
Encuestas Nutricionales
Factores de Riesgo
Humanos
Persona de Mediana Edad
Nueces
Obesidad
Ingestión de Energía
Anciano
Enfermedades Cardiovasculares
nut consumption
nutrient adequacy
diet quality
Mediterranean diet
cardiovascular risk disease
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spelling Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular RiskBibiloni Esteva, Maria Del MarJulibert, AliciaBouzas, CristinaMartínez-González, Miguel ÁngelCorella, DoloresSalas-Salvado, JordiZomeño-Fajardo, María DoloresVioque, JesusRomaguera, DoraMartinez, Jose AlfredoWaernberg, JuliaLopez-Miranda, JoseEstruch, RamonBueno-Cavanillas, AuroraAros, FernandoTinahones, Francisco JSerra-Majem, LluisMartin, VicenteLapetra, JoseVazquez, ClotildePinto, XavierVidal, JosepDaimiel, LidiaDelgado-Rodriguez, MiguelMatia, PilarRos, EmilioFernandez-Carrion, RebecaGarcia-Rios, AntonioAngeles Zulet, M.Orozco-Beltran, DomingoSchroder, HelmutFito, MontserratBullo, MonicaBasora, JosepCenoz-Osinaga, Juan CarlosDíez-Espino, JavierToledo, EstefaníaTur, Josep A.Cardiovascular DiseasesMetabolic SyndromeAgedEnergy IntakeNutrition SurveysHumansMiddle AgedNutsObesityNutritional StatusDietMaleFemaleRisk FactorsDiet, MediterraneanMicronutrientsDieta MediterráneaSíndrome MetabólicoMicronutrientesFemeninoEstado NutricionalDietaMasculinoEncuestas NutricionalesFactores de RiesgoHumanosPersona de Mediana EdadNuecesObesidadIngestión de EnergíaAncianoEnfermedades Cardiovascularesnut consumptionnutrient adequacydiet qualityMediterranean dietcardiovascular risk diseaseBackground: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk. Design: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55-75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Methods: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as non-nut consumers'. Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (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 estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI). Results: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0-25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS). Conclusions: nut consumers had better nutrient adequacy, diet quality, and adherence to the MedDiet than those non-nut consumers.MDPI20192019-04-0120192019-04-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/17541reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/175412026-06-22T12:44:07Z
dc.title.none.fl_str_mv Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
title Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
spellingShingle Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
Bibiloni Esteva, Maria Del Mar
Cardiovascular Diseases
Metabolic Syndrome
Aged
Energy Intake
Nutrition Surveys
Humans
Middle Aged
Nuts
Obesity
Nutritional Status
Diet
Male
Female
Risk Factors
Diet, Mediterranean
Micronutrients
Dieta Mediterránea
Síndrome Metabólico
Micronutrientes
Femenino
Estado Nutricional
Dieta
Masculino
Encuestas Nutricionales
Factores de Riesgo
Humanos
Persona de Mediana Edad
Nueces
Obesidad
Ingestión de Energía
Anciano
Enfermedades Cardiovasculares
nut consumption
nutrient adequacy
diet quality
Mediterranean diet
cardiovascular risk disease
title_short Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
title_full Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
title_fullStr Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
title_full_unstemmed Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
title_sort Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk
dc.creator.none.fl_str_mv Bibiloni Esteva, Maria Del Mar
Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel
Corella, Dolores
Salas-Salvado, Jordi
Zomeño-Fajardo, María Dolores
Vioque, Jesus
Romaguera, Dora
Martinez, Jose Alfredo
Waernberg, Julia
Lopez-Miranda, Jose
Estruch, Ramon
Bueno-Cavanillas, Aurora
Aros, Fernando
Tinahones, Francisco J
Serra-Majem, Lluis
Martin, Vicente
Lapetra, Jose
Vazquez, Clotilde
Pinto, Xavier
Vidal, Josep
Daimiel, Lidia
Delgado-Rodriguez, Miguel
Matia, Pilar
Ros, Emilio
Fernandez-Carrion, Rebeca
Garcia-Rios, Antonio
Angeles Zulet, M.
Orozco-Beltran, Domingo
Schroder, Helmut
Fito, Montserrat
Bullo, Monica
Basora, Josep
Cenoz-Osinaga, Juan Carlos
Díez-Espino, Javier
Toledo, Estefanía
Tur, Josep A.
author Bibiloni Esteva, Maria Del Mar
author_facet Bibiloni Esteva, Maria Del Mar
Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel
Corella, Dolores
Salas-Salvado, Jordi
Zomeño-Fajardo, María Dolores
Vioque, Jesus
Romaguera, Dora
Martinez, Jose Alfredo
Waernberg, Julia
Lopez-Miranda, Jose
Estruch, Ramon
Bueno-Cavanillas, Aurora
Aros, Fernando
Tinahones, Francisco J
Serra-Majem, Lluis
Martin, Vicente
Lapetra, Jose
Vazquez, Clotilde
Pinto, Xavier
Vidal, Josep
Daimiel, Lidia
Delgado-Rodriguez, Miguel
Matia, Pilar
Ros, Emilio
Fernandez-Carrion, Rebeca
Garcia-Rios, Antonio
Angeles Zulet, M.
Orozco-Beltran, Domingo
Schroder, Helmut
Fito, Montserrat
Bullo, Monica
Basora, Josep
Cenoz-Osinaga, Juan Carlos
Díez-Espino, Javier
Toledo, Estefanía
Tur, Josep A.
author_role author
author2 Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel
Corella, Dolores
Salas-Salvado, Jordi
Zomeño-Fajardo, María Dolores
Vioque, Jesus
Romaguera, Dora
Martinez, Jose Alfredo
Waernberg, Julia
Lopez-Miranda, Jose
Estruch, Ramon
Bueno-Cavanillas, Aurora
Aros, Fernando
Tinahones, Francisco J
Serra-Majem, Lluis
Martin, Vicente
Lapetra, Jose
Vazquez, Clotilde
Pinto, Xavier
Vidal, Josep
Daimiel, Lidia
Delgado-Rodriguez, Miguel
Matia, Pilar
Ros, Emilio
Fernandez-Carrion, Rebeca
Garcia-Rios, Antonio
Angeles Zulet, M.
Orozco-Beltran, Domingo
Schroder, Helmut
Fito, Montserrat
Bullo, Monica
Basora, Josep
Cenoz-Osinaga, Juan Carlos
Díez-Espino, Javier
Toledo, Estefanía
Tur, Josep A.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Cardiovascular Diseases
Metabolic Syndrome
Aged
Energy Intake
Nutrition Surveys
Humans
Middle Aged
Nuts
Obesity
Nutritional Status
Diet
Male
Female
Risk Factors
Diet, Mediterranean
Micronutrients
Dieta Mediterránea
Síndrome Metabólico
Micronutrientes
Femenino
Estado Nutricional
Dieta
Masculino
Encuestas Nutricionales
Factores de Riesgo
Humanos
Persona de Mediana Edad
Nueces
Obesidad
Ingestión de Energía
Anciano
Enfermedades Cardiovasculares
nut consumption
nutrient adequacy
diet quality
Mediterranean diet
cardiovascular risk disease
topic Cardiovascular Diseases
Metabolic Syndrome
Aged
Energy Intake
Nutrition Surveys
Humans
Middle Aged
Nuts
Obesity
Nutritional Status
Diet
Male
Female
Risk Factors
Diet, Mediterranean
Micronutrients
Dieta Mediterránea
Síndrome Metabólico
Micronutrientes
Femenino
Estado Nutricional
Dieta
Masculino
Encuestas Nutricionales
Factores de Riesgo
Humanos
Persona de Mediana Edad
Nueces
Obesidad
Ingestión de Energía
Anciano
Enfermedades Cardiovasculares
nut consumption
nutrient adequacy
diet quality
Mediterranean diet
cardiovascular risk disease
description Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk. Design: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55-75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Methods: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as non-nut consumers'. Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (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 estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI). Results: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0-25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS). Conclusions: nut consumers had better nutrient adequacy, diet quality, and adherence to the MedDiet than those non-nut consumers.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-04-01
2019
2019-04-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/17541
url https://hdl.handle.net/20.500.13003/17541
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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