Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study

Olmedo-Requena, Rocio; Gonzalez-Donquiles, Carmen; Davila-Batista, Veronica; Romaguera, Dora; Castello, Adela; Molina de la Torre, Antonio Jose; Amiano, Pilar; Dierssen-Sotos, Trinidad; Guevara, Marcela; Fernández-Tardón, Guillermo; Lozano-Lorca, Macarena; Alguacil, Juan; Peiro, Rosana; Maria Huerta, Jose; Gracia-Lavedan, Esther; Aragones, Nuria; Fernandez-Villa, Tania; Solans, Marta; Gomez-Acebo, Ines; Castaño-Vinyals, Gemma; Kogevinas, Manolis; Pollan, Marina; Martin, Vicente

Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study

There are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate...

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Autores:	Olmedo-Requena, Rocio, Gonzalez-Donquiles, Carmen, Davila-Batista, Veronica, Romaguera, Dora, Castello, Adela, Molina de la Torre, Antonio Jose, Amiano, Pilar, Dierssen-Sotos, Trinidad, Guevara, Marcela, Fernández-Tardón, Guillermo, Lozano-Lorca, Macarena, Alguacil, Juan, Peiro, Rosana, Maria Huerta, Jose, Gracia-Lavedan, Esther, Aragones, Nuria, Fernandez-Villa, Tania, Solans, Marta, Gomez-Acebo, Ines, Castaño-Vinyals, Gemma, Kogevinas, Manolis, Pollan, Marina, Martin, Vicente
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:20.500.13003/17642
Acceso en línea:	https://hdl.handle.net/20.500.13003/17642
Access Level:	acceso abierto
Palabra clave:	Spain Adult Humans Diet Surveys Middle Aged Male Patient Compliance Diet, Mediterranean Aged Case-Control Studies Young Adult Female Aged, 80 and over Estudios de Casos y Controles Dieta Mediterránea Femenino Masculino Encuestas sobre Dietas Cooperación del Paciente Humanos Persona de Mediana Edad Adulto Joven Anciano Anciano de 80 o más Años Adulto España adherence Mediterranean diet pattern indexes agreement

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spelling	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain StudyOlmedo-Requena, RocioGonzalez-Donquiles, CarmenDavila-Batista, VeronicaRomaguera, DoraCastello, AdelaMolina de la Torre, Antonio JoseAmiano, PilarDierssen-Sotos, TrinidadGuevara, MarcelaFernández-Tardón, GuillermoLozano-Lorca, MacarenaAlguacil, JuanPeiro, RosanaMaria Huerta, JoseGracia-Lavedan, EstherAragones, NuriaFernandez-Villa, TaniaSolans, MartaGomez-Acebo, InesCastaño-Vinyals, GemmaKogevinas, ManolisPollan, MarinaMartin, VicenteSpainAdultHumansDiet SurveysMiddle AgedMalePatient ComplianceDiet, MediterraneanAgedCase-Control StudiesYoung AdultFemaleAged, 80 and overAged, 80 and overEstudios de Casos y ControlesDieta MediterráneaFemeninoMasculinoEncuestas sobre DietasCooperación del PacienteHumanosPersona de Mediana EdadAdulto JovenAncianoAnciano de 80 o más AñosAdultoEspañaadherenceMediterranean diet patternindexesagreementThere are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37.2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38.4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0.75 (95% CI 0.74-0.77). The Cohen's Kappa coefficient among indexes showed a moderate-fair concordance, except for MDS and aMED with a 0.56 (95% CI 0.55-0.59) and 0.67 (95% CI 0.66-0.68) using linear and quadratic weighting, respectively. The existing MD adherence indexes measured the same, although they were based on different constructing algorithms and varied in the food groups included, leading to a different classification of subjects. Therefore, concordance between these indexes was moderate or low.MDPI20192019-02-2620192019-02-26research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/17642reponame: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:20.500.13003/176422026-06-22T12:44:07Z
dc.title.none.fl_str_mv	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
title	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
spellingShingle	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study Olmedo-Requena, Rocio Spain Adult Humans Diet Surveys Middle Aged Male Patient Compliance Diet, Mediterranean Aged Case-Control Studies Young Adult Female Aged, 80 and over Aged, 80 and over Estudios de Casos y Controles Dieta Mediterránea Femenino Masculino Encuestas sobre Dietas Cooperación del Paciente Humanos Persona de Mediana Edad Adulto Joven Anciano Anciano de 80 o más Años Adulto España adherence Mediterranean diet pattern indexes agreement
title_short	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
title_full	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
title_fullStr	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
title_full_unstemmed	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
title_sort	Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
dc.creator.none.fl_str_mv	Olmedo-Requena, Rocio Gonzalez-Donquiles, Carmen Davila-Batista, Veronica Romaguera, Dora Castello, Adela Molina de la Torre, Antonio Jose Amiano, Pilar Dierssen-Sotos, Trinidad Guevara, Marcela Fernández-Tardón, Guillermo Lozano-Lorca, Macarena Alguacil, Juan Peiro, Rosana Maria Huerta, Jose Gracia-Lavedan, Esther Aragones, Nuria Fernandez-Villa, Tania Solans, Marta Gomez-Acebo, Ines Castaño-Vinyals, Gemma Kogevinas, Manolis Pollan, Marina Martin, Vicente
author	Olmedo-Requena, Rocio
author_facet	Olmedo-Requena, Rocio Gonzalez-Donquiles, Carmen Davila-Batista, Veronica Romaguera, Dora Castello, Adela Molina de la Torre, Antonio Jose Amiano, Pilar Dierssen-Sotos, Trinidad Guevara, Marcela Fernández-Tardón, Guillermo Lozano-Lorca, Macarena Alguacil, Juan Peiro, Rosana Maria Huerta, Jose Gracia-Lavedan, Esther Aragones, Nuria Fernandez-Villa, Tania Solans, Marta Gomez-Acebo, Ines Castaño-Vinyals, Gemma Kogevinas, Manolis Pollan, Marina Martin, Vicente
author_role	author
author2	Gonzalez-Donquiles, Carmen Davila-Batista, Veronica Romaguera, Dora Castello, Adela Molina de la Torre, Antonio Jose Amiano, Pilar Dierssen-Sotos, Trinidad Guevara, Marcela Fernández-Tardón, Guillermo Lozano-Lorca, Macarena Alguacil, Juan Peiro, Rosana Maria Huerta, Jose Gracia-Lavedan, Esther Aragones, Nuria Fernandez-Villa, Tania Solans, Marta Gomez-Acebo, Ines Castaño-Vinyals, Gemma Kogevinas, Manolis Pollan, Marina Martin, Vicente
author2_role	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	Spain Adult Humans Diet Surveys Middle Aged Male Patient Compliance Diet, Mediterranean Aged Case-Control Studies Young Adult Female Aged, 80 and over Aged, 80 and over Estudios de Casos y Controles Dieta Mediterránea Femenino Masculino Encuestas sobre Dietas Cooperación del Paciente Humanos Persona de Mediana Edad Adulto Joven Anciano Anciano de 80 o más Años Adulto España adherence Mediterranean diet pattern indexes agreement
topic	Spain Adult Humans Diet Surveys Middle Aged Male Patient Compliance Diet, Mediterranean Aged Case-Control Studies Young Adult Female Aged, 80 and over Aged, 80 and over Estudios de Casos y Controles Dieta Mediterránea Femenino Masculino Encuestas sobre Dietas Cooperación del Paciente Humanos Persona de Mediana Edad Adulto Joven Anciano Anciano de 80 o más Años Adulto España adherence Mediterranean diet pattern indexes agreement
description	There are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37.2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38.4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0.75 (95% CI 0.74-0.77). The Cohen's Kappa coefficient among indexes showed a moderate-fair concordance, except for MDS and aMED with a 0.56 (95% CI 0.55-0.59) and 0.67 (95% CI 0.66-0.68) using linear and quadratic weighting, respectively. The existing MD adherence indexes measured the same, although they were based on different constructing algorithms and varied in the food groups included, leading to a different classification of subjects. Therefore, concordance between these indexes was moderate or low.
publishDate	2019
dc.date.none.fl_str_mv	2019 2019-02-26 2019 2019-02-26
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/20.500.13003/17642
url	https://hdl.handle.net/20.500.13003/17642
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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Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study

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