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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Authors: Bibiloni, Maria del Mar, Julibert, Alicia, Bouzas, Cristina, Martínez-González, Miguel Ángel, 1957-, Corella Piquer, Dolores, Salas Salvadó, Jordi, Zomeño Fajardo, María Dolores, Vioque, Jesús, Romaguera, Dora, Martínez, J. Alfredo, 1957-, Wärnberg, Julia, López Miranda, José, Estruch Riba, Ramon, Bueno Cavanillas, Aurora, Arós, Fernando, Tinahones, Francisco J., Serra Majem, Lluís, Martín Sánchez, Vicente, Lapetra, José, Vázquez, Clotilde, Pintó Sala, Xavier, Vidal i Cortada, Josep, Daimiel, Lidia, Delgado Rodríguez, Miguel, Matía Martín, Pilar, Ros Rahola, Emilio, Fernández Carrión, Rebeca, García Ríos, Antonio, Zulet, M. Angeles, Orozco Beltrán, Domingo, Schröder, Helmut, 1958-, Fitó Colomer, Montserrat, Bulló, Mònica, Basora, Josep, Cenoz, Juan Carlos, Díez Espino, Javier, Toledo Atucha, Estefanía, Tur, Josep Antoni
Format: article
Status:Published version
Publication Date:2019
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/176230
Online Access:https://hdl.handle.net/2445/176230
Access Level:Open access
Keyword:Malalties cardiovasculars
Cuina (Nous)
Cuina mediterrània
Cardiovascular diseases
Cooking (Nuts)
Mediterranean cooking
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spelling Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular RiskBibiloni, Maria del MarJulibert, AliciaBouzas, CristinaMartínez-González, Miguel Ángel, 1957-Corella Piquer, DoloresSalas Salvadó, JordiZomeño Fajardo, María DoloresVioque, JesúsRomaguera, DoraMartínez, J. Alfredo, 1957-Wärnberg, JuliaLópez Miranda, JoséEstruch Riba, RamonBueno Cavanillas, AuroraArós, FernandoTinahones, Francisco J.Serra Majem, LluísMartín Sánchez, VicenteLapetra, JoséVázquez, ClotildePintó Sala, XavierVidal i Cortada, JosepDaimiel, LidiaDelgado Rodríguez, MiguelMatía Martín, PilarRos Rahola, EmilioFernández Carrión, RebecaGarcía Ríos, AntonioZulet, M. AngelesOrozco Beltrán, DomingoSchröder, Helmut, 1958-Fitó Colomer, MontserratBulló, MònicaBasora, JosepCenoz, Juan CarlosDíez Espino, JavierToledo Atucha, EstefaníaTur, Josep AntoniMalalties cardiovascularsCuina (Nous)Cuina mediterràniaCardiovascular diseasesCooking (Nuts)Mediterranean cookingBackground: 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.MDPI2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/176230Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/nu11040754Nutrients, 2019, vol. 11, num. 4https://doi.org/10.3390/nu11040754info:eu-repo/grantAgreement/EC/FP7/340918cc-by (c) Bibiloni, María del Mar et al., 2019http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1762302026-05-27T06:46:51Z
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, Maria del Mar
Malalties cardiovasculars
Cuina (Nous)
Cuina mediterrània
Cardiovascular diseases
Cooking (Nuts)
Mediterranean cooking
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, Maria del Mar
Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel, 1957-
Corella Piquer, Dolores
Salas Salvadó, Jordi
Zomeño Fajardo, María Dolores
Vioque, Jesús
Romaguera, Dora
Martínez, J. Alfredo, 1957-
Wärnberg, Julia
López Miranda, José
Estruch Riba, Ramon
Bueno Cavanillas, Aurora
Arós, Fernando
Tinahones, Francisco J.
Serra Majem, Lluís
Martín Sánchez, Vicente
Lapetra, José
Vázquez, Clotilde
Pintó Sala, Xavier
Vidal i Cortada, Josep
Daimiel, Lidia
Delgado Rodríguez, Miguel
Matía Martín, Pilar
Ros Rahola, Emilio
Fernández Carrión, Rebeca
García Ríos, Antonio
Zulet, M. Angeles
Orozco Beltrán, Domingo
Schröder, Helmut, 1958-
Fitó Colomer, Montserrat
Bulló, Mònica
Basora, Josep
Cenoz, Juan Carlos
Díez Espino, Javier
Toledo Atucha, Estefanía
Tur, Josep Antoni
author Bibiloni, Maria del Mar
author_facet Bibiloni, Maria del Mar
Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel, 1957-
Corella Piquer, Dolores
Salas Salvadó, Jordi
Zomeño Fajardo, María Dolores
Vioque, Jesús
Romaguera, Dora
Martínez, J. Alfredo, 1957-
Wärnberg, Julia
López Miranda, José
Estruch Riba, Ramon
Bueno Cavanillas, Aurora
Arós, Fernando
Tinahones, Francisco J.
Serra Majem, Lluís
Martín Sánchez, Vicente
Lapetra, José
Vázquez, Clotilde
Pintó Sala, Xavier
Vidal i Cortada, Josep
Daimiel, Lidia
Delgado Rodríguez, Miguel
Matía Martín, Pilar
Ros Rahola, Emilio
Fernández Carrión, Rebeca
García Ríos, Antonio
Zulet, M. Angeles
Orozco Beltrán, Domingo
Schröder, Helmut, 1958-
Fitó Colomer, Montserrat
Bulló, Mònica
Basora, Josep
Cenoz, Juan Carlos
Díez Espino, Javier
Toledo Atucha, Estefanía
Tur, Josep Antoni
author_role author
author2 Julibert, Alicia
Bouzas, Cristina
Martínez-González, Miguel Ángel, 1957-
Corella Piquer, Dolores
Salas Salvadó, Jordi
Zomeño Fajardo, María Dolores
Vioque, Jesús
Romaguera, Dora
Martínez, J. Alfredo, 1957-
Wärnberg, Julia
López Miranda, José
Estruch Riba, Ramon
Bueno Cavanillas, Aurora
Arós, Fernando
Tinahones, Francisco J.
Serra Majem, Lluís
Martín Sánchez, Vicente
Lapetra, José
Vázquez, Clotilde
Pintó Sala, Xavier
Vidal i Cortada, Josep
Daimiel, Lidia
Delgado Rodríguez, Miguel
Matía Martín, Pilar
Ros Rahola, Emilio
Fernández Carrión, Rebeca
García Ríos, Antonio
Zulet, M. Angeles
Orozco Beltrán, Domingo
Schröder, Helmut, 1958-
Fitó Colomer, Montserrat
Bulló, Mònica
Basora, Josep
Cenoz, Juan Carlos
Díez Espino, Javier
Toledo Atucha, Estefanía
Tur, Josep Antoni
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.subject.none.fl_str_mv Malalties cardiovasculars
Cuina (Nous)
Cuina mediterrània
Cardiovascular diseases
Cooking (Nuts)
Mediterranean cooking
topic Malalties cardiovasculars
Cuina (Nous)
Cuina mediterrània
Cardiovascular diseases
Cooking (Nuts)
Mediterranean cooking
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
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/2445/176230
url https://hdl.handle.net/2445/176230
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/10.3390/nu11040754
Nutrients, 2019, vol. 11, num. 4
https://doi.org/10.3390/nu11040754
info:eu-repo/grantAgreement/EC/FP7/340918
dc.rights.none.fl_str_mv cc-by (c) Bibiloni, María del Mar et al., 2019
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Bibiloni, María del Mar et al., 2019
http://creativecommons.org/licenses/by/3.0/es
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 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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