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

Bibiloni, Maria Del Mar; Julibert, Alicia; Bouzas, Cristina; Martínez-González, Miguel A; Corella, Dolores; Salas-Salvadó, Jordi; Zomeño, M Dolors; Vioque, Jesús; Romaguera, Dora; Martínez, J Alfredo; Wärnberg, Julia; López-Miranda, José; Estruch, Ramón; Bueno-Cavanillas, Aurora; Arós, Fernando; Tinahones, Francisco; Serra-Majem, Lluis; Martín, Vicente; Lapetra, José; Vázquez, Clotilde; Pintó, Xavier; Vidal, Josep; Daimiel, Lidia; Delgado-Rodríguez, Miguel; Matía, Pilar; Ros, Emilio; Fernández-Carrión, Rebeca; Garcia-Rios, Antonio; Zulet, M Angeles; Orozco-Beltrán, Domingo; Schröder, Helmut; Fitó, Montserrat; Bulló, Mónica; Basora, Josep; Cenoz, Juan Carlos; Diez-Espino, Javier; Toledo, Estefanía; Tur, Josep A

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, Maria Del Mar, Julibert, Alicia, Bouzas, Cristina, Martínez-González, Miguel A, Corella, Dolores, Salas-Salvadó, Jordi, Zomeño, M Dolors, Vioque, Jesús, Romaguera, Dora, Martínez, J Alfredo, Wärnberg, Julia, López-Miranda, José, Estruch, Ramón, Bueno-Cavanillas, Aurora, Arós, Fernando, Tinahones, Francisco, Serra-Majem, Lluis, Martín, Vicente, Lapetra, José, Vázquez, Clotilde, Pintó, Xavier, Vidal, Josep, Daimiel, Lidia, Delgado-Rodríguez, Miguel, Matía, Pilar, Ros, Emilio, Fernández-Carrión, Rebeca, Garcia-Rios, Antonio, Zulet, M Angeles, Orozco-Beltrán, Domingo, Schröder, Helmut, Fitó, Montserrat, Bulló, Mónica, Basora, Josep, Cenoz, Juan Carlos, Diez-Espino, Javier, Toledo, Estefanía, Tur, Josep A
Tipo de recurso:	artículo
Fecha de publicación:	2019
País:	España
Institución:	Instituto de Salud Carlos III (ISCIII)
Repositorio:	Repisalud
Idioma:	inglés
OAI Identifier:	oai:repisalud.isciii.es:20.500.12105/17838
Acceso en línea:	http://hdl.handle.net/20.500.12105/17838
Access Level:	acceso abierto
Palabra clave:	Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy 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 Aged Cardiovascular Diseases Diet Diet, Mediterranean Energy Intake Female Humans Male Metabolic Syndrome Micronutrients Middle Aged Nutrition Surveys Nutritional Status Nuts Obesity Risk Factors

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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 ACorella, DoloresSalas-Salvadó, JordiZomeño, M DolorsVioque, JesúsRomaguera, DoraMartínez, J AlfredoWärnberg, JuliaLópez-Miranda, JoséEstruch, RamónBueno-Cavanillas, AuroraArós, FernandoTinahones, FranciscoSerra-Majem, LluisMartín, VicenteLapetra, JoséVázquez, ClotildePintó, XavierVidal, JosepDaimiel, LidiaDelgado-Rodríguez, MiguelMatía, PilarRos, EmilioFernández-Carrión, RebecaGarcia-Rios, AntonioZulet, M AngelesOrozco-Beltrán, DomingoSchröder, HelmutFitó, MontserratBulló, MónicaBasora, JosepCenoz, Juan CarlosDiez-Espino, JavierToledo, EstefaníaTur, Josep AMediterranean dietCardiovascular risk diseaseDiet qualityNut consumptionNutrient adequacyDieta MediterráneaSíndrome MetabólicoMicronutrientesFemeninoEstado NutricionalDietaMasculinoEncuestas NutricionalesFactores de RiesgoHumanosPersona de Mediana EdadNuecesObesidadIngestión de EnergíaAncianoEnfermedades CardiovascularesAgedCardiovascular DiseasesDietDiet, MediterraneanEnergy IntakeFemaleHumansMaleMetabolic SyndromeMicronutrientsMiddle AgedNutrition SurveysNutritional StatusNutsObesityRisk FactorsBackground: 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.20242024-02-1020192019-03-3020192019-03-30research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/17838reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/178382026-06-12T12:43:37Z
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 Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy 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 Aged Cardiovascular Diseases Diet Diet, Mediterranean Energy Intake Female Humans Male Metabolic Syndrome Micronutrients Middle Aged Nutrition Surveys Nutritional Status Nuts Obesity Risk Factors
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 A Corella, Dolores Salas-Salvadó, Jordi Zomeño, M Dolors Vioque, Jesús Romaguera, Dora Martínez, J Alfredo Wärnberg, Julia López-Miranda, José Estruch, Ramón Bueno-Cavanillas, Aurora Arós, Fernando Tinahones, Francisco Serra-Majem, Lluis Martín, Vicente Lapetra, José Vázquez, Clotilde Pintó, Xavier Vidal, Josep Daimiel, Lidia Delgado-Rodríguez, Miguel Matía, Pilar Ros, Emilio Fernández-Carrión, Rebeca Garcia-Rios, Antonio Zulet, M Angeles Orozco-Beltrán, Domingo Schröder, Helmut Fitó, Montserrat Bulló, Mónica Basora, Josep Cenoz, Juan Carlos Diez-Espino, Javier Toledo, Estefanía Tur, Josep A
author	Bibiloni, Maria Del Mar
author_facet	Bibiloni, Maria Del Mar Julibert, Alicia Bouzas, Cristina Martínez-González, Miguel A Corella, Dolores Salas-Salvadó, Jordi Zomeño, M Dolors Vioque, Jesús Romaguera, Dora Martínez, J Alfredo Wärnberg, Julia López-Miranda, José Estruch, Ramón Bueno-Cavanillas, Aurora Arós, Fernando Tinahones, Francisco Serra-Majem, Lluis Martín, Vicente Lapetra, José Vázquez, Clotilde Pintó, Xavier Vidal, Josep Daimiel, Lidia Delgado-Rodríguez, Miguel Matía, Pilar Ros, Emilio Fernández-Carrión, Rebeca Garcia-Rios, Antonio Zulet, M Angeles Orozco-Beltrán, Domingo Schröder, Helmut Fitó, Montserrat Bulló, Mónica Basora, Josep Cenoz, Juan Carlos Diez-Espino, Javier Toledo, Estefanía Tur, Josep A
author_role	author
author2	Julibert, Alicia Bouzas, Cristina Martínez-González, Miguel A Corella, Dolores Salas-Salvadó, Jordi Zomeño, M Dolors Vioque, Jesús Romaguera, Dora Martínez, J Alfredo Wärnberg, Julia López-Miranda, José Estruch, Ramón Bueno-Cavanillas, Aurora Arós, Fernando Tinahones, Francisco Serra-Majem, Lluis Martín, Vicente Lapetra, José Vázquez, Clotilde Pintó, Xavier Vidal, Josep Daimiel, Lidia Delgado-Rodríguez, Miguel Matía, Pilar Ros, Emilio Fernández-Carrión, Rebeca Garcia-Rios, Antonio Zulet, M Angeles Orozco-Beltrán, Domingo Schröder, Helmut Fitó, Montserrat Bulló, Mónica Basora, Josep Cenoz, Juan Carlos Diez-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	Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy 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 Aged Cardiovascular Diseases Diet Diet, Mediterranean Energy Intake Female Humans Male Metabolic Syndrome Micronutrients Middle Aged Nutrition Surveys Nutritional Status Nuts Obesity Risk Factors
topic	Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy 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 Aged Cardiovascular Diseases Diet Diet, Mediterranean Energy Intake Female Humans Male Metabolic Syndrome Micronutrients Middle Aged Nutrition Surveys Nutritional Status Nuts Obesity Risk Factors
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 2019-03-30 2019 2019-03-30 2024 2024-02-10
dc.type.none.fl_str_mv	research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	http://hdl.handle.net/20.500.12105/17838
url	http://hdl.handle.net/20.500.12105/17838
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.source.none.fl_str_mv	reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII)
instname_str	Instituto de Salud Carlos III (ISCIII)
reponame_str	Repisalud
collection	Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk

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