Proposal of a Mediterranean Diet Serving Score

Background and Aims: Numerous studies have demonstrated a relationship between Mediterranean Diet (MD) adherence and the prevention of cardiovascular diseases, cancer, and diabetes, etc. The study aim was to validate a novel instrument to measure MD adherence based on the consumption of food serving...

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Autores: Monteagudo, Celia, Mariscal-Arcas, Miguel, Rivas, Ana, Luisa Lorenzo-Tovar, Maria, Tur, Josep A, Olea-Serrano, Fatima
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/20123
Acceso en línea:http://hdl.handle.net/20.500.12105/20123
Access Level:acceso abierto
Palabra clave:Índice de Masa Corporal
Dieta Mediterránea
Femenino
Adolescente
Conducta Alimentaria
Estudios de Seguimiento
Encuestas sobre Dietas
Humanos
Persona de Mediana Edad
Adulto Joven
Ingestión de Alimentos
Pronóstico
Anciano
Anciano de 80 o más Años
Encuestas y Cuestionarios
Enfermedades Cardiovasculares
Niño
Adulto
España
Curva ROC
Cardiovascular Diseases
Child
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spelling Proposal of a Mediterranean Diet Serving ScoreMonteagudo, CeliaMariscal-Arcas, MiguelRivas, AnaLuisa Lorenzo-Tovar, MariaTur, Josep AOlea-Serrano, FatimaÍndice de Masa CorporalDieta MediterráneaFemeninoAdolescenteConducta AlimentariaEstudios de SeguimientoEncuestas sobre DietasHumanosPersona de Mediana EdadAdulto JovenIngestión de AlimentosPronósticoAncianoAnciano de 80 o más AñosEncuestas y CuestionariosEnfermedades CardiovascularesNiñoAdultoEspañaCurva ROCCardiovascular DiseasesChildBackground and Aims: Numerous studies have demonstrated a relationship between Mediterranean Diet (MD) adherence and the prevention of cardiovascular diseases, cancer, and diabetes, etc. The study aim was to validate a novel instrument to measure MD adherence based on the consumption of food servings and food groups, and apply it in a female population from southern Spain and determining influential factors. Methods and Results: The study included 1,155 women aged 12-83 yrs, classified as adolescents, adults, and over-60-yr-olds. All completed a validated semi-quantitative food frequency questionnaire (FFQ). The Mediterranean Dietary Serving Score (MDSS) is based on the latest update of the Mediterranean Diet Pyramid, using the recommended consumption frequency of foods and food groups; the MDSS ranges from 0 to 24. The discriminative power or correct subject classification capacity of the MDSS was analyzed with the Receiver Operating Characteristic (ROC) curve, using the MDS as reference method. Predictive factors for higher MDSS adherence were determined with a logistic regression model, adjusting for age. According to ROC curve analysis, MDSS evidenced a significant discriminative capacity between adherents and non-adherents to the MD pattern (optimal cutoff point=13.50; sensitivity=74%; specificity=48%). The mean MDSS was 12.45 (2.69) and was significantly higher with older age (p<0.001). Logistic regression analysis showed highest MD adherence by over 60-year-olds with low BMI and no habit of eating between meals. Conclusions: The MDSS is an updated, easy, valid, and accurate instrument to assess MD adherence based on the consumption of foods and food groups per meal, day, and week. It may be useful in future nutritional education programs to prevent the early onset of chronic non-transmittable diseases in younger populations.Public Library of Science (PLOS)20242024-07-0420152015-06-0220152015-06-02research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/20123reponame: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:20.500.12105/201232026-06-12T12:43:37Z
dc.title.none.fl_str_mv Proposal of a Mediterranean Diet Serving Score
title Proposal of a Mediterranean Diet Serving Score
spellingShingle Proposal of a Mediterranean Diet Serving Score
Monteagudo, Celia
Índice de Masa Corporal
Dieta Mediterránea
Femenino
Adolescente
Conducta Alimentaria
Estudios de Seguimiento
Encuestas sobre Dietas
Humanos
Persona de Mediana Edad
Adulto Joven
Ingestión de Alimentos
Pronóstico
Anciano
Anciano de 80 o más Años
Encuestas y Cuestionarios
Enfermedades Cardiovasculares
Niño
Adulto
España
Curva ROC
Cardiovascular Diseases
Child
title_short Proposal of a Mediterranean Diet Serving Score
title_full Proposal of a Mediterranean Diet Serving Score
title_fullStr Proposal of a Mediterranean Diet Serving Score
title_full_unstemmed Proposal of a Mediterranean Diet Serving Score
title_sort Proposal of a Mediterranean Diet Serving Score
dc.creator.none.fl_str_mv Monteagudo, Celia
Mariscal-Arcas, Miguel
Rivas, Ana
Luisa Lorenzo-Tovar, Maria
Tur, Josep A
Olea-Serrano, Fatima
author Monteagudo, Celia
author_facet Monteagudo, Celia
Mariscal-Arcas, Miguel
Rivas, Ana
Luisa Lorenzo-Tovar, Maria
Tur, Josep A
Olea-Serrano, Fatima
author_role author
author2 Mariscal-Arcas, Miguel
Rivas, Ana
Luisa Lorenzo-Tovar, Maria
Tur, Josep A
Olea-Serrano, Fatima
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Índice de Masa Corporal
Dieta Mediterránea
Femenino
Adolescente
Conducta Alimentaria
Estudios de Seguimiento
Encuestas sobre Dietas
Humanos
Persona de Mediana Edad
Adulto Joven
Ingestión de Alimentos
Pronóstico
Anciano
Anciano de 80 o más Años
Encuestas y Cuestionarios
Enfermedades Cardiovasculares
Niño
Adulto
España
Curva ROC
Cardiovascular Diseases
Child
topic Índice de Masa Corporal
Dieta Mediterránea
Femenino
Adolescente
Conducta Alimentaria
Estudios de Seguimiento
Encuestas sobre Dietas
Humanos
Persona de Mediana Edad
Adulto Joven
Ingestión de Alimentos
Pronóstico
Anciano
Anciano de 80 o más Años
Encuestas y Cuestionarios
Enfermedades Cardiovasculares
Niño
Adulto
España
Curva ROC
Cardiovascular Diseases
Child
description Background and Aims: Numerous studies have demonstrated a relationship between Mediterranean Diet (MD) adherence and the prevention of cardiovascular diseases, cancer, and diabetes, etc. The study aim was to validate a novel instrument to measure MD adherence based on the consumption of food servings and food groups, and apply it in a female population from southern Spain and determining influential factors. Methods and Results: The study included 1,155 women aged 12-83 yrs, classified as adolescents, adults, and over-60-yr-olds. All completed a validated semi-quantitative food frequency questionnaire (FFQ). The Mediterranean Dietary Serving Score (MDSS) is based on the latest update of the Mediterranean Diet Pyramid, using the recommended consumption frequency of foods and food groups; the MDSS ranges from 0 to 24. The discriminative power or correct subject classification capacity of the MDSS was analyzed with the Receiver Operating Characteristic (ROC) curve, using the MDS as reference method. Predictive factors for higher MDSS adherence were determined with a logistic regression model, adjusting for age. According to ROC curve analysis, MDSS evidenced a significant discriminative capacity between adherents and non-adherents to the MD pattern (optimal cutoff point=13.50; sensitivity=74%; specificity=48%). The mean MDSS was 12.45 (2.69) and was significantly higher with older age (p<0.001). Logistic regression analysis showed highest MD adherence by over 60-year-olds with low BMI and no habit of eating between meals. Conclusions: The MDSS is an updated, easy, valid, and accurate instrument to assess MD adherence based on the consumption of foods and food groups per meal, day, and week. It may be useful in future nutritional education programs to prevent the early onset of chronic non-transmittable diseases in younger populations.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-06-02
2015
2015-06-02
2024
2024-07-04
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 http://hdl.handle.net/20.500.12105/20123
url http://hdl.handle.net/20.500.12105/20123
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.publisher.none.fl_str_mv Public Library of Science (PLOS)
publisher.none.fl_str_mv Public Library of Science (PLOS)
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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score 15.812455

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