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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 principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521169/
https://www.ncbi.nlm.nih.gov/pubmed/30935087
http://dx.doi.org/10.3390/nu11040754
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author 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_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_sort Bibiloni, Maria del Mar
collection PubMed
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.
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spelling pubmed-65211692019-05-31 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. Nutrients Article 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. MDPI 2019-03-30 /pmc/articles/PMC6521169/ /pubmed/30935087 http://dx.doi.org/10.3390/nu11040754 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
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
title 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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521169/
https://www.ncbi.nlm.nih.gov/pubmed/30935087
http://dx.doi.org/10.3390/nu11040754
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