Cargando…
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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1783418894983102464 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6521169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bibilonimariadelmar nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT julibertalicia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT bouzascristina nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinezgonzalezmiguela nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT corelladolores nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT salassalvadojordi nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT zomenomdolors nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vioquejesus nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT romagueradora nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinezjalfredo nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT warnbergjulia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT lopezmirandajose nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT estruchramon nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT buenocavanillasaurora nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT arosfernando nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT tinahonesfrancisco nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT serramajemlluis nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT martinvicente nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT lapetrajose nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vazquezclotilde nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT pintoxavier nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT vidaljosep nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT daimiellidia nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT delgadorodriguezmiguel nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT matiapilar nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT rosemilio nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT fernandezcarrionrebeca nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT garciariosantonio nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT zuletmangeles nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT orozcobeltrandomingo nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT schroderhelmut nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT fitomontserrat nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT bullomonica nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT basorajosep nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT cenozjuancarlos nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT diezespinojavier nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT toledoestefania nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk AT turjosepa nutconsumptionsasamarkerofhigherdietqualityinamediterraneanpopulationathighcardiovascularrisk |