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Professor at the Preventive Medicine and Public Health Department of the University of Granada, Spain.
The association between ultra-processed food (UPF) and risk of cardiometabolic disorders is an ongoing concern. Different food processing-based classification systems have originated discrepancies in the conclusions among studies. To test whether the association between UPF consumption and cardiometabolic markers changes with the classification system, we used baseline data from 5636 participants (48.5% female and 51.5% male, mean age 65.1 ± 4.9) of the PREDIMED-Plus (“PREvention with MEDiterranean DIet”) trial. Subjects presented with overweight or obesity and met at least three metabolic syndrome (MetS) criteria. Food consumption was classified using a 143-item food frequency questionnaire according to four food processing-based classifications: NOVA, International Agency for Research on Cancer (IARC), International Food Information Council (IFIC) and University of North Carolina (UNC). Mean changes in nutritional and cardiometabolic markers were assessed according to quintiles of UPF consumption for each system. The association between UPF consumption and cardiometabolic markers was assessed using linear regression analysis. The concordance of the different classifications was assessed with intra-class correlation coefficients (ICC3, overall = 0.51). The highest UPF consumption was obtained with the IARC classification (45.9%) and the lowest with NOVA (7.9%). Subjects with high UPF consumption showed a poor dietary profile. We detected a direct association between UPF consumption and BMI (p = 0.001) when using the NOVA system, and with systolic (p = 0.018) and diastolic (p = 0.042) blood pressure when using the UNC system. Food classification methodologies markedly influenced the association between UPF consumption and cardiometabolic risk markers.
Celia Martinez-Perez; Rodrigo San-Cristobal; Pilar Guallar-Castillon; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Olga Castañer; Jose Martinez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramon Estruch; Francisco Tinahones; José Lapetra; Lluis Serra-Majem; Aurora Bueno-Cavanillas; Josep Tur; Vicente Sánchez; Xavier Pintó; José Gaforio; Pilar Matía-Martín; Josep Vidal; Clotilde Vázquez; Emilio Ros; Maira Bes-Rastrollo; Nancy Babio; Jose Sorlí; Camille Lassale; Beatriz Pérez-Sanz; Jessica Vaquero-Luna; María Bazán; María Barceló-Iglesias; Jadwiga Konieczna; Antonio Ríos; María Bernal-López; José Santos-Lozano; Estefanía Toledo; Nerea Becerra-Tomás; Olga Portoles; María Zomeño; Itziar Abete; Anai Moreno-Rodriguez; Oscar Lecea-Juarez; Stephanie Nishi; Júlia Muñoz-Martínez; José Ordovás; Lidia Daimiel. Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort). Nutrients 2021, 13, 2471 .
AMA StyleCelia Martinez-Perez, Rodrigo San-Cristobal, Pilar Guallar-Castillon, Miguel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Olga Castañer, Jose Martinez, Ángel Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José López-Miranda, Ramon Estruch, Francisco Tinahones, José Lapetra, Lluis Serra-Majem, Aurora Bueno-Cavanillas, Josep Tur, Vicente Sánchez, Xavier Pintó, José Gaforio, Pilar Matía-Martín, Josep Vidal, Clotilde Vázquez, Emilio Ros, Maira Bes-Rastrollo, Nancy Babio, Jose Sorlí, Camille Lassale, Beatriz Pérez-Sanz, Jessica Vaquero-Luna, María Bazán, María Barceló-Iglesias, Jadwiga Konieczna, Antonio Ríos, María Bernal-López, José Santos-Lozano, Estefanía Toledo, Nerea Becerra-Tomás, Olga Portoles, María Zomeño, Itziar Abete, Anai Moreno-Rodriguez, Oscar Lecea-Juarez, Stephanie Nishi, Júlia Muñoz-Martínez, José Ordovás, Lidia Daimiel. Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort). Nutrients. 2021; 13 (7):2471.
Chicago/Turabian StyleCelia Martinez-Perez; Rodrigo San-Cristobal; Pilar Guallar-Castillon; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Olga Castañer; Jose Martinez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramon Estruch; Francisco Tinahones; José Lapetra; Lluis Serra-Majem; Aurora Bueno-Cavanillas; Josep Tur; Vicente Sánchez; Xavier Pintó; José Gaforio; Pilar Matía-Martín; Josep Vidal; Clotilde Vázquez; Emilio Ros; Maira Bes-Rastrollo; Nancy Babio; Jose Sorlí; Camille Lassale; Beatriz Pérez-Sanz; Jessica Vaquero-Luna; María Bazán; María Barceló-Iglesias; Jadwiga Konieczna; Antonio Ríos; María Bernal-López; José Santos-Lozano; Estefanía Toledo; Nerea Becerra-Tomás; Olga Portoles; María Zomeño; Itziar Abete; Anai Moreno-Rodriguez; Oscar Lecea-Juarez; Stephanie Nishi; Júlia Muñoz-Martínez; José Ordovás; Lidia Daimiel. 2021. "Use of Different Food Classification Systems to Assess the Association between Ultra-Processed Food Consumption and Cardiometabolic Health in an Elderly Population with Metabolic Syndrome (PREDIMED-Plus Cohort)." Nutrients 13, no. 7: 2471.
Summary Background Short dietary assessment tools can be useful to estimate food intake and diet quality in large-scale epidemiological studies with time constraints. Objective To determine the concurrent validity of the 17-item energy-restricted Mediterranean Adherence Screener (er-MEDAS) used in the PREDIMED (PREvención con DIeta MEDiterránea)-Plus trial and to analyse its capacity to detect 1-year changes in diet and cardiometabolic risk factors. Methods Validation study nested in the PREDIMED-Plus (n = 6760, 55–75 years). Dietary data were collected by the 17-item er-MEDAS and a 143-item validated semiquantitative food frequency questionnaire (FFQ) at baseline and after 1-year intervention. Cardiometabolic risk markers were measured at both time points. A Mediterranean diet (MedDiet) score was derived from both instruments. Concurrent validity was evaluated by Pearson and intra-class correlation coefficients (ICC) and Bland and Altman limits of agreement. Construct validity was evaluated by assessing 1-year changes in FFQ-reported dietary intake and cardiometabolic profile changes in relation to changes in er-MEDAS. Results A moderate to good correlation between the MedDiet score calculated by both measurement instruments was found: r = 0.61 and ICC = 0.60 (both p < 0.001). Agreement of each of the er-MEDAS items ranged from 55.4% to 85.0% with a moderate mean concordance (kappa = 0.41). Between baseline and 1-year follow-up, energy intake measured by the FFQ decreased by 242 kcal, while Mediterranean food consumption increased in participants with the highest increase in the er-MEDAS MedDiet score. An increase in the er-MEDAS MedDiet score ratings was associated with a decrease in BMI, waist circumference, triglycerides, fasting glucose, diastolic blood pressure, and triglycerides/HDL-cholesterol ratio (p < 0.001 for all), and with an increase in HDL-cholesterol (p = 0.006). Conclusion The er-MEDAS shows a modest to good concurrent validity compared with FFQ data. It shows acceptable construct validity, as a greater er-MEDAS score was associated with more favourable dietary and cardiometabolic profiles over time. Trial registry ISRCTN89898870; registration date, 24 July 2014. https://www.isrctn.com/ISRCTN89898870.
Helmut Schröder; Maria Dolors Zomeño; Miguel Angel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Jesús Vioque; Dora Romaguera; J. Alfredo Martínez; Francisco J. Tinahones; José López Miranda; Ramon Estruch; Aurora Bueno-Cavanillas; Angel M. Alonso Gómez; Josep A. Tur; Julia Warnberg; Lluis Serra-Majem; Vicente Martín; Clotilde Vázquez; José Lapetra; Xavier Pintó; Josep Vidal; Lidia Daimiel; José Juan Gaforio; Pilar Matía-Martín; Emilio Ros; Camille Lassale; Miguel Ruiz-Canela; Nancy Babio; José V. Sorlí; Ana García-Arellano; Andrés Díaz-López; Montserrat Fitó; Olga Castañer. Validity of the energy-restricted Mediterranean Diet Adherence Screener. Clinical Nutrition 2021, 40, 4971 -4979.
AMA StyleHelmut Schröder, Maria Dolors Zomeño, Miguel Angel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Jesús Vioque, Dora Romaguera, J. Alfredo Martínez, Francisco J. Tinahones, José López Miranda, Ramon Estruch, Aurora Bueno-Cavanillas, Angel M. Alonso Gómez, Josep A. Tur, Julia Warnberg, Lluis Serra-Majem, Vicente Martín, Clotilde Vázquez, José Lapetra, Xavier Pintó, Josep Vidal, Lidia Daimiel, José Juan Gaforio, Pilar Matía-Martín, Emilio Ros, Camille Lassale, Miguel Ruiz-Canela, Nancy Babio, José V. Sorlí, Ana García-Arellano, Andrés Díaz-López, Montserrat Fitó, Olga Castañer. Validity of the energy-restricted Mediterranean Diet Adherence Screener. Clinical Nutrition. 2021; 40 (8):4971-4979.
Chicago/Turabian StyleHelmut Schröder; Maria Dolors Zomeño; Miguel Angel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Jesús Vioque; Dora Romaguera; J. Alfredo Martínez; Francisco J. Tinahones; José López Miranda; Ramon Estruch; Aurora Bueno-Cavanillas; Angel M. Alonso Gómez; Josep A. Tur; Julia Warnberg; Lluis Serra-Majem; Vicente Martín; Clotilde Vázquez; José Lapetra; Xavier Pintó; Josep Vidal; Lidia Daimiel; José Juan Gaforio; Pilar Matía-Martín; Emilio Ros; Camille Lassale; Miguel Ruiz-Canela; Nancy Babio; José V. Sorlí; Ana García-Arellano; Andrés Díaz-López; Montserrat Fitó; Olga Castañer. 2021. "Validity of the energy-restricted Mediterranean Diet Adherence Screener." Clinical Nutrition 40, no. 8: 4971-4979.
Objectives We evaluated breast cancer (BC) care quality indicators (QIs) in clinical pathways and integrated health care processes. Methods Following protocol registration (Prospero no: CRD42021228867), relevant documents were identified, without language restrictions, through a systematic search of bibliographic databases (EMBASE, Scopus, Web of Science, MEDLINE), health care valuable representatives and the World Wide Web in April 2021. Data concerning QIs, measurement tools and compliance standards were extracted from European and North American sources in duplicate with 98% reviewer agreement. Results There were 89 QIs found from 22 selected documents (QI per document mean 13.5 with standard deviation 11.9). The Belgian (38 QIs) and the EUSOMA (European Society of Breast Cancer Specialists) (34 QIs) documents were the ones that best reported the QIs. No identical QI was identified in all the documents analysed. There were 67/89 QIs covering processes (75.3%) and 11/89 (12.4%) for each structure and outcomes QIs. There were 21/89 QIs for diagnosis (30.3%), 43/89 for treatment (48.3%), and 19/89 for staging, counselling, follow-up and rehabilitation (21.4%). Of 67 process QIs and 11 outcome QIs, 20/78 (26%) did not report a minimum standard of care. Shared decision making was only included as a QI in the Italian document. Conclusion More than half of countries have not established a national clinical pathway or integrated breast cancer care process to achieve the excellence of BC care. There was heterogeneity in QIs for the evaluation of BC care quality. Over two-thirds of the clinical pathways and integrated health care processes did not provide a minimum auditable standard of care for compliance, leaving open the definition of best practice. There is a need for harmonisation of BC care QIs.
Marta Maes-Carballo; Yolanda Gómez-Fandiño; Ayla Reinoso Hermida; Carlos Roberto Estrada-López; Manuel Martín-Díaz; Khalid Saeed Khan; Aurora Bueno-Cavanillas. Quality indicators for breast cancer care: A systematic review. The Breast 2021, 59, 221 -231.
AMA StyleMarta Maes-Carballo, Yolanda Gómez-Fandiño, Ayla Reinoso Hermida, Carlos Roberto Estrada-López, Manuel Martín-Díaz, Khalid Saeed Khan, Aurora Bueno-Cavanillas. Quality indicators for breast cancer care: A systematic review. The Breast. 2021; 59 ():221-231.
Chicago/Turabian StyleMarta Maes-Carballo; Yolanda Gómez-Fandiño; Ayla Reinoso Hermida; Carlos Roberto Estrada-López; Manuel Martín-Díaz; Khalid Saeed Khan; Aurora Bueno-Cavanillas. 2021. "Quality indicators for breast cancer care: A systematic review." The Breast 59, no. : 221-231.
Background and Aims Modifiable lifestyle factors such as physical activity (PA) and Mediterranean diet (MD) decrease metabolic syndrome (MetS). The aim was to assess 1-year changes of leisure-time physical activity (LTPA), sedentary behavior and diet quality according to MetS severity in older population at high cardiovascular risk. Methods and Results Prospective analysis of 55-75 y.o. 4359 overweight/obese participants with MetS (PREDIMED-Plus trial) categorized in tertiles according to 1-year changes of a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, T&G index, dietary nutrient intake, biochemical marker levels, Dietary Inflammatory Index and depression symptoms were measured. Diet quality was assessed by 17-item MD questionnaire. PA were self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire and 30-s chair stand test. Sedentary behaviors were measured using the Spanish version of the Nurses' Health Study questionnaire. After 1-year follow-up, decreasing MetSSS was associated with an anti-inflammatory dietary pattern, high intake of vegetables, fruits, legumes, nuts, whole grain cereals, white fish, bluefish and low intake of refined cereals, red and processed meat, cookies/sweets and snacks/ready-to-eat-meals. It resulted in high intake of polyunsaturated fatty acids, omega-3 fatty acids, protein, fiber, vitamin B1, B6, B9, C, D, potassium, magnesium and phosphorus and low glycaemic index and SFA, TFA and carbohydrates intake. Regarding PA and sedentary behavior, decreasing MetSSS was associated with increased moderate-to-vigorous LTPA, chair stand test and decreased sedentary and TV-viewing time. Conclusion Decreasing MetSSS was associated with an anti-inflammatory dietary pattern, high LTPA, high MD adherence, low sedentary time, and low depression risk.
Laura Gallardo-Alfaro; Maria Del Mar Bibiloni; Cristina Bouzas; Catalina M. Mascaró; Miguel Ángel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Helmut Schröder; J. Alfredo Martínez; Ángel M. Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José Lopez-Miranda; Ramon Estruch; Francisco J. Tinahones; José Lapetra; Luís Serra-Majem; Aurora Bueno-Cavanillas; Rafael M. Micó; Xavier Pintó; José J. Gaforio; María Ortíz-Ramos; Andreu Altés-Boronat; Bogdana L. Luca; Lidia Daimiel; Emilio Ros; Carmen Sayon-Orea; Nerea Becerra-Tomás; Ignacio Manuel Gimenez-Alba; Olga Castañer; Itziar Abete; Lucas Tojal-Sierra; Jéssica Pérez-López; Laura Torres-Collado; Antoni Colom; Antonio Garcia-Rios; Sara Castro-Barquero; Rosa Bernal; José Manuel Santos-Lozano; Cesar I. Fernandez-Lazaro; Pablo Hernández-Alonso; Carmen Saiz; Maria Dolors Zomeño; Maria Angeles Zulet; Maria C. Belló-Mora; F. Javier Basterra-Gortari; Silvia Canudas; Albert Goday; Josep A. Tur. Physical activity and metabolic syndrome severity among older adults at cardiovascular risk: 1-Year trends. Nutrition, Metabolism and Cardiovascular Diseases 2021, 1 .
AMA StyleLaura Gallardo-Alfaro, Maria Del Mar Bibiloni, Cristina Bouzas, Catalina M. Mascaró, Miguel Ángel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Helmut Schröder, J. Alfredo Martínez, Ángel M. Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José Lopez-Miranda, Ramon Estruch, Francisco J. Tinahones, José Lapetra, Luís Serra-Majem, Aurora Bueno-Cavanillas, Rafael M. Micó, Xavier Pintó, José J. Gaforio, María Ortíz-Ramos, Andreu Altés-Boronat, Bogdana L. Luca, Lidia Daimiel, Emilio Ros, Carmen Sayon-Orea, Nerea Becerra-Tomás, Ignacio Manuel Gimenez-Alba, Olga Castañer, Itziar Abete, Lucas Tojal-Sierra, Jéssica Pérez-López, Laura Torres-Collado, Antoni Colom, Antonio Garcia-Rios, Sara Castro-Barquero, Rosa Bernal, José Manuel Santos-Lozano, Cesar I. Fernandez-Lazaro, Pablo Hernández-Alonso, Carmen Saiz, Maria Dolors Zomeño, Maria Angeles Zulet, Maria C. Belló-Mora, F. Javier Basterra-Gortari, Silvia Canudas, Albert Goday, Josep A. Tur. Physical activity and metabolic syndrome severity among older adults at cardiovascular risk: 1-Year trends. Nutrition, Metabolism and Cardiovascular Diseases. 2021; ():1.
Chicago/Turabian StyleLaura Gallardo-Alfaro; Maria Del Mar Bibiloni; Cristina Bouzas; Catalina M. Mascaró; Miguel Ángel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Helmut Schröder; J. Alfredo Martínez; Ángel M. Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José Lopez-Miranda; Ramon Estruch; Francisco J. Tinahones; José Lapetra; Luís Serra-Majem; Aurora Bueno-Cavanillas; Rafael M. Micó; Xavier Pintó; José J. Gaforio; María Ortíz-Ramos; Andreu Altés-Boronat; Bogdana L. Luca; Lidia Daimiel; Emilio Ros; Carmen Sayon-Orea; Nerea Becerra-Tomás; Ignacio Manuel Gimenez-Alba; Olga Castañer; Itziar Abete; Lucas Tojal-Sierra; Jéssica Pérez-López; Laura Torres-Collado; Antoni Colom; Antonio Garcia-Rios; Sara Castro-Barquero; Rosa Bernal; José Manuel Santos-Lozano; Cesar I. Fernandez-Lazaro; Pablo Hernández-Alonso; Carmen Saiz; Maria Dolors Zomeño; Maria Angeles Zulet; Maria C. Belló-Mora; F. Javier Basterra-Gortari; Silvia Canudas; Albert Goday; Josep A. Tur. 2021. "Physical activity and metabolic syndrome severity among older adults at cardiovascular risk: 1-Year trends." Nutrition, Metabolism and Cardiovascular Diseases , no. : 1.
Breast cancer (BC) management care requires an increment in quality. An initiative to improve the BC quality care is registered, and quality indicators (QIs) are studied. We appraised the appearance of QIs and their standards systematically in Spain. A prospective systematic search (Prospero no: CRD42021228867) for clinical pathways and integrated breast cancer care processes was conducted through databases and the World Wide Web in February 2021. Duplicate data extraction was performed with 98% reviewer agreement. Seventy-four QIs (QI per document mean: 11; standard deviation: 10.59) were found in 15 documents. The Catalonian document had the highest number of QIs (n = 30). No QI appeared in all the documents. There were 9/74 QIs covering structure (12.16%), 53/74 covering process (71.62%), and 12/74 covering outcome (16.22%). A total of 22/66 (33.33%) process and outcome QIs did not set a minimum standard of care. QIs related to primary care, patient satisfaction, and shared decision making were deficient. Most of the documents established a BC QI standard for compliance, but the high variability hinders the comparison of outcomes. Establishing a consensus-based set of QIs needs urgent attention.
Marta Maes-Carballo; Yolanda Gómez-Fandiño; Carlos Estrada-López; Ayla Reinoso-Hermida; Khalid Khan; Manuel Martín-Díaz; Aurora Bueno-Cavanillas. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. International Journal of Environmental Research and Public Health 2021, 18, 6411 .
AMA StyleMarta Maes-Carballo, Yolanda Gómez-Fandiño, Carlos Estrada-López, Ayla Reinoso-Hermida, Khalid Khan, Manuel Martín-Díaz, Aurora Bueno-Cavanillas. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18 (12):6411.
Chicago/Turabian StyleMarta Maes-Carballo; Yolanda Gómez-Fandiño; Carlos Estrada-López; Ayla Reinoso-Hermida; Khalid Khan; Manuel Martín-Díaz; Aurora Bueno-Cavanillas. 2021. "Breast Cancer Care Quality Indicators in Spain: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 12: 6411.
The association between drinking water consumption and adiposity has been poorly explored. Therefore, we aimed to analyse the associations between the frequency of drinking water consumption and body weight and waist circumference changes in an elderly Mediterranean cohort. A total of 1832 elderly participants (aged 55-75 years) with metabolic syndrome from the PREDIMED-Plus study with baseline data on drinking water and other beverages assessed by a validated 32-item Spanish fluid-intake questionnaire and with data on body weight (BW) and waist circumference (WC) at 1-year and 2-year were included in these prospective analyses. Multivariable linear regression models were fitted to assess the β-coefficients and 95% confidence interval (CI) for BW and WC changes in terms of categories of baseline drinking water consumption (tap water and bottled water). The theoretical effect on BW and WC of replacing several beverages with drinking water was assessed using mathematical models. The baseline frequency of drinking water consumption was inversely associated with 1-year and 2-year changes in BW. β-coefficients (95%CI) across categories of water consumption (<2.5, 2.5 to <5, 5 to < 7.5, ≥7.5 servings/d) expressed in % of weight changes at 2 years of follow-up were 0.0, -0.80 (-1.48, -0.12), -1.36 (-2.18, -0.54), and -1.97 (-3.09, -0.86), respectively. Individuals in the two highest categories of drinking water consumption (5 to < 7, and ≥7.5 servings/d) also showed a higher decrease in WC (expressed as % of change) after 2 years of follow-up: -1.11 (-1.96, -0.25) and -1.45 (-2.66, -0.24) compared to the reference intake (<2.5 servings/day), after adjustment for potential confounding factors. The theoretical replacement of soups, beers, spirits, hot beverages, dairy beverages, and other beverages group with drinking water was associated with greater reductions in BW at one- and two-years of follow-up. Drinking water consumption was inversely associated with 2-year adiposity changes in an elderly Mediterranean cohort at high cardiovascular risk. Our results also suggest that the consumption of drinking water instead of energy-containing beverages is associated with lower weight gain. ISRCTN89898870.
Indira Paz-Graniel; Nerea Becerra-Tomás; Nancy Babio; Lluís Serra-Majem; Jesús Vioque; María Dolors Zomeño; Dolores Corella; Xavier Pintó; Aurora Bueno-Cavanillas; Josep A. Tur; Lidia Daimiel; M. Angeles Zulet; Antoni Palau-Galindo; Laura Torres-Collado; Helmut Schröder; Ignacio Manuel Gimenez-Alba; Mariela Nissenshon; Ana Galera; Blanca Riquelme-Gallego; Cristina Bouzas; Víctor Micó; J. Alfredo Martínez; Silvia Canudas; Olga Castañer; Z. Vázquez-Ruiz; Jordi Salas-Salvadó. Baseline drinking water consumption and changes in body weight and waist circumference at 2-years of follow-up in a senior Mediterranean population. Clinical Nutrition 2021, 40, 3982 -3991.
AMA StyleIndira Paz-Graniel, Nerea Becerra-Tomás, Nancy Babio, Lluís Serra-Majem, Jesús Vioque, María Dolors Zomeño, Dolores Corella, Xavier Pintó, Aurora Bueno-Cavanillas, Josep A. Tur, Lidia Daimiel, M. Angeles Zulet, Antoni Palau-Galindo, Laura Torres-Collado, Helmut Schröder, Ignacio Manuel Gimenez-Alba, Mariela Nissenshon, Ana Galera, Blanca Riquelme-Gallego, Cristina Bouzas, Víctor Micó, J. Alfredo Martínez, Silvia Canudas, Olga Castañer, Z. Vázquez-Ruiz, Jordi Salas-Salvadó. Baseline drinking water consumption and changes in body weight and waist circumference at 2-years of follow-up in a senior Mediterranean population. Clinical Nutrition. 2021; 40 (6):3982-3991.
Chicago/Turabian StyleIndira Paz-Graniel; Nerea Becerra-Tomás; Nancy Babio; Lluís Serra-Majem; Jesús Vioque; María Dolors Zomeño; Dolores Corella; Xavier Pintó; Aurora Bueno-Cavanillas; Josep A. Tur; Lidia Daimiel; M. Angeles Zulet; Antoni Palau-Galindo; Laura Torres-Collado; Helmut Schröder; Ignacio Manuel Gimenez-Alba; Mariela Nissenshon; Ana Galera; Blanca Riquelme-Gallego; Cristina Bouzas; Víctor Micó; J. Alfredo Martínez; Silvia Canudas; Olga Castañer; Z. Vázquez-Ruiz; Jordi Salas-Salvadó. 2021. "Baseline drinking water consumption and changes in body weight and waist circumference at 2-years of follow-up in a senior Mediterranean population." Clinical Nutrition 40, no. 6: 3982-3991.
We aimed to assess the caffeine intake before and during pregnancy, compliance with caffeine recommendations during pregnancy (200 mg/day) and factors associated with higher intakes before and in first trimester of pregnancy. Caffeine consumption was collected in a Spanish cohort of pregnant women through a validated food questionnaire, before and in each trimester of gestation (T1, T2 and T3). 463 pregnant women were recruited and follow-up through pregnancy. Compliance with caffeine intake recommendations during pregnancy and quintiles of mg/day of caffeine before and in T1 of pregnancy were calculated. A multivariate logistic regression, comparing extreme quintiles of consumption (Q1 vs Q5) was used. Mean caffeine intake before pregnancy was 120.05 mg/day (SD 117.85), 42.76 mg/day (SD 63.90) at 12th GW, 42.00 mg/day (SD 59.76) at 24th GW and 39.34 mg/day (SD 50.9) at 32nd GW (p<0.001). 86% of women complied with caffeine recommendations during pregnancy. At pregnancy (T1), being an active smoker was associated with Q5 > 100.1 mg/day, aOR = 22.69; 95% CI 4.67- 110.26. igh diet quality, aOR = 0.30; 95% CI, 0.13- 0.68, and moderate physical activity level, aOR= 0.44; 95% CI, 0.19-1.00, were inversely associated with Q5 > 100.1 mg/day. Pregnant women are mostly adhering to current caffeine intake guidelines. Higher caffeine intake at pregnancy is associated with other unhealthy habits during pregnancy.
María Rosario Román-Gálvez; Loreto Hernández-Martínez; Carmen Amezcua-Prieto; Naomi Cano-Ibañez; Rocío Olmedo-Requena; Juan Miguel Martínez-Galiano; Aurora Bueno-Cavanillas. Drinks and Food Caffeine Consumption and Factors Associated With Higher Intakes. A Cohort Study In Pregnant Women. 2021, 1 .
AMA StyleMaría Rosario Román-Gálvez, Loreto Hernández-Martínez, Carmen Amezcua-Prieto, Naomi Cano-Ibañez, Rocío Olmedo-Requena, Juan Miguel Martínez-Galiano, Aurora Bueno-Cavanillas. Drinks and Food Caffeine Consumption and Factors Associated With Higher Intakes. A Cohort Study In Pregnant Women. . 2021; ():1.
Chicago/Turabian StyleMaría Rosario Román-Gálvez; Loreto Hernández-Martínez; Carmen Amezcua-Prieto; Naomi Cano-Ibañez; Rocío Olmedo-Requena; Juan Miguel Martínez-Galiano; Aurora Bueno-Cavanillas. 2021. "Drinks and Food Caffeine Consumption and Factors Associated With Higher Intakes. A Cohort Study In Pregnant Women." , no. : 1.
Summary Background & aims The Portfolio and Dietary Approaches to Stop Hypertension (DASH) diets have been shown to lower cardiometabolic risk factors in randomized controlled trials (RCTs). However, the Portfolio diet has only been assessed in RCTs of hyperlipidemic patients. Therefore, to assess the Portfolio diet in a population with metabolic syndrome (MetS), we conducted a longitudinal analysis of one-year data of changes in the Portfolio and DASH diet scores and their association with cardiometabolic risk factors in Prevención con Dieta Mediterránea (PREDIMED)-Plus trial. Methods PREDIMED-Plus is an ongoing clinical trial (Trial registration: ISRCTN89898) conducted in Spain that includes 6874 older participants (mean age 65 y, 48% women) with overweight/obesity fulfilling at least three criteria for MetS. Data for this analysis were collected at baseline, six months and one year. Adherence to the Portfolio and DASH diet scores were derived from a validated 143-item food frequency questionnaire. We used linear mixed models to examine the associations of 1-SD increase and quartile changes in the diet scores with concomitant changes in cardiometabolic risk factors. Results After adjusting for several potential confounders, a 1-SD increase in the Portfolio diet score was significantly associated with lower HbA1c (β [95% CI]: −0.02% [−0.02, −0.01], P < 0.001), fasting glucose (−0.47 mg/dL [−0.83, −0.11], P = 0.01), triglycerides (−1.29 mg/dL [−2.31, −0.28], P = 0.01), waist circumference (WC) (−0.51 cm [−0.59, −0.43], P < 0.001), and body mass index (BMI) (−0.17 kg/m2 [−0.19, −0.15], P < 0.001). A 1-SD increase in the DASH diet score was significantly associated with lower HbA1c (−0.03% [−0.04, −0.02], P < 0.001), glucose (−0.84 mg/dL [−1.18, −0.51], P < 0.001), triglycerides (−3.38 mg/dL [−4.37, −2.38], P < 0.001), non-HDL-cholesterol (−0.47 mg/dL [−0.91, −0.04], P = 0.03), WC (−0.69 cm [−0.76, −0.60 cm], P < 0.001), BMI (−0.25 kg/m2 [−0.28, −0.26 kg/m2], P < 0.001), systolic blood pressure (−0.57 mmHg [−0.81, −0.32 mmHg], P < 0.001), diastolic blood pressure (−0.15 mmHg [−0.29, −0.01 mmHg], P = 0.03), and with higher HDL-cholesterol (0.21 mg/dL [0.09, 0.34 mg/dL, P = 0.001]). Similar associations were seen when both diet scores were assessed as quartiles, comparing extreme categories of adherence. Conclusions Among older adults at high cardiovascular risk with MetS, greater adherence to the Portfolio and DASH diets showed significant favourable prospective associations with several clinically relevant cardiometabolic risk factors. Both diets are likely beneficial for cardiometabolic risk reduction.
Andrea J. Glenn; Pablo Hernández-Alonso; Cyril W.C. Kendall; Miguel Ángel Martínez-González; Dolores Corella; Montserrat Fitó; J.Alfredo Martínez; Ángel M. Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramon Estruch; Francisco J. Tinahones; José Lapetra; J. Luís Serra-Majem; Aurora Bueno-Cavanillas; Josep A. Tur; Sofia Reguero Celada; Xavier Pintó; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Josep Vidal; Sebastian Mas-Fontao; Lidia Daimiel; Emilio Ros; David J.A. Jenkins; Estefania Toledo; José V. Sorlí; Olga Castañer; Itziar Abete; Anai Moreno Rodriguez; Olga Fernández Barceló; Alejandro Oncina-Canovas; Jadwiga Konieczna; Antonio Garcia-Rios; Rosa Casas; Ana Maria Gómez-Pérez; José Manuel Santos-Lozano; Zenaida Vazquez-Ruiz; Olga Portolés; Helmut Schröder; Maria A. Zulet; Sonia Eguaras; Itziar Salaverria Lete; María Dolores Zomeño; John L. Sievenpiper; Jordi Salas-Salvadó. Longitudinal changes in adherence to the portfolio and DASH dietary patterns and cardiometabolic risk factors in the PREDIMED-Plus study. Clinical Nutrition 2021, 40, 2825 -2836.
AMA StyleAndrea J. Glenn, Pablo Hernández-Alonso, Cyril W.C. Kendall, Miguel Ángel Martínez-González, Dolores Corella, Montserrat Fitó, J.Alfredo Martínez, Ángel M. Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José López-Miranda, Ramon Estruch, Francisco J. Tinahones, José Lapetra, J. Luís Serra-Majem, Aurora Bueno-Cavanillas, Josep A. Tur, Sofia Reguero Celada, Xavier Pintó, Miguel Delgado-Rodríguez, Pilar Matía-Martín, Josep Vidal, Sebastian Mas-Fontao, Lidia Daimiel, Emilio Ros, David J.A. Jenkins, Estefania Toledo, José V. Sorlí, Olga Castañer, Itziar Abete, Anai Moreno Rodriguez, Olga Fernández Barceló, Alejandro Oncina-Canovas, Jadwiga Konieczna, Antonio Garcia-Rios, Rosa Casas, Ana Maria Gómez-Pérez, José Manuel Santos-Lozano, Zenaida Vazquez-Ruiz, Olga Portolés, Helmut Schröder, Maria A. Zulet, Sonia Eguaras, Itziar Salaverria Lete, María Dolores Zomeño, John L. Sievenpiper, Jordi Salas-Salvadó. Longitudinal changes in adherence to the portfolio and DASH dietary patterns and cardiometabolic risk factors in the PREDIMED-Plus study. Clinical Nutrition. 2021; 40 (5):2825-2836.
Chicago/Turabian StyleAndrea J. Glenn; Pablo Hernández-Alonso; Cyril W.C. Kendall; Miguel Ángel Martínez-González; Dolores Corella; Montserrat Fitó; J.Alfredo Martínez; Ángel M. Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramon Estruch; Francisco J. Tinahones; José Lapetra; J. Luís Serra-Majem; Aurora Bueno-Cavanillas; Josep A. Tur; Sofia Reguero Celada; Xavier Pintó; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Josep Vidal; Sebastian Mas-Fontao; Lidia Daimiel; Emilio Ros; David J.A. Jenkins; Estefania Toledo; José V. Sorlí; Olga Castañer; Itziar Abete; Anai Moreno Rodriguez; Olga Fernández Barceló; Alejandro Oncina-Canovas; Jadwiga Konieczna; Antonio Garcia-Rios; Rosa Casas; Ana Maria Gómez-Pérez; José Manuel Santos-Lozano; Zenaida Vazquez-Ruiz; Olga Portolés; Helmut Schröder; Maria A. Zulet; Sonia Eguaras; Itziar Salaverria Lete; María Dolores Zomeño; John L. Sievenpiper; Jordi Salas-Salvadó. 2021. "Longitudinal changes in adherence to the portfolio and DASH dietary patterns and cardiometabolic risk factors in the PREDIMED-Plus study." Clinical Nutrition 40, no. 5: 2825-2836.
Carotenoids are pigments contained mainly in fruit and vegetables (F&V) that have beneficial effects on cardiometabolic health. Due to their lipophilic nature, co-ingestion of fat appears to increase their bioavailability via facilitating transfer to the aqueous micellar phase during digestion. However, the extent to which high fat intake may contribute to increased carotenoid plasma concentrations is still unclear. The objective was to examine the degree to which the consumption of different amounts of both carotenoid-rich foods and fats is associated with plasma carotenoid concentrations within a Mediterranean lifestyle context (subsample from the PREDIMED-Plus study baseline) where consumption of F&V and fat is high. The study population was categorized into four groups according to their self-reported consumption of F&V and fat. Carotenoids were extracted from plasma samples and analyzed by HPLC-UV-VIS-QqQ-MS/MS. Carotenoid systemic concentrations were greater in high consumers of F&V than in low consumers of these foods (+3.04 μmol/L (95% CI: 0.90, 5.17), p-value = 0.005), but circulating concentrations seemed to decrease when total fat intake was very high (−2.69 μmol/L (−5.54; 0.16), p-value = 0.064). High consumption of F&V is associated with greater systemic levels of total carotenoids, in particular when fat intake is low-to-moderate rather than very high.
María Marhuenda-Muñoz; José Rinaldi de Alvarenga; Álvaro Hernáez; Anna Tresserra-Rimbau; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Mireia Malcampo; José Martínez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramón Estruch; Francisco Tinahones; José Lapetra; J. Serra-Majem; Aurora Bueno-Cavanillas; Josep Tur; Vicente Sánchez; Xavier Pintó; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Josep Vidal; Clotilde Vázquez; Lidia Daimiel; Emilio Ros; Mercè Serra-Mir; Zenaida Vázquez-Ruiz; Stephanie Nishi; Jose Sorlí; María Zomeño; María Zulet; Jessica Vaquero-Luna; Rosa Carabaño-Moral; Leyre Notario-Barandiaran; Marga Morey; Antonio García-Ríos; Ana Gómez-Pérez; José Santos-Lozano; Pilar Buil-Cosiales; Josep Basora; Olga Portolés; Helmut Schröder; Itziar Abete; Itziar Salaverria-Lete; Estefanía Toledo; Nancy Babio; Montse Fitó; Miriam Martínez-Huélamo; Rosa Lamuela-Raventós. High Fruit and Vegetable Consumption and Moderate Fat Intake Are Associated with Higher Carotenoid Concentration in Human Plasma. Antioxidants 2021, 10, 473 .
AMA StyleMaría Marhuenda-Muñoz, José Rinaldi de Alvarenga, Álvaro Hernáez, Anna Tresserra-Rimbau, Miguel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Mireia Malcampo, José Martínez, Ángel Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José López-Miranda, Ramón Estruch, Francisco Tinahones, José Lapetra, J. Serra-Majem, Aurora Bueno-Cavanillas, Josep Tur, Vicente Sánchez, Xavier Pintó, Miguel Delgado-Rodríguez, Pilar Matía-Martín, Josep Vidal, Clotilde Vázquez, Lidia Daimiel, Emilio Ros, Mercè Serra-Mir, Zenaida Vázquez-Ruiz, Stephanie Nishi, Jose Sorlí, María Zomeño, María Zulet, Jessica Vaquero-Luna, Rosa Carabaño-Moral, Leyre Notario-Barandiaran, Marga Morey, Antonio García-Ríos, Ana Gómez-Pérez, José Santos-Lozano, Pilar Buil-Cosiales, Josep Basora, Olga Portolés, Helmut Schröder, Itziar Abete, Itziar Salaverria-Lete, Estefanía Toledo, Nancy Babio, Montse Fitó, Miriam Martínez-Huélamo, Rosa Lamuela-Raventós. High Fruit and Vegetable Consumption and Moderate Fat Intake Are Associated with Higher Carotenoid Concentration in Human Plasma. Antioxidants. 2021; 10 (3):473.
Chicago/Turabian StyleMaría Marhuenda-Muñoz; José Rinaldi de Alvarenga; Álvaro Hernáez; Anna Tresserra-Rimbau; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Mireia Malcampo; José Martínez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José López-Miranda; Ramón Estruch; Francisco Tinahones; José Lapetra; J. Serra-Majem; Aurora Bueno-Cavanillas; Josep Tur; Vicente Sánchez; Xavier Pintó; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Josep Vidal; Clotilde Vázquez; Lidia Daimiel; Emilio Ros; Mercè Serra-Mir; Zenaida Vázquez-Ruiz; Stephanie Nishi; Jose Sorlí; María Zomeño; María Zulet; Jessica Vaquero-Luna; Rosa Carabaño-Moral; Leyre Notario-Barandiaran; Marga Morey; Antonio García-Ríos; Ana Gómez-Pérez; José Santos-Lozano; Pilar Buil-Cosiales; Josep Basora; Olga Portolés; Helmut Schröder; Itziar Abete; Itziar Salaverria-Lete; Estefanía Toledo; Nancy Babio; Montse Fitó; Miriam Martínez-Huélamo; Rosa Lamuela-Raventós. 2021. "High Fruit and Vegetable Consumption and Moderate Fat Intake Are Associated with Higher Carotenoid Concentration in Human Plasma." Antioxidants 10, no. 3: 473.
Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.
Marta Maes-Carballo; Manuel Martín-Díaz; Luciano Mignini; Khalid Khan; Rubén Trigueros; Aurora Bueno-Cavanillas. Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey. International Journal of Environmental Research and Public Health 2021, 18, 2128 .
AMA StyleMarta Maes-Carballo, Manuel Martín-Díaz, Luciano Mignini, Khalid Khan, Rubén Trigueros, Aurora Bueno-Cavanillas. Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey. International Journal of Environmental Research and Public Health. 2021; 18 (4):2128.
Chicago/Turabian StyleMarta Maes-Carballo; Manuel Martín-Díaz; Luciano Mignini; Khalid Khan; Rubén Trigueros; Aurora Bueno-Cavanillas. 2021. "Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey." International Journal of Environmental Research and Public Health 18, no. 4: 2128.
Background: Intimate partner violence (IPV) is a public health concern, especially during pregnancy, and needs to be urgently addressed. In order to establish effective actions for the prevention of IPV during pregnancy, authorities must be aware of the real burden of IPV. This review aimed to summarize the existing evidence about IPV prevalence during pregnancy worldwide. Methods: A review of reviews was carried out. All published systematic reviews and meta-analyses published until October 2020 were identified through PubMed, Scopus, and Web of Science. The main outcome was the IPV prevalence during pregnancy. Results: A total of 12 systematic reviews were included in the review, 5 of them including meta-analysis. The quality of the reviews was variable. Physical IPV during pregnancy showed a wide range (1.6–78%), as did psychological IPV (1.8–67.4%). Conclusions: Available data about IPV prevalence during pregnancy were of low quality and showed high figures for physical and psychological IPV. The existing evidence syntheses do not capture the totality of the worldwide disease burden of IPV in pregnancy.
Rosario Román-Gálvez; Sandra Martín-Peláez; Juan Martínez-Galiano; Khalid Khan; Aurora Bueno-Cavanillas. Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review. International Journal of Environmental Research and Public Health 2021, 18, 707 .
AMA StyleRosario Román-Gálvez, Sandra Martín-Peláez, Juan Martínez-Galiano, Khalid Khan, Aurora Bueno-Cavanillas. Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review. International Journal of Environmental Research and Public Health. 2021; 18 (2):707.
Chicago/Turabian StyleRosario Román-Gálvez; Sandra Martín-Peláez; Juan Martínez-Galiano; Khalid Khan; Aurora Bueno-Cavanillas. 2021. "Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review." International Journal of Environmental Research and Public Health 18, no. 2: 707.
Evidence-based sexual and reproductive health is a global endeavor without borders. Inter-sectorial collaboration is essential for identifying and addressing gaps in evidence. Health research funders and regulators are promoting patient and public involvement in research, but there is a lack of quality tools for involving patients. Partnerships with patients are necessary to produce and promote robust, relevant and timely research. Without the active participation of women as stakeholders, not just as research subjects, the societal benefits of research cannot be realized. Creating and developing platforms and opportunities for public involvement in sexual and reproductive health research should be a key international objective. Cooperation between healthcare professionals, academic institutions and the community is essential to promote quality research and significant developments in women’s health. This cooperation will be improved when involvement of citizens in the research process becomes standard.
García-Martín M; Amezcua-Prieto C; H Al Wattar B; Jørgensen Js; Bueno-Cavanillas A; Khan Ks. Patient and Public Involvement in Sexual and Reproductive Health: Time to Properly Integrate Citizen’s Input into Science. International Journal of Environmental Research and Public Health 2020, 17, 8048 .
AMA StyleGarcía-Martín M, Amezcua-Prieto C, H Al Wattar B, Jørgensen Js, Bueno-Cavanillas A, Khan Ks. Patient and Public Involvement in Sexual and Reproductive Health: Time to Properly Integrate Citizen’s Input into Science. International Journal of Environmental Research and Public Health. 2020; 17 (21):8048.
Chicago/Turabian StyleGarcía-Martín M; Amezcua-Prieto C; H Al Wattar B; Jørgensen Js; Bueno-Cavanillas A; Khan Ks. 2020. "Patient and Public Involvement in Sexual and Reproductive Health: Time to Properly Integrate Citizen’s Input into Science." International Journal of Environmental Research and Public Health 17, no. 21: 8048.
Several epidemiologic studies have shown an association between Gestational Weight Gain (GWG) and offspring complications. The GWG is directly linked to maternal dietary intake and women’s nutritional status during pregnancy. The aim of this study was (1) to assess, in a sample of Spanish pregnant women, the association between maternal dietary patterns and GWG and (2) to assess maternal dietary patterns and nutrient adequate intake according to GWG. A retrospective study was conducted in a sample of 503 adult pregnant women in five hospitals in Eastern Andalusia (Spain). Data on demographic characteristics, anthropometric values, and dietary intake were collected from clinical records by trained midwives. Usual food intake was gathered through a validated Food Frequency Questionnaire (FFQ), and dietary patterns were obtained by principal component analysis. Nutrient adequacy was defined according to European dietary intake recommendations for pregnant women. Regression models adjusted by confounding factors were constructed to study the association between maternal dietary pattern and GWG, and maternal dietary patterns and nutritional adequacy. A negative association was found between GWG and the Mediterranean dietary pattern (crude β = −0.06, 95% CI: −0.11, −0.04). Independent of maternal dietary pattern, nutrient adequacy of dietary fiber, vitamin B9, D, E, and iodine was related to a Mediterranean dietary pattern (p < 0.05). A Mediterranean dietary pattern is related to lower GWG and better nutrient adequacy. The promotion of healthy dietary behavior consistent with the general advice promoted by the Mediterranean Diet (based on legumes, vegetables, nuts, olive oil, and whole cereals) will offer healthful, sustainable, and practical strategies to control GWG and ensure adequate nutrient intake during pregnancy.
Naomi Cano-Ibáñez; Juan Martínez-Galiano; Miguel Luque-Fernández; Sandra Martín-Peláez; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez. Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy. International Journal of Environmental Research and Public Health 2020, 17, 7908 .
AMA StyleNaomi Cano-Ibáñez, Juan Martínez-Galiano, Miguel Luque-Fernández, Sandra Martín-Peláez, Aurora Bueno-Cavanillas, Miguel Delgado-Rodríguez. Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy. International Journal of Environmental Research and Public Health. 2020; 17 (21):7908.
Chicago/Turabian StyleNaomi Cano-Ibáñez; Juan Martínez-Galiano; Miguel Luque-Fernández; Sandra Martín-Peláez; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez. 2020. "Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy." International Journal of Environmental Research and Public Health 17, no. 21: 7908.
ObjectivesTo systematically review and quantify the effect of motor vehicle crashes (MVCs) in pregnancy on maternal and offspring outcomes.DesignSystematic review and meta-analysis of observational data searched from inception until 1 July 2018. Searching was from June to August 2018 in Medline, Embase, Web of Science, Scopus, Latin-American and Caribbean System on Health Sciences Information, Scientific Electronic Library Online, TRANSPORT, International Road Research Documentation, European Conference of Ministers of Transportation Databases, Cochrane Database of Systematic Reviews and Cochrane Central Register.ParticipantsStudies were selected if they focused on the effects of exposure MVC during pregnancy versus non-exposure, with follow-up to verify outcomes in various settings, including secondary care, collision and emergency, and inpatient care.Data synthesisFor incidence data, we calculated a pooled estimate per 1000 women. For comparison of outcomes between women involved and those not involved in MVC, we calculated ORs with 95% CIs. Where possible, we statistically pooled the data using the random-effects model. The quality of studies used in the comparative analysis was assessed with Newcastle–Ottawa Scale.ResultsWe included 19 studies (3 222 066 women) of which the majority was carried out in high-income countries (18/19). In population-level studies of women involved in MVC, maternal death occurred in 3.6 per 1000 (95% CI 0.25–10.42; 3 studies, 12 000 women; Tau=1.77), and fetal death or stillbirth in 6.6 per 1000 (95% CI 3.81–10.12; 8 studies, 47 992 women; I2=92.6%). Pooled incidence of complications per 1000 women involved in MVC was labour induction (276.43), preterm delivery (191.90) and caesarean section (166.65). Compared with women not involved in MVC, those involved had increased odds of placental abruption (OR 1.43, 95% CI 1.27–1.63; 3 studies, 1 500 825 women) and maternal death (OR 202.27; 95% CI 110.60–369.95; 1 study, 1 094 559 women).ConclusionPregnant women involved in MVC were at higher risk of maternal death and complications than those not involved.PROSPERO registration numberCRD42018100788.
Carmen Amezcua-Prieto; Jennifer Ross; Ewelina Rogozińska; Patritia Mighiu; Virginia Martínez-Ruiz; Karim Brohi; Aurora Bueno-Cavanillas; Khalid Saeed Khan; Shakila Thangaratinam. Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis. BMJ Open 2020, 10, e035562 .
AMA StyleCarmen Amezcua-Prieto, Jennifer Ross, Ewelina Rogozińska, Patritia Mighiu, Virginia Martínez-Ruiz, Karim Brohi, Aurora Bueno-Cavanillas, Khalid Saeed Khan, Shakila Thangaratinam. Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis. BMJ Open. 2020; 10 (10):e035562.
Chicago/Turabian StyleCarmen Amezcua-Prieto; Jennifer Ross; Ewelina Rogozińska; Patritia Mighiu; Virginia Martínez-Ruiz; Karim Brohi; Aurora Bueno-Cavanillas; Khalid Saeed Khan; Shakila Thangaratinam. 2020. "Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis." BMJ Open 10, no. 10: e035562.
One-year dietary quality change according to the preceding maximum weight in a lifestyle intervention program (PREDIMED-Plus trial, 55–75-year-old overweight or obese adults; n = 5695) was assessed. A validated food frequency questionnaire was used to assess dietary intake. A total of 3 groups were made according to the difference between baseline measured weight and lifetime maximum reported weight: (a) participants entering the study at their maximum weight, (b) moderate weight loss maintainers (WLM), and (c) large WLM. Data were analyzed by General Linear Model. All participants improved average lifestyle. Participants entering the study at their maximum weight were the most susceptible to improve significantly their dietary quality, assessed by adherence to Mediterranean diet, DII and both healthful and unhealthful provegetarian patterns. People at maximum weight are the most benefitted in the short term by a weight management program. Long term weight loss efforts may also reduce the effect of a weight management program.
Cristina Bouzas; Maria Bibiloni; Silvia Garcia; David Mateos; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Helmut Schröder; J. Martínez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José Lopez-Miranda; Ramon Estruch; Francisco Tinahones; José Lapetra; Luís Serra-Majem; Aurora Bueno-Cavanillas; Rafael Micó-Pérez; Xavier Pintó; Miguel Delgado-Rodríguez; María Ortíz-Ramos; Andreu Altés-Boronat; Bogdana Luca; Lidia Daimiel; Emilio Ros; Carmen Sayon-Orea; Nerea Becerra-Tomás; Ignacio Gimenez-Alba; Olga Castañer; Itziar Abete; Lucas Tojal-Sierra; Jéssica Pérez-López; Andrea Bernabé-Casanova; Marian Martin-Padillo; Antonio Garcia-Rios; Sara Castro-Barquero; Juan Fernández-García; José Santos-Lozano; Cesar Fernandez-Lazaro; Pablo Hernández-Alonso; Carmen Saiz; Maria Zomeño; Maria Zulet; Maria Belló-Mora; F. Basterra-Gortari; Silvia Canudas; Albert Goday; Josep Tur. Dietary Quality Changes According to the Preceding Maximum Weight: A Longitudinal Analysis in the PREDIMED-Plus Randomized Trial. Nutrients 2020, 12, 3023 .
AMA StyleCristina Bouzas, Maria Bibiloni, Silvia Garcia, David Mateos, Miguel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Helmut Schröder, J. Martínez, Ángel Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José Lopez-Miranda, Ramon Estruch, Francisco Tinahones, José Lapetra, Luís Serra-Majem, Aurora Bueno-Cavanillas, Rafael Micó-Pérez, Xavier Pintó, Miguel Delgado-Rodríguez, María Ortíz-Ramos, Andreu Altés-Boronat, Bogdana Luca, Lidia Daimiel, Emilio Ros, Carmen Sayon-Orea, Nerea Becerra-Tomás, Ignacio Gimenez-Alba, Olga Castañer, Itziar Abete, Lucas Tojal-Sierra, Jéssica Pérez-López, Andrea Bernabé-Casanova, Marian Martin-Padillo, Antonio Garcia-Rios, Sara Castro-Barquero, Juan Fernández-García, José Santos-Lozano, Cesar Fernandez-Lazaro, Pablo Hernández-Alonso, Carmen Saiz, Maria Zomeño, Maria Zulet, Maria Belló-Mora, F. Basterra-Gortari, Silvia Canudas, Albert Goday, Josep Tur. Dietary Quality Changes According to the Preceding Maximum Weight: A Longitudinal Analysis in the PREDIMED-Plus Randomized Trial. Nutrients. 2020; 12 (10):3023.
Chicago/Turabian StyleCristina Bouzas; Maria Bibiloni; Silvia Garcia; David Mateos; Miguel Martínez-González; Jordi Salas-Salvadó; Dolores Corella; Helmut Schröder; J. Martínez; Ángel Alonso-Gómez; Julia Wärnberg; Jesús Vioque; Dora Romaguera; José Lopez-Miranda; Ramon Estruch; Francisco Tinahones; José Lapetra; Luís Serra-Majem; Aurora Bueno-Cavanillas; Rafael Micó-Pérez; Xavier Pintó; Miguel Delgado-Rodríguez; María Ortíz-Ramos; Andreu Altés-Boronat; Bogdana Luca; Lidia Daimiel; Emilio Ros; Carmen Sayon-Orea; Nerea Becerra-Tomás; Ignacio Gimenez-Alba; Olga Castañer; Itziar Abete; Lucas Tojal-Sierra; Jéssica Pérez-López; Andrea Bernabé-Casanova; Marian Martin-Padillo; Antonio Garcia-Rios; Sara Castro-Barquero; Juan Fernández-García; José Santos-Lozano; Cesar Fernandez-Lazaro; Pablo Hernández-Alonso; Carmen Saiz; Maria Zomeño; Maria Zulet; Maria Belló-Mora; F. Basterra-Gortari; Silvia Canudas; Albert Goday; Josep Tur. 2020. "Dietary Quality Changes According to the Preceding Maximum Weight: A Longitudinal Analysis in the PREDIMED-Plus Randomized Trial." Nutrients 12, no. 10: 3023.
Background It is not clear whether clinical practice guidelines (CPGs) and consensus statements (CSs) are adequately promoting shared decision making (SDM). Objective To evaluate the recommendations about SDM in CPGs and CSs concerning breast cancer (BC) treatment. Search strategy Following protocol registration (Prospero no.: CRD42018106643), CPGs and CSs on BC treatment were identified, without language restrictions, through systematic search of bibliographic databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR) and online sources (12 guideline databases and 51 professional society websites) from January 2010 to December 2019. Inclusion criteria CPGs and CSs on BC treatment were selected whether published in a journal or in an online document. Data extraction and synthesis A 31‐item SDM quality assessment tool was developed and used to extract data in duplicate. Main results There were 167 relevant CPGs (139) and CSs (28); SDM was reported in only 40% of the studies. SDM was reported more often in recent publications after 2015 (42/101 (41.6 %) vs 46/66 (69.7 %), P = .0003) but less often in medical journal publications (44/101 (43.5 %) vs 17/66 (25.7 %), P = .009). In CPGs and CSs with SDM, only 8/66 (12%) met one‐fifth (6 of 31) of the quality items; only 14/66 (8%) provided clear and precise SDM recommendations. Discussion and conclusions SDM descriptions and recommendations in CPGs and CSs concerning BC treatment need improvement. SDM was more frequently reported in CPGs and CSs in recent years, but surprisingly it was less often covered in medical journals, a feature that needs attention.
Marta Maes‐Carballo; Isabel Muñoz‐Núñez; Manuel Martín‐Díaz; Luciano Mignini; Aurora Bueno‐Cavanillas; Khalid Saeed Khan. Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review. Health Expectations 2020, 23, 1045 -1064.
AMA StyleMarta Maes‐Carballo, Isabel Muñoz‐Núñez, Manuel Martín‐Díaz, Luciano Mignini, Aurora Bueno‐Cavanillas, Khalid Saeed Khan. Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review. Health Expectations. 2020; 23 (5):1045-1064.
Chicago/Turabian StyleMarta Maes‐Carballo; Isabel Muñoz‐Núñez; Manuel Martín‐Díaz; Luciano Mignini; Aurora Bueno‐Cavanillas; Khalid Saeed Khan. 2020. "Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review." Health Expectations 23, no. 5: 1045-1064.
Background. Body weight dissatisfaction is a hindrance to following a healthy lifestyle and it has been associated with weight concerns. Objectives. The aim of this study was to assess the association between the adherence to the Mediterranean lifestyle (diet and exercise) and the desired body weight loss in an adult Mediterranean population with overweight. Methods. Cross-sectional analysis in 6355 participants (3268 men; 3087 women) with metabolic syndrome and BMI (Body mass index) between 27.0 and 40.0 kg/m2 (55–75 years old) from the PREDIMED-Plus trial. Desired weight loss was the percentage of weight that participants wished to lose. It was categorized into four cut-offs of this percentage (Q1: n = 1495; Q2: 10–15%, n = 1804; Q3: n = 1470; Q4: ≥20%, n = 1589). Diet was assessed using a validated food frequency questionnaire and a 17-item Mediterranean diet questionnaire. Physical activity was assessed by the validated Minnesota-REGICOR and the validated Spanish version of the Nurses’ Health Study questionnaire. Results. Participants reporting higher percentages of desired weight loss (Q3 and Q4) were younger, had higher real and perceived BMI and were more likely to have abdominal obesity. Desired weight loss correlated inversely to physical activity (Q1: 2106 MET min/week; Q4: 1585 MET min/week. p < 0.001) and adherence to Mediterranean diet (Q1: 8.7; Q4: 8.3. p < 0.001). Conclusions. In older Mediterranean individuals with weight excess, desired weight loss was inversely associated with Mediterranean lifestyle adherence. Deeply rooted aspects of the MedDiet remained similar across groups. Longitudinal research is advised to be able to establish causality.
Cristina Bouzas; Maria Bibiloni; Alicia Julibert; Miguel Ruiz-Canela; Jordi Salas-Salvadó; Dolores Corella; Maria Zomeño; Dora Romaguera; Jesús Vioque; Ángel Alonso-Gómez; Julia Wärnberg; J. Martínez; Luís Serra-Majem; Ramon Estruch; Francisco Tinahones; José Lapetra; Xavier Pintó; Antonio Ríos; Aurora Bueno-Cavanillas; José Gaforio; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Cesar Fernandez-Lázaro; Nerea Becerra-Tomás; Ignacio Gimenez-Alba; Julia Muñoz; Marga Morey; Alejandro Oncina-Canovas; Lucas Tojal-Sierra; Jéssica Pérez-López; Itziar Abete; Tamara Casañas-Quintana; Sara Castro-Barquero; M. Bernal-López; José Santos-Lozano; Ana Galera; Escarlata Angullo-Martinez; F. Basterra-Gortari; Josep Basora; Carmen Saiz; Olga Castañer; Marian Martín; Leyre Notario-Barandiarán; María Belló-Mora; Carmen Sayón-Orea; Jesús García-Gavilán; Albert Goday; Josep Tur. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study. Nutrients 2020, 12, 2114 .
AMA StyleCristina Bouzas, Maria Bibiloni, Alicia Julibert, Miguel Ruiz-Canela, Jordi Salas-Salvadó, Dolores Corella, Maria Zomeño, Dora Romaguera, Jesús Vioque, Ángel Alonso-Gómez, Julia Wärnberg, J. Martínez, Luís Serra-Majem, Ramon Estruch, Francisco Tinahones, José Lapetra, Xavier Pintó, Antonio Ríos, Aurora Bueno-Cavanillas, José Gaforio, Pilar Matía-Martín, Lidia Daimiel, Vicente Martín-Sánchez, Josep Vidal, Clotilde Vázquez, Emilio Ros, Cesar Fernandez-Lázaro, Nerea Becerra-Tomás, Ignacio Gimenez-Alba, Julia Muñoz, Marga Morey, Alejandro Oncina-Canovas, Lucas Tojal-Sierra, Jéssica Pérez-López, Itziar Abete, Tamara Casañas-Quintana, Sara Castro-Barquero, M. Bernal-López, José Santos-Lozano, Ana Galera, Escarlata Angullo-Martinez, F. Basterra-Gortari, Josep Basora, Carmen Saiz, Olga Castañer, Marian Martín, Leyre Notario-Barandiarán, María Belló-Mora, Carmen Sayón-Orea, Jesús García-Gavilán, Albert Goday, Josep Tur. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study. Nutrients. 2020; 12 (7):2114.
Chicago/Turabian StyleCristina Bouzas; Maria Bibiloni; Alicia Julibert; Miguel Ruiz-Canela; Jordi Salas-Salvadó; Dolores Corella; Maria Zomeño; Dora Romaguera; Jesús Vioque; Ángel Alonso-Gómez; Julia Wärnberg; J. Martínez; Luís Serra-Majem; Ramon Estruch; Francisco Tinahones; José Lapetra; Xavier Pintó; Antonio Ríos; Aurora Bueno-Cavanillas; José Gaforio; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Cesar Fernandez-Lázaro; Nerea Becerra-Tomás; Ignacio Gimenez-Alba; Julia Muñoz; Marga Morey; Alejandro Oncina-Canovas; Lucas Tojal-Sierra; Jéssica Pérez-López; Itziar Abete; Tamara Casañas-Quintana; Sara Castro-Barquero; M. Bernal-López; José Santos-Lozano; Ana Galera; Escarlata Angullo-Martinez; F. Basterra-Gortari; Josep Basora; Carmen Saiz; Olga Castañer; Marian Martín; Leyre Notario-Barandiarán; María Belló-Mora; Carmen Sayón-Orea; Jesús García-Gavilán; Albert Goday; Josep Tur. 2020. "Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study." Nutrients 12, no. 7: 2114.
The purpose of this study is to evaluate the effect of a Mediterranean diet supplemented with extra virgin olive oil and nuts on dry eye parameters. The participants in this study were randomized into one of the two interventional arms: (1) a standard intervention group, a Mediterranean diet supplemented with extra virgin olive oil and nuts; and (2) an intensive intervention group, based on a hypocaloric Mediterranean diet and an intensive lifestyle program with physical activity and weight-loss goals. In both groups, common dry eye tests were conducted at baseline and after six months: the Ocular Surface Disease Index (OSDI), the Dry Eye Scoring System (DESS), tear break-up time (TBUT), the Schirmer’s test, and the Oxford staining grade. Sixty-seven eyes were examined. After six months, dry eye parameters improved in both groups; differences between groups were favorable for the intensive intervention group. The implementation of a Mediterranean diet pattern was beneficial for the selected patients with dry eye, and could be beneficial for patients with dry eye in general. Behavioral support for diet adherence and the promotion of healthy lifestyles (exercise) and weight loss (calorie restriction) have an added positive effect.
Ignacio Molina-Leyva; Alejandro Molina-Leyva; Blanca Riquelme-Gallego; Naomi Cano-Ibáñez; Laura García-Molina; Aurora Bueno-Cavanillas. Effectiveness of Mediterranean Diet Implementation in Dry Eye Parameters: A Study of PREDIMED-PLUS Trial. Nutrients 2020, 12, 1289 .
AMA StyleIgnacio Molina-Leyva, Alejandro Molina-Leyva, Blanca Riquelme-Gallego, Naomi Cano-Ibáñez, Laura García-Molina, Aurora Bueno-Cavanillas. Effectiveness of Mediterranean Diet Implementation in Dry Eye Parameters: A Study of PREDIMED-PLUS Trial. Nutrients. 2020; 12 (5):1289.
Chicago/Turabian StyleIgnacio Molina-Leyva; Alejandro Molina-Leyva; Blanca Riquelme-Gallego; Naomi Cano-Ibáñez; Laura García-Molina; Aurora Bueno-Cavanillas. 2020. "Effectiveness of Mediterranean Diet Implementation in Dry Eye Parameters: A Study of PREDIMED-PLUS Trial." Nutrients 12, no. 5: 1289.
Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55–75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses’ Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.
Laura Gallardo-Alfaro; Maria Del Mar Bibiloni; Catalina M. Mascaró; Sofía Montemayor; Miguel Ruiz-Canela; Jordi Salas-Salvadó; Dolores Corella; Montserrat Fitó; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; J. Alfredo Martínez; Lluís Serra-Majem; Ramon Estruch; José Carlos Fernández-García; José Lapetra; Xavier Pintó; Antonio García Ríos; Aurora Bueno-Cavanillas; José J. Gaforio; Pilar Matía-Martín; Lidia Daimiel; Rafael M. Micó-Pérez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Cesar Ignacio Fernandez-Lázaro; Nerea Becerra-Tomás; Ignacio Manuel Gimenez-Alba; María Dolors Zomeño; Jadwiga Konieczna; Laura Compañ-Gabucio; Lucas Tojal-Sierra; Jéssica Pérez-López; M. Ángeles Zulet; Tamara Casañas-Quintana; Sara Castro-Barquero; Ana María Gómez-Pérez; José Manuel Santos-Lozano; Ana Galera; F. Javier Basterra-Gortari; Josep Basora; Carmen Saiz; Karla Alejandra Pérez-Vega; Aina M. Galmés-Panadés; Cristina Tercero-Maciá; Carolina Sorto-Sánchez; Carmen Sayón-Orea; Jesús García-Gavilán; Júlia Muñoz-Martínez; Josep A. Tur. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study. Nutrients 2020, 12, 1013 .
AMA StyleLaura Gallardo-Alfaro, Maria Del Mar Bibiloni, Catalina M. Mascaró, Sofía Montemayor, Miguel Ruiz-Canela, Jordi Salas-Salvadó, Dolores Corella, Montserrat Fitó, Dora Romaguera, Jesús Vioque, Ángel M. Alonso-Gómez, Julia Wärnberg, J. Alfredo Martínez, Lluís Serra-Majem, Ramon Estruch, José Carlos Fernández-García, José Lapetra, Xavier Pintó, Antonio García Ríos, Aurora Bueno-Cavanillas, José J. Gaforio, Pilar Matía-Martín, Lidia Daimiel, Rafael M. Micó-Pérez, Josep Vidal, Clotilde Vázquez, Emilio Ros, Cesar Ignacio Fernandez-Lázaro, Nerea Becerra-Tomás, Ignacio Manuel Gimenez-Alba, María Dolors Zomeño, Jadwiga Konieczna, Laura Compañ-Gabucio, Lucas Tojal-Sierra, Jéssica Pérez-López, M. Ángeles Zulet, Tamara Casañas-Quintana, Sara Castro-Barquero, Ana María Gómez-Pérez, José Manuel Santos-Lozano, Ana Galera, F. Javier Basterra-Gortari, Josep Basora, Carmen Saiz, Karla Alejandra Pérez-Vega, Aina M. Galmés-Panadés, Cristina Tercero-Maciá, Carolina Sorto-Sánchez, Carmen Sayón-Orea, Jesús García-Gavilán, Júlia Muñoz-Martínez, Josep A. Tur. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study. Nutrients. 2020; 12 (4):1013.
Chicago/Turabian StyleLaura Gallardo-Alfaro; Maria Del Mar Bibiloni; Catalina M. Mascaró; Sofía Montemayor; Miguel Ruiz-Canela; Jordi Salas-Salvadó; Dolores Corella; Montserrat Fitó; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; J. Alfredo Martínez; Lluís Serra-Majem; Ramon Estruch; José Carlos Fernández-García; José Lapetra; Xavier Pintó; Antonio García Ríos; Aurora Bueno-Cavanillas; José J. Gaforio; Pilar Matía-Martín; Lidia Daimiel; Rafael M. Micó-Pérez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Cesar Ignacio Fernandez-Lázaro; Nerea Becerra-Tomás; Ignacio Manuel Gimenez-Alba; María Dolors Zomeño; Jadwiga Konieczna; Laura Compañ-Gabucio; Lucas Tojal-Sierra; Jéssica Pérez-López; M. Ángeles Zulet; Tamara Casañas-Quintana; Sara Castro-Barquero; Ana María Gómez-Pérez; José Manuel Santos-Lozano; Ana Galera; F. Javier Basterra-Gortari; Josep Basora; Carmen Saiz; Karla Alejandra Pérez-Vega; Aina M. Galmés-Panadés; Cristina Tercero-Maciá; Carolina Sorto-Sánchez; Carmen Sayón-Orea; Jesús García-Gavilán; Júlia Muñoz-Martínez; Josep A. Tur. 2020. "Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study." Nutrients 12, no. 4: 1013.
Few studies have compared micronutrient intake and fulfilment of average requirements (EAR) in non-diabetic, pre-diabetic and diabetic adults at high cardiovascular risk. We assessed these variables in a large sample of participants in the PREDIMED-PLUS randomized trial of primary cardiovascular prevention with diet and physical activity. Baseline assessment of nutritional adequacy in n = 5792 men and women, aged 55-75 years, with overweight/obesity and some metabolic syndrome features. Participants were categorised as non-diabetic (n = 2390), pre-diabetic (n = 1322) or diabetic (n = 2080) by standard criteria. Food and nutrient intake were assessed using a validated food frequency questionnaire. Micronutrients examined were 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 evaluated using the EAR or adequate intake (AI) cut-offs. Diet quality was also determined using a 17-item energy-restricted Mediterranean diet (MedDiet) questionnaire. Compared to non-diabetic participants, those with pre-diabetes had lower intakes of total carbohydrates (CHO) and higher intakes of total fat and saturated fatty acids (SFA) and were more likely to be below EAR for folic, while diabetic participants had lower intakes of total CHO and higher intakes of protein, total fat, monounsaturated fatty acids, SFA and cholesterol and were less likely to be below EAR for vitamins B2, and B6, Ca, Zn and iodine. Diabetic participants disclosed higher adherence to the MedDiet than the other two groups. Older Mediterranean individuals with metabolic syndrome and diabetes had better nutrient adequacy and adherence to the MedDiet than those with pre-diabetes or no diabetes.
Maria Del Mar Bibiloni; Cristina Bouzas; Manuela Abbate; Miguel A. Martínez-González; Dolores Corella; Jordi Salas-Salvadó; M. Dolors Zomeño; Jesus Vioque; Dora Romaguera; J. Alfredo Martínez; Julia Wärnberg; Jose Lopez-Miranda; Ramón Estruch; Aurora Bueno-Cavanillas; Ángel Alonso-Gómez; Francisco Jose Tinahones; Lluis Serra-Majem; Vicente Martín; José Lapetra; Clotilde Vázquez; Xavier Pintó; Josep Vidal; Lidia Daimiel; Miguel Delgado-Rodríguez; Pilar Matía; Emilio Ros; Rebeca Fernández-Carrión; Antonio Garcia-Rios; M. Angeles Zulet; Alberto Asensio; Helmut Schroder; Montserrat Fitó; Nerea Becerra-Tomás; Josep Basora; Juan Carlos Cenoz; Javier Diez-Espino; Estefanía Toledo; Josep A. Tur. Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study. Clinical Nutrition 2020, 39, 853 -861.
AMA StyleMaria Del Mar Bibiloni, Cristina Bouzas, Manuela Abbate, Miguel A. Martínez-González, Dolores Corella, Jordi Salas-Salvadó, M. Dolors Zomeño, Jesus Vioque, Dora Romaguera, J. Alfredo Martínez, Julia Wärnberg, Jose Lopez-Miranda, Ramón Estruch, Aurora Bueno-Cavanillas, Ángel Alonso-Gómez, Francisco Jose Tinahones, Lluis Serra-Majem, Vicente Martín, José Lapetra, Clotilde Vázquez, Xavier Pintó, Josep Vidal, Lidia Daimiel, Miguel Delgado-Rodríguez, Pilar Matía, Emilio Ros, Rebeca Fernández-Carrión, Antonio Garcia-Rios, M. Angeles Zulet, Alberto Asensio, Helmut Schroder, Montserrat Fitó, Nerea Becerra-Tomás, Josep Basora, Juan Carlos Cenoz, Javier Diez-Espino, Estefanía Toledo, Josep A. Tur. Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study. Clinical Nutrition. 2020; 39 (3):853-861.
Chicago/Turabian StyleMaria Del Mar Bibiloni; Cristina Bouzas; Manuela Abbate; Miguel A. Martínez-González; Dolores Corella; Jordi Salas-Salvadó; M. Dolors Zomeño; Jesus Vioque; Dora Romaguera; J. Alfredo Martínez; Julia Wärnberg; Jose Lopez-Miranda; Ramón Estruch; Aurora Bueno-Cavanillas; Ángel Alonso-Gómez; Francisco Jose Tinahones; Lluis Serra-Majem; Vicente Martín; José Lapetra; Clotilde Vázquez; Xavier Pintó; Josep Vidal; Lidia Daimiel; Miguel Delgado-Rodríguez; Pilar Matía; Emilio Ros; Rebeca Fernández-Carrión; Antonio Garcia-Rios; M. Angeles Zulet; Alberto Asensio; Helmut Schroder; Montserrat Fitó; Nerea Becerra-Tomás; Josep Basora; Juan Carlos Cenoz; Javier Diez-Espino; Estefanía Toledo; Josep A. Tur. 2020. "Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study." Clinical Nutrition 39, no. 3: 853-861.