A short screener is valid for assessing mediterranean diet adherence among older spanish men and women
Autor: | Rosa M. Lamuela-Raventós, Valentina Ruiz-Gutiérrez, Dolores Corella, Montserrat Fitó, Enrique Gómez-Gracia, Emilio Ros, Jordi Salas-Salvadó, Miquel Fiol, Ernest Vinyoles, Helmut Schröder, Ramon Estruch, José Lapetra, Lluis Serra-Majem, Miguel Ángel Martínez-González, Carlos Lahoz, Xavier Pintó, María Isabel Covas, Itziar Salaverria |
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Přispěvatelé: | Alimentació, Nutrició, Creixement i Salut Mental, Bioquímica i Biotecnologia, Universitat Rovira i Virgili, Universitat de Barcelona |
Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Gerontology
Blood Glucose Male Questionnaires Mediterranean diet Intraclass correlation Lípids de la sang Medicine (miscellaneous) Coronary Artery Disease Diet Mediterranean Dieta mediterrània Coronary artery disease Persones grans law.invention Coronary diseases Randomized controlled trial law Risk Factors Surveys and Questionnaires Sucre en l'organisme older men and women Medicine adherence Aged 80 and over Bioquímica y tecnología Nutrition and Dietetics Factors de risc en les malalties Middle Aged Lipids Biochemistry and technology Waist circumference Female Waist Circumference Waist Risk factors in diseases Sugar in the body Qüestionaris Pacients -- Cooperació Bioquímica i biotecnologia Malalties coronàries Diet Surveys Medicina preventiva Mediterranean cooking Linear regression Cuina mediterrània Blood glucose Humans Bland–Altman plot Espanya Aged Preventive medicine business.industry Construct validity Diet Risk factors Spain Linear Models Blood lipids Patient Compliance Preventive Medicine Older people business 0022-3166 Demography |
Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona Digital.CSIC. Repositorio Institucional del CSIC instname Journal of Nutrition Recercat. Dipósit de la Recerca de Catalunya |
DOI: | 10.3945/jn.110.135566 |
Popis: | 6 páginas. Ensuring the accuracy of dietary assessment instruments is paramount for interpreting diet-disease relationships. The present study assessed the relative and construct validity of the 14-point Mediterranean Diet Adherence Screener (MEDAS) used in the Prevención con Dieta Mediterránea (PREDIMED) study, a primary prevention nutrition-intervention trial. A validated FFQ and the MEDAS were administered to 7146 participants of the PREDIMED study. The MEDAS-derived PREDIMED score correlated significantly with the corresponding FFQ PREDIMED score (r = 0.52; intraclass correlation coefficient = 0.51) and in the anticipated directions with the dietary intakes reported on the FFQ. Using Bland Altman’s analysis, the average MEDAS Mediterranean diet score estimate was 105% of the FFQ PREDIMED score estimate. Limits of agreement ranged between 57 and 153%. Multiple linear regression analyses revealed that a higher PREDIMED score related directly (P < 0.001) to HDL-cholesterol (HDL-C) and inversely (P < 0.038) to BMI, waist circumference, TG, the TG:HDL-C ratio, fasting glucose, and the cholesterol:HDL-C ratio. The 10-y estimated coronary artery disease risk decreased as the PREDIMED score increased (P < 0.001). The MEDAS is a valid instrument for rapid estimation of adherence to the Mediterranean diet and may be useful in clinical practice. Supported by the Spanish Network RD06/0045/0000 [ISCIII, Sistema Nacional de Salud contract (CP06/00100, PI1001407] from Instituto de Salud Carlos III-FEDER, by grant CNIC06 from the Centro Nacional de Investigaciones Cardiovasculares, by grant ACOMP/2011/151 from the Valencia Goverment, by a joint contract of the Instituto de Salud Carlos III and the Health Department of the Catalan Government (Generalitat de Catalunya), CP 03/00115, and partially supported by the Generalitat of Catalunya (2005 SGR 00577). The CIBERobn is an initiative of the Instituto de Salud Carlos III, Spain. |
Databáze: | OpenAIRE |
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