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Dipòsit Digital de la Universitat de Barcelona: A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial
<!DOCTYPE html> <html> <head> <title>Dipòsit Digital de la Universitat de Barcelona: A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial</title> <base href="https://diposit.ub.edu" /> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <meta name="Generator" content="DSpace 5.8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <link rel="shortcut icon" href="/dspace/favicon.ico" type="image/x-icon"/> <link rel="stylesheet" href="/dspace/static/css/jquery-ui-1.10.3.custom/redmond/jquery-ui-1.10.3.custom.css" type="text/css" /> <link rel="stylesheet" href="/dspace/static/css/bootstrap/bootstrap.min.css" type="text/css" /> <link rel="stylesheet" href="/dspace/static/css/bootstrap/bootstrap-theme.min.css" type="text/css" /> <link rel="stylesheet" href="/dspace/static/css/bootstrap/dspace-theme.css" type="text/css" /> <link rel="search" type="application/opensearchdescription+xml" href="/dspace/open-search/description.xml" title="DSpace"/> <link rel="schema.DCTERMS" href="http://purl.org/dc/terms/" /> <link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" /> <meta name="DC.creator" content="Mart铆nez-Gonz谩lez, Miguel 脕ngel, 1957-" /> <meta name="DC.creator" content="Garc铆a Arellano, Ana" /> <meta name="DC.creator" content="Toledo Atucha, Estefan铆a" /> <meta name="DC.creator" content="Salas Salvad贸, Jordi" /> <meta name="DC.creator" content="Buil Cosiales, Pilar" /> <meta name="DC.creator" content="Corella Piquer, Dolores" /> <meta name="DC.creator" content="Covas Planells, Mar铆a Isabel" /> <meta name="DC.creator" content="Schr枚der, Helmut, 1958-" /> <meta name="DC.creator" content="Ar贸s, Fernando" /> <meta name="DC.creator" content="G贸mez Gracia, Enrique" /> <meta name="DC.creator" content="Fiol Sala, Miguel" /> <meta name="DC.creator" content="Ruiz-Guti茅rrez, Valentina" /> <meta name="DC.creator" content="Lapetra, Jos茅" /> <meta name="DC.creator" content="Lamuela Ravent贸s, Rosa Ma." /> <meta name="DC.creator" content="Serra Majem, Llu铆s" /> <meta name="DC.creator" content="Pint贸 Sala, Xavier" /> <meta name="DC.creator" content="Mu帽oz, Miguel 脕ngel" /> <meta name="DC.creator" content="W盲rnberg, Julia" /> <meta name="DC.creator" content="Ros Rahola, Emilio" /> <meta name="DC.creator" content="Estruch Riba, Ramon" /> <meta name="DCTERMS.dateAccepted" content="2013-06-04T11:42:48Z" scheme="DCTERMS.W3CDTF" /> <meta name="DCTERMS.available" content="2013-06-04T11:42:48Z" scheme="DCTERMS.W3CDTF" /> <meta name="DCTERMS.issued" content="2012-08-14" scheme="DCTERMS.W3CDTF" /> <meta name="DC.identifier" content="1932-6203" /> <meta name="DC.identifier" content="https://hdl.handle.net/2445/44014" scheme="DCTERMS.URI" /> <meta name="DCTERMS.abstract" content="Objective: Independently of total caloric intake, a better quality of the diet (for example, conformity to the Mediterranean diet) is associated with lower obesity risk. It is unclear whether a brief dietary assessment tool, instead of full-length comprehensive methods, can also capture this association. In addition to reduced costs, a brief tool has the interesting advantage of allowing immediate feedback to participants in interventional studies. Another relevant question is which individual items of such a brief tool are responsible for this association. We examined these associations using a 14-item tool of adherence to the Mediterranean diet as exposure and body mass index, waist circumference and waist-to-height ratio (WHtR) as outcomes. Design: Cross-sectional assessment of all participants in the"PREvenci贸n con DIeta MEDiterr谩nea" (PREDIMED) trial. Subjects: 7,447 participants (55-80 years, 57% women) free of cardiovascular disease, but with either type 2 diabetes or $3 cardiovascular risk factors. Trained dietitians used both a validated 14-item questionnaire and a full-length validated 137-item food frequency questionnaire to assess dietary habits. Trained nurses measured weight, height and waist circumference. Results: Strong inverse linear associations between the 14-item tool and all adiposity indexes were found. For a two-point increment in the 14-item score, the multivariable-adjusted differences in WHtR were 20.0066 (95% confidence interval,- 0.0088 to 20.0049) for women and-0.0059 (-0.0079 to-0.0038) for men. The multivariable-adjusted odds ratio for a WHtR.0.6 in participants scoring $10 points versus #7 points was 0.68 (0.57 to 0.80) for women and 0.66 (0.54 to 0.80) for men. High consumption of nuts and low consumption of sweetened/carbonated beverages presented the strongest inverse associations with abdominal obesity. Conclusions: A brief 14-item tool was able to capture a strong monotonic inverse association between adherence to a good quality dietary pattern (Mediterranean diet) and obesity indexes in a population of adults at high cardiovascular risk." /> <meta name="DCTERMS.extent" content="10 p." /> <meta name="DC.format" content="application/pdf" /> <meta name="DC.language" content="eng" scheme="DCTERMS.RFC1766" /> <meta name="DC.publisher" content="Public Library of Science (PLoS)" /> <meta name="DCTERMS.isFormatOf" content="Reproducci贸 del document publicat a: http://dx.doi.org/10.1371/journal.pone.0043134" /> <meta name="DCTERMS.isPartOf" content="PLoS One, 2012, vol. 7, num. 8, p. e43134" /> <meta name="DC.relation" content="http://dx.doi.org/10.1371/journal.pone.0043134" scheme="DCTERMS.URI" /> <meta name="DC.rights" content="cc-by (c) Mart铆nez-Gonz谩lez, Miguel 脕ngel, 1957- et al., 2012" /> <meta name="DC.rights" content="http://creativecommons.org/licenses/by/3.0/es" scheme="DCTERMS.URI" /> <meta name="DC.source" content="Articles publicats en revistes (Nutrici贸, Ci猫ncies de l'Alimentaci贸 i Gastronomia)" /> <meta name="DC.subject" content="H脿bits alimentaris" /> <meta name="DC.subject" content="Assaigs cl铆nics" /> <meta name="DC.subject" content="Obesitat" /> <meta name="DC.subject" content="Medicina preventiva" /> <meta name="DC.subject" content="Persones grans" /> <meta name="DC.subject" content="Cuina mediterr脿nia" /> <meta name="DC.subject" content="Food habits" /> <meta name="DC.subject" content="Clinical trials" /> <meta name="DC.subject" content="Obesity" /> <meta name="DC.subject" content="Preventive medicine" /> <meta name="DC.subject" content="Older people" /> <meta name="DC.subject" content="Mediterranean cooking" /> <meta name="DC.title" content="A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial" /> <meta name="DC.type" content="info:eu-repo/semantics/article" /> <meta name="DC.type" content="info:eu-repo/semantics/publishedVersion" /> <meta name="DC.identifier" content="621816" /> <meta name="DC.date" content="2013-06-04T11:42:48Z" scheme="DCTERMS.W3CDTF" /> <meta name="DC.rights" content="info:eu-repo/semantics/openAccess" /> <meta name="DC.identifier" content="22905215" /> <meta name="citation_keywords" content="info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion" /> <meta name="citation_title" content="A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial" /> <meta name="citation_issn" content="1932-6203" /> <meta name="citation_publisher" content="Public Library of Science (PLoS)" /> <meta name="citation_language" content="eng" /> <meta name="citation_author" content="Mart铆nez-Gonz谩lez, Miguel 脕ngel" /> <meta name="citation_author" content="Garc铆a Arellano, Ana" /> <meta name="citation_author" content="Toledo Atucha, Estefan铆a" /> <meta name="citation_author" content="Salas Salvad贸, Jordi" /> <meta name="citation_author" content="Buil Cosiales, Pilar" /> <meta name="citation_author" content="Corella Piquer, Dolores" /> <meta name="citation_author" content="Covas Planells, Mar铆a Isabel" /> <meta name="citation_author" content="Schr枚der, Helmut" /> <meta name="citation_author" content="Ar贸s, Fernando" /> <meta name="citation_author" content="G贸mez Gracia, Enrique" /> <meta name="citation_author" content="Fiol Sala, Miguel" /> <meta name="citation_author" content="Ruiz-Guti茅rrez, Valentina" /> <meta name="citation_author" content="Lapetra, Jos茅" /> <meta name="citation_author" content="Lamuela Ravent贸s, Rosa Ma." /> <meta name="citation_author" content="Serra Majem, Llu铆s" /> <meta name="citation_author" content="Pint贸 Sala, Xavier" /> <meta name="citation_author" content="Mu帽oz, Miguel 脕ngel" /> <meta name="citation_author" content="W盲rnberg, Julia" /> <meta name="citation_author" content="Ros Rahola, Emilio" /> <meta name="citation_author" content="Estruch Riba, Ramon" /> <meta name="citation_pdf_url" content="https://diposit.ub.edu/dspace/bitstream/2445/44014/1/621816.pdf" /> <meta name="citation_date" content="2012-08-14" /> <meta name="citation_abstract_html_url" content="https://diposit.ub.edu/dspace/handle/2445/44014" /> <script type='text/javascript' src="/dspace/static/js/jquery/jquery-1.10.2.min.js"></script> <script type='text/javascript' src='/dspace/static/js/jquery/jquery-ui-1.10.3.custom.min.js'></script> <script type='text/javascript' src='/dspace/static/js/bootstrap/bootstrap.min.js'></script> <script type='text/javascript' src='/dspace/static/js/holder.js'></script> <script type="text/javascript" src="/dspace/utils.js"></script> <script type="text/javascript" src="/dspace/static/js/choice-support.js"> </script> <!-- /* <script type="text/javascript"> var _gaq = _gaq || []; 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class="author"href="/dspace/browse?type=author&value=Mart%C3%ADnez-Gonz%C3%A1lez%2C+Miguel+%C3%81ngel%2C+1957-">Mart铆nez-Gonz谩lez, Miguel 脕ngel, 1957-</a><br /><a class="author"href="/dspace/browse?type=author&value=Garc%C3%ADa+Arellano%2C+Ana">Garc铆a Arellano, Ana</a><br /><a class="author"href="/dspace/browse?type=author&value=Toledo+Atucha%2C+Estefan%C3%ADa">Toledo Atucha, Estefan铆a</a><br /><a class="author"href="/dspace/browse?type=author&value=Salas+Salvad%C3%B3%2C+Jordi">Salas Salvad贸, Jordi</a><br /><a class="author"href="/dspace/browse?type=author&value=Buil+Cosiales%2C+Pilar">Buil Cosiales, Pilar</a><br /><a class="author"href="/dspace/browse?type=author&value=Corella+Piquer%2C+Dolores">Corella Piquer, Dolores</a><br /><a class="author"href="/dspace/browse?type=author&value=Covas+Planells%2C+Mar%C3%ADa+Isabel">Covas Planells, Mar铆a Isabel</a><br /><a class="author"href="/dspace/browse?type=author&value=Schr%C3%B6der%2C+Helmut%2C+1958-">Schr枚der, Helmut, 1958-</a><br /><a class="author"href="/dspace/browse?type=author&value=Ar%C3%B3s%2C+Fernando">Ar贸s, Fernando</a><br /><a class="author"href="/dspace/browse?type=author&value=G%C3%B3mez+Gracia%2C+Enrique">G贸mez Gracia, Enrique</a><br /><a class="author"href="/dspace/browse?type=author&value=Fiol+Sala%2C+Miguel">Fiol Sala, Miguel</a><br /><a class="author"href="/dspace/browse?type=author&value=Ruiz-Guti%C3%A9rrez%2C+Valentina">Ruiz-Guti茅rrez, Valentina</a><br /><a class="author"href="/dspace/browse?type=author&value=Lapetra%2C+Jos%C3%A9">Lapetra, Jos茅</a><br /><a class="author"href="/dspace/browse?type=author&value=Lamuela+Ravent%C3%B3s%2C+Rosa+Ma.">Lamuela Ravent贸s, Rosa Ma.</a><br /><a class="author"href="/dspace/browse?type=author&value=Serra+Majem%2C+Llu%C3%ADs">Serra Majem, Llu铆s</a><br /><a class="author"href="/dspace/browse?type=author&value=Pint%C3%B3+Sala%2C+Xavier">Pint贸 Sala, Xavier</a><br /><a class="author"href="/dspace/browse?type=author&value=Mu%C3%B1oz%2C+Miguel+%C3%81ngel">Mu帽oz, Miguel 脕ngel</a><br /><a class="author"href="/dspace/browse?type=author&value=W%C3%A4rnberg%2C+Julia">W盲rnberg, Julia</a><br /><a class="author"href="/dspace/browse?type=author&value=Ros+Rahola%2C+Emilio">Ros Rahola, Emilio</a><br /><a class="author"href="/dspace/browse?type=author&value=Estruch+Riba%2C+Ramon">Estruch Riba, Ramon</a></td></tr> <tr><td class="metadataFieldLabel">Keywords: </td><td class="metadataFieldValue">H脿bits alimentaris<br />Assaigs cl铆nics<br />Obesitat<br />Medicina preventiva<br />Persones grans<br />Cuina mediterr脿nia<br />Food habits<br />Clinical trials<br />Obesity<br />Preventive medicine<br />Older people<br />Mediterranean cooking</td></tr> <tr><td class="metadataFieldLabel">Issue Date: </td><td class="metadataFieldValue">14-Aug-2012</td></tr> <tr><td class="metadataFieldLabel">Publisher: </td><td class="metadataFieldValue">Public Library of Science (PLoS)</td></tr> <tr><td class="metadataFieldLabel">Abstract: </td><td class="metadataFieldValue">Objective: Independently of total caloric intake, a better quality of the diet (for example, conformity to the Mediterranean diet) is associated with lower obesity risk. It is unclear whether a brief dietary assessment tool, instead of full-length comprehensive methods, can also capture this association. In addition to reduced costs, a brief tool has the interesting advantage of allowing immediate feedback to participants in interventional studies. Another relevant question is which individual items of such a brief tool are responsible for this association. We examined these associations using a 14-item tool of adherence to the Mediterranean diet as exposure and body mass index, waist circumference and waist-to-height ratio (WHtR) as outcomes. Design: Cross-sectional assessment of all participants in the"PREvenci贸n con DIeta MEDiterr谩nea" (PREDIMED) trial. Subjects: 7,447 participants (55-80 years, 57% women) free of cardiovascular disease, but with either type 2 diabetes or $3 cardiovascular risk factors. Trained dietitians used both a validated 14-item questionnaire and a full-length validated 137-item food frequency questionnaire to assess dietary habits. Trained nurses measured weight, height and waist circumference. Results: Strong inverse linear associations between the 14-item tool and all adiposity indexes were found. For a two-point increment in the 14-item score, the multivariable-adjusted differences in WHtR were 20.0066 (95% confidence interval,- 0.0088 to 20.0049) for women and-0.0059 (-0.0079 to-0.0038) for men. The multivariable-adjusted odds ratio for a WHtR.0.6 in participants scoring $10 points versus #7 points was 0.68 (0.57 to 0.80) for women and 0.66 (0.54 to 0.80) for men. High consumption of nuts and low consumption of sweetened/carbonated beverages presented the strongest inverse associations with abdominal obesity. Conclusions: A brief 14-item tool was able to capture a strong monotonic inverse association between adherence to a good quality dietary pattern (Mediterranean diet) and obesity indexes in a population of adults at high cardiovascular risk.</td></tr> <tr><td class="metadataFieldLabel">Note: </td><td class="metadataFieldValue">Reproducci贸 del document publicat a: http://dx.doi.org/10.1371/journal.pone.0043134</td></tr> <tr><td class="metadataFieldLabel">It is part of: </td><td class="metadataFieldValue">PLoS One, 2012, vol. 7, num. 8, p. e43134</td></tr> <tr><td class="metadataFieldLabel">URI: </td><td class="metadataFieldValue"><a href="https://hdl.handle.net/2445/44014">https://hdl.handle.net/2445/44014</a></td></tr> <tr><td class="metadataFieldLabel">Related resource: </td><td class="metadataFieldValue"><a href="http://dx.doi.org/10.1371/journal.pone.0043134">http://dx.doi.org/10.1371/journal.pone.0043134</a></td></tr> <tr><td class="metadataFieldLabel">ISSN: </td><td class="metadataFieldValue">1932-6203</td></tr> <tr><td class="metadataFieldLabel">Appears in Collections:</td><td class="metadataFieldValue"><a href="/dspace/handle/2445/7210">Articles publicats en revistes (Nutrici贸, Ci猫ncies de l'Alimentaci贸 i Gastronomia)</a><br/><a href="/dspace/handle/2445/67491">Articles publicats en revistes (Institut d'lnvestigaci贸 Biom猫dica de Bellvitge (IDIBELL))</a><br/></td></tr> </table><br/> <div class="panel panel-info"><div class="panel-heading">Files in This Item:</div> <table class="table panel-body"><tr><th id="t1" class="standard">File</th> <th id="t2" class="standard">Description</th> <th id="t3" class="standard">Size</th><th id="t4" class="standard">Format</th><th> </th></tr> <tr><td headers="t1" class="standard"><a target="_blank" href="/dspace/bitstream/2445/44014/1/621816.pdf">621816.pdf</a></td><td headers="t2" class="standard"></td><td headers="t3" class="standard">383.53 kB</td><td headers="t4" class="standard">Adobe PDF</td><td class="standard" align="center"><a class="btn btn-primary" target="_blank" href="/dspace/bitstream/2445/44014/1/621816.pdf">View/Open</a></td></tr></table> </div> <div class="container row"> <a class="btn btn-default" href="/dspace/handle/2445/44014?mode=full"> Show full item record </a> </div> <br/> <br/> <p class="submitFormHelp alert alert-info"> This item is licensed under a <a rel="license" href="http://creativecommons.org/licenses/by/3.0/es">Creative Commons License</a> <a rel="license" href="http://creativecommons.org/licenses/by/3.0/es"><img src="/dspace/image/by.png" width=100 border="0" alt="Creative Commons" /></a> <!-- a href="http://creativecommons.org/licenses/by/3.0/es"><img src="/dspace/image/cc-somerights.gif" border="0" alt="Creative Commons" style="margin-top: -5px;" class="pull-right"/></a --> <!-- %= cc_rdf % --> </p> <div class="addthis_sharing_toolbox"></div> </div> </main> <footer class="navbar navbar-inverse navbar-bottom" style='background:-webkit-linear-gradient(#6685a9,#406086);background:-o-linear-gradient(#6685a9,#406086);background:-moz-linear-gradient(#6685a9,#406086);background:linear-gradient(#6685a9,#406086);border-radius:0;border:0;width:100%'> <div id="designedby" class="container text-muted"> <!-- fmt:message key="jsp.layout.footer-default.theme-by"/> <a href="http://www.cineca.it"><img src="/dspace/image/logo-cineca-small.png" alt="Logo CINECA" /></a --> <div id="footer_feedback" class="pull-left"> <p class="text-muted"> <span style='color:white'>Coordination: </span> <a style='color:#000' onMouseOver="this.style.color='#fff'" onMouseOut="this.style.color='#000'" target='_blank' href='http://crai.ub.edu/en'> CRAI Universitat de Barcelona</a> <a style='color:#000' onMouseOver="this.style.color='#fff'" onMouseOut="this.style.color='#000'" target="_blank" href='http://www.ub.edu/web/ub/en/menu_peu/avislegal/avis_legal.html'>Legal notice</a> </p> </div> <div id="footer_feedback" class="pull-right"> <p class="text-muted"> <span style='color:white'>Metadata subject to: </span> <a target='_blank' href='http://creativecommons.org/publicdomain/zero/1.0/'> <img src="/dspace/image/logoCC.png" alt="Logo CC" /> </a> <span style='color:white'>Powered by: </span> <a style='color:#000' onMouseOver="this.style.color='#fff'" onMouseOut="this.style.color='#000'" target="_blank" href="http://dspace.org/">DSpace</a> <a style='color:#000' onMouseOver="this.style.color='#fff'" onMouseOut="this.style.color='#000'" target="_blank" href="/dspace/feedback">Contact us</a> </p> </div> <!-- div id="footer_feedback" class="pull-right"> <p class="text-muted"><a target="_blank" href="http://www.dspace.org/">DSpace Software</a> Copyright © 2002-2013 <a target="_blank" href="http://www.duraspace.org/">Duraspace</a> - <a target="_blank" href="/dspace/feedback">Contact us</a> <a href="/dspace/htmlmap"></a></p> </div --> </div> </footer> </body> </html>