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Title: Dietary intake in population with metabolic syndrome: Is the prevalence of inadequate intake influenced by geographical area? Cross-sectional analysis from PREDIMED-plus study
Authors: Cano-Ibáñez, Naomi
Bueno-Cavanillas, Aurora
Martínez-González, Miguel A.
Corella, Dolores
Salas-Salvadó, Jordi
Zomeño, M. Dolors
García-De-La-Hera, Manoli
Romaguera, Dora
Martínez, J. Alfredo
Barón-López, F. Javier
García-Ríos, Antonio
Estruch, Ramón
García-Molina, Laura
Gómez, Ángel Alonso
Tur, Josep A.
Tinahones, Francisco
Serra-Majem, Lluis 
Cubelos-Fernández, Naiara
Lapetra, José
Vázquez, Clotilde
Pintó, Xavier
Vidal, Josep
Daimiel, Lidia
Gaforio, José Juan
Matía, Pilar
Ros, Emilio
Diez-Espino, Javier
Fernández-Carrión, Rebeca
Basora, Josep
Fitó, Montse
Zazo, Juan Manuel
Colom, Antoni
Toledo, Estefanía
Díaz-López, Andrés
Muñoz, Miguel Ángel
Ruiz-Canela, Miguel
Gea, Alfredo
Keywords: Physical-Activity Questionnaire
Mediterranean Diet
Risk-Factors, et al
Issue Date: 2018
Project: Efecto de la Dieta Mediterránea Hopocalórica y Promoción de la Actividad Física en Prevención Primaria Cardiovascular.Estudio Piloto Sobre Marcadores Intermedios. 
Efecto de Una Pérdida de Peso Con Dieta Mediterránea Hipocalórica y Promoción de la Actividad Física en la Prevención Primaria Cardiovascular 
Journal: Nutrients 
Abstract: Inadequate diet influences chronic diseases such as cardiovascular disease (CVD), the leading cause of death in Spain. CVD figures vary from one geographical region to another; this could be associated with different food choices. Our aim was to analyse the influence of geographical area on nutrient intakes among the Spanish adult population with Metabolic Syndrome (MetS). We analysed cross-sectional baseline data from the PREDIMED-Plus study: 6646 Spanish adults, aged 55-75 years, with overweight/obesity and MetS in four geographical areas. A validated 143-item Food Frequency Questionnaire (FFQ) was used to assess energy and nutrient intakes. The prevalence of inadequate nutrient intake was estimated according to Dietary Reference Intakes (DRIs). Multivariable-adjusted logistic regression was used to assess the relationship between geographical area (North, Central, East and South areas) and inadequate nutrient intake. People in the North area consumed significantly lower amounts of vegetables and fish but more sugar and alcohol (p < 0.001) than other areas. Dietary fibre, vitamin A, E, calcium and magnesium intakes were all lower among men of North area than in the other areas (p < 0.001). Sex (women), non-smoker and physical activity were also associated to adequate nutrient intake. Geographical area influences nutrient intakes. Its effect on dietary quality should be taken into account when planning food policies.
DOI: 10.3390/nu10111661
Source: Nutrients [ISSN 2072-6643],v. 10 (11), (Noviembre 2018)
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