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Title: Fluid and total water intake in a senior mediterranean population at high cardiovascular risk: demographic and lifestyle determinants in the PREDIMED-Plus study
Authors: Paz-Graniel, Indira
Babio, Nancy
Serra-Majem, Luis 
Vioque, Jesús
Zomeño, Maria Dolores
Corella, Dolores
Díaz-López, Andrés
Pintó, Xavier
Bueno-Cavanillas, Aurora
Tur, Josep A.
Daimiel, Lidia
Martínez, J. Alfredo
Becerra-Tomás, Nerea
Navarrete-Muñoz, Eva Mª
Schröder, Helmut
Fernández-Carrión, Rebeca
Ortiz , Adriana Patricia 
Corbella, Emili
Riquelme-Gallego, Blanca
Gallardo-Alfaro, Laura
Micó, Víctor
Zulet, Marian
Barrubés, Laura
Fitó, Montserrat
Ruiz-Canela, Miguel
Salas-Salvadó, Jordi
UNESCO Clasification: 32 Ciencias médicas
Keywords: Beverages
Fluid Intake
Mediterranean Diet
Total Water Intake (Twi)
Issue Date: 2019
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 
Neuroprotección Por Bloqueo de la Capacidad de Transactivadora Nf-Kb y Factores Relacionados. 
Journal: European Journal of Nutrition 
Abstract: Purpose: We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. Methods: Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate–vigorous physical activity (MVPA). Results: The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). Conclusions: High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.
ISSN: 1436-6207
DOI: 10.1007/s00394-019-02015-3
Source: European Journal Of Nutrition[ISSN 1436-6207],v. 59 (4), p. 1595-1606, (Junio 2020)
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