Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/70075
Title: Effect of changes in adherence to Mediterranean diet on nutrient density after 1-year of follow-up: results from the PREDIMED-Plus Study
Authors: Cano-Ibáñez, Naomi
Bueno-Cavanillas, Aurora
Martínez-González, Miguel Ángel
Salas-Salvadó, Jordi
Corella, Dolores
Freixer, Gal la
Romaguera, Dora
Vioque, Jesús
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Martínez, J. Alfredo
Serra-Majem, Lluis 
Estruch, Ramón
Tinahones, Francisco J.
Lapetra, José
Pintó, Xavier
Tur, Josep A.
García-Ríos, Antonio
García-Molina, Laura
Delgado-Rodríguez, Miguel
Matía-Martín, Pilar
Daimiel, Lidia
Martín-Sánchez, Vicente
Vidal, Josep
Vázquez, Clotilde
Ros, Emilio
Bartolomé-Resano, Javier
Palau-Galindo, Antoni
Portoles, Olga
Torres, Laura
Miquel-Fiol
Sánchez, María Teresa Cano
Sorto-Sánchez, Carolina
Moreno-Morales, Noelia
Abete, Itziar
Álvarez-Pérez, Jacqueline 
Sacanella, Emilio
Bernal-López, María Rosa
Santos-Lozano, José Manuel
Fanlo-Maresma, Marta
Bouzas, Cristina
Razquin, Cristina
Becerra-Tomás, Nerea
Ortega-Azorin, Carolina
LLimona, Regina
Morey, Marga
Román-Maciá, Josefa
Goicolea-Güemez, Leire
Vázquez-Ruiz, Zenaida
Barrubés, Laura
Fitó, Montse
Gea, Alfredo
UNESCO Clasification: 3206 Ciencias de la nutrición
32 Ciencias médicas
Keywords: Mediterranean Diet
Metabolic Syndrome
Nutrient Density
Issue Date: 2020
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 
Sistema Inmune Inespecífico en Dorada (Sparus Aurata): Activación Del Sistema Interferón y Papel de la Actividad Bh4. Pi042004/153 
Neuroprotección Por Bloqueo de la Capacidad de Transactivadora Nf-Kb y Factores Relacionados. 
Journal: European Journal of Nutrition 
Abstract: Background: The prevalence of overweight/obesity and related manifestations such as metabolic syndrome (MetS) is increasing worldwide. High energy density diets, usually with low nutrient density, are among the main causes. Some high-quality dietary patterns like the Mediterranean diet (MedDiet) have been linked to the prevention and better control of MetS. However, it is needed to show that nutritional interventions promoting the MedDiet are able to improve nutrient intake. Objective: To assess the effect of improving MedDiet adherence on nutrient density after 1 year of follow-up at the PREDIMED-Plus trial. Methods: We assessed 5777 men (55–75 years) and women (60–75 years) with overweight or obesity and MetS at baseline from the PREDIMED-Plus trial. Dietary changes and MedDiet adherence were evaluated at baseline and after 1 year. The primary outcome was the change in nutrient density (measured as nutrient intake per 1000 kcal). Multivariable-adjusted linear regression models were fitted to analyse longitudinal changes in adherence to the MedDiet and concurrent changes in nutrient density. Results: During 1-year follow-up, participants showed improvements in nutrient density for all micronutrients assessed. The density of carbohydrates (− 9.0%), saturated fatty acids (− 10.4%) and total energy intake (− 6.3%) decreased. These changes were more pronounced in the subset of participants with higher improvements in MedDiet adherence. Conclusions: The PREDIMED-Plus dietary intervention, based on MedDiet recommendations for older adults, maybe a feasible strategy to improve nutrient density in Spanish population at high risk of cardiovascular disease with overweight or obesity.
URI: http://hdl.handle.net/10553/70075
ISSN: 1436-6207
DOI: 10.1007/s00394-019-02087-1
Source: European Journal Of Nutrition [ISSN 1436-6207], v. 59 (6), p. 2395-2409, (Septiembre 2020)
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