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dc.contributor.authorSánchez-Tainta, Ana
dc.contributor.authorZazpe, Itziar
dc.contributor.authorBes-Rastrollo, Maira
dc.contributor.authorSalas Salvadó, Jordi
dc.contributor.authorBulló, Mònica
dc.contributor.authorSorlí, José V.
dc.contributor.authorCorella, Dolores
dc.contributor.authorCovas Planells, María Isabel
dc.contributor.authorArós, Fernando
dc.contributor.authorGutiérrez-Bedmar, Mario
dc.contributor.authorFiol Ramis, Miquel
dc.contributor.authorDe la Corte, F. García
dc.contributor.authorSerra Majem, Lluís
dc.contributor.authorPintó, Xavier
dc.contributor.authorSchoreder, Helmut
dc.contributor.authorRos, Emilio
dc.contributor.authorLópez-Sabater, Maria Carmen
dc.contributor.authorEstruch, Ramon
dc.contributor.authorMartínez González, Miguel Ángel
dc.contributor.authorColtell Simón, Oscar
dc.description.abstractPurpose To investigate the association between carbohydrate quality, fat quality or adherence to the Mediterranean diet and intake adequacy of 19 micronutrients in the PREDIMED (PREvención con DIeta MEDiterránea) trial, a multicenter, randomized, controlled, parallel group and primary prevention trial conducted in Spain. Methods We assessed baseline dietary intake of 6,542 elderly subjects at high cardiovascular risk through a validated food frequency questionnaire (FFQ) and a validated 14-item Mediterranean diet (Med-diet) score. We used a multidimensional carbohydrate quality index (CQI) using four criteria and a fat quality index (FQI) according to the ratio (MUFA + PUFA)/(SFA + TFA). The probability of intake adequacy was calculated comparing the intakes to DRI, and also using the probabilistic approach. Absolute and adjusted probability of having inadequate intake for either ≥6 DRI or ≥8 DRI were estimated to assess nutritional adequacy according to quintiles of each index. Results The lowest prevalence of inadequate micronutrient intake (≥8 DRI) was found in the highest quintile of CQI or Med-diet score, and in the lowest quintile of FQI (adjusted fold risk: 1.4, 3.4 and 10.2 respectively in comparison with the lowest quintile). P for trend <0.001 in three multivariable models. A higher CQI or Med-Diet score and a lower FQI were significantly associated with a lower fold risk of unmet EAR values. Conclusions A multidimensional assessment of CQI can be a useful tool to evaluate the quality of carbohydrates. This score and a 14-item Med-diet score were positively related to overall micronutrient adequacy in elderly participants.ca_CA
dc.description.sponsorShipWe thank the participants in the trial for their enthusiastic and sustained collaboration and Joan Vila from Munici- pal Institute for Medical Research (IMIM), Barcelona, for expert assessment in the statistical analyses. Supported by the official fund- ing agency for biomedical research of the Spanish government, Insti- tuto de Salud Carlos III (ISCIII), through grants provided to research networks specifically developed for the trial (RTIC G03/140; RTIC RD 06/0045 and through Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERobn), and by grants from Centro Nacional de Investigaciones Cardiovasculares (CNIC 06/2007), Fondo de Investigación Sanitaria–Fondo Europeo de Desarrollo Regional (PI04-2239, PI 05/2584, CP06/00100, PI07/0240, PI07/1138, PI07/0954, PI 07/0473, PI10/01407, PI10/02658, PI11/01647, and P11/02505), Ministerio de Ciencia e Innovación (AGL-2009-13906-C02 and AGL2010-22319-C03), Fundación Map- fre 2010, Consejería de Salud de la Junta de Andalucía (PI0105/2007), Public Health Division of the Department of Health of the Autonomous Government of Catalonia, Generalitat Valenciana (ACOMP06109, GVACOMP2010-181, GVACOMP2011-151, CS2010-AP-111, and CS2011-AP-042), and Regional Government of Navarra (P27/2011).ca_CA
dc.format.extent14 p.ca_CA
dc.publisherSpringer Verlagca_CA
dc.relation.isPartOfEuropean Journal of Nutrition, 2016, vol. 55, núm. 1ca_CA
dc.rights© Springer-Verlag Berlin Heidelberg 2015 "The final publication is available at Springer via"ca_CA
dc.subjectCarbohydrate qualityca_CA
dc.subjectFat qualityca_CA
dc.subjectMediterranean dietca_CA
dc.subjectMicronutrient adequacyca_CA
dc.subjectPREDIMED trialca_CA
dc.titleNutritional adequacy according to carbohydrates and fat qualityca_CA

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  • LSI_Articles [268]
    Articles de publicacions periòdiques escrits per professors del Departament de Llenguatges i Sistemes Informàtics

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