Abstract Background and Aim: Accumulated evidence supports the effectiveness of Mediterranean-type diets (MeDiet) in reducing mortality and preventing several chronic diseases. Widely used scores to assess adherence to MeDiet are based on specific sample characteristics; alternatively, they might be built according to absolute/normative cut-off points for the consumption of specific food groups (pre-defined servings/day or/week). The aim of this study was to compare sample-specific MeDiet adherence scores (MDS) versus absolutenormative scores (Mediterranean Diet Adherence Screener e MEDAS) on their association with macronutrient intake, total mortality and incidence of chronic diseases. Design: SUN (Seguimiento Universidad de Navarra) dynamic prospective cohort study (60.5% women; mean age 38.4 years). Methods and Results: In cross-sectional analyses (nZ20,155) we evaluated macronutrient distribution according to MDS (based on 136-item FFQ), MEDAS (based on 13 questions), and variants of both. In prospective analyses (nZ9109; mean follow-up: 6.2 years), we evaluated disease incidence or mortality. Adherence to MeDiet increased with age and, as expected, was associated with higher fiber intake, lower total fat intake but higher monounsaturated/saturated fat ratio, using all scores. Among subjects initially free of cancer, diabetes, and cardiovascular disease (CVD), adherence to MeDiet appraised with an absolute-normative score (MEDAS) similarly predicted macronutrient distribution and disease incidence or mortality (diabetes incidence, CVD or all-cause mortality), when compared to a sample-specific score based on 136-item FFQ (MDS). Conclusions: Adherence to MeDiet was associated with a decreased incidence of a composite outcome including diabetes incidence, cardiovascular events incidence or all-cause mortality.

Domínguez Rodriguez, L.J., Bes-Rastrollo, M., de la Fuente-Arrillaga, C., Toledo, E., Beunza, J.J., Barbagallo, M., et al. (2013). Similar prediction of the decreased total mortality, diabetes incidence or cardiovascular events using a relative- and an absolute-component Mediterranean diet score: the sun COHORT . NMCD. NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES, 23, 451-458 [10.1016/j.numecd.2011.10.009].

Similar prediction of the decreased total mortality, diabetes incidence or cardiovascular events using a relative- and an absolute-component Mediterranean diet score: the sun COHORT .

DOMINGUEZ RODRIGUEZ, Ligia Juliana;BARBAGALLO, Mario;
2013-01-01

Abstract

Abstract Background and Aim: Accumulated evidence supports the effectiveness of Mediterranean-type diets (MeDiet) in reducing mortality and preventing several chronic diseases. Widely used scores to assess adherence to MeDiet are based on specific sample characteristics; alternatively, they might be built according to absolute/normative cut-off points for the consumption of specific food groups (pre-defined servings/day or/week). The aim of this study was to compare sample-specific MeDiet adherence scores (MDS) versus absolutenormative scores (Mediterranean Diet Adherence Screener e MEDAS) on their association with macronutrient intake, total mortality and incidence of chronic diseases. Design: SUN (Seguimiento Universidad de Navarra) dynamic prospective cohort study (60.5% women; mean age 38.4 years). Methods and Results: In cross-sectional analyses (nZ20,155) we evaluated macronutrient distribution according to MDS (based on 136-item FFQ), MEDAS (based on 13 questions), and variants of both. In prospective analyses (nZ9109; mean follow-up: 6.2 years), we evaluated disease incidence or mortality. Adherence to MeDiet increased with age and, as expected, was associated with higher fiber intake, lower total fat intake but higher monounsaturated/saturated fat ratio, using all scores. Among subjects initially free of cancer, diabetes, and cardiovascular disease (CVD), adherence to MeDiet appraised with an absolute-normative score (MEDAS) similarly predicted macronutrient distribution and disease incidence or mortality (diabetes incidence, CVD or all-cause mortality), when compared to a sample-specific score based on 136-item FFQ (MDS). Conclusions: Adherence to MeDiet was associated with a decreased incidence of a composite outcome including diabetes incidence, cardiovascular events incidence or all-cause mortality.
2013
Settore MED/09 - Medicina Interna
Domínguez Rodriguez, L.J., Bes-Rastrollo, M., de la Fuente-Arrillaga, C., Toledo, E., Beunza, J.J., Barbagallo, M., et al. (2013). Similar prediction of the decreased total mortality, diabetes incidence or cardiovascular events using a relative- and an absolute-component Mediterranean diet score: the sun COHORT . NMCD. NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES, 23, 451-458 [10.1016/j.numecd.2011.10.009].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/79258
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