1. Variety in fruits and vegetables, diet quality and lifestyle in an older adult mediterranean population
- Author
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Aurora Bueno-Cavanillas, Dora Romaguera, Patricia Guillem-Saiz, Josep A. Tur, M. Angeles Zulet, Leyre López-González, Jose Lopez-Miranda, Rosa Casas, Andrés Díaz-López, Pilar Matía-Martín, Jesús Vioque, Sonia Eguaras, Jordi Salas-Salvadó, Helmut Schröder, Luis Serra-Majem, Itziar Salaverria Lete, Nancy Babio, Antonio Garcia-Rios, José Manuel Santos-Lozano, Emilio Ros, María Julia Ajejas Bazán, Clotilde Vázquez, Francisco J. Tinahones, Miguel Ángel Martínez-González, PREDIMED-Plus Investigators, Lucas Tojal Sierra, Silvia Canudas, Albert Goday, Lidia Daimiel, Marian Martín, Josep Vidal, J. Alfredo Martínez, Estíbaliz Goñi, Ángel M. Alonso-Gómez, Ramon Estruch, Miguel Delgado-Rodríguez, José Lapetra, Rebeca Fernández Carrión, Xavier Pintó, Ana María Gómez-Pérez, Olga Castañer, Julia Wärnberg, C. García, Dolores Corella, Itziar Abete, Zenaida Vázquez-Ruiz, Camile Lassale, Nerea Becerra-Tomás, and Laura Álvarez-Álvarez
- Subjects
Dietary Fiber ,Male ,0301 basic medicine ,Mediterranean climate ,Population ,Nutritional Status ,030209 endocrinology & metabolism ,Recommended Dietary Allowances ,Critical Care and Intensive Care Medicine ,Logistic regression ,Diet Surveys ,Fruits ,03 medical and health sciences ,0302 clinical medicine ,Nutrient ,Environmental health ,Vegetables ,Prevalence ,Humans ,Medicine ,Variety ,Micronutrients ,education ,Life Style ,Aged ,Randomized Controlled Trials as Topic ,education.field_of_study ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Nutrient adequacy ,business.industry ,Malnutrition ,Feeding Behavior ,Middle Aged ,Micronutrient ,Lifestyle ,Diet ,Cross-Sectional Studies ,Logistic Models ,Diet quality ,Spain ,Dietary Reference Intake ,Fruit ,Fruits and vegetables ,Female ,Diet, Healthy ,business - Abstract
Background and aims: Previous studies, mainly focused on quantity rather than variety, have shown beneficial associations between the amount of fruit and vegetable consumed, diet quality and healthy lifestyle. The aim is to evaluate the association between fruit and vegetable consumption, diet quality and lifestyle in an elderly Mediterranean population, considering both variety and the combination of quantity and variety (QV). Methods: A cross-sectional analysis of 6647 participants (51.6% of males) was conducted in the framework of the PREDIMED-Plus study. A variety score was created as the sum of vegetables and/or fruits consumed at least once per month using food frequency questionnaires. Dietary Reference Intakes (EAR and IA values) were used to estimate the prevalence of inadequate intake of dietary fiber and micro nutrients. Logistic regression models were performed to examine the association between fruit and vegetable consumption and not meeting the DRIs, by tertiles of fruit and vegetable variety and QV categories. Results: Participants with higher fruit and vegetable variety score reported a significant higher intake of fiber, vitamins, minerals and flavonoids and were significantly more likely to be physically active and non-smoker. Besides, higher variety in fruit and vegetable consumption was associated with lower prevalence of having an inadequate intake of fiber [(0.13 (0.11-0.16)], two or more [(0.17 (0.14-0.21)], three or more [(0.15 (0.13-0.18)] and four or more [(0.11 (0.10-0.14)] micronutrients in our participants. Higher quantity and variety in fruit and vegetable consumption was associated with lower prevalence of having an inadequate intake of fiber [(0.05 (0.04-0.06)], two or more [(0.08 (0.06-0.10)], three or more [(0.08 (0.06-0.09)] and four or more [(0.06 (0.05-0.07)] micronutrients. Conclusion: Greater variety in fruit and vegetable intake was associated with better nutrient adequacy, diet quality and healthier lifestyle in an elderly Mediterranean population. (c) 2021 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
- Published
- 2021