PMID- 24666554 OWN - NLM STAT- MEDLINE DCOM- 20160816 LR - 20171116 IS - 1475-2662 (Electronic) IS - 0007-1145 (Linking) VI - 111 IP - 11 DP - 2014 Jun 14 TI - Association between dietary carbohydrate intake quality and micronutrient intake adequacy in a Mediterranean cohort: the SUN (Seguimiento Universidad de Navarra) Project. PG - 2000-9 LID - 10.1017/S0007114513004364 [doi] AB - Epidemiological research confirms that the prevalence of suboptimal micronutrient intakes across Europe is an emerging concern in terms of public health. The aim of the present study was to investigate the association between a new index of carbohydrate (CHO) quality and micronutrient intake adequacy in the 'Seguimiento Universidad de Navarra (SUN)' cohort. The baseline assessment extended from 1999 to March 2012. We assessed 16,841 participants who completed a validated 136-item semi-quantitative FFQ at baseline. We created a new index to evaluate CHO quality for the following four criteria: dietary fibre intake; glycaemic index; whole grains:total grains ratio; solid CHO:total CHO ratio. The subjects were classified into quintiles according to this index. We evaluated the intakes of Zn, I, Se, Fe, Ca, K, P, Mg, Cr and vitamins B1, B2, B3, B6, B12, C, A, D, E and folic acid. The probability of intake adequacy was evaluated using the estimated average requirement cut-point approach and the probabilistic approach. Logistic regression analysis was used to assess the nutritional adequacy according to the CHO quality index (CQI). Participants in the highest quintile of CQI were found to have the lowest prevalence of inadequacy. A higher quality of CHO intake was found to be associated with a lower risk of nutritional inadequacy in comparison with the lowest quintile of CQI (adjusted OR 0.06, 95 % CI 0.02, 0.16; P for trend < 0.001). A higher CQI was found to be strongly associated with better micronutrient intake adequacy in the young Mediterranean cohort, stressing the importance of focusing nutritional education not only on CHO quantity, but also on quality. FAU - Zazpe, Itziar AU - Zazpe I AD - Department of Preventive Medicine and Public Health, School of Medicine-Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, Pamplona 31008, Navarra, Spain. FAU - Sanchez-Tainta, Ana AU - Sanchez-Tainta A AD - Department of Preventive Medicine and Public Health, School of Medicine-Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, Pamplona 31008, Navarra, Spain. FAU - Santiago, Susana AU - Santiago S AD - Department of Nutrition and Food Sciences and Physiology, University of Navarra, Navarra, Spain. FAU - de la Fuente-Arrillaga, Carmen AU - de la Fuente-Arrillaga C AD - Department of Preventive Medicine and Public Health, School of Medicine-Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, Pamplona 31008, Navarra, Spain. FAU - Bes-Rastrollo, Maira AU - Bes-Rastrollo M AD - Department of Preventive Medicine and Public Health, School of Medicine-Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, Pamplona 31008, Navarra, Spain. FAU - Martinez, J Alfredo AU - Martinez JA AD - Department of Nutrition and Food Sciences and Physiology, University of Navarra, Navarra, Spain. FAU - Martinez-Gonzalez, Miguel Angel AU - Martinez-Gonzalez MA AD - Department of Preventive Medicine and Public Health, School of Medicine-Clinica Universidad de Navarra, University of Navarra, Irunlarrea 1, Pamplona 31008, Navarra, Spain. CN - SUN Project Investigators LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140325 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Dietary Fiber) RN - 0 (Micronutrients) SB - IM MH - Adult MH - Body Mass Index MH - Diet, Mediterranean MH - Dietary Carbohydrates/*administration & dosage MH - Dietary Fats/administration & dosage MH - Dietary Fiber/administration & dosage MH - Female MH - Follow-Up Studies MH - *Food Quality MH - Humans MH - Male MH - Mediterranean Region MH - Micronutrients/*administration & dosage MH - Middle Aged MH - Nutrition Assessment MH - Nutritional Requirements MH - Prospective Studies MH - Young Adult FIR - Alonso, A IR - Alonso A FIR - Benito, S IR - Benito S FIR - Beunza, J J IR - Beunza J FIR - de Irala, J IR - de Irala J FIR - Delgado-Rodriguez, M IR - Delgado-Rodriguez M FIR - Gea, A IR - Gea A FIR - Guillen-Grima, F IR - Guillen-Grima F FIR - Llorca, J IR - Llorca J FIR - del Burgo, C Lopez IR - del Burgo C FIR - Marti, A IR - Marti A FIR - Nunez-Cordoba, J M IR - Nunez-Cordoba J FIR - Pimenta, A IR - Pimenta A FIR - Ruiz-Canela, M IR - Ruiz-Canela M FIR - Sanchez, D IR - Sanchez D FIR - Sanchez-Villegas, A IR - Sanchez-Villegas A FIR - Serrano-Martinez, M IR - Serrano-Martinez M FIR - Toledo, E IR - Toledo E FIR - Vazquez, Z IR - Vazquez Z EDAT- 2014/03/29 06:00 MHDA- 2016/08/17 06:00 CRDT- 2014/03/27 06:00 PHST- 2014/03/27 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2016/08/17 06:00 [medline] AID - S0007114513004364 [pii] AID - 10.1017/S0007114513004364 [doi] PST - ppublish SO - Br J Nutr. 2014 Jun 14;111(11):2000-9. doi: 10.1017/S0007114513004364. Epub 2014 Mar 25.