PMID- 30952534
OWN - NLM
STAT- MEDLINE
DCOM- 20210819
LR  - 20210819
IS  - 1532-1983 (Electronic)
IS  - 0261-5614 (Linking)
VI  - 39
IP  - 3
DP  - 2020 Mar
TI  - Nutrient adequacy and diet quality in a Mediterranean population with metabolic 
      syndrome: A cross-sectional study.
PG  - 853-861
LID - S0261-5614(19)30131-1 [pii]
LID - 10.1016/j.clnu.2019.03.018 [doi]
AB  - BACKGROUND & AIMS: Few studies have compared micronutrient intake and fulfilment 
      of average requirements (EAR) in non-diabetic, pre-diabetic and diabetic adults 
      at high cardiovascular risk. We assessed these variables in a large sample of 
      participants in the PREDIMED-PLUS randomized trial of primary cardiovascular 
      prevention with diet and physical activity. DESIGN: Baseline assessment of 
      nutritional adequacy in n = 5792 men and women, aged 55-75 years, with 
      overweight/obesity and some metabolic syndrome features. METHODS: Participants 
      were categorised as non-diabetic (n = 2390), pre-diabetic (n = 1322) or diabetic 
      (n = 2080) by standard criteria. Food and nutrient intake were assessed using a 
      validated food frequency questionnaire. Micronutrients examined were vitamins B1, 
      B2, B3, B6, B12, A, C, D, E and folic acid; Ca, K, P, Mg, Fe, Se, Cr, Zn, and 
      iodine. The proportion of micronutrient inadequacy was evaluated using the EAR or 
      adequate intake (AI) cut-offs. Diet quality was also determined using a 17-item 
      energy-restricted Mediterranean diet (MedDiet) questionnaire. RESULTS: Compared 
      to non-diabetic participants, those with pre-diabetes had lower intakes of total 
      carbohydrates (CHO) and higher intakes of total fat and saturated fatty acids 
      (SFA) and were more likely to be below EAR for folic, while diabetic participants 
      had lower intakes of total CHO and higher intakes of protein, total fat, 
      monounsaturated fatty acids, SFA and cholesterol and were less likely to be below 
      EAR for vitamins B2, and B6, Ca, Zn and iodine. Diabetic participants disclosed 
      higher adherence to the MedDiet than the other two groups. CONCLUSIONS: Older 
      Mediterranean individuals with metabolic syndrome and diabetes had better 
      nutrient adequacy and adherence to the MedDiet than those with pre-diabetes or no 
      diabetes.
CI  - Copyright (c) 2019 Elsevier Ltd and European Society for Clinical Nutrition and 
      Metabolism. All rights reserved.
FAU - Bibiloni, Maria Del Mar
AU  - Bibiloni MDM
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Research Group on Community Nutrition & Oxidative 
      Stress, University of Balearic Islands, Palma de Mallorca, Spain.
FAU - Bouzas, Cristina
AU  - Bouzas C
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Research Group on Community Nutrition & Oxidative 
      Stress, University of Balearic Islands, Palma de Mallorca, Spain.
FAU - Abbate, Manuela
AU  - Abbate M
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Research Group on Community Nutrition & Oxidative 
      Stress, University of Balearic Islands, Palma de Mallorca, Spain.
FAU - Martinez-Gonzalez, Miguel A
AU  - Martinez-Gonzalez MA
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; University of Navarra, Department of Preventive 
      Medicine and Public Health, IDISNA, Pamplona, Spain; Department of Nutrition, 
      Harvard T. H. Chan School of Public Health, Boston, USA.
FAU - Corella, Dolores
AU  - Corella D
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Preventive Medicine, University of 
      Valencia, Valencia, Spain.
FAU - Salas-Salvado, Jordi
AU  - Salas-Salvado J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Human Nutrition Unit, Biochemistry and Biotechnology 
      Department, IISPV, Universitat Rovira i Virgili, Reus, Spain.
FAU - Zomeno, M Dolors
AU  - Zomeno MD
AD  - Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de 
      Investigaciones Medicas Municipal d'Investigacio Medica (IMIM), Barcelona, Spain; 
      Human Nutrition Unit, Blanquerna-Ramon Llull University, Barcelona, Spain.
FAU - Vioque, Jesus
AU  - Vioque J
AD  - Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain; CIBER 
      Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III (ISCIII), 
      Spain.
FAU - Romaguera, Dora
AU  - Romaguera D
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Health Research Institute of the Balearic Islands 
      (IdISBa), Palma de Mallorca, Spain.
FAU - Martinez, J Alfredo
AU  - Martinez JA
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Nutrition, Food Sciences, and 
      Physiology, Center for Nutrition Research, University of Navarra, Pamplona, 
      Spain; Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, 
      Madrid, Spain.
FAU - Warnberg, Julia
AU  - Warnberg J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Nursing, School of Health Sciences, 
      University of Malaga-IBIMA, Malaga, Spain.
FAU - Lopez-Miranda, Jose
AU  - Lopez-Miranda J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Lipids and Atherosclerosis Unit, Department of 
      Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 
      Reina Sofia University Hospital, University of Cordoba, Spain.
FAU - Estruch, Ramon
AU  - Estruch R
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Internal Medicine, IDIBAPS, Hospital 
      Clinic, University of Barcelona, Barcelona, Spain.
FAU - Bueno-Cavanillas, Aurora
AU  - Bueno-Cavanillas A
AD  - CIBER Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III 
      (ISCIII), Spain; Department of Preventive Medicine, University of Granada, 
      Granada, Spain.
FAU - Alonso-Gomez, Angel
AU  - Alonso-Gomez A
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Cardiology, OSI ARABA, University 
      Hospital Araba, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.
FAU - Tinahones, Francisco
AU  - Tinahones F
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Virgen de la Victoria Hospital, Department of 
      Endocrinology, University of Malaga, Malaga, Spain.
FAU - Serra-Majem, Lluis
AU  - Serra-Majem L
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Institute for Biomedical Research, University of Las 
      Palmas de Gran Canaria, Las Palmas, Spain.
FAU - Martin, Vicente
AU  - Martin V
AD  - CIBER Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III 
      (ISCIII), Spain; Institute of Biomedicine (IBIOMED), University of Leon, Spain.
FAU - Lapetra, Jose
AU  - Lapetra J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Family Medicine, Research Unit, 
      Distrito Sanitario Atencion Primaria Sevilla, Sevilla, Spain.
FAU - Vazquez, Clotilde
AU  - Vazquez C
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Endocrinology, Fundacion Jimenez-Diaz, 
      Madrid, Spain.
FAU - Pinto, Xavier
AU  - Pinto X
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Lipids and Vascular Risk Unit, Internal Medicine, 
      Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.
FAU - Vidal, Josep
AU  - Vidal J
AD  - Department of Endocrinology, IDIBAPS, Hospital Clinic, University of Barcelona, 
      Barcelona, Spain; CIBER Diabetes y enfermedades metabolicas (CIBERDEM), Instituto 
      de Salud Carlos III (ISCIII), Spain.
FAU - Daimiel, Lidia
AU  - Daimiel L
AD  - Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, 
      Spain.
FAU - Delgado-Rodriguez, Miguel
AU  - Delgado-Rodriguez M
AD  - CIBER Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III 
      (ISCIII), Spain; Department of Health Sciences, University of Jaen, Jaen, Spain.
FAU - Matia, Pilar
AU  - Matia P
AD  - Department of Endocrinology and Nutrition, Instituto de Investigacion Sanitaria 
      Hospital Clinico San Carlos (IdISSC), Madrid, Spain.
FAU - Ros, Emilio
AU  - Ros E
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Lipid Clinic, Department of Endocrinology and 
      Nutrition, Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS), 
      Hospital Clinic, Barcelona, Spain.
FAU - Fernandez-Carrion, Rebeca
AU  - Fernandez-Carrion R
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Preventive Medicine, University of 
      Valencia, Valencia, Spain.
FAU - Garcia-Rios, Antonio
AU  - Garcia-Rios A
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Lipids and Atherosclerosis Unit, Department of 
      Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 
      Reina Sofia University Hospital, University of Cordoba, Spain.
FAU - Zulet, M Angeles
AU  - Zulet MA
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Department of Nutrition, Food Sciences, and 
      Physiology, Center for Nutrition Research, University of Navarra, Pamplona, 
      Spain.
FAU - Asensio, Alberto
AU  - Asensio A
AD  - Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain; CIBER 
      Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III (ISCIII), 
      Spain.
FAU - Schroder, Helmut
AU  - Schroder H
AD  - Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de 
      Investigaciones Medicas Municipal d'Investigacio Medica (IMIM), Barcelona, Spain; 
      CIBER Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III 
      (ISCIII), Spain.
FAU - Fito, Montserrat
AU  - Fito M
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Unit of Cardiovascular Risk and Nutrition, Institut 
      Hospital del Mar de Investigaciones Medicas Municipal d'Investigacio Medica 
      (IMIM), Barcelona, Spain.
FAU - Becerra-Tomas, Nerea
AU  - Becerra-Tomas N
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Human Nutrition Unit, Biochemistry and Biotechnology 
      Department, IISPV, Universitat Rovira i Virgili, Reus, Spain.
FAU - Basora, Josep
AU  - Basora J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Human Nutrition Unit, Biochemistry and Biotechnology 
      Department, IISPV, Universitat Rovira i Virgili, Reus, Spain.
FAU - Cenoz, Juan Carlos
AU  - Cenoz JC
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; University of Navarra, Department of Preventive 
      Medicine and Public Health, IDISNA, Pamplona, Spain.
FAU - Diez-Espino, Javier
AU  - Diez-Espino J
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; University of Navarra, Department of Preventive 
      Medicine and Public Health, IDISNA, Pamplona, Spain.
FAU - Toledo, Estefania
AU  - Toledo E
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; University of Navarra, Department of Preventive 
      Medicine and Public Health, IDISNA, Pamplona, Spain.
FAU - Tur, Josep A
AU  - Tur JA
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud 
      Carlos III (ISCIII), Spain; Research Group on Community Nutrition & Oxidative 
      Stress, University of Balearic Islands, Palma de Mallorca, Spain. Electronic 
      address: pep.tur@uib.es.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20190321
PL  - England
TA  - Clin Nutr
JT  - Clinical nutrition (Edinburgh, Scotland)
JID - 8309603
RN  - 0 (Micronutrients)
SB  - IM
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Diet, Mediterranean/*statistics & numerical data
MH  - Female
MH  - Geriatric Assessment/*methods
MH  - Humans
MH  - Male
MH  - Metabolic Syndrome/*diet therapy
MH  - Micronutrients/administration & dosage
MH  - Middle Aged
MH  - *Nutrition Assessment
MH  - *Nutritional Status
MH  - Patient Compliance/*statistics & numerical data
MH  - Spain
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Diabetes
OT  - Diet quality
OT  - Mediterranean diet
OT  - Nutrient adequacy
OT  - Pre-diabetes
EDAT- 2019/04/07 06:00
MHDA- 2021/08/20 06:00
CRDT- 2019/04/07 06:00
PHST- 2018/07/22 00:00 [received]
PHST- 2019/02/08 00:00 [revised]
PHST- 2019/03/14 00:00 [accepted]
PHST- 2019/04/07 06:00 [pubmed]
PHST- 2021/08/20 06:00 [medline]
PHST- 2019/04/07 06:00 [entrez]
AID - S0261-5614(19)30131-1 [pii]
AID - 10.1016/j.clnu.2019.03.018 [doi]
PST - ppublish
SO  - Clin Nutr. 2020 Mar;39(3):853-861. doi: 10.1016/j.clnu.2019.03.018. Epub 2019 Mar 
      21.