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Titre : | Diet Quality Indices in the SUN Cohort : Observed Changes and Predictors of Changes in Scores Over a 10-Year Period (2021) |
Auteurs : | Itziar Zazpe ; Susana Santiago ; Estefanía Toledo ; Maira Bes-rastrollo ; Carmen de la Fuente-Arrillaga ; Miguel Ángel Martínez-González |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 121, n°10, October 2021) |
Article en page(s) : | p. 1948-1960 |
Note générale : | https://doi.org/10.1016/j.jand.2021.03.011 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte ; Effet de cohorte ; Épidémiologie ; Etudes longitudinales ; Indice ; Qualité alimentaire |
Résumé : | Background Dietary quality indices (DQI) are widely used in nutritional epidemiology. However, how they might change over time in a Mediterranean population is not well understood. Objective To evaluate within-participant longitudinal changes in scores for nine a priori?defined DQIs: Fat Quality Index (FQI), Carbohydrate Quality Index (CQI), Pro-vegetarian Dietary Pattern (PVG), Mediterranean Diet Adherence Screener (MEDAS), Mediterranean Diet Score (MDS), Dietary Approaches to Stop Hypertension (DASH), Mediterranean-DASH Intervention for Neurodegenerative Delay Diet (MIND), Prime Diet Quality Score (PDQS) and Alternate Healthy Eating Index (AHEI-2010) in the ?Seguimiento Universidad de Navarra? (SUN) cohort, a well-known Mediterranean cohort of university graduates, and to identify baseline predictors of improvement in MEDAS and AHEI-2010 after 10 years of follow-up. Design In this longitudinal cohort study, DQI scores were calculated based on responses from a validated semiquantitative food-frequency questionnaire (FFQ). Participants/setting Spanish university graduates enrolled in the SUN cohort before March 2008, who completed the 10-year FFQ and reported total dietary intake at baseline and after 10 years of follow-up, included 2,244 men and 3,271 women, whose mean age at baseline was 36.3 years (standard deviation [SD], 10.7). Main outcome measures Main outcome measures were within-participant longitudinal changes for FQI, CQI, PVG, MEDAS, MDS, DASH, MIND, PDQS, and AHEI-2010. Statistical analyses performed Adjusted logistic regression models were used to evaluate within-participant longitudinal changes and to identify baseline predictors of improvements ?10% in MEDAS and AHEI-2010 scores after 10 years of follow-up. Results The comparison of the nine scores of DQI calculated at baseline and after 10 years of follow-up showed an improvement in all DQI scores except for PDQS. The greatest changes in DQIs were found for MEDAS (from 6.2 to 7.2, +22.9%) and MDS (from 4.3 to 4.4, +15.4%). The strongest predictors at baseline for ?10% improvements in MEDAS or AHEI-2010 scores varied across indices. Being female, ?35 years old, and more physically active at baseline were associated with improvement, whereas snacking between meals was associated with |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221001829 |