2024-03-29T14:01:19Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/88222024-02-01T11:46:21Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2053com_20.500.12105_2052col_20.500.12105_16983col_20.500.12105_16981col_20.500.12105_16974col_20.500.12105_16970col_20.500.12105_16968col_20.500.12105_16959col_20.500.12105_2054
Repisalud
author
Olmedo-Requena, Rocío
author
González-Donquiles, Carmen
author
Dávila-Batista, Verónica
author
Romaguera, Dora
author
Castelló Pastor, Adela
author
Molina de la Torre, Antonio José
author
Amiano, Pilar
author
Dierssen-Sotos, Trinidad
author
Guevara, Marcela
author
Fernández-Tardón, Guillermo
author
Lozano-Lorca, Macarena
author
Alguacil, Juan
author
Peiró, Rosana
author
Huerta, José María
author
Gràcia-Lavedan, Esther
author
Aragones, Nuria
author
Fernández-Villa, Tania
author
Solans, Marta
author
Gómez-Acebo, Inés
author
Castaño-Vinyals, Gemma
author
Kogevinas, Manolis
author
Pollan-Santamaria, Marina
author
Martín, Vicente
funder
Instituto de Salud Carlos III
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Fundación Marqués de Valdecilla
funder
International Cancer Genome Consortium
funder
Ministerio de Economía y Competitividad (España)
funder
Red Temática de Investigación Cooperativa en Cáncer (RTICC) (España)
funder
Junta de Castilla y León (España)
funder
Regional Government of Andalusia (España)
funder
Government of Catalonia (España)
funder
Fundación La Caixa
funder
Basque Government (España)
funder
Gobierno de la Región de Murcia (España)
funder
Asociación Española Contra el Cáncer
funder
Fundación Caja de Ahorros de Asturias
funder
University of Oviedo (España)
2019-12-12T08:52:39Z
2019-12-12T08:52:39Z
2019-02-26
Nutrients. 2019 Feb 26;11(3). pii: E488.
2072-6643
http://hdl.handle.net/20.500.12105/8822
30813581
10.3390/nu11030488
2072-6643
Nutrients
There are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37.2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38.4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0.75 (95% CI 0.74⁻0.77). The Cohen's Kappa coefficient among indexes showed a moderate⁻fair concordance, except for MDS and aMED with a 0.56 (95% CI 0.55⁻0.59) and 0.67 (95% CI 0.66⁻0.68) using linear and quadratic weighting, respectively. The existing MD adherence indexes measured the same, although they were based on different constructing algorithms and varied in the food groups included, leading to a different classification of subjects. Therefore, concordance between these indexes was moderate or low.
eng
Mediterranean diet pattern
Adherence
Agreement
Indexes
Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study
journal article
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/8822/1/AgreementAmongMediterraneanDiet_2019.pdf
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/8822/5/AgreementAmongMediterraneanDiet_2019.pdf.txt
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AgreementAmongMediterraneanDiet_2019.pdf.txt