<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-30T03:03:55Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/15796" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/15796</identifier><datestamp>2024-09-27T16:47:19Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19608</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Alonso-Cabezas, Marina</subfield>
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      <subfield code="a">Pollan-Santamaria, Marina</subfield>
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      <subfield code="a">Alonso Ledesma, Isabel</subfield>
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      <subfield code="a">Fernandez de Larrea-Baz, Nerea</subfield>
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      <subfield code="a">de Lucas, Maria Pilar</subfield>
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      <subfield code="a">Sierra, Maria Angeles</subfield>
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      <subfield code="a">Castelló Pastor, Adela</subfield>
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      <subfield code="a">Pino, Marina Nieves</subfield>
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      <subfield code="a">Perez-Gomez, Beatriz</subfield>
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      <subfield code="a">Martínez-Cortés, Mercedes</subfield>
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      <subfield code="a">Lope Carvajal, Virginia</subfield>
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      <subfield code="a">Ruiz Moreno, Emma</subfield>
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      <subfield code="c">2022-06</subfield>
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      <subfield code="a">Background: A healthy diet when approaching menopause could prevent some of the symptoms associated with the climacteric. Few studies examine adherence to current healthy dietary recommendations in middle-aged premenopausal women. Our objective was to analyze the diet quality and the adherence to the Spanish Society of Community Nutrition (SENC) dietary recommendations in middle-aged Spanish premenopausal women, and to identify the associated sociodemographic and lifestyle factors. Methods: This is a cross-sectional study based on 1251 premenopausal women, aged 39-50, who attended to Madrid City Council Medical Diagnostic Center. Women completed an epidemiological and a food frequency questionnaire. Degree of adherence to the SENC recommendations was estimated with a score that evaluated null (0 points) and full (1 point) adherence of each specific recommendation. Associations were explored using an ordinal logistic multivariable regression model. Results: Regarding food groups, the worst adherence was found for sweets, red/processed meat, olive oil and eggs. Most of the participants exceeded the recommended caloric intake from proteins and fats, and practically all of them showed vitamin D intake deficiency. The overall score ranged from 2 to 12 (out of 15), with a median of 6.0 (interquartile range: 5.0-7.0). Former smokers (OR: 1.38; 95%CI: 1.08-1.78), as well as those with higher educational level (ORSSecondary:1.68; 95%CI: 0.97-2.93, ORUniversity:1.82; 95%IC: 1.05-3.14), with two or more children (OR: 1.31; 95%IC: 1.00-1.72), with higher caloric intake (OR>2188.2kcal/day: 8.22; 95%CI: 6.19-10.92) and with greater physical activity (OR≥21METS-h/week: 1.29; 95%CI: 0.95-1.76) showed greater adherence. Conclusions: Almost two-thirds of middle-aged premenopausal participants showed low or moderate compliance with SENC recommendations. Education, smoking, parity, and physical activity were associated with the degree of adherence to these recommendations.</subfield>
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      <subfield code="a">Front Nutr. 2022 Jun 14;9:904330.</subfield>
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      <subfield code="a">10.3389/fnut.2022.904330</subfield>
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      <subfield code="a">2296-861X</subfield>
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      <subfield code="a">Frontiers in nutrition</subfield>
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      <subfield code="a">35774550</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/15796</subfield>
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      <subfield code="a">SENC recommendations</subfield>
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      <subfield code="a">Premenopause</subfield>
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      <subfield code="a">Dietary reference values</subfield>
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      <subfield code="a">Healthy diet</subfield>
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      <subfield code="a">Dietary guidelines</subfield>
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      <subfield code="a">Dietary habits</subfield>
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      <subfield code="a">DDM-Madrid</subfield>
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      <subfield code="a">Cross-sectional study</subfield>
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      <subfield code="a">Sociodemographic and Lifestyle Determinants of Adherence to Current Dietary Recommendations and Diet Quality in Middle-Aged Spanish Premenopausal Women</subfield>
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