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00925njm 22002777a 4500 dc Bibiloni, Maria Del Mar author Julibert, Alicia author Bouzas, Cristina author Martínez-González, Miguel A author Corella, Dolores author Salas-Salvadó, Jordi author Zomeño, M Dolors author Vioque, Jesús author Romaguera, Dora author Martínez, J Alfredo author Wärnberg, Julia author López-Miranda, José author Estruch, Ramón author Bueno-Cavanillas, Aurora author Arós, Fernando author Tinahones, Francisco author Serra-Majem, Lluis author Martín, Vicente author Lapetra, José author Vázquez, Clotilde author Pintó, Xavier author Vidal, Josep author Daimiel, Lidia author Delgado-Rodríguez, Miguel author Matía, Pilar author Ros, Emilio author Fernández-Carrión, Rebeca author Garcia-Rios, Antonio author Zulet, M Angeles author Orozco-Beltrán, Domingo author Schröder, Helmut author Fitó, Montserrat author Bulló, Mónica author Basora, Josep author Cenoz, Juan Carlos author Diez-Espino, Javier author Toledo, Estefanía author Tur, Josep A author 2019-03-30 Background: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. Objective: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk. Design: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55-75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Methods: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as non-nut consumers'. Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (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 estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI). Results: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0-25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS). Conclusions: nut consumers had better nutrient adequacy, diet quality, and adherence to the MedDiet than those non-nut consumers. http://hdl.handle.net/10668/13779 http://hdl.handle.net/20.500.13003/17541 http://hdl.handle.net/20.500.12105/17838 30935087 10.3390/nu11040754 2072-6643 Nutrients 2-s2.0-85065584603 467749800047 L2001900105 Mediterranean diet Cardiovascular risk disease Diet quality Nut consumption Nutrient adequacy Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk