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00925njm 22002777a 4500 dc Cano-Ibáñez, Naomi author Gea, Alfredo author Martínez-González, Miguel A author Salas-Salvadó, Jordi author Corella, Dolores author Zomeño, M Dolors author Romaguera, Dora author Vioque, Jesús author Aros, Fernando author Wärnberg, Julia author Martínez, J Alfredo author Serra-Majem, Lluis author Estruch, Ramón author Tinahones, Francisco J author Lapetra, José author Pintó, Xavier author Tur, Josep A author García-Ríos, Antonio author Riquelme-Gallego, Blanca author Delgado-Rodríguez, Miguel author Matía, Pilar author Daimiel, Lidia author Martín, Vicente author Vidal, Josep author Vázquez, Clotilde author Ros, Emilio author Buil-Cosiales, Pilar author Díaz-López, Andrés author Fernández-Carrión, Rebeca author Fitó, Montserrat author Konieczna, Jadwiga author Notario-Barandiaran, Leyre author Alonso-Gómez, Ángel M author Contreras-Fernández, Eugenio author Abete, Itziar author Sánchez-Villegas, Almudena author Casas, Rosa author Muñoz-Garach, Araceli author Santos-Lozano, José Manuel author Gallardo-Alfaro, Laura author Basora, Josep author Portoles, Olga author Muñoz, Miguel Ángel author Moñino, Manuel author Miralles Gisbert, Salvador author Moreno Rodríguez, Anai author Ruiz-Canela, Miguel author Palau Galindo, Antoni author Pérez-Vega, Karla Alejandra author Bueno-Cavanillas, Aurora author 2019-04-26 Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55-75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80-39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55-18.65), fruits OR = 11.62 (95% CI 6.81-19.81), dairy products OR = 6.54 (95% CI 4.64-9.22) and protein foods OR = 6.60 (95% CI 1.96-22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s. 10.3390/nu11050958 2072-6643 Nutrients http://hdl.handle.net/10668/13892 http://hdl.handle.net/20.500.13003/17097 31035497 L2002183470 2-s2.0-85065473880 http://hdl.handle.net/20.500.12105/17859 471021600018 PREDIMED-Plus study Aging Dietary diversity Metabolic syndrome Nutrient adequacy Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis