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00925njm 22002777a 4500 dc Bouzas, Cristina author Pastor, Rosario author Garcia, Silvia author Monserrat-Mesquida, Margalida author Martínez-González, Miguel Ángel author Salas-Salvado, Jordi author Corella, Dolores author Schröder, Helmut author Martínez, J Alfredo author Alonso-Gómez, Ángel M author Wärnberg, Julia author Vioque, Jesus author Romaguera, Dora author Lopez-Miranda, José author Estruch, Ramon author Tinahones, Francisco J author Lapetra, José author Serra-Majem, Lluis author Riquelme-Gallego, Blanca author Romero-Secin, Anny author Pintó, Xavier author Gaforio, José J author Matía, Pilar author Vidal, Josep author Zapatero, Miriam author Daimiel, Lidia author Ros, Emilio author García-Arellano, Ana author Babio, Nancy author Gonzalez-Monje, Inmaculada author Castañer, Olga author Abete, Itziar author Tojal-Sierra, Lucas author Benavente-Marín, Juan Carlos author Signes-Pastor, Antonio J author Konieczna, Jadwiga author García-Ríos, Antonio author Castro-Barquero, Sara author Fernández-García, José Carlos author Santos-Lozano, José Manuel author Bes-Rastrollo, Maira author Mestres, Cristina author Guillem-Saiz, Patricia author Goday, Albert author Goicolea-Güemez, Leire author Puig-Aguiló, Estanislao author Ruiz-Canela, Miguel author Palau-Galindo, Antoni author Fito, Montserrat author Tur, Josep A author 2023 Background: A major barrier to a healthy diet may be the higher price of healthy foods compared to low-quality foods. Objectives: This study aimed to assess the association between the monetary cost of food and diet quality in Spanish older adults at high risk of cardiovascular disease. Methods: Cross-sectional analysis was carried out in Spanish older adults (n = 6,838; 48.6% female). A validated food frequency questionnaire was used to assess dietary intake. Metabolic syndrome severity, adherence to the Mediterranean diet (MedDiet), adherence to a provegetarian dietary pattern, and dietary inflammatory index were assessed. The economic cost of the foods was obtained from the Spanish Ministry of Agriculture Fisheries and Food database (2015-2017, the period of time when the participants were recruited). The total cost of diet adjusted per 1,000 kcal was computed. Results: The healthier dietary pattern was associated with a higher cost of the diet. Higher adherence to the MedDiet, anti-inflammatory diet, and the healthy version of the provegetarian dietary pattern were related to higher costs of the diet. Conclusion: Higher diet quality was associated with a higher dietary cost of the diet per 1,000 kcal/day. Food prices can be an important component of interventions and policies aimed at improving people's diets and preventing diet-related chronic diseases. Bouzas C, Pastor R, García S, Monserrat-Mesquida M, Martínez-González MÁ, Salas-Salvadó J, et al. Association of monetary diet cost of foods and diet quality in Spanish older adults. Front public Heal. 2023;11:1166787. 10.3389/fpubh.2023.1166787 2296-2565 Frontiers in public health https://hdl.handle.net/20.500.13003/19318 37559740 L641992901 2-s2.0-85167533905 https://hdl.handle.net/20.500.12105/23595 1046083000001 Association of monetary diet cost of foods and diet quality in Spanish older adults