Alonso-Cabezas, MarinaPollan-Santamaria, MarinaAlonso Ledesma, IsabelFernandez de Larrea-Baz, Nereade Lucas, Maria PilarSierra, Maria AngelesCastelló Pastor, AdelaPino, Marina NievesPerez-Gomez, BeatrizMartínez-Cortés, MercedesLope Carvajal, VirginiaRuiz Moreno, Emma2023-04-132023-04-132022-06Front Nutr. 2022 Jun 14;9:904330.2296-861Xhttp://hdl.handle.net/20.500.12105/15796Background: 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.engVoRhttp://creativecommons.org/licenses/by/4.0/SENC recommendationsPremenopauseDietary reference valuesHealthy dietDietary guidelinesDietary habitsDDM-MadridCross-sectional studyAtribución 4.0 Internacional35774550990433010.3389/fnut.2022.904330Frontiers in nutritionopen access