Bouzas, CristinaPastor, RosarioGarcia, SilviaMonserrat-Mesquida, MargalidaMartínez-González, Miguel ÁngelSalas-Salvado, JordiCorella, DoloresSchröder, HelmutMartínez, J AlfredoAlonso-Gómez, Ángel MWärnberg, JuliaVioque, JesusRomaguera, DoraLopez-Miranda, JoséEstruch, RamonTinahones, Francisco JLapetra, JoséSerra-Majem, LluisRiquelme-Gallego, BlancaRomero-Secin, AnnyPintó, XavierGaforio, José JMatía, PilarVidal, JosepZapatero, MiriamDaimiel, LidiaRos, EmilioGarcía-Arellano, AnaBabio, NancyGonzalez-Monje, InmaculadaCastañer, OlgaAbete, ItziarTojal-Sierra, LucasBenavente-Marín, Juan CarlosSignes-Pastor, Antonio JKonieczna, JadwigaGarcía-Ríos, AntonioCastro-Barquero, SaraFernández-García, José CarlosSantos-Lozano, José ManuelBes-Rastrollo, MairaMestres, CristinaGuillem-Saiz, PatriciaGoday, AlbertGoicolea-Güemez, LeirePuig-Aguiló, EstanislaoRuiz-Canela, MiguelPalau-Galindo, AntoniFito, MontserratTur, Josep A2024-10-092024-10-092023Bouzas 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.https://hdl.handle.net/20.500.13003/19318https://hdl.handle.net/20.500.12105/23595Background: 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.enghttp://creativecommons.org/licenses/by/4.0/AgedMaleDiet, HealthyFemaleDiet, MediterraneanHumansCross-Sectional Studiesresearch articleAtribución 4.0 Internacional3755974011116678710.3389/fpubh.2023.11667872296-2565Frontiers in public healthopen accessDieta MediterráneaEstudios TransversalesDieta SaludableHumanosAncianoFemeninoMasculino2-s2.0-851675339051046083000001L641992901