ArticleNutrients2019
Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis.
Article in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Association between dietary diversity and healthy aging: a systematic review.BMC nutrition · 2025Pooled it
- Trial
- Consumer Perceptions and Behaviors Toward Fermented Foods: Insights From a Canadian Survey.Food science & nutrition · 2026Article
- Article
- Association of the dietary-behavioral risk index with metabolic syndrome and its components: a cross-sectional study in rural China.Frontiers in endocrinology · 2026Article
- A study on dietary diversification intervention for elderly patients with chronic heart failure who can eat by mouth.Frontiers in nutrition · 2026Article
- Diversity of Plant-Based Food Consumption: A Systematic Scoping Review on Measurement Tools and Associated Health Outcomes.Nutrition reviews · 2025Article
- Association between dietary quality index-international (DQI-I) and cardiovascular diseases: insights from RaNCD cohort study.BMC nutrition · 2025Article
- Adherence to planetary health diet index in relation to dietary diversity score and anthropometric indices among Iranian older adults.BMC public health · 2025Article
- Relationship between metabolic syndrome and dietary diversity in the Rafsanjan cohort study.Scientific reports · 2025Article
- Household dietary diversity and associated factors in rural and peri-urban areas of Mbale District, Eastern Uganda.BMC public health · 2025Article
- Composite dietary antioxidant index is associated with the prevalence of metabolic syndrome in females: results from NHANES 2011-2016.Frontiers in nutrition · 2025Article
- The association between dietary diversity and patterns in Chinese university students with abnormal uterine bleeding: a cross-sectional study.Nutrition & metabolism · 2024Article
- Factors Associated with Dietary Diversity in Community-Dwelling Brazilian Older Adults.Foods (Basel, Switzerland) · 2024Article
- Mediating effects of physical activities and cognitive function on the relationship between dietary diversity and all-cause mortality in community-dwelling older adults.Journal of global health · 2024Article
- International dietary quality index and its association with diabetes in RaNCD cohort study.Scientific reports · 2024Article
- 2024 Guidelines of the Taiwan Society of Cardiology on the Primary Prevention of Atherosclerotic Cardiovascular Disease --- Part I.Acta Cardiologica Sinica · 2024Article
- Dietary diversity and its association with changes in anthropometric indices of community-dwelling older adults in Tehran, Iran: a longitudinal study (2017-2021).BMC public health · 2024Article
- Association between dietary diversity changes and frailty among Chinese older adults: findings from a nationwide cohort study.Nutrition journal · 2024Article
- Effects of Regular Exercise on the Biochemical, Oxidative, and Inflammatory Profiles and Quality of Life in Older Spaniards with Metabolic Syndrome.Antioxidants (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
50 authors at 13 institutions in 2 countries.
Funding
Abstract
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.
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