ArticleEuropean journal of nutrition2022
Macronutrient quality index and cardiovascular disease risk in the Seguimiento Universidad de Navarra (SUN) cohort.
Article in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 23 citations in OpenAlex.
- Plasma Lipid Profile Among Perimenopausal Latvian Women in Relation to Dietary Habits.Nutrients · 2025Trial
- The Association of Dietary Macronutrient Quality and Mortality Among Patients With Liver Cirrhosis: A Prospective Cohort Study.Health science reports · 2026Article
- Food Consumption by Processing Levels in Adults Two or More Years After Sleeve Gastrectomy: Associations with Surgical Outcomes and Eating Behaviors.Obesity surgery · 2026Article
- Unraveling the Diet-Learning Nexus: a cross-sectional deep dive into Iranian adolescents' nutrient patterns and learning difficulties.BMC nutrition · 2026Article
- Association between nutrient patterns and muscle mass, fat mass, and BMI among Iranian adolescents: a cross-sectional study.BMC public health · 2026Article
- Associations of pre- and post-diagnosis dietary macronutrient quality and its changes with ovarian cancer survival: evidence from a prospective cohort study.Nutrition journal · 2026Article
- Association of fat quality index with head and neck cancer risk: results from a prospective study.Frontiers in nutrition · 2026Article
- Adherence to a diet with higher protein quality significantly reduces the risk of lung cancer: results from a population-based prospective study.Frontiers in public health · 2026Article
- Association of the macronutrient quality index and carbohydrate food quality score with the odds of bacterial vaginosis: a case-control study.BMC research notes · 2025Article
- Associations between dietary macronutrient quality and odds of hyperlipidemia: findings from the NEC-Biobank cohort.Nutrition journal · 2025Article
- Macronutrient quality and colorectal cancer outcomes: evidence from the PLCO screening trial.Frontiers in nutrition · 2025Article
- Negative associations between macronutrient quality index and lung cancer incidence and mortality: results from the prostate, lung, colorectal, and ovarian cancer screening trial.Frontiers in nutrition · 2025Article
- Adherence to the diet with higher protein quality reduces the risk of colorectal cancer: results from a population-based prospective study.Frontiers in nutrition · 2025Article
- Exploring metabolic syndrome and dietary quality in Iranian adults: a cross-sectional study.BMC nutrition · 2024Article
- Quality and quantity of macronutrients, and their joint associations with the incidence of type 2 diabetes over a nine-year follow-up.Nutrition journal · 2024Article
- Article
- Dietary Macronutrient Composition and Quality, Diet Quality, and Eating Behaviors at Different Times Since Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2023Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeTo assess the association between a multi-dimensional Macronutrient Quality Index (MQI) and the risk of cardiovascular disease (CVD) in a Mediterranean cohort.
methodsProspective analyses among 18,418 participants (mean age 36 years, 60.8% women) of the Seguimiento Universidad de Navarra (SUN) cohort. Dietary intake information was obtained through a validated semi-quantitative food-frequency questionnaire (FFQ). The MQI (expressing high-quality macronutrient intake) was calculated based on three previously reported quality indices: the Carbohydrate Quality Index (CQI), the Fat Quality Index (FQI), and the Healthy Plate Protein source Quality Index (HPPQI). Adherence to the Mediterranean diet (MedDiet) and Provegetarian Diet was evaluated using the Trichopoulou index and the score proposed by Martínez-González, respectively. CVD was defined as new-onset stroke, myocardial infarction, or CVD death.
resultsAfter a median follow-up time of 14 years (211,744 person-years), 171 cases of CVD were identified. A significant inverse association was found between the MQI and CVD risk with multivariable-adjusted HR for the highest vs. the lowest quartile of 0.60 (95% IC, 0.38-0.96; P
conclusionIn this Mediterranean cohort, we found a significant inverse relationship between a multidimensional MQI (expressing high-quality macronutrient intake) and a lower risk of CVD.
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