Esther Molina-Montes1, Irina Uzhova2, Elena Molina-Portillo1, José-María Huerta3, Genevieve Buckland4, Pilar Amiano3, Virginia Menéndez5, Aurelio Barricarte3, Carlos A González4, María-José Sánchez1. 1. 1Andalusian School of Public Health,Granada Cancer Registry,Instituto de Investigación Biosanitaria de Granada (Granada.bs),Campus Universitario de Cartuja,Cuesta del Observatorio 4,E-18080 Granada,Spain. 2. 3Department of Bioscience and Nutrition,Karolinska Institute,Stockholm,Sweden. 3. 2CIBER de Epidemiología y Salud Pública (CIBERESP),Madrid,Spain. 4. 5Unit of Nutrition,Environment and Cancer,Cancer Epidemiology Research Programme,Catalan Institute of Oncology (ICO-IDIBELL),Barcelona,Spain. 5. 7Public Health Directorate,Asturias,Spain.
Abstract
OBJECTIVE: Dietary guidelines are intended to prevent chronic diseases and obesity. The aim of the present study was to develop a diet quality index based on the Spanish Food Pyramid (SFP) and to further explore its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study. DESIGN: Cross-sectional study. The SFP score considered recommendations given for twelve food groups, and for physical activity and alcohol consumption. Obesity was defined as BMI over 30 kg/m2 and abdominal obesity as waist circumference larger than 102 cm (men) and 88 cm (women). Logistic regression was conducted to estimate odds ratios of obesity by quintiles and by 10-point increment in adherence to the score, controlling for potential confounders. SETTING: EPIC-Granada study. SUBJECTS: Participants (n 6717) aged 35-69 years (77 % women). RESULTS: A 10-point increase in adherence to the SFP score was associated with a 14 % (OR=0·86; 95 % CI 0·79, 0·94) lower odds of obesity in men (P interaction by sex=0·02). The odds of abdominal obesity decreased globally by 12 % (OR=0·88; 95 % CI 0·84, 0·93) per 10-point increase in adherence to this score. The effect of higher adherence to the score on abdominal obesity was stronger in physically inactive men and women (ORper 10-point increase=0·79; 95 % CI 0·68, 0·92 and ORper 10-point increase=0·89; 95 % CI 0·84, 0·95, respectively). CONCLUSIONS: These findings support that the Spanish dietary guidelines might be an effective tool for obesity prevention. However, prospective studies investigating this association are warranted.
OBJECTIVE: Dietary guidelines are intended to prevent chronic diseases and obesity. The aim of the present study was to develop a diet quality index based on the Spanish Food Pyramid (SFP) and to further explore its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study. DESIGN: Cross-sectional study. The SFP score considered recommendations given for twelve food groups, and for physical activity and alcohol consumption. Obesity was defined as BMI over 30 kg/m2 and abdominal obesity as waist circumference larger than 102 cm (men) and 88 cm (women). Logistic regression was conducted to estimate odds ratios of obesity by quintiles and by 10-point increment in adherence to the score, controlling for potential confounders. SETTING: EPIC-Granada study. SUBJECTS:Participants (n 6717) aged 35-69 years (77 % women). RESULTS: A 10-point increase in adherence to the SFP score was associated with a 14 % (OR=0·86; 95 % CI 0·79, 0·94) lower odds of obesity in men (P interaction by sex=0·02). The odds of abdominal obesity decreased globally by 12 % (OR=0·88; 95 % CI 0·84, 0·93) per 10-point increase in adherence to this score. The effect of higher adherence to the score on abdominal obesity was stronger in physically inactive men and women (ORper 10-point increase=0·79; 95 % CI 0·68, 0·92 and ORper 10-point increase=0·89; 95 % CI 0·84, 0·95, respectively). CONCLUSIONS: These findings support that the Spanish dietary guidelines might be an effective tool for obesity prevention. However, prospective studies investigating this association are warranted.
Authors: Clara Gómez-Donoso; Miguel Ángel Martínez-González; J Alfredo Martínez; Carmen Sayón-Orea; Carmen de la Fuente-Arrillaga; Maira Bes-Rastrollo Journal: PLoS One Date: 2019-12-31 Impact factor: 3.240