Indira Paz-Graniel1, Nancy Babio2,3, Luís Serra-Majem4,5, Jesús Vioque6,7, Maria Dolores Zomeño8,9, Dolores Corella4,10, Andrés Díaz-López1,4, Xavier Pintó4,11, Aurora Bueno-Cavanillas6,12, Josep A Tur4,13, Lidia Daimiel14, J Alfredo Martínez4,14,15, Nerea Becerra-Tomás1,4, Eva Mª Navarrete-Muñoz6,7, Helmut Schröder6,8, Rebeca Fernández-Carrión4,10, Adriana Ortiz-Andrellucchi4,5, Emili Corbella4,11, Blanca Riquelme-Gallego6,12, Laura Gallardo-Alfaro4,13, Víctor Micó14, Marian Zulet4,15, Laura Barrubés1,4, Montserrat Fitó4,8, Miguel Ruiz-Canela4,16, Jordi Salas-Salvadó17,18. 1. Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain. 2. Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain. nancy.babio@urv.cat. 3. Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain. nancy.babio@urv.cat. 4. Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain. 5. Research Institute of Biomedical and Health Sciences (IUIBS), Preventive Medicine Service, University of Las Palmas de Gran Canaria, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain. 6. CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. 7. Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain. 8. Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute (IMIM), Barcelona, Spain. 9. Blanquerna, School of Health Sciences, Universitat Ramon Llull, Barcelona, Spain. 10. Department of Preventive Medicine, University of Valencia, Valencia, Spain. 11. Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge IDIBELL, Hospitalet de Llobregat, Barcelona, Spain. 12. Department of Preventive Medicine, University of Granada, Granada, Spain. 13. Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain. 14. Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. 15. Department of Nutrition, Food Science and Physiology, University of Navarra, IDISNA, Pamplona, Spain. 16. Department of Preventive Medicine and Public Health, University of Navarra, IDISNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain. 17. Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain. Jordi.salas@urv.cat. 18. Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain. Jordi.salas@urv.cat.
Abstract
PURPOSE: We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. METHODS: Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate-vigorous physical activity (MVPA). RESULTS: The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). CONCLUSIONS: High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.
PURPOSE: We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. METHODS: Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate-vigorous physical activity (MVPA). RESULTS: The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). CONCLUSIONS: High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.
Entities:
Keywords:
Beverages; Fluid intake; Mediterranean diet; Total water intake (TWI)
Authors: Indira Paz-Graniel; Nancy Babio; Nerea Becerra-Tomás; Estefania Toledo; Lucia Camacho-Barcia; Dolores Corella; Olga Castañer-Niño; Dora Romaguera; Jesús Vioque; Ángel M Alonso-Gómez; Julia Wärnberg; J Alfredo Martínez; Luís Serra-Majem; Ramon Estruch; Francisco J Tinahones; Fernando Fernandez-Aranda; José Lapetra; Xavier Pintó; Josep A Tur; Antonio García-Rios; Aurora Bueno-Cavanillas; José J Gaforio; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín Sánchez; Josep Vidal; Lucía Prieto-Sanchez; Emilio Ros; Cristina Razquin; Cristina Mestres; José V Sorli; Aida M Cuenca-Royo; Angel Rios; Laura Torres-Collado; Jessica Vaquero-Luna; Napoleon Pérez-Farinós; M Angeles Zulet; Almudena Sanchez-Villegas; Rosa Casas; M Rosa Bernal-Lopez; José Manuel Santos-Lozano; Xavier Corbella; David Mateos; Pilar Buil-Cosiales; Susana Jiménez-Murcia; Rebeca Fernandez-Carrion; Laura Forcano-Gamazo; Meritxell López; Miguel Ángel Sempere-Pascual; Anai Moreno-Rodriguez; Alfredo Gea; Rafael de la Torre-Fornell; Jordi Salas-Salvadó Journal: Eur J Nutr Date: 2020-10-30 Impact factor: 5.614