visitante ::
identificación
|
|||||||||||||||
Buscar | Enviar | Ayuda | Servicio de Bibliotecas | Sobre el DDD | Català English Español |
Página principal > Artículos > Artículos publicados > Agreement among Mediterranean Diet Pattern Adherence Indexes : |
Fecha: | 2019 |
Resumen: | There are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37. 2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38. 4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0. 75 (95% CI 0. 74-0. 77). The Cohen's Kappa coefficient among indexes showed a moderate-fair concordance, except for MDS and aMED with a 0. 56 (95% CI 0. 55-0. 59) and 0. 67 (95% CI 0. 66-0. 68) using linear and quadratic weighting, respectively. The existing MD adherence indexes measured the same, although they were based on different constructing algorithms and varied in the food groups included, leading to a different classification of subjects. Therefore, concordance between these indexes was moderate or low. |
Ayudas: | Ministerio de Ciencia, Innovación y Universidades PI11/01403 Ministerio de Ciencia, Innovación y Universidades PI11/01889 Ministerio de Ciencia, Innovación y Universidades PI11/00226 Ministerio de Ciencia, Innovación y Universidades PI11/01810 Ministerio de Ciencia, Innovación y Universidades PI11/02213 Ministerio de Economía, Industria y Competitividad RD12/0036/0036 Generalitat de Catalunya 2014SGR647 |
Derechos: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
Lengua: | Anglès |
Documento: | Article ; recerca ; Versió publicada |
Materia: | Adherence ; Mediterranean diet pattern ; Indexes ; Agreement |
Publicado en: | Nutrients, Vol. 11 (february 2019) , ISSN 2072-6643 |
13 p, 971.4 KB |