. 2017 Apr 8;17(1):305.

doi: 10.1186/s12889-017-4194-y.

The EVIDENT diet quality index is associated with cardiovascular risk and arterial stiffness in adults

Carmela Rodríguez-Martin¹, Rosario Alonso-Domínguez¹, María C Patino-Alonso², Manuel A Gómez-Marcos³, José A Maderuelo-Fernández¹, Carlos Martin-Cantera⁴, Luis García-Ortiz⁵, José I Recio-Rodríguez⁶; EVIDENT group

Collaborators, Affiliations

Collaborators

EVIDENT group:
L García Ortiz, M A Gómez Marcos, J I Recio Rodríguez, M C Castaño Sánchez, C Rodríguez Martin, C Agudo Conde, E Rodríguez Sánchez, L J González Elena, C Herrero Rodríguez, B Sánchez Salgado, A de Cabo Laso, J A Maderuelo Fernández, C Martin Cantera, J Canales Reina, E Rodrigo de Pablo, M L Lasaosa Medina, M J Calvo Aponte, A Rodríguez Franco, E Briones Carrio, C Martin Borras, A Puig Ribera, R Colominas Garrido, J Anton Álvarez, Ma T Vidal Sarmiento, A Viaplana Serra, S Bermúdez Chillida, A Tanasa, M Romaguera Bosch, M M Domingo, A Girona, N Curos, F J Mezquiriz, L Torrent, A Cabrejas Sánchez, M T Pérez Rodríguez, M L García García, J L Bartolomé, F Salcedo Aguilar, C Fernández Alonso, A Gómez Arranz, E Ibáñez Jalón, A de la Cal de la Fuente, N Gutiérrez, L Muñoz, M Menéndez, I Repiso, R Sanz Cantalapiedra, L M Quintero González, S de Francisco Velasco, M A Diez García, E Sierra Quintana, M Caceres, N González Viejo, J F Magdalena Belio, L Otegui Ilarduya, F Ja Rubio Galán, A Melguizo Bejar, C I Sauras Yera, Ma J Gil Train, M Iribarne Ferrer, M A Lafuente Ripolles, G Grandes, A Sánchez, N Guenaga, V Arce, M S Arietaleanizbeaskoa, E Iturregui San Nicolás, R A Martín Santidrian, A Zuazagoitia

Affiliations

¹ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
² Department of statistics, University of Salamanca, Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
³ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Department of medicine, University of Salamanca, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
⁴ Passeig de Sant Joan Health Center, Catalan Health Service, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Barcelona, Spain.
⁵ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Department of biomedical and diagnostic sciences, University of Salamanca, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
⁶ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Department of Nursing and Physiotherapy, University of Salamanca, Avda. Comuneros N° 27, 37003, Salamanca, Spain. donrecio@gmail.com.

PMID: 28390406
PMCID: PMC5385012
DOI: 10.1186/s12889-017-4194-y

The EVIDENT diet quality index is associated with cardiovascular risk and arterial stiffness in adults

Carmela Rodríguez-Martin et al. BMC Public Health. 2017.

. 2017 Apr 8;17(1):305.

doi: 10.1186/s12889-017-4194-y.

Authors

Collaborators

EVIDENT group:
L García Ortiz, M A Gómez Marcos, J I Recio Rodríguez, M C Castaño Sánchez, C Rodríguez Martin, C Agudo Conde, E Rodríguez Sánchez, L J González Elena, C Herrero Rodríguez, B Sánchez Salgado, A de Cabo Laso, J A Maderuelo Fernández, C Martin Cantera, J Canales Reina, E Rodrigo de Pablo, M L Lasaosa Medina, M J Calvo Aponte, A Rodríguez Franco, E Briones Carrio, C Martin Borras, A Puig Ribera, R Colominas Garrido, J Anton Álvarez, Ma T Vidal Sarmiento, A Viaplana Serra, S Bermúdez Chillida, A Tanasa, M Romaguera Bosch, M M Domingo, A Girona, N Curos, F J Mezquiriz, L Torrent, A Cabrejas Sánchez, M T Pérez Rodríguez, M L García García, J L Bartolomé, F Salcedo Aguilar, C Fernández Alonso, A Gómez Arranz, E Ibáñez Jalón, A de la Cal de la Fuente, N Gutiérrez, L Muñoz, M Menéndez, I Repiso, R Sanz Cantalapiedra, L M Quintero González, S de Francisco Velasco, M A Diez García, E Sierra Quintana, M Caceres, N González Viejo, J F Magdalena Belio, L Otegui Ilarduya, F Ja Rubio Galán, A Melguizo Bejar, C I Sauras Yera, Ma J Gil Train, M Iribarne Ferrer, M A Lafuente Ripolles, G Grandes, A Sánchez, N Guenaga, V Arce, M S Arietaleanizbeaskoa, E Iturregui San Nicolás, R A Martín Santidrian, A Zuazagoitia

Affiliations

¹ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
² Department of statistics, University of Salamanca, Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
³ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Department of medicine, University of Salamanca, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
⁴ Passeig de Sant Joan Health Center, Catalan Health Service, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Barcelona, Spain.
⁵ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Department of biomedical and diagnostic sciences, University of Salamanca, Spanish Network for Preventive Activities and Health Promotion (redIAPP), Salamanca, Spain.
⁶ Primary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Spanish Network for Preventive Activities and Health Promotion (redIAPP), Department of Nursing and Physiotherapy, University of Salamanca, Avda. Comuneros N° 27, 37003, Salamanca, Spain. donrecio@gmail.com.

PMID: 28390406
PMCID: PMC5385012
DOI: 10.1186/s12889-017-4194-y

Abstract

Background: We aimed to simplify information from food frequency questionnaires (FFQs) in a single parameter that allows for rapid identification of quality of patient diet and its relationship to cardiovascular risk and pulse wave velocity (PWV).

Methods: The sample from the EVIDENT study, consisting of 1553 subjects (aged 20-80 years) with no cardiovascular disease selected by random sampling among those attending primary care clinics, was used. The EVIDENT diet index (range 0-100) was calculated based on the results of a FFQ. Evaluation of dietary habits also included adherence to the Mediterranean diet (MD). Cardiovascular risk was estimated, and carotid-femoral pulse wave velocity was measured.

Results: Mean subject age was 54.9 ± 13.8 years, and 60.3% of subjects were female. The mean value of the EVIDENT diet index was 52.1 ± 3.2 points. Subjects in the third tertile (the highest score) had the greatest adherence to MD and the highest energy intake, with greater amounts of carbohydrates, protein, and fiber. The best cut-off point of the EVIDENT diet index for predicting good adherence to the MD is 52.3 (0.71 sensitivity, 0.61 specificity). In a multiple regression analysis, after a complete adjustment, it was estimated that for each one-point increase in the EVIDENT diet index, cardiovascular risk (CVR), blood-pressure, waist circumference, and PWV decreased by 0.14, 0.43, 0.24, and 0.09 respectively (p < 0.05, all).

Conclusions: The diet quality index developed is associated to CVR and its components, and also with arterial stiffness, as measured with PWV. This index is also a good predictor of adherence to MD.

Keywords: Diet, Mediterranean; Food habits; Risk factors; Vascular stiffness.

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Figures

**Fig. 1**
ROC curves for the EVIDENT diet index scores for prediction the adherence to the Mediterranean diet. (Area under the curve 0.72, 95% CI, 0.69–0.75, p < 0.001)

See this image and copyright information in PMC

References

1. Rodriguez-Monforte M, Flores-Mateo G, Sanchez E. Dietary patterns and CVD: a systematic review and meta-analysis of observational studies. Br J Nutr. 2015;114(9):1341–1359. doi: 10.1017/S0007114515003177. - DOI - PubMed
1. Estruch R, Ros E, Salas-Salvado J, Covas MI, Corella D, Aros F, Gomez-Gracia E, Ruiz-Gutierrez V, Fiol M, Lapetra J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368(14):1279–1290. doi: 10.1056/NEJMoa1200303. - DOI - PubMed
1. Fernandez-Ballart JD, Pinol JL, Zazpe I, Corella D, Carrasco P, Toledo E, Perez-Bauer M, Martinez-Gonzalez MA, Salas-Salvado J, Martin-Moreno JM. Relative validity of a semi-quantitative food-frequency questionnaire in an elderly Mediterranean population of Spain. Br J Nutr. 2010;103(12):1808–1816. doi: 10.1017/S0007114509993837. - DOI - PubMed
1. Martin-Moreno JM, Boyle P, Gorgojo L, Maisonneuve P, Fernandez-Rodriguez JC, Salvini S, Willett WC. Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol. 1993;22(3):512–519. doi: 10.1093/ije/22.3.512. - DOI - PubMed
1. Schroder H, Fito M, Estruch R, Martinez-Gonzalez MA, Corella D, Salas-Salvado J, Lamuela-Raventos R, Ros E, Salaverria I, Fiol M, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141(6):1140–1145. doi: 10.3945/jn.110.135566. - DOI - PubMed

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The EVIDENT diet quality index is associated with cardiovascular risk and arterial stiffness in adults

Collaborators

Affiliations

The EVIDENT diet quality index is associated with cardiovascular risk and arterial stiffness in adults

Authors

Collaborators

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources