المؤلفون: Asier Oliver Olid, Elise Fabios, Lorena García-Blanco, Jose Manuel Moreno-Villares, Miguel Ángel Martínez-González, Nerea Martín-Calvo

المصدر: Public Health Nutrition, Vol 27 (2024)

مصطلحات موضوعية: Breast-feeding, Micronutrients, Diet quality, Children, Public aspects of medicine, RA1-1270, Nutritional diseases. Deficiency diseases, RC620-627

الوصف: Abstract Objective: To assess whether the Mediterranean Diet (MedDiet) is associated with lower micronutrients inadequacy in a sample of Spanish preschoolers. Design: We conducted a cross-sectional study with 4–5-year-old children participating in the SENDO project. Information was gathered through an online questionnaire completed by parents. Dietary information was collected with a previously validated semi-quantitative FFQ. The estimated average requirements or adequate intake levels as proposed by the Institute of Medicine were used as cut-off point to define inadequate intake. Statistical analyses: Crude and multivariable adjusted estimates were calculated with generalised estimated equations to account for intra-cluster correlation between siblings. Participants: We used baseline information of 1153 participants enrolled in the SENDO project between January 2015 and June 2022. Main outcomes measures: OR and 95 % CI of presenting an inadequate intake of ≥ 3 micronutrients associated with the MedDiet. Results: The adjusted proportion of children with inadequate intake of ≥ 3 micronutrients was 27·2 %, 13·5 % and 8·1 % in the categories of low, medium and high adherence to the MedDiet, respectively. After adjusting for all potential confounders, children who had a low adherence to the MedDiet showed a significant lower odds of inadequate intake of ≥ 3 micronutrients compared to those with a high adherence (OR 9·85; 95 % CI 3·33, 29·09). Conclusion: Lower adherence to the MedDiet is associated with higher odds of nutritional inadequacy.

وصف الملف: electronic resource

العلاقة: https://www.cambridge.org/core/product/identifier/S1368980023002707/type/journal_articleTest; https://doaj.org/toc/1368-9800Test; https://doaj.org/toc/1475-2727Test

الوصول الحر: https://doaj.org/article/1f4de0bf82934010919bfaa6e2f7fa1aTest

المؤلفون: Lorena García-Blanco, Víctor de la O Pascual, Arantxa Berasaluce, Laura Moreno-Galarraga, Miguel Ángel Martínez-González, Nerea Martín-Calvo

المصدر: Public Health Nutrition, Vol 26, Pp 437-445 (2023)

مصطلحات موضوعية: Ultra-processed foods, Dietary attitudes, Eating habits, Nutritional knowledge, Screen time, Public aspects of medicine, RA1-1270, Nutritional diseases. Deficiency diseases, RC620-627

الوصف: Abstract Background: Ultra-processed food (UPF) consumption is increasing exponentially, becoming a matter of concern for Public Health, given its adverse health effects. Objective: To identify individual and faGmily factors predicting UPF consumption in childhood. Design: The SENDO project is an ongoing prospective dynamic cohort of Spanish children. In this study, we used baseline information of participants recruited between January 2015 and June 2021. Dietary information was collected with a validated semi-quantitative FFQ, and food items were classified using the NOVA classification. Individual and family factors associated with UPF consumption (P < 0·20) in univariate analyses were introduced in a model of generalised estimating equations which accounted for intra-cluster correlations between siblings. Setting: The SENDO project (Spain), 2015–2021. Participants: Spanish children are recruited at the age of 4–5 years and followed yearly through online questionnaires completed by parents. Results: In this sample of 806 participants (49 % girls; mean age 5 years (sd: 0·90)), the mean UPF consumption was 37·64 % of total energy intake (sd: 9·59). Large family size and longer exposure to screens predicted higher consumption of UPF. On the other hand, better knowledge of children’s dietary recommendations, healthy dietary attitudes towards child’s eating habits and longer breastfeeding were associated with lower consumption of UPF. All these factors accounted for approximately 16 % of the variability on the consumption of UPF in childhood. Conclusion: Since most of the factors identified in this study are modifiable, they should be considered in public health strategies aimed at promoting healthy dietary habits in early life.

وصف الملف: electronic resource

العلاقة: https://www.cambridge.org/core/product/identifier/S136898002200132X/type/journal_articleTest; https://doaj.org/toc/1368-9800Test; https://doaj.org/toc/1475-2727Test

الوصول الحر: https://doaj.org/article/faf33664952f4167abedc1bd04eb7b4bTest

المؤلفون: Elise Fabios, Miguel Ángel Martínez-González, Lorena García-Blanco, Víctor de la O, Susana Santiago, Itziar Zazpe, Nerea Martín-Calvo

المصدر: Children, Vol 10, Iss 10, p 1711 (2023)

مصطلحات موضوعية: carbohydrate quality index, CQI, micronutrient inadequacy, SENDO cohort, Pediatrics, RJ1-570

الوصف: Suboptimal micronutrient intake in children remains a public health concern around the world. This study examined the relationship between a previously defined dietary carbohydrate quality index (CQI) and the risk of micronutrient intake inadequacy in a pediatric cohort of Spanish preschoolers. Children aged 4–5 years old were recruited at their medical center or at school, and information on sociodemographic, dietary, and lifestyle variables were collected through a self-administered online questionnaire. Dietary information was obtained from a validated 147-item semi-quantitative food frequency questionnaire. We calculated the CQI and categorized participants into quartiles according to their scores. We assessed the intakes of 20 micronutrients and evaluated the probability of intake inadequacy by using the estimated average requirement cut-off point. Generalized estimating equations were used to adjust for potential confounders and account for the intra-cluster correlations between siblings. The adjusted proportions of children with an inadequate intake of ≥three micronutrients were 23%, 12%, 11%, and 9% in the first, second, third, and fourth quartiles of the CQI, respectively. Children in the highest quartile of the CQI had 0.22-fold lower odds (95% CI 0.10–0.48) of having ≥three inadequate micronutrient intakes than their peers in the lowest quartile. These findings reinforce the relevance of carbohydrate quality in children’s diets.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2227-9067/10/10/1711Test; https://doaj.org/toc/2227-9067Test

الوصول الحر: https://doaj.org/article/07cccdcf616e45af8165583c235b2a68Test

المؤلفون: Laura Moreno-Galarraga, Iratxe Martín-Álvarez, Alejandro Fernández-Montero, Bárbara Santos Rocha, Edurne Ciriza Barea, Nerea Martín-Calvo

المصدر: Anales de Pediatría, Vol 95, Iss 1, Pp 18-25 (2021)

مصطلحات موضوعية: Respiratory diseases, Wheezing, Bonchitis, Asthma, Ultra-processed foods, Children, Pediatrics, RJ1-570

الوصف: Resumen: Introducción: El consumo de productos ultraprocesados (UP) se relaciona con múltiples enfermedades en el adulto, como hipertensión arterial, diabetes o asma. Objetivo: estudiar si el consumo de UP en niños se asocia con enfermedades respiratorias sibilantes (asma o bronquitis/sibilancias de repetición). Material y métodos: Estudio transversal dentro del proyecto SEguimiento del Niño para un Desarrollo Óptimo (SENDO), una cohorte abierta, multidisciplinar y multipropósito de niños españoles. El consumo de UP se calculó mediante cuestionarios semicuantitativos de frecuencia de consumo de alimentos. Los alimentos se agruparon según la clasificación NOVA y se estimó el consumo diario y el porcentaje de kilocalorías procedentes de UP. Dividimos la exposición en «alto» y «bajo» a partir de la mediana de consumo. Se calcularon las odds ratio y los intervalos de confianza al 95% para las enfermedades respiratorias sibilantes asociadas al consumo alto de UP, usando como referencia el bajo consumo. Se calcularon estimadores brutos y multiajustados y se utilizaron modelos de regresión mixtos para tener en cuenta la correlación entre hermanos. Resultados: En los 513 niños estudiados (51,8% varones, edad media de 5,2 años), el consumo medio de UP fue de 446,76 g/día, representando un 39,9% de la ingesta calórica total. Un alto consumo de UP se asoció a un incremento del 87% de la prevalencia de enfermedades respiratorias sibilantes (OR 1,87; IC 95% 1,01-3,45). Encontramos que un mayor consumo de UP multiplica por 2,12 (IC 95% 1,10-4,05) la prevalencia de bronquitis/sibilancias de repetición. Conclusiones: Nuestros resultados muestran una asociación directa entre el consumo de UP y la prevalencia de enfermedades sibilantes en niños. Abstract: Introduction: The consumption of ultra-processed products (UP) is associated with many diseases in the adult, such as arterial hypertension, diabetes, or asthma. Objective: To determine whether the consumption of UP in children is associated with wheezing respiratory diseases (asthma or bronchitis/recurrent wheezing). Material and methods: A cross-sectional study was conducted within the Follow-up of the Child for Optimal Development ?SENDO? project (an open, multidisciplinary and multiple outcome study of Spanish children). The consumption of UP was calculated using semi-quantitative questionnaires on the frequency of food consumption. The foods were grouped according the NOVA classification, and the daily consumption was estimated along with the percentage of kilocalories from the UP. The exposure was grouped into “high” and “low” from the median consumption. Odds ratios and 95% confidence intervals were calculated for wheezing respiratory diseases associated with the high consumption UP, using low consumption as a reference. Crude and multi-adjusted estimators were calculated, and mixed regression models were used to take into account the correlation between siblings. Results: In the 513 children studied (51.8% males, mean age 5.2 years), the mean consumption of UP was 446.76 g/day, representing 39.9% of the total calories ingested. A high consumption of UP was associated with an increase of 87% in the prevalence of wheezing respiratory diseases (OR 1.87; 95% CI 1.01-3.45). It was found that a higher consumption of UP multiplied by 2.12 (95% CI 1.10-4.05) the prevalence of bronchitis/recurrent wheezing. Conclusions: The results of this study show a direct relationship between UP consumption and the prevalence of wheezing diseases in children.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S1695403320302216Test; https://doaj.org/toc/1695-4033Test

الوصول الحر: https://doaj.org/article/cd74f1f41b494d9986d68954abbc6a01Test

المؤلفون: Laura Moreno-Galarraga, Iratxe Martín-Álvarez, Alejandro Fernández-Montero, Bárbara Santos Rocha, Edurne Ciriza Barea, Nerea Martín-Calvo

المصدر: Anales de Pediatría (English Edition), Vol 95, Iss 1, Pp 18-25 (2021)

مصطلحات موضوعية: Enfermedades respiratorias, Sibilancias, Bronquitis, Asma, Alimentos ultraprocesados, Niños, Pediatrics, RJ1-570

الوصف: Introduction: The consumption of ultra-processed products (UP) is associated with many diseases in the adult, such as arterial hypertension, diabetes, or asthma. Objective: To determine whether the consumption of UP in children is associated with wheezing respiratory diseases (asthma or bronchitis/recurrent wheezing). Material and methods: A cross-sectional study was conducted within the Follow-up of the Child for Optimal Development (SENDO) project (an open, multidisciplinary and multiple outcome study of Spanish children). The consumption of UP was calculated using semi-quantitative questionnaires on the frequency of food consumption. The foods were grouped according to the NOVA classification, and the daily consumption was estimated along with the percentage of Kilocalories from the UP. The exposure was grouped into “high” and “low” from the median consumption. Odds Ratios and 95% confidence intervals were calculated for wheezing respiratory diseases associated with the high consumption UP, using low consumption as a reference. Crude and multi-adjusted estimators were calculated, and mixed regression models were used to take into account the correlation between siblings. Results: In the 513 children studied (51.8% males, mean age 5.2 years), the mean consumption of UP was 446.76 g/day, representing 39.9% of the total calories ingested. A high consumption of UP was associated with an increase of 87% in the prevalence of wheezing respiratory diseases (OR: 1.87, 95% CI: 1.01–3.45). It was found that a higher consumption of UP multiplied by 2.12 (95% CI: 1.10–4.05) the prevalence of bronchitis/recurrent wheezing. Conclusions: The results of this study show a direct relationship between UP consumption and the prevalence of wheezing diseases in children. Resumen: Introducción: El consumo de productos ultraprocesados (UP) se relaciona con múltiples enfermedades en el adulto, como hipertensión arterial, diabetes o asma. Objetivo: Estudiar si el consumo de UP en niños se asocia con enfermedades respiratorias sibilantes (asma, o bronquitis/sibilancias de repetición). Material y métodos: Estudio transversal dentro del proyecto SEguimiento del Niño para un Desarrollo Óptimo (SENDO), una cohorte abierta, multidisciplinar y multipropósito de niños españoles. El consumo de UP se calculó mediante cuestionarios semicuantitativos de frecuencia de consumo de alimentos. Los alimentos se agruparon según la clasificación NOVA y se estimó el consumo diario y el porcentaje de kilocalorías procedentes de UP. Dividimos la exposición en «alto» y «bajo» a partir de la mediana de consumo. Se calcularon las odds ratio y los intervalos de confianza al 95% para las enfermedades respiratorias sibilantes asociadas al consumo alto de UP, usando como referencia el bajo consumo. Se calcularon estimadores brutos y multiajustados y se utilizaron modelos de regresión mixtos para tener en cuenta la correlación entre hermanos. Resultados: En los 513 niños estudiados (51,8% varones, edad media de 5,2 años), el consumo medio de UP fue de 446,76 g/día, representando un 39,9% de la ingesta calórica total. Un alto consumo de UP se asoció a un incremento del 87% de la prevalencia de enfermedades respiratorias sibilantes (OR 1,87; IC 95% 1,01–3,45). Encontramos que un mayor consumo de UP multiplica por 2,12 (IC 95% 1,10–4,05) la prevalencia de bronquitis/sibilancias de repetición. Conclusiones: Nuestros resultados muestran una asociación directa entre el consumo de UP y la prevalencia de enfermedades sibilantes en niños.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2341287921000995Test; https://doaj.org/toc/2341-2879Test

الوصول الحر: https://doaj.org/article/d3c2c85b0fbc45c7ac81bde6bab2fe1fTest

المؤلفون: Asier Oliver Olid, Laura Moreno-Galarraga, Jose Manuel Moreno-Villares, Maria del Mar Bibiloni, Miguel Ángel Martínez-González, Víctor de la O, Alejandro Fernandez-Montero, Nerea Martín-Calvo

المصدر: Nutrients, Vol 15, Iss 5, p 1278 (2023)

مصطلحات موضوعية: breastfeeding, Mediterranean diet, adherence, childhood obesity, pre-schoolers, diet quality, Nutrition. Foods and food supply, TX341-641

الوصف: Objective: To assess whether breastfeeding during the first months of life is associated with adherence to the Mediterranean dietary (MedDiet) pattern in preschool children. Design: The Seguimiento del Niño para un Desarrollo Óptimo (SENDO) project is an ongoing pediatric cohort with open recruitment, started in 2015 in Spain. Participants, recruited when they are 4 to 5 years old at their primary local health center or school, are followed annually through online questionnaires. For this study, 941 SENDO participants with full data on study variables were included. Breastfeeding history was collected retrospectively at baseline. Adherence to the Mediterranean diet was assessed with the KIDMED index (range −3 to 12). Results: After accounting for multiple sociodemographic and lifestyle confounders, including parental attitudes and knowledge about dietary recommendations for children, breastfeeding was independently associated with a higher adherence to the MedDiet. Compared with children who were never breastfed, children breastfed for ≥6 months had a one-point increase on their mean KIDMED score (Mean difference +0.93, 95%confidence interval [CI]. 0.52–1.34, p for trend p for trend

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2072-6643/15/5/1278Test; https://doaj.org/toc/2072-6643Test

الوصول الحر: https://doaj.org/article/b1abf2f72a234b069e1ed3ad3c2f9d53Test

المؤلفون: Nerea Martín-Calvo, Miguel Ángel Martínez-González

المصدر: Atención Primaria, Vol 53, Iss 9, Pp 102148- (2021)

مصطلحات موضوعية: Medicine (General), R5-920

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S0212656721001827Test; https://doaj.org/toc/0212-6567Test

الوصول الحر: https://doaj.org/article/f3013cbf11cc41dc9fde2ce8db39eec5Test

المؤلفون: Nerea Martín-Calvo, Maira Bes-Rastrollo, Clara Gómez-Donoso, Fernando Rodríguez-Artalejo, Jesús Vioque, Miguel A. Royo-Bordonada, Aurora Bueno-Cavanillas, Miguel Ruíz-Canela, Miguel A. Martínez-González

المصدر: Atención Primaria, Vol 53, Iss 2, Pp 101950- (2021)

مصطلحات موضوعية: Red meat, Processed meat, Mortality, Cardiovascular mortality, Population impact, Attributable risk, Medicine (General), R5-920

الوصف: Resumen: Objetivo: Cuantificar el impacto de reducir el consumo de carnes rojas y procesadas sobre la mortalidad cardiovascular y la mortalidad total de la población adulta española, basado en 5 revisiones publicadas. Participantes y mediciones principales: Se define la exposición como el consumo de ≥ 3 raciones/semana de carnes rojas o procesadas, y se consideran cuatro escenarios de población expuesta (30-60%). Con datos del Instituto Nacional de Estadística, se calcula la mortalidad ponderada en población española de 40-80 años y, utilizando los riesgos relativos (RR) y los intervalos de confianza (IC) al 95% publicados en 5 revisiones (RR = 0,88; IC 95%: 0,84-0,93 para mortalidad por todas las causas y RR = 0,92; IC 95%: 0,90-0,93 para la mortalidad cardiovascular), se calculó la tasa de mortalidad en expuestos y no expuestos. Multiplicando esas tasas por el número de expuestos, se obtuvo el número de muertes atribuibles. Resultados: Asumiendo un 60% de población española de 40-80 años expuesta, el número de muertes anuales de causa cardiovascular que se podrían evitar consumiendo

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S0212656720303371Test; https://doaj.org/toc/0212-6567Test

الوصول الحر: https://doaj.org/article/471de109c4ea464fb630e064784f8549Test

المؤلفون: Lydia Morell-Azanza, Ana Ojeda-Rodríguez, Amaia Ochotorena-Elicegui, Nerea Martín-Calvo, María Chueca, Amelia Marti, Cristina Azcona-San Julian

المصدر: BMC Pediatrics, Vol 19, Iss 1, Pp 1-8 (2019)

مصطلحات موضوعية: Obesity children, MVPA, Accelerometer, Metabolic risk, Leptin, Pediatrics, RJ1-570

الوصف: Abstract Background Physical activity (PA) is associated with changes in body composition that affect insulin sensitivity and leptin levels. Few studies have assessed the effect of lifestyle interventions on changes in objectively measured PA levels in obese children. To evaluate the effects of a multidisciplinary lifestyle intervention on anthropometric indices, biochemical parameters and accelerometer measured PA in abdominal obese children. Methods A randomized control trial was performed in 106 children and adolescents with abdominal obesity. Participants were randomly assigned to usual or intensive care group for 8-week. PA was measured by accelerometry over four days including, at least, two weekdays in all participants. Both groups were encouraged to accumulate an extra time of 200 min per week in their PA. Results At baseline, 75% of subjects do not fulfill the WHO recommendation of being more than 60 min/day on moderate-to-vigorous PA (MVPA). The intensive care group achieved a significant reduction in anthropometric indexes compared to the usual care but no significant change was found in biochemical or PA parameters. Both groups achieved a significant reduction in light PA. Interestingly, intensive care participants significantly increased MVPA in 5.5 min/day. Moreover, an inverse association between changes in MVPA and leptin levels was found. Conclusion The two lifestyle intervention reduced anthropometric indexes and lowered light PA in abdominal obese children. No significant differences were observed between intensive care and usual care in regard to PA. Intensive care participants significantly increase physical activity (MVPA) and, changes in MVPA were inversely associated with changes in leptin levels after the intervention. Trial registration ClinicalTrials.gov, Identifier: NCT03147261. Registered 10 May 2017. Retrospectively registered.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12887-019-1468-9Test; https://doaj.org/toc/1471-2431Test

الوصول الحر: https://doaj.org/article/85ac5cf1c999407fa511f4b7eddf732cTest

المؤلفون: Sara Castro-Barquero, Anna Tresserra-Rimbau, Facundo Vitelli-Storelli, Mónica Doménech, Jordi Salas-Salvadó, Vicente Martín-Sánchez, María Rubín-García, Pilar Buil-Cosiales, Dolores Corella, Montserrat Fitó, Dora Romaguera, Jesús Vioque, Ángel María Alonso-Gómez, Julia Wärnberg, José Alfredo Martínez, Luís Serra-Majem, Francisco José Tinahones, José Lapetra, Xavier Pintó, Josep Antonio Tur, Antonio Garcia-Rios, Laura García-Molina, Miguel Delgado-Rodriguez, Pilar Matía-Martín, Lidia Daimiel, Josep Vidal, Clotilde Vázquez, Montserrat Cofán, Andrea Romanos-Nanclares, Nerea Becerra-Tomas, Rocio Barragan, Olga Castañer, Jadwiga Konieczna, Sandra González-Palacios, Carolina Sorto-Sánchez, Jessica Pérez-López, María Angeles Zulet, Inmaculada Bautista-Castaño, Rosa Casas, Ana María Gómez-Perez, José Manuel Santos-Lozano, María Ángeles Rodríguez-Sanchez, Alicia Julibert, Nerea Martín-Calvo, Pablo Hernández-Alonso, José V Sorlí, Albert Sanllorente, Aina María Galmés-Panadés, Eugenio Cases-Pérez, Leire Goicolea-Güemez, Miguel Ruiz-Canela, Nancy Babio, Álvaro Hernáez, Rosa María Lamuela-Raventós, Ramon Estruch

المصدر: Nutrients, Vol 12, Iss 3, p 689 (2020)

مصطلحات موضوعية: polyphenols, metabolic syndrome, mediterranean diet, glignans, stilbenes, hdl-cholesterol, Nutrition. Foods and food supply, TX341-641

الوصف: Dietary polyphenol intake is associated with improvement of metabolic disturbances. The aims of the present study are to describe dietary polyphenol intake in a population with metabolic syndrome (MetS) and to examine the association between polyphenol intake and the components of MetS. This cross-sectional analysis involved 6633 men and women included in the PREDIMED (PREvención con DIeta MEDiterranea-Plus) study. The polyphenol content of foods was estimated from the Phenol-Explorer 3.6 database. The mean of total polyphenol intake was 846 ± 318 mg/day. Except for stilbenes, women had higher polyphenol intake than men. Total polyphenol intake was higher in older participants (>70 years of age) compared to their younger counterparts. Participants with body mass index (BMI) >35 kg/m2 reported lower total polyphenol, flavonoid, and stilbene intake than those with lower BMI. Total polyphenol intake was not associated with a better profile concerning MetS components, except for high-density lipoprotein cholesterol (HDL-c), although stilbenes, lignans, and other polyphenols showed an inverse association with blood pressure, fasting plasma glucose, and triglycerides. A direct association with HDL-c was found for all subclasses except lignans and phenolic acids. To conclude, in participants with MetS, higher intake of several polyphenol subclasses was associated with a better profile of MetS components, especially HDL-c.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2072-6643/12/3/689Test; https://doaj.org/toc/2072-6643Test

الوصول الحر: https://doaj.org/article/d9cbc7a15c8a4f66ad94472a30ec9a7aTest