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Eating competence of elderly Spanish adults is associated with a healthy diet and a favorable cardiovascular disease risk profile.

Eating competence (EC), a bio-psychosocial model for intrapersonal approaches to eating and food-related behaviors, is associated with less weight dissatisfaction, lower BMI, and increased HDL-cholesterol in small U.S. studies, but its relationship to nutrient quality and overall cardiovascular risk... Full description

Journal Title: The Journal of nutrition July 2010, Vol.140(7), pp.1322-1327
Main Author: Lohse, Barbara
Other Authors: Psota, Tricia , Estruch, Ramón , Zazpe, Itziar , Sorli, José V , Salas-Salvadó, Jordi , Serra, Mercè , Krall, Jodi Stotts , Márquez, Fabiola , Ros, Emilio , Lohse, Barbara
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1541-6100 ; DOI: 10.3945/jn.109.120188
Link: http://search.proquest.com/docview/733372332/?pq-origsite=primo
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title: Eating competence of elderly Spanish adults is associated with a healthy diet and a favorable cardiovascular disease risk profile.
format: Article
creator:
  • Lohse, Barbara
  • Psota, Tricia
  • Estruch, Ramón
  • Zazpe, Itziar
  • Sorli, José V
  • Salas-Salvadó, Jordi
  • Serra, Mercè
  • Krall, Jodi Stotts
  • Márquez, Fabiola
  • Ros, Emilio
  • Lohse, Barbara
subjects:
  • Aged–Physiology
  • Aging–Analysis
  • Blood Glucose–Epidemiology
  • Body Mass Index–Epidemiology
  • Cardiovascular Diseases–Epidemiology
  • Cross-Sectional Studies–Epidemiology
  • Diet–Epidemiology
  • Eating–Epidemiology
  • Female–Epidemiology
  • Humans–Epidemiology
  • Male–Epidemiology
  • Risk Factors–Epidemiology
  • Single-Blind Method–Epidemiology
  • Spain–Epidemiology
  • Surveys and Questionnaires–Epidemiology
  • Blood Glucose
ispartof: The Journal of nutrition, July 2010, Vol.140(7), pp.1322-1327
description: Eating competence (EC), a bio-psychosocial model for intrapersonal approaches to eating and food-related behaviors, is associated with less weight dissatisfaction, lower BMI, and increased HDL-cholesterol in small U.S. studies, but its relationship to nutrient quality and overall cardiovascular risk have not been examined. Prevencion con Dieta Mediterranea (PREDIMED) is a 5-y controlled clinical trial evaluating Mediterranean diet efficacy on the primary prevention of cardiovascular diseases (CVD)in Spain. In a cross-sectional study, 638 PREDIMED participants (62% women, mean age 67 y) well phenotyped for cardiovascular risk factors were assessed for food intake and EC using validated questionnaires. Overall, 45.6% were eating-competent. EC was associated with being male and energy intake (P < 0.01). After gender and energy adjustment, participants with EC compared with those without showed higher fruit intake and greater adherence to the Mediterranean diet (P < 005) and tended to consume more fish (P = 0.076) and fewer dairy products (P = 0.054). EC participants tended to have a lower BMI (P = 0.057) and had a lower fasting blood glucose concentration and serum LDL-:HDL-cholesterol ratio (P< 0.05) and a higher HDL-cholesterol concentration (P = 0.025) after gender adjustment. EC participants had lower odds ratios (OR) of having a blood glucose concentration >5.6 mmol/L (0.71; 95% CI 0.51-0.98) and HDL-cholesterol
language: eng
source:
identifier: E-ISSN: 1541-6100 ; DOI: 10.3945/jn.109.120188
fulltext: fulltext
issn:
  • 15416100
  • 1541-6100
url: Link


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titleEating competence of elderly Spanish adults is associated with a healthy diet and a favorable cardiovascular disease risk profile.
creatorLohse, Barbara ; Psota, Tricia ; Estruch, Ramón ; Zazpe, Itziar ; Sorli, José V ; Salas-Salvadó, Jordi ; Serra, Mercè ; Krall, Jodi Stotts ; Márquez, Fabiola ; Ros, Emilio ; Lohse, Barbara
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ispartofThe Journal of nutrition, July 2010, Vol.140(7), pp.1322-1327
identifierE-ISSN: 1541-6100 ; DOI: 10.3945/jn.109.120188
subjectAged–Physiology ; Aging–Analysis ; Blood Glucose–Epidemiology ; Body Mass Index–Epidemiology ; Cardiovascular Diseases–Epidemiology ; Cross-Sectional Studies–Epidemiology ; Diet–Epidemiology ; Eating–Epidemiology ; Female–Epidemiology ; Humans–Epidemiology ; Male–Epidemiology ; Risk Factors–Epidemiology ; Single-Blind Method–Epidemiology ; Spain–Epidemiology ; Surveys and Questionnaires–Epidemiology ; Blood Glucose
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descriptionEating competence (EC), a bio-psychosocial model for intrapersonal approaches to eating and food-related behaviors, is associated with less weight dissatisfaction, lower BMI, and increased HDL-cholesterol in small U.S. studies, but its relationship to nutrient quality and overall cardiovascular risk have not been examined. Prevencion con Dieta Mediterranea (PREDIMED) is a 5-y controlled clinical trial evaluating Mediterranean diet efficacy on the primary prevention of cardiovascular diseases (CVD)in Spain. In a cross-sectional study, 638 PREDIMED participants (62% women, mean age 67 y) well phenotyped for cardiovascular risk factors were assessed for food intake and EC using validated questionnaires. Overall, 45.6% were eating-competent. EC was associated with being male and energy intake (P < 0.01). After gender and energy adjustment, participants with EC compared with those without showed higher fruit intake and greater adherence to the Mediterranean diet (P < 005) and tended to consume more fish (P = 0.076) and fewer dairy products (P = 0.054). EC participants tended to have a lower BMI (P = 0.057) and had a lower fasting blood glucose concentration and serum LDL-:HDL-cholesterol ratio (P< 0.05) and a higher HDL-cholesterol concentration (P = 0.025) after gender adjustment. EC participants had lower odds ratios (OR) of having a blood glucose concentration >5.6 mmol/L (0.71; 95% CI 0.51-0.98) and HDL-cholesterol <1.0 mmol/L (0.70; 95% CI 0.68-1.00). The OR of actively smoking, being obese, or having a serum LDbcholesterol concentration [greater than or equal to]3.4 mmol/L were <1.0, but the 95% CI included the 1.0 (P > 0.1). Our findings support further examination of EC as a strategy for enhancing diet quality and CVD prevention. doi: 10.3945/jn.109.120188
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authorLohse, Barbara ; Psota, Tricia ; Estruch, Ramón ; Zazpe, Itziar ; Sorli, José V ; Salas-Salvadó, Jordi ; Serra, Mercè ; Krall, Jodi Stotts ; Márquez, Fabiola ; Ros, Emilio ; Lohse, Barbara
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