Adherence to the Spanish dietary guidelines and its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study

Public Health Nutrition

Irina Uzhova¹  Esther Molina-Montes¹  Aurelio Barricarte¹  Carlos A González¹  Pilar Amiano¹  María-José Sánchez¹  Virginia Menéndez¹  Genevieve Buckland¹  José-María Huerta¹  Elena Molina-Portillo¹ 

关键词: Diet standards;    Nutrition policy;    Dietary guidelines;    Diet quality;    Obesity;   

DOI  :  10.1017/S1368980014000688

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectiveDietary guidelines are intended to prevent chronic diseases and obesity. The aim of the present study was to develop a diet quality index based on the Spanish Food Pyramid (SFP) and to further explore its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study.DesignCross–sectional study. The SFP score considered recommendations given for twelve food groups, and for physical activity and alcohol consumption. Obesity was defined as BMI over 30 kg/m2 and abdominal obesity as waist circumference larger than 102 cm (men) and 88 cm (women). Logistic regression was conducted to estimate odds ratios of obesity by quintiles and by 10-point increment in adherence to the score, controlling for potential confounders.SettingEPIC-Granada study.SubjectsParticipants (n 6717) aged 35–69 years (77 % women).ResultsA 10-point increase in adherence to the SFP score was associated with a 14 % (OR=0·86; 95 % CI 0·79, 0·94) lower odds of obesity in men (P interaction by sex=0·02). The odds of abdominal obesity decreased globally by 12 % (OR=0·88; 95 % CI 0·84, 0·93) per 10-point increase in adherence to this score. The effect of higher adherence to the score on abdominal obesity was stronger in physically inactive men and women (ORper 10-point increase=0·79; 95 % CI 0·68, 0·92 and ORper 10-point increase=0·89; 95 % CI 0·84, 0·95, respectively).ConclusionsThese findings support that the Spanish dietary guidelines might be an effective tool for obesity prevention. However, prospective studies investigating this association are warranted.

【 授权许可】

Unknown