Adherence to dietary guidelines for the Spanish population and risk of overweight/obesity in the SUN cohort

Autoři: Clara Gómez-Donoso aff001;  Miguel Ángel Martínez-González aff001;  J. Alfredo Martínez aff002;  Carmen Sayón-Orea aff001;  Carmen de la Fuente-Arrillaga aff001;  Maira Bes-Rastrollo aff001
Působiště autorů: Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona, Spain aff001;  Biomedical Research Centre Network on Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, Madrid, Spain aff002;  Navarra Institute for Health Research (IdiSNA), Pamplona, Spain aff003;  Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America aff004;  Department of Nutrition, Food Sciences and Physiology, School of Pharmacy and Nutrition, University of Navarra, Pamplona, Spain aff005
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0226565


Dietary guidelines play a key role in setting standards for nutrition policies and promoting healthy eating. Like other public health guidelines, they are often influenced by political and economic factors that could place other concerns ahead of the population’s health. In order to determine their effectiveness on obesity prevention, we prospectively examined the association between adherence to the latest available national dietary guidelines and the incidence of overweight/obesity in a Spanish cohort study. A sample of 11,554 participants of the “Seguimiento Universidad de Navarra” (SUN) cohort, initially free of overweight or obesity, was included in the study. The Spanish Society of Community Nutrition (SENC) food pyramid (FP) score was computed based on the ratio of consumed to recommended daily servings of grains, fruits, vegetables, dairy, protein-rich foods, olive oil, red and processed meat, sweets, salty snacks and spreadable fats, fermented alcoholic beverages and water. The same approach was followed to calculate the SENC hydration pyramid (HP) score, considering the intake of water and different kind of beverages. Adherence was calculated at baseline and after 10 years of follow-up. Cox proportional hazards models were used to assess the incidence of overweight/obesity (BMI ≥25 kg/m2). During a median follow-up of 10.3 years, 2320 incident cases were identified. The highest level of adherence to the SENC FP score was modestly associated with a reduced risk of overweight/obesity (multivariable-adjusted HR for the fifth quintile vs. the first quintile = 0.78; 95% CI: 0.67–0.91; p-trend: 0.007). No consistent trends were found for the SENC HP. In a large prospective cohort of Spanish university graduates, we found an inverse linear association between adherence to the SENC FP and overweight/obesity risk, whereas this was not the case for the HP.

Klíčová slova:

Beverages – Body Mass Index – Diet – Food – Food consumption – Obesity – Physical activity


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