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dc.contributor.authorOlmedo Requena, Rocío
dc.contributor.authorAlguacil Ojeda, Juan 
dc.contributor.authorMartín, Vicente
dc.date.accessioned2019-03-04T10:43:43Z
dc.date.available2019-03-04T10:43:43Z
dc.date.issued2019
dc.identifier.citationOlmedo-Requena, R., González-Donquiles, C., Dávila-Batista, V., Romaguera, D., Castelló, A., Molina de la Torre, A., … Martín, V. (2019). Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study. Nutrients, 11(3), 488. https://doi.org/10.3390/nu11030488es_ES
dc.identifier.issn2072-6643
dc.identifier.issn2072-6643 (electrónico)
dc.identifier.urihttp://hdl.handle.net/10272/16039
dc.description.abstractThere are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37.2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38.4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0.75 (95% CI 0.74–0.77). The Cohen’s Kappa coefficient among indexes showed a moderate–fair concordance, except for MDS and aMED with a 0.56 (95% CI 0.55–0.59) and 0.67 (95% CI 0.66–0.68) using linear and quadratic weighting, respectively. The existing MD adherence indexes measured the same, although they were based on different constructing algorithms and varied in the food groups included, leading to a different classification of subjects. Therefore, concordance between these indexes was moderate or low.es_ES
dc.description.sponsorshipThe authors thank Ingrid de Ruiter, MBChB PhD for English language editing and support. We thank all subjects who participated in the study and all MCC-Spain collaborators.es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subject.otherAdherencees_ES
dc.subject.otherMediterranean diet patternes_ES
dc.subject.otherIndexeses_ES
dc.subject.otherAgreementes_ES
dc.titleAgreement among Mediterranean diet pattern adherence indexes : MCC-Spain studyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionOlmedo-Requena, R., González-Donquiles, C., Dávila-Batista, V., Romaguera, D., Castelló, A., Molina de la Torre, A., Martín, V... [et al.] (2019). Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study. Nutrients, 11(3), 488. https://doi.org/10.3390/nu11030488es_ES
dc.identifier.doi10.3390/nu11030488
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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