Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort
Abstract Objective: To investigate the association between different versions of a provegetarian food pattern (FP) and micronutrient inadequacy. Design: Cross-sectional analysis. Dietary intake was assessed at baseline through a validated 136-item FFQ. Participants were classified according to g...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-03-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S136898002200204X/type/journal_article |
| _version_ | 1797741940531265536 |
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| author | Daniela Asfura-Carrasco Susana Santiago Itziar Zazpe Clara Gómez-Donoso Maira Bes-Rastrollo Miguel Ángel Martínez-González |
| author_facet | Daniela Asfura-Carrasco Susana Santiago Itziar Zazpe Clara Gómez-Donoso Maira Bes-Rastrollo Miguel Ángel Martínez-González |
| author_sort | Daniela Asfura-Carrasco |
| collection | DOAJ |
| description |
Abstract
Objective:
To investigate the association between different versions of a provegetarian food pattern (FP) and micronutrient inadequacy.
Design:
Cross-sectional analysis. Dietary intake was assessed at baseline through a validated 136-item FFQ. Participants were classified according to groups of different versions of a provegetarian FP: overall, healthful and unhealthful. The prevalence of inadequate intake of vitamins B1, B2, B3, B6, B12, C, A, D, E, folic acid, Zn, I, Se, Fe, Ca, K, P, Mg and Cr was evaluated using the estimated average requirement (EAR) cut-point method and the probabilistic approach. Logistic regression analyses were conducted to estimate the probability of failing to meet EAR for either ≥ 3 or ≥ 6 micronutrients.
Setting:
Seguimiento Universidad de Navarra (SUN) cohort.
Participants:
17 825 Spanish adults.
Results:
Overall, subjects in the highest group of the unhealthful provegetarian FP had the highest prevalence of inadequate dietary intake for every vitamin and mineral, compared to those in the lowest group. The adjusted OR of failing to meet ≥ 3 EAR (highest v. lowest group) was 0·65 (0·54, 0·69) for the overall, 0·27 (0·24, 0·31) for the healthful and 9·04 (7·57, 10·4) for the unhealthful provegetarian FP.
Conclusion:
A higher adherence to an overall and healthful provegetarian FP was inversely associated with the risk of failing to meet EAR values, whereas the unhealthful version was directly associated with micronutrient inadequacy. Provegetarian FP should be well planned, prioritising nutrient-dense plant foods and minimising ultra-processed and unhealthy ones.
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| first_indexed | 2024-03-12T14:33:54Z |
| format | Article |
| id | doaj.art-05a111fb1d894109b5538f1bd0bb9204 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:33:54Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-05a111fb1d894109b5538f1bd0bb92042023-08-17T10:00:50ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-03-012656357410.1017/S136898002200204XHealthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohortDaniela Asfura-Carrasco0Susana Santiago1Itziar Zazpe2Clara Gómez-Donoso3Maira Bes-Rastrollo4Miguel Ángel Martínez-González5Department of Nutrition and Food Sciences and Physiology, University of Navarra, Pamplona, SpainDepartment of Nutrition and Food Sciences and Physiology, University of Navarra, Pamplona, Spain Department of Preventive Medicine and Public Health, School of Medicine–Clínica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008 Pamplona, Navarra, SpainDepartment of Nutrition and Food Sciences and Physiology, University of Navarra, Pamplona, Spain Department of Preventive Medicine and Public Health, School of Medicine–Clínica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008 Pamplona, Navarra, Spain CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain Navarra Institute for Health Research (IdiSNA), Pamplona, SpainDepartment of Preventive Medicine and Public Health, School of Medicine–Clínica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008 Pamplona, Navarra, Spain CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain Navarra Institute for Health Research (IdiSNA), Pamplona, SpainDepartment of Preventive Medicine and Public Health, School of Medicine–Clínica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008 Pamplona, Navarra, Spain CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain Navarra Institute for Health Research (IdiSNA), Pamplona, SpainDepartment of Preventive Medicine and Public Health, School of Medicine–Clínica Universidad de Navarra, University of Navarra, Irunlarrea 1, 31008 Pamplona, Navarra, Spain CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain Navarra Institute for Health Research (IdiSNA), Pamplona, Spain Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA Abstract Objective: To investigate the association between different versions of a provegetarian food pattern (FP) and micronutrient inadequacy. Design: Cross-sectional analysis. Dietary intake was assessed at baseline through a validated 136-item FFQ. Participants were classified according to groups of different versions of a provegetarian FP: overall, healthful and unhealthful. The prevalence of inadequate intake of vitamins B1, B2, B3, B6, B12, C, A, D, E, folic acid, Zn, I, Se, Fe, Ca, K, P, Mg and Cr was evaluated using the estimated average requirement (EAR) cut-point method and the probabilistic approach. Logistic regression analyses were conducted to estimate the probability of failing to meet EAR for either ≥ 3 or ≥ 6 micronutrients. Setting: Seguimiento Universidad de Navarra (SUN) cohort. Participants: 17 825 Spanish adults. Results: Overall, subjects in the highest group of the unhealthful provegetarian FP had the highest prevalence of inadequate dietary intake for every vitamin and mineral, compared to those in the lowest group. The adjusted OR of failing to meet ≥ 3 EAR (highest v. lowest group) was 0·65 (0·54, 0·69) for the overall, 0·27 (0·24, 0·31) for the healthful and 9·04 (7·57, 10·4) for the unhealthful provegetarian FP. Conclusion: A higher adherence to an overall and healthful provegetarian FP was inversely associated with the risk of failing to meet EAR values, whereas the unhealthful version was directly associated with micronutrient inadequacy. Provegetarian FP should be well planned, prioritising nutrient-dense plant foods and minimising ultra-processed and unhealthy ones. https://www.cambridge.org/core/product/identifier/S136898002200204X/type/journal_articleMediterranean cohortplant-based dietmicronutrients intake adequacyprovegetarian food pattern |
| spellingShingle | Daniela Asfura-Carrasco Susana Santiago Itziar Zazpe Clara Gómez-Donoso Maira Bes-Rastrollo Miguel Ángel Martínez-González Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort Public Health Nutrition Mediterranean cohort plant-based diet micronutrients intake adequacy provegetarian food pattern |
| title | Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort |
| title_full | Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort |
| title_fullStr | Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort |
| title_full_unstemmed | Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort |
| title_short | Healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the SUN cohort |
| title_sort | healthful and unhealthful provegetarian food patterns and micronutrient intake adequacy in the sun cohort |
| topic | Mediterranean cohort plant-based diet micronutrients intake adequacy provegetarian food pattern |
| url | https://www.cambridge.org/core/product/identifier/S136898002200204X/type/journal_article |
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