36 research outputs found
Assessment of the Cost of the Mediterranean Diet in a Low-Income Region: Adherence and Relationship with Available Incomes
The present work has been financed by: Carlos III Health Institute [PI071218 National Plan for Scientific Research 2004-07 (Funded the medical staff for 3 years and material for the extraction of samples and indirect costs of the project) EMER 07/046 Grants for emerging research groups (Funding of personnel: nurse, doctor and technician) -INT 07/289 Grants for intensification of personal care research (Funded a researcher for 6 months)], Fundesalud [Integral Plan Grant for Cardiovascular Diseases in Extremadura (Funded a lab technician during patient enrolment)] and Junta de Extremadura and European Union (ERDF) [GR18076 Aid to Research Groups 2018 (Funded a research support technician)].Background: The Mediterranean Diet (MD) is recognized as heart-healthy, but the economic cost associated with
this type of diet has scarcely been studied.
The objective of the present study is to explore the cost and adherence of a low-income region population to the MD
and its relationship with income.
Methods: A population-based study was carried out on 2,833 subjects between 25 and 79 years of age, 54% women,
selected at random from the municipalities of Vegas Altas, La Siberia and La Serena in the province of Badajoz,
Extremadura (Spain).
Average monthly cost of each product included in the MD was computed and related to adherence to the MD using
the Panagiotakos Index and average disposable income.
Results: The monthly median cost was 203.6⏠(IQR: 154.04-265.37). Food-related expenditure was higher for men
(p<0.001), age cohort between 45 and 54 years (p<0.013) and those living in urban areas (p<0.001). A positive correlation
between food-related expenditure and the MD adherence was found. Monthly median cost represents 15% of
average disposable income, ranging between 11% for the group with low MD adherence and 17% for the group with
high MD adherence.
Conclusions: The monthly cost of the MD was positively correlated with the degree of adherence to this dietary pattern.
Given that the estimated monthly cost is similar to that of other Spanish regions with a higher income level, the
economic effort required to be able to afford the Mediterranean diet is higher. This may represent a barrier to access,
which should be analyzed in detail by public decision-makers.Instituto de Salud Carlos III PI071218
EMER 07/046
INT 07/289Fundesalud [Integral Plan Grant for Cardiovascular Diseases in Extremadura]
Junta de ExtremaduraEuropean Commission GR1807
Effects of a concurrent exercise training program on low back and sciatic pain and pain disability in late pregnancy
Objective: The aim of the present study was to explore the influence of a concurrent
exercise (aerobic + resistance) training program, from the 17th gestational
week (g.w.) until birth on low back and sciatic pain, and pain disability. A total
of 93 pregnant women divided into exercise (n = 49) and control (n = 44) groups
followed a 60-min,
3 days/week, concurrent exercise training.
Methods: Low back and sciatic pain were measured with a Visual Analogic
Scale (VAS). The disability resulting from pain was assessed with the Oswestry
Disability Index (ODI). Measures were performed at the 16th and 34th g.w.
Results: The exercise group increased 21.9 mm less the VAS low back (between-group
differences (B): 95% CI: â33.6 to â10.2; p < 0.001) and 12.9 mm less the
VAS sciatica score (between-group
differences: 95% CI (B): â21.8 to â4.0;
p = 0.005) than the control group. Regarding the ODI questionnaire, the exercise
group increased 0.7, 0.5, and 0.7 less than the control group in pain while sleeping
(between-group
differences (B): 95% CI: â1.4 to â0.01; p = 0.025), pain while lifting
weight (between-group
differences (B): 95% CI: â0.9 to â0.01; p = 0.016), and
limitations of the social life due to pain (between-group
differences(B): 95% CI:
â1.3 to â0.06; p = 0.032). Furthermore, the exercise group suffered 6.9% less pain than the control group in the ODI total score (between-group
differences (B): 95%
CI: â13.9 to 0.053; p = 0.052).
Conclusion: This concurrent exercise training program adapted to pregnant
women improved pain compared to controlsThe Regional Ministry
of Health of the Junta de AndalucĂa (PI-0395-
2016)University of Granada, Excellence actions: Units of
Excellence; Unit of Excellence on Exercise and HealthJunta de AndalucĂa, ConsejerĂa
de Conocimiento, InvestigaciĂłn y UniversidadesEuropean Regional Development Fund (ERDF), REF.
SOMM17/6107/UGRMFA was additionally funded by
the Spanish Ministry of Education, Culture, and Sports
(Grant number FPU17/03715
The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease
The following are available online at https://www.mdpi.com/article/
10.3390/nu15071761/s1This research was funded by the FEDER/Junta de AndalucĂa-ConsejerĂa de TransformaciĂłn
EconĂłmica, Industria, Conocimiento y Universidades/ Project No B-AGR-658. It was also partially
funded with the grant âInvestigation grant program by the Association of Celiacs and Sensitive to
Gluten of the Community of Madridâ. It also was partially funded by BIOMEDAL S.L.A gluten-free diet (GFD) is the only treatment available for celiac disease (CD); hence,
it is important to ensure correct adherence to the diet and adequate monitoring of the diet. The
present study aims to assess the importance of an early follow-up of celiac patients after diagnosis
of the disease, identify the role of stool gluten immunogenic peptides (GIPs) in the assessment of
GFD adherence, and analyze possible nutritional imbalances or deficiencies in the GFD. This is a
cross-sectional study carried out in pediatric patients with newly diagnosed CD in a tertiary hospital
in Spain. Of the 61 patients included, 14% had positive stool GIPS at 4 months after CD diagnosis,
Among them, 88% had negative stool GIPS at 9 months after diagnosis, following dietary advice. We
found nutritional deficiencies in the GFD, such as vitamin D (with only 27% of patients with adequate
intakes), folate, calcium, magnesium, and fiber. Similarly, we found imbalances: excess protein and
fat intakes and a high percentage of total daily energy intake came from ultra-processed foods (UPF).
These findings emphasize the importance of early follow-up of children after diagnosis of CD. It is
also crucial to identify patients with poor GFD compliance based on stool GIPS and analyze GFD
nutritional imbalances and deficits. Our findings may contribute to the development of specific
strategies for the early follow-up of patients with CD, including appropriate nutritional counselling.FEDER/Junta de AndalucĂa-ConsejerĂa de TransformaciĂłn
EconĂłmica, Industria, Conocimiento y Universidades/ B-AGR-658"Investigation grant program by the Association of Celiacs and Sensitive to Gluten of the Community of Madrid"BIOMEDAL S.L
Exercise, Mediterranean Diet Adherence or Both during Pregnancy to Prevent Postpartum DepressionâGESTAFIT Trial Secondary Analyses
Targeting lifestyle behaviors during pregnancy is crucial to prevent the highly prevalent postpartum depression and its consequences. In these secondary analyses of an intervention trial to investigate the effects of concurrent exercise training on postpartum depression, we aimed to investigate the potential role of Mediterranean diet (MD) adherence on the exercise effects. A total of 85 pregnant women met the per-protocol criteria (exercise n = 46, control n = 39). The exercise program was delivered in 60 min sessions, 3 days/week, from the 17th gestational week until birth. Women's dietary habits were assessed with a food frequency questionnaire. The Mediterranean Food Pattern (an MD index) was derived from it to assess MD adherence. We used the Edinburgh Postnatal Depression Scale to assess postpartum depression. The postpartum depression score was not statistically different between control and exercise groups (p > 0.05). A higher consumption of fruits (beta = -0.242, p = 0.022), lower intake of red meat and subproducts (beta = 0.244, p = 0.020), and a greater MD adherence (beta = -0.236, p = 0.027) were associated with lower levels of postpartum depression. Greater adherence to the MD during pregnancy was associated with fewer depressive symptoms and a lower risk of postpartum depression. Postnatal depression was not reduced by prenatal exercise. Promoting fruit consumption while controlling the intake of red meat during pregnancy might prevent postnatal depression.Regional Ministry of Health of the Junta de Andalucia PI-0395-2016Research and Knowledge Transfer Fund (PPIT) 2016, Excellence Actions Programme: Scientific Units of Excellence (UCEES)Regional Ministry of Economy, Knowledge, Enterprises, and UniversityEuropean Regional Development Funds of the University of Granada SOMM17/6107/UGRSpanish Government FPU17/0371
Influence of Ultra-Processed Foods Consumption on Redox Status and Inflammatory Signaling in Young Celiac Patients
The current study was designed to assess the influence of consumption of ultra-processed
(UPF) on oxidative/antioxidant balance and evoked inflammatory signaling in young patients with
celiac disease (CD). The study included 85 children. The celiac group (n = 53) included children with
CD with a long (>18 months, n = 17) or recent (<18 months, n = 36) adherence to a gluten-free diet
(GFD). The control group (n = 32) included healthy children with a significantly lower consumption
of UPF compared to the CD group, both expressed as kcal/day (p = 0.043) and as percentage of
daily energy intake (p = 0.023). Among children with CD, the group with the lowest consumption
of UPF (below the 50% of daily energy intake) had a greater Mediterranean diet (MD) adherence
and higher moderate physical activity levels. In addition, CD children with the lowest consumption
of UPF had healthier redox (lower soluble superoxide dismutase-1 and 15-F2t-isoprostanes) and
inflammatory profiles (lower macrophage inflammatory protein-1 ) compared to the group with the
highest consumption of UPF (all, p < 0.05) regardless of the time on a GFD. These findings highlight
the importance of a correct monitoring of the GFD. An unbalanced GFD with high consumption
of UPF and an unhealthy pattern with less physical activity and worse adherence to MD results
in a worse inflammatory profile, which could act as a parallel pathway that could have important
consequences on the pathophysiology of the disease.Regional Government of Andalusia, Excellence Research Project
P12-AGR-2581University of Granada
PP2017-PIP14Spanish Ministry of Education, Culture and Sports
FPU17/0371
Influence of Dietary Habits and Mediterranean Diet Adherence on Sleep Quality during Pregnancy. The GESTAFIT Project
We examined the association of the dietary habits and theMediterranean diet (MD) adherence
with sleep quality during pregnancy. A food frequency questionnaire and the Mediterranean Food
Pattern were employed to assess dietary habits and MD adherence, respectively. Sleep quality was
assessed with the Pittsburgh Sleep Quality Index (PSQI) global score (n = 150; mean age 32.9 4.6 years).
A higher consumption of fruits was associated with better sleep quality at the 16th gestational week
(g.w.; p < 0.05). A greater olive oil consumption and a higherMD adherence were associated with better
sleep quality at the 16th and 34th g.w. (all, p < 0.05). Contrarily, a higher red meat and subproducts
consumption was associated with worse sleep quality at the 34th g.w. (p < 0.05). The group with the
highest adherence to the MD (Tertile 3) showed better sleep quality than the group with the lowest
adherence (Tertile 1) at the 16th and 34th g.w. (both, p < 0.05). A higher adherence to theMD, a greater
intake of fruits and olive oil and a lower intake of red meat and subproducts were associated with better
sleep quality along the pregnancy course, especially among sedentary women.Regional Ministry of Health of the Junta de Andalucia
PI-0395-2016Research and Knowledge Transfer Fund (PPIT)Excellence Actions Programme: Scientific Units of Excellence (UCEES)Regional Ministry of Economy, Knowledge, Enterprises and University, European Regional Development Funds
SOMM17/6107/UGRSpanish Ministry of Education, Culture and Sports
FPU17/0371
Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
The authors thank the patients for their participation in the current study. We are grateful to
Ana Yara Postigo Fuentes for her assistance with the English language.The current study assesses whether the use of a gluten-free diet (GFD) is sufficient for
maintaining correct iron status in children with celiac disease (CD). The study included 101 children.
The celiac group (n = 68) included children with CD, with long (> 6 months) (n = 47) or recent
(< 6 months) (n = 21) adherence to a GFD. The control group (n = 43) included healthy children.
Dietary assessment was performed by a food frequency questionnaire and a 3-day food record. Celiac
children had lower iron intake than controls, especially at the beginning of GFD (p < 0.01). The group
CD-GFD >6 months showed a higher intake of cobalamin, meat derivatives and fish compared to that
of CD-GFD <6 months (all, p < 0.05). The control group showed a higher consumption of folate, iron,
magnesium, selenium and meat derivatives than that of children CD-GFD >6 months (all, p < 0.05).
Control children also showed a higher consumption of folate and iron compared to that of children
CD-GFD <6 months (both, p < 0.05). The diet of celiac children was nutritionally less balanced than
that of the control. Participation of dietitians is necessary in the management of CD to guide the GFD
as well as assess the inclusion of iron supplementation and other micronutrients that may be deficient.This study was partially funded by the Regional Government of Andalusia, Excellence Research Project
No P12-AGR-2581. This study was also supported by the University of Granada Research and Knowledge Transfer
Fund (PPIT)2016, Excellence Actions Programme: Scientific Units of Excellence (UCEES), and the Regional
Ministry of Economy, Knowledge, Enterprises and University, European Regional Development Funds (ref.
SOMM17/6107/UGR). MFA was additionally funded by the Spanish Ministry of Education, Culture and Sports
(Grant number FPU17/03715)
Effects of a concurrent exercise training program on low back and sciatic pain and pain disability in late pregnancy
Objective: The aim of the present study was to explore the influence of a concurrent exercise (aerobic + resistance) training program, from the 17th gestational week (g.w.) until birth on low back and sciatic pain, and pain disability. A total of 93 pregnant women divided into exercise (n = 49) and control (n = 44) groups followed a 60-min, 3 days/week, concurrent exercise training. Methods: Low back and sciatic pain were measured with a Visual Analogic Scale (VAS). The disability resulting from pain was assessed with the Oswestry Disability Index (ODI). Measures were performed at the 16th and 34th g.w. Results: The exercise group increased 21.9 mm less the VAS low back (between-group differences (B): 95% CI: â33.6 to â10.2; p < 0.001) and 12.9 mm less the VAS sciatica score (between-group differences: 95% CI (B): â21.8 to â4.0; p = 0.005) than the control group. Regarding the ODI questionnaire, the exercise group increased 0.7, 0.5, and 0.7 less than the control group in pain while sleeping (between-group differences (B): 95% CI: â1.4 to â0.01; p = 0.025), pain while lifting weight (between-group differences (B): 95% CI: â0.9 to â0.01; p = 0.016), and limitations of the social life due to pain (between-group differences(B): 95% CI: â1.3 to â0.06; p = 0.032). Furthermore, the exercise group suffered 6.9% less pain than the control group in the ODI total score (between-group differences (B): 95% CI: â13.9 to 0.053; p = 0.052). Conclusion: This concurrent exercise training program adapted to pregnant women improved pain compared to controls.Funding information Regional Ministry of Health of the Junta de AndalucĂa, Grant/Award Number: PI-0395-2016; Spanish Ministry of Education, Culture, and Sports, Grant/Award Number: FPU17/03715; University of Granada, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES), and by the Junta de AndalucĂa, ConsejerĂa de Conocimiento, InvestigaciĂłn y Universidades and European Regional Development Fund (ERDF), Grant/ Award Number: REF. SOMM17/6107/UGR10 pĂĄgina
A 16-week multicomponent exercise training program improves menopause-related symptoms in middle-aged women. The FLAMENCO project randomized control trial
Abstract
Objective: To investigate the influence of a supervised multicomponent exercise training program on menopause-related symptoms, particularly vasomotor symptoms (VMS), in middle-aged women.
Methods: A total of 112 middle-aged women (mean age 52 4 y old, age range 45-60 y) from the FLAMENCO
project (exercise [n Œ 59] and counseling [n Œ 53] groups) participated in this randomized controlled trial (perprotocol basis). The exercise group followed a multicomponent exercise program composed of 60-minute sessions
3 days per week for 16 weeks. The 15-item Cervantes Menopause and Health Subscale was used to assess the
frequency of menopause-related symptoms.
Results: After adjusting for body mass index and Mediterranean diet adherence, the subscales measuring
menopause-related symptoms and VMSs decreased 4.6 more in the exercise group compared to the counseling
group (between-group differences [B]: 95% CI: -8.8 to -0.2; P Œ 0.040). The exercise group also showed significant
improvements in the subscales of couple relationships (between-group differences [B]: -1.87: 95% CI: -3.29 to -
0.45; P Œ 0.010), psychological state (between-group differences [B]: -2.3: 95% CI: -5 to -0.2; P Œ 0.035), and
VMSs (between-group differences [B]: -4.5: 95% CI: -8.8 to -0.2; p Œ 0.040) in the Cervantes Menopause and
Health Subscale compared with the counseling group.
Conclusions: A 16-week multicomponent physical exercise program showed a positive effect on menopauserelated symptoms especially in couple relationships, psychological state, and VMS, among 45 to 60 year old women
Associations of Mediterranean diet with psychological illâbeing and wellâbeing throughout the pregnancy course: The GESTAFIT project
Purpose The relation between diet and maternal mental health during pregnancy might be relevant to prevent adverse
materno-foetal outcomes. This study examined the association of Mediterranean diet (MD) adherence and MD components
with mental health during pregnancy.
Methods This secondary analysis of the GESTAFIT trial included longitudinal data from 152 pregnant women. Dietary
habits were assessed with a food frequency questionnaire, and MD adherence was derived from it using the Mediterranean
Food pattern. Psychological ill-being (i.e., negative affect, anxiety, and depression) and well-being (i.e., emotional intelligence,
resilience, positive affect) were assessed with the Spanish version of well-established self-reported questionnaires.
Cross-sectional (16th gestational week [g.w.]) and longitudinal associations (34th g.w.) between MD and mental health were
studied using linear regression models.
Results A greater MD adherence was inversely associated with negative affect and anxiety; and positively associated with
emotional regulation, resilience and positive affect at the 16th and 34th g.w. (|ÎČ| ranging from 0.179 to 0.325, all p < 0.05).
Additionally, a higher intake of whole grain cereals, fruits, vegetables, fish, olive oil and nuts, and a lower intake of red meat
and subproducts and sweets were associated with lower negative affect, anxiety, depression and higher emotional regulation,
resilience and positive affect throughout gestation (|ÎČ| ranging from 0.168 to 0.415, all p < 0.05).
Conclusion A higher intake of whole grain cereals, fruits, vegetables, fish, olive oil and nuts, together with a lower intake of
red meat and sweets, resulted in a higher MD adherence, which was associated with a better mental health during pregnancy.Universidad de Granada /CBUA
The Regional Ministry of Health of the Junta de AndalucĂa (PI-0395â2016)
The Research and Knowledge Transfer Fund (PPIT) 2016, Excellence Actions Programme: Scientific Units of Excellence (UCEES), and the Regional Ministry of Economy, Knowledge, Enterprises and University, European Regional Development Funds (SOMM17/6107/UGR) of the University of Granada.
Spanish Ministry of Education, Culture and Sports (Grant number FPU17/03715).
The Swedish Council for Health, Working Life and Welfare (2021-00036)