Dataset Information

Lifestyle Patterns and Weight Status in Spanish Adults: The ANIBES Study.

ABSTRACT: Limited knowledge is available on lifestyle patterns in Spanish adults. We investigated dietary patterns and possible meaningful clustering of physical activity, sedentary behavior, sleep time, and smoking in Spanish adults aged 18-64 years and their association with obesity. Analysis was based on a subsample (n = 1617) of the cross-sectional ANIBES study in Spain. We performed exploratory factor analysis and subsequent cluster analysis of dietary patterns, physical activity, sedentary behaviors, sleep time, and smoking. Logistic regression analysis was used to explore the association between the cluster solutions and obesity. Factor analysis identified four dietary patterns, "Traditional DP", "Mediterranean DP", "Snack DP" and "Dairy-sweet DP". Dietary patterns, physical activity behaviors, sedentary behaviors, sleep time, and smoking in Spanish adults aggregated into three different clusters of lifestyle patterns: "Mixed diet-physically active-low sedentary lifestyle pattern", "Not poor diet-low physical activity-low sedentary lifestyle pattern" and "Poor diet-low physical activity-sedentary lifestyle pattern". A higher proportion of people aged 18-30 years was classified into the "Poor diet-low physical activity-sedentary lifestyle pattern". The prevalence odds ratio for obesity in men in the "Mixed diet-physically active-low sedentary lifestyle pattern" was significantly lower compared to those in the "Poor diet-low physical activity-sedentary lifestyle pattern". Those behavior patterns are helpful to identify specific issues in population subgroups and inform intervention strategies. The findings in this study underline the importance of designing and implementing interventions that address multiple health risk practices, considering lifestyle patterns and associated determinants.

SUBMITTER: Perez-Rodrigo C

PROVIDER: S-EPMC5490585 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Publications

Lifestyle Patterns and Weight Status in Spanish Adults: The ANIBES Study.

Pérez-Rodrigo Carmen C Gianzo-Citores Marta M Gil Ángel Á González-Gross Marcela M Ortega Rosa M RM Serra-Majem Lluis L Varela-Moreiras Gregorio G Aranceta-Bartrina Javier J

Nutrients 20170614 6

Limited knowledge is available on lifestyle patterns in Spanish adults. We investigated dietary patterns and possible meaningful clustering of physical activity, sedentary behavior, sleep time, and smoking in Spanish adults aged 18-64 years and their association with obesity. Analysis was based on a subsample (<i>n</i> = 1617) of the cross-sectional ANIBES study in Spain. We performed exploratory factor analysis and subsequent cluster analysis of dietary patterns, physical activity, sedentary be ...[more]

PMID: 28613259

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Project description:Diet is one of the key modifiable behaviors that can help to control and prevent non-communicable chronic diseases. Therefore, it is important to evaluate the overall diet composition of the population through non-invasive and independent indexes or scores as diet quality indexes (DQIs). The primary aim of the present work was to estimate the adequacy of the intake of critical nutrients in the Spanish "Anthropometry, Intake, and Energy Balance Study" (ANIBES) (n = 2285; 9-75 years), considering, as a reference, the European Food Scientific Authority (EFSA) values for nutrients for the European Union. We also assessed the quality of the diet for adults and older adults using four internationally accepted DQIs, namely the Healthy Diet Indicator (HDI), the Mediterranean Diet Score (MDS), the Mediterranean Diet Score-modified (MDS-mod), and the Mediterranean-Diet Quality Index (MED-DQI), as well as the ANIBES-DQI, stratified by education and income. The ANIBES-DQI was based on compliance with EFSA and Food and Agriculture Organization recommendations for a selected group of nutrients (i.e., total fat, saturated fatty acids (SFAs), simple sugars, fiber, calcium, vitamin C, and vitamin A), with a total range of 0-7. Misreporting was assessed according to the EFSA protocol, which allowed us to assess the DQIs for both the general population and plausible reporters. The majority of the Spanish population had high intakes of SFAs and sugars and low intakes of fiber, folate, and vitamins A and C. In addition, about half of the population had low DQI scores and exhibited low adherence to the Mediterranean diet pattern. Overall, older adults (>65-75 years) showed better DQIs than adults (18-64 years), without major differences between men and women. Moreover, primary education and low income were associated with low MDS and ANIBES-DQI scores. For the ANIBES-DQI, the percentage of the population with low scores was higher in the whole population (69.5%) compared with the plausible energy reporters (49.0%), whereas for medium and high scores the percentages were higher in plausible reporters (41.2% vs. 26.2% and 9.8% vs. 4.3%, respectively). In conclusion, the present study adds support to marked changes in the Mediterranean pattern in Spain, and low education and income levels seem to be associated with a low-quality diet. Additionally, the misreported evaluation in the ANIBES population suggests that this analysis should be routinely included in nutrition surveys to give more precise and accurate data related to nutrient intake and diet quality.

Dataset Information

Lifestyle Patterns and Weight Status in Spanish Adults: The ANIBES Study.

Publications

Lifestyle Patterns and Weight Status in Spanish Adults: The ANIBES Study.

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