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      <dc:title>Adherence to the spanish dietary guidelines and its association with obesity in the european prospective investigation into cancer and nutrition (EPIC)-Granada study</dc:title>
      <dc:creator>Molina-Montes, Esther</dc:creator>
      <dc:creator>Uzhova, I</dc:creator>
      <dc:creator>Molina-Portillo, E</dc:creator>
      <dc:creator>Huerta, JM</dc:creator>
      <dc:creator>Buckland, G</dc:creator>
      <dc:creator>Amiano, P</dc:creator>
      <dc:creator>Menendez, V</dc:creator>
      <dc:creator>Barricarte, A</dc:creator>
      <dc:creator>González, CA</dc:creator>
      <dc:creator>Sánchez, MJ</dc:creator>
      <dc:description>Objective: Dietary guidelines are intended to prevent chronic diseases and obesity. The aim of the present study was to develop a diet quality index based on the Spanish Food Pyramid (SFP) and to further explore its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study.&#xd;
Design: Cross-sectional study. The SFP score considered recommendations given for twelve food groups, and for physical activity and alcohol consumption. Obesity was defined as BMI over 30 kg/m2 and abdominal obesity as waist circumference larger than 102 cm (men) and 88 cm (women). Logistic regression was conducted to estimate odds ratios of obesity by quintiles and by 10-point increment in adherence to the score, controlling for potential confounders.&#xd;
Setting: EPIC-Granada study.&#xd;
Subjects: Participants (n 6717) aged 35-69 years (77 % women).&#xd;
Results: A 10-point increase in adherence to the SFP score was associated with a 14 % (OR=0·86; 95 % CI 0·79, 0·94) lower odds of obesity in men (P interaction by sex=0·02). The odds of abdominal obesity decreased globally by 12 % (OR=0·88; 95 % CI 0·84, 0·93) per 10-point increase in adherence to this score. The effect of higher adherence to the score on abdominal obesity was stronger in physically inactive men and women (ORper 10-point increase=0·79; 95 % CI 0·68, 0·92 and ORper 10-point increase=0·89; 95 % CI 0·84, 0·95, respectively).&#xd;
Conclusions: These findings support that the Spanish dietary guidelines might be an effective tool for obesity prevention. However, prospective studies investigating this association are warranted.</dc:description>
      <dc:date>2025-01-31T08:06:14Z</dc:date>
      <dc:date>2025-01-31T08:06:14Z</dc:date>
      <dc:date>2010-04-24</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>Public Health Nutr . 2014;17(11):2425-35</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10481/101443</dc:identifier>
      <dc:identifier>10.1017/S1368980014000688</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
      <dc:rights>open access</dc:rights>
      <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 Internacional</dc:rights>
   </ow:Publication>
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