Validation of a pregnancy-adapted Mediterranean Diet Adherence Screener (preg-MEDAS): a validation study nested in the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) trial
Por:
Castro-Barquero S, Crovetto F, Estruch R, María Ruiz-León A, Larroya M, Sacanella E, Casanovas-Garriga F, Casas I, Nakaki A, Youssef L, Trejo-Domínguez A, Benitez L, Genero M, Vieta E, Gratacós E, Crispi F and Casas R
Publicada:
1 ago 2024
Ahead of Print:
1 ago 2024
Resumen:
Background: Non-time-consuming and easy-to-administer dietary assessment tools specific fi c for pregnancy are needed. Objectives: The aim of this validation study nested in the IMPACT BCN (Improving Mothers for a better PrenAtal Care Trial BarCeloNa) trial is to determine the concurrent validity of the 17-item pregnancy-adapted Mediterranean diet score (preg-MEDAS) and to analyze whether changes in the pregMEDAS score were associated with maternal favorable dietary and cardiometabolic changes after 3 mo of intervention in pregnant women.
Methods: Dietary data was collected in 812 participants using the preg-MEDAS and a 151-item validated food frequency questionnaire (FFQ) at baseline (19-23 - 23 wk gestation) and fi nal visit (31-34 - 34 wk gestation). Concurrent preg-MEDAS validity was evaluated by Pearson and intraclass correlation coefficients, fi cients, kappa statistic, and Bland-Altman methods.
Results: The preg-MEDAS had a good correlation with the FFQ (r r 1 / 4 0.76 and intraclass correlation coefficient i cient 0.75). The agreement of each of the pregMEDAS items ranged from 40.9% to 93.8% with a substantial agreement mean concordance (kappa 1 / 4 0.61). A 2-point increase in preg-MEDAS was associated with a decrease in maternal mean and systolic blood pressure (beta: -0.51 mmHg; 95% confidence fi dence interval [CI]: -0.97, -0.04 mmHg and -0.87 mmHg; 95% CI: -1.48, -0.26 mmHg, respectively).
Conclusions: The preg-MEDAS displays good validity for assessing adherence to the Mediterranean diet, allowing detection of dietary changes over time. In addition, changes observed in preg-MEDAS are significantly fi cantly associated with a decrease in maternal blood pressure. Therefore, we propose pregMEDAS as a rapid and simple dietary assessment tool during pregnancy.
Filiaciones:
Castro-Barquero S:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN)
Institut de Recerca en Nutrició i Seguretat Alimentaria (INSA-UB). University of Barcelona, Barcelona, Spain
Crovetto F:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0001, Instituto de Salud Carlos III, Barcelona, Spain
Estruch R:
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN)
Institut de Recerca en Nutrició i Seguretat Alimentaria (INSA-UB). University of Barcelona, Barcelona, Spain
Department of Internal Medicine Hospital Clinic, University of Barcelona, Barcelona, Spain
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
María Ruiz-León A:
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN)
Institut de Recerca en Nutrició i Seguretat Alimentaria (INSA-UB). University of Barcelona, Barcelona, Spain
Department of Internal Medicine Hospital Clinic, University of Barcelona, Barcelona, Spain
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Sacanella E:
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN)
Department of Internal Medicine Hospital Clinic, University of Barcelona, Barcelona, Spain
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Casanovas-Garriga F:
Institut de Recerca en Nutrició i Seguretat Alimentaria (INSA-UB). University of Barcelona, Barcelona, Spain
Department of Internal Medicine Hospital Clinic, University of Barcelona, Barcelona, Spain
Casas I:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Nakaki A:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Josep Carreras Leukaemia Research Institute, Hospital Clinic/University of Barcelona Campus, Barcelona, Spain
Trejo-Domínguez A:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Vieta E:
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Department of Psychiatry and Psychology, Hospital Clinic, Neuroscience Institute, University of Barcelona, CIBERSAM, Barcelona, Spain
Gratacós E:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Centre for Biomedical Research on Rare Diseases (CIBER-ER), Madrid, Spain
Crispi F:
BCNatal | Barcelona Center for Maternal and Fetal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), University of Barcelona
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
Centre for Biomedical Research on Rare Diseases (CIBER-ER), Madrid, Spain
Casas R:
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN)
Institut de Recerca en Nutrició i Seguretat Alimentaria (INSA-UB). University of Barcelona, Barcelona, Spain
Department of Internal Medicine Hospital Clinic, University of Barcelona, Barcelona, Spain
Institut de Recerca August Pi Sunyer (IDIBAPS), Barcelona, Spain
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