Fluid and total water intake in a senior mediterranean population at high cardiovascular risk: demographic and lifestyle determinants in the PREDIMED-Plus study

Identifier:  imarina:5563491

Handle: https://hdl.handle.net/20.500.11797/imarina5563491

Authors:  Paz-Graniel, Indira; Babio, Nancy; Serra-Majem, Luis; Vioque, Jesus; Dolores Zomeno, Maria; Corella, Dolores; Diaz-Lopez, Andres; Pinto, Xavier; Bueno-Cavanillas, Aurora; Tur, Josep A; Daimiel, Lidia; Alfredo Martinez, J; Becerra-Tomas, Nerea; Navarrete-Munoz, Eva Ma; Schroder, Helmut; Fernandez-Carrion, Rebeca; Ortiz-Andrellucchi, Adriana; Corbella, Emili; Riquelme-Gallego, Blanca; Gallardo-Alfaro, Laura; Mico, Victor; Zulet, Marian; Barrubes, Laura; Fito, Montserrat; Ruiz-Canela, Miguel; Salas-Salvado, Jordi

Abstract:
© 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. Methods: Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate–vigorous physical activity (MVPA). Results: The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). Conclusions: High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.