Irina Uzhova

Institute of Technology Sligo

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Roosmarijn Verstraeten

Instituut voor Tropische Geneeskunde

Mariame Dramé

José L. Peñalvo

Instituut voor Tropische Geneeskunde

Laura Casu

University of Cagliari

Judith Kaboré

Fanta Touré

Gamal Abdel Nasser University of Conakry

Ampa Dogui RanaDiatta

Belén Moreno‐Franco

Hospital Universitario Miguel Servet

José M. Ordovás

Tufts University

Montserrat León-Latre

Instituto de Investigación Sanitaria Aragón

Cooperative Institutions

Instituto de Salud Carlos III

Centro de Investigación Biomédica en Red

Spanish National Centre for Cardiovascular Research

Centro de Investigación en Red en Enfermedades Cardiovasculares

University College Dublin

Tufts University

Universidad de Granada

Universidad de Zaragoza

Universidad Autónoma de Madrid

Cambridge University Press

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Adherence to a Mediterranean diet is associated with the presence and extension of atherosclerotic plaques in middle-aged asymptomatic adults: The Aragon Workers' Health Study

Journal of clinical lipidology (2017)

Rocío Mateo‐Gállego Irina Uzhova Belén Moreno‐Franco Montserrat León-Latre José A. Casasnovas

Mediterranean Diet

10.1016/j.jacl.2017.08.007

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Citations (16)

Recommandations pour l’amélioration de l’élaboration de politiques pertinentes en matière de nutrition en Afrique de l’Ouest

Laura Casu Irina Uzhova Ampa Dogui Diatta Mariame Dramé Roosmarijn Verstraeten

10.2499/p15738coll2.134678

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Analysis of the National Adult Nutrition Survey (Ireland) and the Food4Me Nutrition Survey Databases to Explore the Development of Food Labelling Portion Sizes for the European Union

Nutrients (2018)

Michael J. Gibney Aifric O’Sullivan Albert Flynn Janette Walton Hannelore Daniel

The present study set out to explore the option of developing food portion size for nutritional labelling purposes using two European Union (EU) dietary surveys. The surveys were selected as they differed in (a) methodologies (food diary versus food frequency questionnaire), (b) populations (Irish National Adult Nutrition Survey (NANS) versus a seven-country survey based on the pan EU study Food4Me), (c) food quantification (multiple options versus solely photographic album) and (d) duration (4 consecutive days versus recent month). Using data from these studies, portion size was determined for 15 test foods, where portion size was defined as the median intake of a target food when consumed. The median values of the portion sizes derived from both the NANS and Food4Me surveys were correlated (r = 0.823; p < 0.00) and the mean of the two survey data sets were compared to US values from the Recognized as Customarily Consumed (RACC) database. There was very strong agreement across all food categories between the averaged EU and the US portion size (r = 0.947; p < 0.00). It is concluded that notwithstanding the variety of approaches used for dietary survey data in the EU, the present data supports using a standardized approach to food portion size quantification for food labelling in the EU.

Serving size

Portion size

Survey data collection

10.3390/nu11010006

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Association Between a Social-Business Eating Pattern and Early Asymptomatic Atherosclerosis

Journal of the American College of Cardiology (2016)

José L. Peñalvo Leticia Fernández‐Friera Beatriz López‐Melgar Irina Uzhova Belén Oliva

The importance of a healthy diet in relation to cardiovascular health promotion is widely recognized. Identifying specific dietary patterns related to early atherosclerosis would contribute greatly to inform effective primary prevention strategies. This study sought to quantify the association between specific dietary patterns and presence and extent of subclinical atherosclerosis in a population of asymptomatic middle-aged adults. The PESA (Progression of Early Subclinical Atherosclerosis) study enrolled 4,082 asymptomatic participants 40 to 54 years of age (mean age 45.8 years; 63% male) to evaluate the presence of subclinical atherosclerosis in multiple vascular territories. A fundamental objective of this cohort study was to evaluate the life-style–related determinants, including diet, on atherosclerosis onset and development. We conducted a cross-sectional analysis of baseline data, including detailed information on dietary habits obtained as part of the overall life-style and risk factor assessment, as well as a complete vascular imaging study that was performed blinded to the clinical information. Most PESA participants follow a Mediterranean (40% of participants) or a Western (41%) dietary pattern. A new pattern, identified among 19% of participants, was labeled as a social-business eating pattern, characterized by a high consumption of red meat, pre-made foods, snacks, alcohol, and sugar-sweetened beverages and frequent eating-out behavior. Participants following this pattern presented a significantly worse cardiovascular risk profile and, after adjustment for risk factors, increased odds of presenting subclinical atherosclerosis (odds ratio: 1.31; 95% confidence interval: 1.06 to 1.63) compared with participants following a Mediterranean diet. A new social-business eating pattern, characterized by high consumption of red and processed meat, alcohol, and sugar-sweetened beverages, and by frequent snacking and eating out as part of an overall unhealthy life-style, is associated with an increased prevalence, burden, and multisite presence of subclinical atherosclerosis. (Progression of Early Subclinical Atherosclerosis [PESA]; NCT01410318)

Subclinical infection

Mediterranean Diet

10.1016/j.jacc.2016.05.080

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The Importance of Breakfast in Atherosclerosis Disease

Journal of the American College of Cardiology (2017)

Irina Uzhova Valentı́n Fuster Antonio Fernández-Ortı́z José M. Ordovás Javier Sanz

Subclinical infection

10.1016/j.jacc.2017.08.027

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Citations (103)

Nutrition-relevant policy in West Africa: A comprehensive review

Laura Casu Ampa Dogui Diatta Irina Uzhova Mariame Dramé Judith Kaboré

10.2499/p15738coll2.136446

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Nutrition policy in Mali

Ampa Dogui RanaDiatta Laura Casu Mariame Dramé Irina Uzhova Judith Kaboré

10.2499/p15738coll2.134658

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Nutrition policy in Ivory Coast

Ampa Dogui RanaDiatta Laura Casu Mariame Dramé Irina Uzhova Judith Kaboré

Cote d ivoire

10.2499/p15738coll2.134663

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Analysis of dietary patterns in relation to caardiovascular risk factors

Irina Uzhova

Background: Compared to the examination of food and nutrient intakes, the identification of dietary patterns provides an overall picture of our diet considering combinations foods and meals, and contextualizing diet in relation to other lifestyle factors. Due to the inherent heterogeneity in people’s eating preferences, accurate characterization of dietary patterns remains a challenge. Efficient strategies to reduce complex and multidimensional nutritional data into meaningful dietary patterns are needed, in particular to study the association between diet and chronic disease. Aims and objectives: The overall aim of this work is to identify dietary patters and their association with prevalent cardiometabolic risk factors in different populations. For this, two objectives were defined: 1) To apply “a-priori” and “a-posteriori” dietary and meal pattern analyses to characterise the nutritional quality of the diet, 2) To quantity the impact of the adherence to distinctive dietary patterns, the type and frequency of meals, eating occasions, and synergistic associations of multiple lifestyles on traditional cardio-metabolic biomarkers, and particularly the presence and extent of subclinical atherosclerosis in asymptomatic adults. Materials and methods: Analyses were carried out using baseline data from two observational prospective cohorts and a National-representative survey. The Aragon Workers Health Study (AWHS) and the Progression of Early Subclinical Atherosclerosis (PESA) study, both involved populations of middle aged men and women and aimed to assess the determinants of subclinical atherosclerosis progression. The National Adult Nutrition Survey (NANS), measured habitual food and beverage consumption, lifestyle and health status among a National representative sample of adults living in the republic of Ireland. Results: “A-posteriori” (Principal Components Analysis, Cluster Analysis and Latent Class Analysis), “a-priori” (adherence to alternate Mediterranean Diet Index) dietary patterns analyses, and quantification of dietary intakes at specific eating occasions (breakfast) were used to describe diet. A Western Dietary Pattern (WDP), characterised by higher intakes of red meat, fast food, dairy and cereals, was associated with lower high-density lipoprotein cholesterol (HDL-c) and apolipoprotein A1 levels. A Mediterranean Dietary Pattern (MDP), characterised by higher intakes of vegetables, fruits, fish, white meat, nuts and olive oil was observed to be related to a more favourable plasma lipid profile and was significantly associated with lower prevalence of plaques in femoral arteries independently of the presence of other conventional risk factors. Higher adherence to MDP combined with non-smoking, and moderate alcohol consumption resulted in a further reduction in the risk of subclinical atherosclerosis. A Social-Business eating pattern, characterised by high consumption of red meat, pre-made foods, snacks, alcohol, and sugar sweetened beverages, frequent eating out behaviour was associated with a worse CVD risk profile and significantly higher prevalence and extension of subclinical atherosclerosis. Dietary habits significantly differed on weekends. Thus those participants who preferred meat and eggs for breakfast rather than having a cereal, and skipped light meal later during the day, were more likely to follow unhealthy overall dietary pattern, have higher diastolic blood pressure and increased serum ferritin. Moreover, skipping breakfast is not only a marker of overall unhealthy dietary pattern and lifestyle, it is also significantly associated with increased prevalence of non-coronary and generalized atherosclerosis. On the other hand regular breakfast consumption was associated with higher overall dietary quality. Conclusion: “A-posteriori” and “a-priori” analyses of dietary patterns are useful techniques to characterise the dietary habits commonly followed within a given population and their relationship with CVD markers. In combination with the investigation of daily meal consumption and at specific eating occasions, this approach could lead to improved public health guidelines and recommendations to improve diet, and overall lifestyle and curb the increasing burden of CVD.

Subclinical infection

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Nutrition policy in Guinea-Bissau

Ampa Dogui RanaDiatta Laura Casu Mariame Dramé Irina Uzhova Judith Kaboré

New guinea

10.2499/p15738coll2.134666

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