Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Alcoholic beverage preference and dietary pattern in Spanish university graduates: the SUN cohort study

Abstract

Objective:

To describe the association between alcohol beverage preference and dietary habits comparing wine drinkers with other alcoholic beverage drinkers and with nondrinkers in Spanish university graduates.

Subjects:

A total of 10 526 men and women, who were recruited using mailed questionnaires, participated in this study.

Methods:

A semiquantitative food frequency questionnaire previously validated in Spain was used together with other questionnaires designed to collect lifestyle characteristics.

Results:

Wine drinkers reported higher intake of fibre and olive oil, and lower consumption of fat (only men), dairy products, sugared soda drinks and fast food as compared with other alcoholic beverage groups and nondrinkers. Men nondrinkers were more likely to be physically active during their leisure time than wine drinkers. No relevant differences were found in adherence to the Mediterranean food pattern according to alcoholic beverage preference.

Conclusion:

This similarity in dietary patterns between wine drinkers and other groups suggests that the positive cardiovascular effects reported for wine should not be attributed to an overall healthier dietary pattern of wine drinkers.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  • Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al. (2000). Compendium of physical activities an update of activity codes and MET intensities. Med Sci Sports Exerc 32 (Suppl 9), S498–S504.

    Article  CAS  Google Scholar 

  • Barefoot JC, Grønbaek M, Feaganes JR, McPherson RS, Willians RB, Siegler IC (2002). Alcoholic beverage preference, diet, and health habits in the UNC alumni heart study. Am J Clin Nutr 76, 466–472.

    Article  CAS  Google Scholar 

  • Chatenoud L, Negri E, LaVecchia C, Volpato O, Franceschi S (2000). Wine drinking and diet in Italy. Eur J Clin Nutr 54, 177–179.

    Article  CAS  Google Scholar 

  • Di Castelnuovo A, Rotondo S, Lacoviello L, Donati MB, De Gaetano G (2002). Meta-analysis of wine and beer consumption in relation to vascular risk. Circulation 105, 2836–2844.

    Article  Google Scholar 

  • Grønbaek M, Tjønneland A, Johansen D, Stripp C, Overvad K (2000). Type of alcohol and drinking pattern in 56,970 Danish men and women. Eur J Clin Nutr 54, 174–176.

    Article  Google Scholar 

  • Guallar-Castillon P, Rodriguez-Artalejo F, Diez LD, Banegas JR, Lafuente PL, Herruzo RH (2001). Consumption of alcoholic beverages and subjective health in Spain. J Epidemiol Community Health 55, 648–652.

    Article  CAS  Google Scholar 

  • Hu FB, Rimm EB, Stampfer MJ, Ascherio A, Spiegelman D, Willet WC (2000). Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 71, 912–921.

    Article  Google Scholar 

  • Johansen D, Friis K, Skovenborg E, Grønbaek M (2006). Food buying habits of people who buy wine or beer: cross sectional study. BMJ 332, 519–522.

    Article  Google Scholar 

  • Kesse E, Clavel-Chapelon F, Slimani N, van Liere M (2001). Do eating habits differ according to alcohol consumption? Results of a study of the French cohort of the European Prospective Investigation into Cancer and Nutrition (E3N-EPIC). Am J Clin Nutr 74, 322–327.

    Article  CAS  Google Scholar 

  • La Vecchia C (1995). Alcohol in the Mediterranean diet. Assessing risks and benefits. Eur J Cancer Prev 4, 3–5.

    Article  CAS  Google Scholar 

  • Liu S, Manson JE, Stampfer MJ, Rexrode KM, Hu FB, Rimm EB et al. (2000). Whole grain consumption and risk of ischemic stroke in women. JAMA 284, 1534–1540.

    Article  CAS  Google Scholar 

  • Marmot MG (2001). Alcohol and coronary heart disease. Int J Epidemiol 30, 724–729.

    Article  CAS  Google Scholar 

  • Marques-Vidal P, Arveiler D, Evans A, Montaye M, Bingham A, Ruidavets JB et al. (2000). Patterns of alcohol consumption in middle-aged men from France and Northern Ireland. The PRIME study. Eur J Clin Nutr 54, 321–328.

    Article  CAS  Google Scholar 

  • Martín-Moreno JM, Boyle P, Gorgojo L, Maisonneuve P, Fernandez-Rodriguez JC, Salvini S et al. (1993). Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol 22, 512–519.

    Article  Google Scholar 

  • Martínez-González MA (2006). The SUN cohort study. Public Health Nutr 9, 127–131.

    PubMed  Google Scholar 

  • Martínez-González MA, López-Fontana C, Varo JJ, Sánchez-Villegas A, Martínez JA (2005). Validation of the Spanish version of the physical activity questionnaire used in the Nurses'and Health Professionals'Follow-up Study. Public Health Nutr 8, 920–927.

    Article  Google Scholar 

  • Martínez-González MA, Martínez JA, Hu FB, Gibney MJ, Kearney J (1999). Physical inactivity, sedentary lifestyles, and obesity in the European Union. Int J Obes Relat Metab Disord 23, 1192–1201.

    Article  Google Scholar 

  • Martínez-González MA, Sánchez-Villegas A, De Irala J, Marti A, Martínez JA (2002). Mediterranean diet and stroke: objectives and design of the SUN Project. Nutr Neurosci 5, 65–73.

    Article  Google Scholar 

  • Mataix J (2003). Tabla de Composición de Alimentos (Food Composition Tables) 4th edn. Universidad de Granada. (in Spanish): Granada, Spain.

    Google Scholar 

  • McCann SE, Tempos C, Freudenheim JL, Muti P, Rusell M, Nochajski TH et al. (2003). Alcoholic beverage preference and characteristic of drinkers and nondrinkers in western New York (United States). Nutr Metab Cardiovasc Dis 13, 2–11.

    Article  CAS  Google Scholar 

  • Moreiras O (2003). Tablas de Composición de Alimentos (Food Composition Tables) 7th edn. Ediciones Pirámide: Madrid, Spain. (in Spanish).

    Google Scholar 

  • Mortensen EL, Jensen HH, Sanders SA, Reinisch JM (2001). Better psychological functioning largely explains the apparent health benefits of wine: a study of wine and beer drinking in young Danish adults. Arch Intern Med 161, 1844–1848.

    Article  CAS  Google Scholar 

  • Nielsen NR, Schnohr P, Jensen G, Gronbaek M (2004). Is the relationship between type of alcohol and mortality influenced by socio-economic status? J Intern Med 255, 280–288.

    Article  CAS  Google Scholar 

  • Paschall M, Lipton RI (2005). Wine preference and related health determinants in a US national sample of young adults. Drug Alcohol Depend 78, 339–344.

    Article  Google Scholar 

  • Psaltopoulou T, Naska A, Orfanos P, Trichopoulos D, Mountokalakis T, Trichopoulou A (2004). Olive oil, the Mediterranean diet, and arterial blood pressure: the Greek European Prospective Investigation into Cancer and Nutrition (EPIC) study. Am J Clin Nutr 80, 1012–1018.

    Article  CAS  Google Scholar 

  • Rimm EB, Giovannucci EL, Willet WC, Colditz GA, Ascherio A, Rosner B et al. (1991). Prospective study of alcohol consumption and risk of coronary disease in men. Lancet 338, 464–468.

    Article  CAS  Google Scholar 

  • Rimm EB, Klatsky A, Grobbee D, Stampfer MJ (1996). Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits. BMJ 312, 731–736.

    Article  CAS  Google Scholar 

  • Rodríguez-Artalejo F, de Andrés B, Banegas JR, Guallar-Castillón P, Villar F, del Rey J (1999). La disminución del consumo moderado de alcohol se ha asociado a un descenso de los bebedores excesivos en España en el período 1987–1993. Med Clin 113, 371–373.

    Google Scholar 

  • Ruidavets JB, Bataille V, Dallongeville J, Simon C, Bingham A, Amouyel P et al. (2004). Alcohol intake and diet in France, the prominent role of lifestyle. Eur Heart J 25, 1153–1162.

    Article  Google Scholar 

  • Segui-Gomez M, de la Fuente C, Vazquez Z, de Irala J, Martinez-Gonzalez MA (2006). Cohort profile: The ‘Seguimiento Universidad de Navarra’ (SUN) study. Int J Epidemiol 35, 1417–1422.

    Article  Google Scholar 

  • Sieri S, Agudo A, Kesse E, Klipstein-Grobusch K, San Jose B, Welch AA et al. (2002). Patterns of alcohol consumption in 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) Project. Public Health Nutr 5, 1287–1296.

    Article  CAS  Google Scholar 

  • Schroder H, Ferrandez O, Jiménez Conde J, Sanchez-Font A, Marrugat J (2005). Cardiovascular risk profile and type of alcohol beverage consumption: a population-based study. Ann Nutr Metab 49, 100–106.

    Article  Google Scholar 

  • Tjønneland A, Grønbaek M, Stripp C, Overvad K (1999). Wine intake and diet in a random sample of 48763 Danish men and women. Am J Clin Nutr 69, 49–54.

    Article  Google Scholar 

  • Tolstrup J, Jensen MK, Tjonneland A, Overvad K, Mukamal KJ, Gronbaek M (2006). Prospective study of alcohol drinking patterns and coronary heart disease in women and men. BMJ 332, 1244–1248.

    Article  Google Scholar 

  • Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E et al. (1995). Diet and overall survival in elderly people. BMJ 311, 1457–1460.

    Article  CAS  Google Scholar 

  • Trichopoulou A, Costacou T, Bamia C, Trichopoulos D (2003). Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 2599–2608.

    Article  Google Scholar 

  • Willett WC, Stampfer M (1998). Implications of total energy intake for epidemiologic analyses. In: Willett WC Nutritional Epidemiology 2nd edn., pp 273–301. Oxford University Press: New York.

    Chapter  Google Scholar 

Download references

Acknowledgements

We are indebted to the participants of the SUN Study for their continued cooperation and participation. We gratefully acknowledge the Institute of Altoaragoneses Studies for supporting the present study (23/2005). We also thank the other members of the SUN Study group including Martínez JA, Serrano-Martínez M, Bes-Rastrollo M and Tortosa A from the University of Navarra, Guillen-Grima F from the Public University of Navarra, Delgado-Rodriguez M from the University of Jaen, Llorca J from the University of Cantabria, Smyth E from the University of Santiago de Compostela and Sánchez-Villegas A from the University of Las Palmas. This study was sponsored by Instituto Estudios Altoaragoneses, Navarre Regional Government (PI41/2005) and the Spanish Ministry of Health (Instituto de Salud Carlos III, Fondo de Investigaciones Sanitarias, projects PI040233, PI042241, PI050514, PI050976 and RD 06/0045).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to I Marques-Lopes.

Additional information

Guarantor: MA Martínez-González.

Contributors: IM-L, MF-P, JPF and MAM-G were responsible for study design, data collection and analysis and obtaining funding, MAA was responsible for data analysis, drafting the manuscript and study design, FC-T was responsible for literature search and additional data analyses.

Conflict of interest

All authors have reviewed critically and approved the manuscript. None of the authors had any conflict of interest from a financial, personal or professional aspect in relation to the findings of this study.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Alcácera, M., Marques-Lopes, I., Fajó-Pascual, M. et al. Alcoholic beverage preference and dietary pattern in Spanish university graduates: the SUN cohort study. Eur J Clin Nutr 62, 1178–1186 (2008). https://doi.org/10.1038/sj.ejcn.1602833

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602833

Keywords

This article is cited by

Search

Quick links