Psychometric properties of the Weight Locus of Control Scale (MWLCS): study with Spanish individuals of different anthropometric nutritional status.

INTRODUCTION: The Multidimensional Weight Locus of Control Scale (MWLCS) measures a person's beliefs regarding the locus of control or lack of locus of control over his/her body weight. PURPOSE: We aim to evaluate the factorial structure and psychometric properties of the MWLCS with Spanish normal weight, overweight and obese samples. METHODS: The research was carried out in two different studies. The first included a sample of 140 normal weight participants, selected out of a 274 sample recruited with an online survey. Study 2 was carried out in a sample of 633 participants recruited from the PREDIMED-Plus study. Out of them, 558 participants fulfilled the weight criteria and were categorized into: overweight (BMI 25 - < 29.99; N = 170), obese class I (BMI 30 - < 34.99; N = 266), and obese class II (BMI 35 - < 39.99; N = 122). Exploratory (EFA) and confirmatory (CFA) factor analyses were used to evaluate the factor structure of the MWLCS, and reliabilities and Spearman's correlations were estimated. Invariance measurement was tested across the three subgroups of weight in Study 2. RESULTS: A three-factor structure indicating weight locus of control factors (internal, chance, and powerful others) was supported, both via EFA in the normal weight sample and CFA in the overweight and obese samples. In the normal weight sample, the powerful others dimension was positively related to BMI and the dimensions of the Dutch Eating Behaviors Questionnaire. Additionally, the scale showed evidence of scalar invariance across the groups with different weight conditions. CONCLUSIONS: This scale seems to be a psychometrically appropriate instrument and its use is highly recommended when designing interventions for overweight or obese individuals. LEVEL OF EVIDENCE: Level V, descriptive study.

Mediterranean alcohol-drinking pattern, low to moderate alcohol intake and risk of atrial fibrillation in the PREDIMED study.

BACKGROUND AND AIMS: There is ongoing controversy about the effect of a low to moderate alcohol consumption on atrial fibrillation (AF). Our aim is to assess the association between adherence to a Mediterranean alcohol drinking pattern and AF incidence. METHODS AND RESULTS: A total 6527 out of the 7447 participants in the PREDIMED trial met our inclusion criteria. A validated frequency food questionnaire was used to measure alcohol consumption. Participants were classified as non-drinkers, Mediterranean alcohol drinking pattern (MADP) (10-30 g/d in men and 5-15 g/day in women, preferably red wine consumption with low spirits consumption), low-moderate drinking (<30 g/day men y and < 15 g/day women), and heavy drinking. We performed multivariable Cox regression models to estimate hazard ratios (HR) with 95% confidence intervals (95% CI) of incident AF according to alcohol drinking patterns. After a mean follow up of 4.4 years, 241 new incident AF cases were confirmed. Alcohol consumption was not associated to AF incidence among low-moderate drinkers (HR: 0.96; 95%CI: 0.67-1.37), adherents to MADP (HR: 1.15 95%CI: 0.75-1.75), or heavy drinkers (HR: 0.92; 95%CI: 0.53-1.58), compared with non-drinkers. CONCLUSIONS: In a high cardiovascular risk adult population, a Mediterranean alcohol consumption pattern (low to moderate red wine consumption) was not associated with an increased incidence of AF. CLINICAL TRIALS: URL: http://www.controlled-trials.com. Unique identifier: ISRCTN35739639.

Mercury and methylmercury intake estimation due to seafood products for the Catalonian population (Spain).

This study estimates mercury and methylmercury levels in fish and fishery products commercialized in the city of Barcelona, Spain, from 2001 to 2007. Combining data of mercury levels in food with the consumption data of 2158 people (as the median of two 24-h recall), the total mercury intake of the Catalonian population was calculated. Mercury was detected in 32.8% of analysed samples. The general population average weekly intake of total mercury in the Catalonian population was 0.783 microg kg(-1) of body weight. This value is clearly lower than the Joint FAO/WHO Expert Committee on Food Additives (JECFA) provisional tolerable weekly intakes (PTWI) of 5 microg kg(-1) of body weight. The fish group was the main contributor to this value, mainly due to predatory species.

Population attitudes towards changing dietary habits and reliance on general practitioners in Spain.

OBJECTIVE: To investigate the relationship between population attitudes towards modifying food behaviour and reliance on General Practitioners (GPs) as nutrition educators. DESIGN: Personal interview in a random sample of the general population of the Canary Islands as part of the Canary Islands Nutrition Survey. SUBJECTS: 1747 individuals aged 6-74y. MAIN OUTCOME MEASURES: Attitudes towards changing food behaviour and reliance on GPs. RESULTS: Response rate was 67%. Physicians were the most reliable source of nutrition information with 79% of the population considering them as highly reliable. More than 60% of the population showed a favourable attitude towards increasing fruit and vegetables and towards decreasing alcohol, sugar and pastries. Reliance on GPs was associated with better attitudes towards increasing fruits, decreasing meat, pastries, sugar and losing weight. CONCLUSIONS: Population attitudes towards changing certain dietary behaviours were associated with having the greatest reliance on GPs.