RT info:eu-repo/semantics/article T1 Nutritional and lifestyle features in a Mediterranean cohort: An epidemiological instrument for categorizing metabotypes based on a computational algorithm A1 García Perea, Aquilino A1 Fernández Cruz, Edwin A1 de la O Pascual, Victor A1 Gonzalez Zorzano, Eduardo A1 Moreno Aliaga, María J. A1 Tur, Josep A. A1 Martínez Hernández, José Alfredo K1 Metabotype K1 Lifestyles K1 Calidad de vida K1 Health K1 Salud K1 Public health K1 Public health - Spain K1 Salud pública - España K1 Nutrition K1 Mediterranean diet K1 Alimentación - España K1 Computer networks K1 Redes de ordenadores K1 Machine learning K1 Aprendizaje automático K1 32 Ciencias Médicas K1 3212 Salud Publica K1 3206 Ciencias de la Nutrición K1 1203.17 Informática AB Background and Objectives: Modern classification and categorization of individuals’ health requires personalized variables such as nutrition, physical activity, lifestyle, and medical data through advanced analysis and clustering methods involving machine learning tools. The objective of this project was to categorize Mediterranean dwellers’ health factors and design metabotypes to provide personalized well-being in order to develop professional implementation tools in addition to characterizing nutritional and lifestyle features in such populations. Materials and Methods: A two-phase observational study was conducted by the Pharmacists Council to identify Spanish nutritional and lifestyle characteristics. Adults over 18 years of age completed questionnaires on general lifestyle habits, dietary patterns (FFQ, MEDAS-17 p), physical activity (IPAQ), quality of life (SF-12), and validated well-being indices (LS7, MEDLIFE, HHS, MHL). Subsequently, exploratory factor, clustering, and random forest analysis methods were conducted to objectively define the metabotypes considering population determinants. Results: A total of 46.4% of the sample (n = 5496) had moderate-to-high adherence to the Mediterranean diet (>8 points), while 71% of the participants declared that they had moderate physical activity. Almost half of the volunteers had a good self-perception of health (49.9%). Regarding lifestyle index, population LS7 showed a fair cardiovascular health status (7.9 ± 1.7), as well as moderate quality of life by MEDLIFE (9.3 ± 2.6) and MHL scores (2.4 ± 0.8). In addition, five metabotype models were developed based on 26 variables: Westernized Millennial (28.6%), healthy (25.1%), active Mediterranean (16.5%), dysmetabolic/pre-morbid (11.5%), and metabolically vulnerable/pro-morbid (18.3%). Conclusions: The support of tools related to precision nutrition and lifestyle integrates well-being characteristics and contributes to reducing the impact of unhealthy lifestyle habits with practical implications for primary care. Combining lifestyle, metabolic, and quality of life traits will facilitate personalized precision interventions and the implementation of targeted public health policies. PB MDPI SN 1648-9144 YR 2024 FD 2024 LK https://uvadoc.uva.es/handle/10324/67382 UL https://uvadoc.uva.es/handle/10324/67382 LA eng NO Medicina, 2024, Vol. 60, Nº. 4, 610 NO Producción Científica DS UVaDOC RD 11-jul-2024