RT journal article T1 Mediterranean diet, tobacco consumption and body composition during perimenopause. The FLAMENCO project A1 Flor-Alemany, Marta A1 Marín Jiménez, Nuria A1 Nestares, Teresa A1 Borges Cosic, Milkana María A1 Aranda, Pilar A1 Aparicio, Virginia Ariadna A2 Didáctica de la Educación FísicaPlástica y Musical K1 Menopause K1 climacteric K1 nutrition K1 fat K1 cigarettes AB *Objective: To study the association of the adherence to the Mediterranean diet (MD) and tobacco consumptionwith body composition during perimenopause.*Study design and methods: A cross-sectional study in 176 perimenopausal women from the FLAMENCO project. Afood frequency questionnaire and the Mediterranean Diet Score were assessed. Body composition was measuredusing dual-energy X-ray absorptiometry.*Main outcomes measures: Body mass index (BMI), fat mass (FM), ratio of gynecoid to total fat mass (G/T), ratio ofandroid to gynecoid fat mass (A/G), visceral adipose tissue (VAT) and waist circumference (WC).*Results: Intake of whole-grain cereals was associated with lower WC, FM percentage, android FM, VAT andhigher G/T (all p<0.05). Intake of nuts was associated with lower BMI and FM percentage and intake of fruitswith lower BMI, WC, total and android FM, FM percentage, A/G, VAT and higher G/T (all p<0.05). Intake ofpulses was associated with lower weight, BMI and android FM. Intake of whole dairy products was associatedwith lower weight, BMI, WC, total and android FM and VAT (all p<0.05). Intake of olive oil was associated withlower WC and FM percentage (all p<0.05). Intake of sweetened beverages was associated with higher weight,BMI, WC, FM percentage, android FM, VAT and total FM (all, p<0.05). Smokers had a lower MD adherence(p<0.05). Finally, a greater MD adherence was associated with higher G/T (p<0.01) and lower A/G(p<0.05).*Conclusions: A higher MD adherence, avoiding tobacco, an increased consumption of whole-grain cereals, nuts,fruits, pulses, whole dairy products and olive oil, and a lower consumption of sweetened beverages mightcontribute to a healthier body composition during perimenopause. PB Elsevier B.V. SN 1873-4111 YR 2020 FD 2020 LK http://hdl.handle.net/10498/35101 UL http://hdl.handle.net/10498/35101 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 22-sep-2026