Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial
Background: The traditional Mediterranean dietary pattern (MedDiet) is associated with longevity and low rates of cardiovascular disease (CVD). However, there is little information on who is more likely to follow this food pattern. Aim: To evaluate how different factors are associated with lower Me...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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Public Library of Science
2013
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| Online Access: | https://hdl.handle.net/10171/29356 |
| _version_ | 1793400100709466112 |
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| author | Hu, E.A. (Emily A.) Toledo, E. (Estefanía) Diez-Espino, J. (Javier) Estruch, R. (Ramón) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Vinyoles, E. (Ernest) Gomez-Gracia, E. (Enrique) Aros, F. (Fernando) Fiol, M. (Miquel) Lapetra, J. (José) Serra-Majem, L. (Luis) Pinto, X. (Xavier) Portillo, M.P. (María P.) Lamuela-Raventos, R.M. (Rosa Maria) Ros, E. (Emilio) Sorli, J.V. (Jose V.) Martinez-Gonzalez, M.A. (Miguel Ángel) |
| author_facet | Hu, E.A. (Emily A.) Toledo, E. (Estefanía) Diez-Espino, J. (Javier) Estruch, R. (Ramón) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Vinyoles, E. (Ernest) Gomez-Gracia, E. (Enrique) Aros, F. (Fernando) Fiol, M. (Miquel) Lapetra, J. (José) Serra-Majem, L. (Luis) Pinto, X. (Xavier) Portillo, M.P. (María P.) Lamuela-Raventos, R.M. (Rosa Maria) Ros, E. (Emilio) Sorli, J.V. (Jose V.) Martinez-Gonzalez, M.A. (Miguel Ángel) |
| author_sort | Hu, E.A. (Emily A.) |
| collection | DSpace |
| description | Background: The traditional Mediterranean dietary pattern (MedDiet) is associated with longevity and low rates of cardiovascular disease (CVD). However, there is little information on who is more likely to follow this food pattern.
Aim: To evaluate how different factors are associated with lower MedDiet adherence in older Spanish subjects.
Methods: We included 7305 participants (men aged 55-80 y, women 60-80 y) at high-risk of CVD recruited into the PREDIMED trial (ISRCTN35739639). Socioeconomic, anthropometric, lifestyle characteristics and CVD risk factors were recorded. A validated 14-item questionnaire was used to evaluate MedDiet adherence at baseline. Multivariate models were used to estimate odds ratios (OR) and 95% confidence intervals for lower adherence to the MedDiet (<9 points out of 14) and ascertain factors independently associated with it.
Results: Former smoking (OR = 0.87; 95% CI, 0.78-0.98), physical activity (OR for the 3(rd) vs. the 1(st)tertile: 0.69; 0.62-0.78), and higher educational level (OR for university vs. less than primary school: 0.54; 0.38-0.77) were associated with higher MedDiet adherence. Conversely, having a larger waist-to-height ratio (OR for 0.1 units, 1.35; 1.22-1.49), being diabetic (OR = 1.13; 1.03-1.24), being single (OR = 1.27; 1.01-1.61) or divorced or separated (OR = 1.44; 1.09-1.89), and current smoking (OR = 1.28; 1.11-1.47) were associated with lower adherence.
Conclusions: Participants with little education, a larger waist-to-height ratio, or diabetes and those who were less physically active, single, divorced or separated, or smokers were less likely to adhere to the MedDiet, an ideal model for food choices. Stronger efforts of health promotion are needed in these groups to foster adoption of the MedDiet. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-29356 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2013 |
| publisher | Public Library of Science |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-293562023-03-13T11:03:58Z Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial Hu, E.A. (Emily A.) Toledo, E. (Estefanía) Diez-Espino, J. (Javier) Estruch, R. (Ramón) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Vinyoles, E. (Ernest) Gomez-Gracia, E. (Enrique) Aros, F. (Fernando) Fiol, M. (Miquel) Lapetra, J. (José) Serra-Majem, L. (Luis) Pinto, X. (Xavier) Portillo, M.P. (María P.) Lamuela-Raventos, R.M. (Rosa Maria) Ros, E. (Emilio) Sorli, J.V. (Jose V.) Martinez-Gonzalez, M.A. (Miguel Ángel) Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors Background: The traditional Mediterranean dietary pattern (MedDiet) is associated with longevity and low rates of cardiovascular disease (CVD). However, there is little information on who is more likely to follow this food pattern. Aim: To evaluate how different factors are associated with lower MedDiet adherence in older Spanish subjects. Methods: We included 7305 participants (men aged 55-80 y, women 60-80 y) at high-risk of CVD recruited into the PREDIMED trial (ISRCTN35739639). Socioeconomic, anthropometric, lifestyle characteristics and CVD risk factors were recorded. A validated 14-item questionnaire was used to evaluate MedDiet adherence at baseline. Multivariate models were used to estimate odds ratios (OR) and 95% confidence intervals for lower adherence to the MedDiet (<9 points out of 14) and ascertain factors independently associated with it. Results: Former smoking (OR = 0.87; 95% CI, 0.78-0.98), physical activity (OR for the 3(rd) vs. the 1(st)tertile: 0.69; 0.62-0.78), and higher educational level (OR for university vs. less than primary school: 0.54; 0.38-0.77) were associated with higher MedDiet adherence. Conversely, having a larger waist-to-height ratio (OR for 0.1 units, 1.35; 1.22-1.49), being diabetic (OR = 1.13; 1.03-1.24), being single (OR = 1.27; 1.01-1.61) or divorced or separated (OR = 1.44; 1.09-1.89), and current smoking (OR = 1.28; 1.11-1.47) were associated with lower adherence. Conclusions: Participants with little education, a larger waist-to-height ratio, or diabetes and those who were less physically active, single, divorced or separated, or smokers were less likely to adhere to the MedDiet, an ideal model for food choices. Stronger efforts of health promotion are needed in these groups to foster adoption of the MedDiet. 2013-06-11T16:22:05Z 2013-06-11T16:22:05Z 2013 info:eu-repo/semantics/article https://hdl.handle.net/10171/29356 eng info:eu-repo/semantics/openAccess application/pdf Public Library of Science |
| spellingShingle | Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors Hu, E.A. (Emily A.) Toledo, E. (Estefanía) Diez-Espino, J. (Javier) Estruch, R. (Ramón) Corella, D. (Dolores) Salas-Salvado, J. (Jordi) Vinyoles, E. (Ernest) Gomez-Gracia, E. (Enrique) Aros, F. (Fernando) Fiol, M. (Miquel) Lapetra, J. (José) Serra-Majem, L. (Luis) Pinto, X. (Xavier) Portillo, M.P. (María P.) Lamuela-Raventos, R.M. (Rosa Maria) Ros, E. (Emilio) Sorli, J.V. (Jose V.) Martinez-Gonzalez, M.A. (Miguel Ángel) Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title | Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title_full | Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title_fullStr | Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title_full_unstemmed | Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title_short | Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial |
| title_sort | lifestyles and risk factors associated with adherence to the mediterranean diet: a baseline assessment of the predimed trial |
| topic | Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors |
| url | https://hdl.handle.net/10171/29356 |
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