scholarly journals Quality, but not cost, of diet is associated with 5-year incidence of CVD: the ATTICA study

2010 ◽  
Vol 13 (11) ◽  
pp. 1890-1897 ◽  
Author(s):  
Konstantinos Vlismas ◽  
Demosthenes B Panagiotakos ◽  
Christos Pitsavos ◽  
Christina Chrysohoou ◽  
Yannis Skoumas ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Dietary Habits ◽  
Cross Sectional ◽  
Dietary Choices ◽  
Unit Increase ◽  
History Of ◽  
Diet Cost ◽  
The Mediterranean ◽  
Traditional Mediterranean Diet

AbstractObjectiveThe aim of the present work was to calculate the current cost of the Mediterranean diet in Greece and to evaluate the role of diet cost in the development of cardiovascular events after a 5-year follow-up.DesignCross-sectional. Cost of diet was measured in €/week based on common Greek dietary choices, while baseline dietary habits were assessed through a semi-quantitative FFQ (Greek-EPIC). The Mediterranean Diet Score (MedDietScore) was applied to assess overall adherence to this pattern using scores of eleven food variables and alcohol, according to the principles of the Mediterranean diet.SettingFive-year follow-up of the ATTICA study, a nutrition and health survey of a representative, free-living sample of the Greek population resident in the province of Attica, where Athens is a major metropolis.SubjectsFrom 2001 to 2002, 1514 men and 1528 women (aged >18 years) without known CVD were enrolled. In 2006, the 5-year follow-up was performed.ResultsThe weekly cost of participants’ diets varied from 5·35 to 83·57 €/week in men (mean 25·45 (sd 6·80) €/week) and from 10·89 to 55·49 €/week in women (mean 25·63 (sd 6·30) €/week). Diet cost was correlated marginally to MedDietScore (r = 0·060, P = 0·05) as well as being associated with history of hypercholesterolaemia (mean (sd), yes v. no: 24·90 (5·73) v. 25·82 (6·95) €/week, P = 0·027), physical activity (mean (sd), yes v. no: 26·42 (6·90) v. 24·82 (6·20) €/week, P < 0·001) and current smoking (mean (sd), yes v. no: 24·99 (6·40) v. 25·98 (6·70) €/week, P = 0·017). No significant association was found between diet cost and 5-year incidence of CVD (hazard ratio = 1·021, 95 % CI 0·965, 1·081). However, adherence to the traditional Mediterranean diet was inversely associated with the development of CVD (relative risk per 1-unit increase in MedDietScore = 0·92, 95 % CI 0·89, 0·94) after adjustment for various potential confounders including diet cost.ConclusionsQuality but not cost of the diet is associated with the development of CVD.

scholarly journals Factors Associated with Adherence to the Mediterranean Diet and Dietary Habits among University Students in Lebanon

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jennifer S. El Hajj ◽  
Sofi G. Julien
Keyword(s):  
University Students ◽  
Mediterranean Diet ◽  
Large Scale ◽  
Dietary Habits ◽  
Nutritional Knowledge ◽  
Cross Sectional ◽  
Dietary Choices ◽  
Significant Difference ◽  
Westernized Diet ◽  
The Mediterranean

Although the Mediterranean Diet has been acknowledged as the best overall diet for the year 2020, it has seen a decrease in its adherence over the past years. This is due to several reasons, one of which is the gradual shift to a more westernized diet with all the influences that occur especially on university students whose dietary choices set a path for future dietary habits. The aim of this study is to check the level of adherence to the Mediterranean Diet and frequency of breakfast consumption among university students in Lebanon and check whether they are influenced by sociodemographic, anthropometric, dietary knowledge, or academic data. A cross-sectional questionnaire was electronically sent to randomly selected students (210 females and 93 males) from different universities across Lebanon, aged between 18 and 25 years old. The questionnaire was filled online, and all data were self-reported. The Mediterranean Diet Quality Index (KIDMED) was used as a tool to evaluate adherence to the Mediterranean Diet. The results showed that 18.8% of respondents had high adherence to the Mediterranean Diet. Students who reported always consuming breakfast and not skipping meals had significantly higher adherence to the MD. Furthermore, students with lower BMI and higher KIDMED scores had significantly more correct answers on the nutritional knowledge questions. In addition, there was a significant difference in the average KIDMED scores between different GPA categories, most notably when comparing high and poor MD adherence; students with excellent GPA scores had higher adherence to the MD than those with poor GPA scores. In conclusion, nutrition awareness in a university setting is very important since it may positively affect academic outcomes and may be the last chance to teach and engrave healthy eating patterns to a large scale of students.

scholarly journals Adherence to the Mediterranean Diet and Lifestyle Characteristics of University Students in Cyprus: A Cross-Sectional Survey

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Elena Hadjimbei ◽  
George Botsaris ◽  
Vassilis Gekas ◽  
Andrie G. Panayiotou
Keyword(s):  
Olive Oil ◽  
Mediterranean Diet ◽  
Fast Food ◽  
Dietary Habits ◽  
Adult Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adherence Score ◽  
The Mean ◽  
The Mediterranean

Objective. To assess dietary-related habits among young adults.Design and Setting. Dietary habits were assessed cross-sectionally, using a self-completed questionnaire in 193 students enrolled in public and private universities in Cyprus. Adherence to the Mediterranean diet was evaluated using the validated KIDMED index. BMI was estimated based on weight and height measurements.Results. The mean BMI was 23.31 (±3.98). The mean adherence score to the Mediterranean diet was 6.0 (IQR 4 to 8), with 26.9% of students being classified as high adherers and 21.8% as low adherers to the Mediterranean diet. About 32% of students consumed a second serving of fruit and vegetables more than once a day, whereas 26% reported going more than once a week to a fast-food restaurant and 31% consumed sweets and candy several times a day. On the other hand, 76% of participants reported consumption of at least two dairy products daily and 88% use olive oil at home. The majority consume coffee 2-3 times per day.Conclusions. Results support a shift from traditional healthy diets to more unhealthy eating patterns. However, we also report a high dairy intake and use of olive oil. Tailored-made strategies targeting the young adult population could be warranted.

scholarly journals Study of Physical Fitness, Bone Quality, and Mediterranean Diet Adherence in Professional Female Beach Handball Players: Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1911
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Javier Sánchez-Sánchez ◽  
María Martínez-Olcina ◽  
Manuel Vicente-Martínez ◽  
Laura Miralles-Amorós ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Mediterranean Diet ◽  
Dietary Habits ◽  
Broadband Ultrasound Attenuation ◽  
Future Research ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence ◽  
The Mediterranean

(1) Background: Beach handball is a relatively new type of sport, derived from team handball. The purpose of the study was to evaluate the physical fitness of elite players of this sport by studying some variables of sports performance, including strength, endurance and power, and dietary habits, and to assess bone ultrasonographic variables. (2) Methods: 33 beach handball players have participated in this research; 18 juniors (age: 16.7 ± 0.50) and 15 seniors (age: 24.8 ± 4.71). The athletes’ strength was evaluated using the Handgrip Test on the dominant hand, the height of jump was evaluated by a counter-jump on a contact platform, and velocity, agility, and resistance by the Yo-Yo test. The broadband ultrasound attenuation (BUA) and the sound of speed (SOS) through the calcaneus were also measured. The Mediterranean diet adherence (KIDMED) was the questionnaire used to evaluate eating habits. In the statistical analysis, descriptions and correlations were made between the study variables. (3) Results: Both in the case of the dynamometric hand strength test (p < 0.05) and in the lower extremity power test (p < 0.01), senior players presented significantly higher values compared to junior players (35.1 ± 3.84 vs. 31.8 ± 3.37 and 35.1 ± 6.89 vs. 28.5 ± 5.69 with the dynamometry and Abalakov tests, respectively). However, no differences were observed in the variables by playing position. Significant correlations between different variables have been established, highlighting negative correlations between BMI and weight with the Abalakov Jump Test and positive correlations between Yo-Yo and BUA, and, between BMI and BUA. (4) Conclusions: Older and trained players are in better physical fitness; high weight and BMI have a negative influence on power, agility, speed, and endurance. In general, adherence to the Mediterranean diet is moderate and it seems evident that there is a beneficial influence of beach handball on bone condition, as measured by ultrasound. However future research should be carried on, including dual-energy x-ray absorptiometry assessments and food intake registers for a whole week.

scholarly journals Factors Associated with Adherence to the Mediterranean Diet among Palestinian High School females’ students in Hebron city: Cross-sectional study

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
May Hamdan ◽  
Manal Badrasawi ◽  
Souzan Zidan
Keyword(s):  
Mediterranean Diet ◽  
Dietary Habits ◽  
Metabolic Diseases ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eating Pattern ◽  
Mediterranean Countries ◽  
The Mediterranean

Objectives: Adopting an eating pattern complying with the Mediterranean diet not only reduces body fat mass and obesity risk, but also decreases the development of various health problems. However, Mediterranean countries have testified a reduced adherence during the past years and the adoption of a more westernized dietary pattern. The main aim of our study is to explore the Mediterranean diet adherence and to evaluate the relationship between KIDMED scores and selected variables school students in Hebron city, Palestine. Methods: A cross-sectional study was performed on 360 voluntary female student, aged between 15-18 years. Socio-demographic data, nutritional habits, and anthropometric measurements were obtained from self-administered questionnaires. The Mediterranean Diet Quality Index for children and adolescents was used to assess the adherence to the Mediterranean diet. Results: Results indicated that 37.5% of the students had a low adherence to Mediterranean diet, 53.1% had a moderate adherence to Mediterranean diet, and 9.40% had a high adherence to Mediterranean diet. KIDMED scores are significantly associated all dietary habits listed below, with an exception for following a diet plan. Furthermore, it was noticed that KIDMED scores are negatively associated with age, first meal, and overnight fasting. On the other hand, the scores are positively associated with last meal, and number of main meals. Conclusions: In conclusion, results should plead for an increased awareness in Palestinian high- schools, supporting students to be more adherent to the Mediterranean diet, in order to prevent a further increase in metabolic diseases later in adulthood.

scholarly journals Are the advantages of the Mediterranean diet transferable to other populations? A cohort study in Melbourne, Australia

1999 ◽  
Vol 82 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Antigone Kouris-Blazos ◽  
Charalambos Gnardellis ◽  
Mark L. Wahlqvist ◽  
Dimitrios Trichopoulos ◽  
Widjaja Lukito ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mediterranean Diet ◽  
A Priori ◽  
Validated Questionnaire ◽  
Mediterranean Countries ◽  
Unit Increase ◽  
The Mediterranean ◽  
Traditional Mediterranean Diet ◽  
Diet Score ◽  
Overall Mortality

A prospective cohort study, involving 141 Anglo-Celts and 189 Greek-Australians of both sexes aged 70 years or more, was undertaken in Melbourne, Australia. The objective was to evaluate whether adherence to the principles of the Mediterranean diet affects survival of elderly people in developed non-Mediterranean countries. Diet was assessed using an extensive validated questionnaire on food intake. A one unit increase in a diet score, devised a priori on the basis of eight key features of the traditional common diet in the Mediterranean region, was associated with a 17 % reduction in overall mortality (two-tailed P value 0·07). Mortality reduction with increasing diet score was at least as evident among Anglo-Celts as among Greek-Australians. We conclude that a diet that adheres to the principles of the traditional Mediterranean diet is associated with longer survival among Australians of either Greek or Anglo-Celtic origin.

Is adherence to the Mediterranean Diet associated with healthy habits and physical fitness? A systematic review and meta-analysis including 565,421 youths

2020 ◽  
pp. 1-32
Author(s):  
Antonio García-Hermoso ◽  
Yasmin Ezzatvar ◽  
José Francisco López-Gil ◽  
Robinson Ramírez-Vélez ◽  
Jordi Olloquequi ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Sedentary Behaviour ◽  
Mediterranean Diet ◽  
Dietary Habits ◽  
Meta Analysis ◽  
Negative Relationship ◽  
Cross Sectional ◽  
Inverse Variance ◽  
The Mediterranean ◽  
High Level

Abstract The relationship between adherence to the Mediterranean Diet (MD), physical activity (PA), sedentary behaviour and physical fitness levels has been analysed in several studies; however, there is mixed evidence among youth. Thus, this study aimed to meta-analyse the associations between adherence to the MD and PA, sedentary behaviour, and physical fitness among children and adolescents. Three databases were systematically searched, including cross-sectional and prospective designs with a sample of healthy youth aged 3–18 years. Random-effects inverse-variance model with the Hartung-Knapp-Sidik-Jonkman variance estimator based on DerSimonian-Laird were used to estimate the pooled effect size (correlation coefficient [r]). Thirty-nine studies were included in the meta-analysis, yielding a total of 565,421 youth (mean age, 12.4 years). Overall, the MD had a weak-to-moderate positive relationship with PA (r = 0.14; 95% confidence interval [CI], 0.11 to 0.17), cardiorespiratory fitness (r = 0.22; 95% CI, 0.13 to 0.31) and muscular fitness (r = 0.11; 95% CI, 0.03 to 0.18), and a small-to-moderate negative relationship with sedentary behaviour (r = –0.15; 95% CI, –0.20 to –0.10) and speed-agility (r = –0.06; 95% CI, –0.12 to –0.01). There was a high level of heterogeneity in all of the models (I2 ≥ 75%). Overall results did not remain significant after controlling for sex and age (children or adolescents) except for PA. Improving dietary habits toward those of the MD could be associated with higher physical fitness and PA in youth, lower sedentary behaviours and better health in general.

scholarly journals Association between adherence to the Mediterranean diet and the prevalence of cardiovascular risk factors

2020 ◽  
Vol 28 ◽  
Author(s):  
Enrique Ramón-Arbués ◽  
Blanca Martínez-Abadía ◽  
José Manuel Granada-López ◽  
Emmanuel Echániz-Serrano ◽  
Isabel Huércanos-Esparza ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Mediterranean Diet ◽  
Odds Ratio ◽  
Cardiovascular Health ◽  
Cross Sectional ◽  
Mediterranean Diet Adherence ◽  
The Mediterranean

Objective: to determine the prevalence of cardiovascular risk factors in a cohort of workers and to quantify its association with compliance with the Mediterranean diet follow-up. Method: a cross-sectional descriptive study was carried out on a cohort of 23,729 workers. Clinical data from annual medical examinations and the Mediterranean Diet Adherence Screener were used to assess adherence to the Mediterranean diet. Results: 51.3% of the participants showed good adherence to the Mediterranean diet. The multivariate analysis showed an inverse and significant association between the follow-up of the Mediterranean diet and the prevalence of abdominal obesity (Odds Ratio = 0.64, 95% CI 0.56; 0.73), dyslipidemia (Odds Ratio = 0.55, 95% CI 0.42; 0.73), and metabolic syndrome (Odds Ratio = 0.76, 95% CI 0.67; 0.86). Conclusions: our results suggest that the Mediterranean diet is potentially effective in promoting cardiovascular health. Implementing the interventions promoting the Mediterranean diet in the working population seems justified.

Adherence to the Mediterranean Diet and Successful aging in Greeks living in Greece and abroad: the epidemiological Mediterranean Islands Study (MEDIS)

2022 ◽  
pp. 026010602110723
Author(s):  
Anastasia Papadimitriou ◽  
Alexandra Foscolou ◽  
Catherine Itsiopoulos ◽  
Antonia Thodis ◽  
Antigone Kouris-Blazos ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Successful Aging ◽  
Fruits And Vegetables ◽  
Dietary Habits ◽  
Mediterranean Islands ◽  
Cross Sectional ◽  
Aging Index ◽  
The Mediterranean ◽  
Vegetables And Fruits ◽  
Diet Score

Background: Whether older immigrant populations from the Mediterranean region, continue to follow the MD long after they immigrated is not known. Aim: Compare adherence to the MD and successful aging levels between Greeks living in Greece (GG) and Greeks living abroad (GA). Methods: Anthropometrical, clinical, psychological, sociodemographic, dietary and lifestyle parameters were assessed in a cross-sectional manner in a sample of 252 GG and 252 GA. Mediterranean Diet Score (MedDietScore range 0-55) was used to assess adherence to the MD. Successful aging was evaluated with the validated successful aging index (SAI range 0-10). Results: GA presented higher adherence to MD (p < 0.001); they were consuming significantly more cereals, legumes, vegetables, and fruits compared to GG. GG consumed significantly more dairy (3.8 ± 2.9 vs. 1.9 ± 2.2, p < 0.001) and potatoes (2.4 ± 1.6 vs. 1.9 ± 1.5, p < 0.001) compared to GA. Meat ( p = 0.27), poultry ( p = 0.72), fish ( p = 0.68), olive oil ( p = 0.16) and alcohol consumption ( p = 0.05) were comparable between the two groups (all p’s > 0.05). MedDietScore was positively associated with SAI among both groups after adjusting for possible confounders (0.041 ± 0.014, p = 0.003 GG and 0.153 ± 0.035, p < 0.001 GA). Also, legumes, cereals, fruits and vegetables were found to be beneficial for successful aging. Conclusion: Adherence to the MD is associated with higher levels of successful aging among people of the same genetic background living in different environments. However, traditional dietary habits are gradually abandoned in their native countries, when, at the same time, are considered cultural heritage and preserved accordingly among immigrants.

Homocysteine Levels Show Significant Differences among Mediterranean Dietary Quality Index Variables Compared to Folate and Vitamin B12 Status in Women

2015 ◽  
Vol 85 (3-4) ◽  
pp. 202-210 ◽  
Author(s):  
Ivona Višekruna ◽  
Ivana Rumbak ◽  
Ivana Rumora Samarin ◽  
Irena Keser ◽  
Jasmina Ranilović
Keyword(s):  
Mediterranean Diet ◽  
Diet Quality ◽  
Quality Index ◽  
Fruits And Vegetables ◽  
Reproductive Age ◽  
Dietary Quality ◽  
Vitamin B ◽  
Cross Sectional ◽  
Poor Diet ◽  
The Mediterranean

Abstract. Results of epidemiologic studies and clinical trials have shown that subjects following the Mediterranean diet had lower inflammatory markers such as homocysteine (Hcy). Therefore, the aim of this cross-sectional study was to assess female diet quality with the Mediterranean diet quality index (MDQI) and to determine the correlation between MDQI, homocysteine, folate and vitamin B12 levels in the blood. The study participants were 237 apparently healthy women (96 of reproductive age and 141 postmenopausal) between 25 and 93 years. For each participant, 24-hour dietary recalls for 3 days were collected, MDQI was calculated, and plasma Hcy, serum and erythrocyte folate and vitamin B12 levels were analysed. Total MDQI ranged from 8 to 10 points, which represented a medium-poor diet for the subjects. The strength of correlation using biomarkers, regardless of group type, age, gender and other measured parameters, was ranked from best (0.11) to worst (0.52) for olive oil, fish, fruits and vegetables, grains, and meat, in this order. Hcy levels showed the best response among all markers across all groups and food types. Our study shows significant differences between variables of the MDQI and Hcy levels compared to levels of folate and vitamin B12 in participants with medium-poor diet quality, as evaluated according to MDQI scores.

Relationship Among Adherence to The Mediterranean Diet and Anthropometric and Metabolic Parameters in Subjects with Obesity

2020 ◽  
Vol 20 ◽  
Author(s):  
Luisa Lampignano ◽  
Roberta Zupo ◽  
Rossella Donghia ◽  
Vito Guerra ◽  
Fabio Castellana ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Hdl Cholesterol ◽  
Fat Distribution ◽  
Serum Levels ◽  
Overweight And Obesity ◽  
Height Ratio ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
The Mediterranean

Background: There is moderate-to-high evidence that the Mediterranean diet prevents increases in body weight and waist circumference in non-obese individuals but less is known about its effects in subjects with overweight and obesity. The present study was focused on exploring the cross-sectional association among the adherence to Mediterranean diet and the most commonly used variables of metabolic and cardiovascular risk factors in a cohort of overweight subjects from a typical Mediterranean region, Apulia, in Southern Italy. Methods:: The study was performed in a cohort of 1214 individuals, all with overweight or obesity but no other clinical condition. We investigated the association among adherence to Mediterranean diet, assessed with the PREDIMED score, and anthropometric parameters [namely body mass index (BMI), WC, waist to height ratio (WHtR) and neck circumference (NC)], fasting serum levels of glucose, insulin, uric acid and lipids (triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol), and blood pressure and insulin resistance, measured by HOMA-IR. Results:: The waist to height ratio was negatively associated to a PREDIMED score ≥7 (p<0.04), whereas HDL cholesterol was positively associated to a PREDIMED score ≥7 (p<0.04) Conclusion: This study suggests that body fat distribution and HDL-cholesterol are the parameters most strongly influenced by MedDiet in Apulian subjects.

Sign in / Sign up

Export Citation Format

Share Document