Έλεγχος εγκυρότητας (validation) τροποποιημένων δεικτών Μεσογειακής διατροφής σε εργασιακό περιβάλλον

Εισαγωγή: Η Μεσογειακή Διατροφή έχει αποδειχθεί με πληθώρα ερευνών ότι σχετίζεται με πολλαπλά οφέλη για την υγεία. Το γεγονός αυτό προκαλεί αυξημένο ενδιαφέρον για εφαρμογή της Μεσογειακής Διατροφής ως μέσο πρόληψης χρόνιων μη μεταδοτικών νοσημάτων. Για να μετρηθεί η προσκόλληση στη Μεσογειακή Διατροφή χρησιμοποιούνται τα σκορ Μεσογειακής Διατροφής, ωστόσο η καταγραφή της προσκόλλησης στη Μεσογειακή Διατροφή μέσω αυτών των σκορ μπορεί να είναι δύσκολη λόγω της υποκειμενικής φύσης των ερωτηματολογίων που καταγράφουν την προσκόλληση σε ένα διατροφικό μοτίβο με αυτόματη συμπλήρωση από τους συμμετέχοντες καθώς και λόγω των πολιτιστικών διαφορών μεταξύ των Μεσογειακών και των μη Μεσογειακών πληθυσμών. Σκοπός: Σκοπός αυτής της διατριβής είναι η αξιολόγηση της εγκυρότητας του τροποποιημένου σκορ Μεσογειακής διατροφής mMDS (modified Mediterranean Diet score) σε δείγμα επαγγελματιών πυροσβεστών στο Πυροσβεστικό Σώμα της Ινδιανάπολης, ΗΠΑ.Υλικό και Μέθοδοι: Το υλικό της μελέτης αποτέλεσαν 413 πυροσβέστες (94,2% άνδρες, ηλικίας από 27 έως 66 έτη με μέση ηλικία τα 48,46 ± 8,27 έτη) που συμμετείχαν στη μελέτη "Feeding America's Bravest". Για τη διερεύνηση της συγκλίνουσας εγκυρότητας εξετάσθηκε ο βαθμός συσχέτισης των τιμών του mMDS με την ήδη επικυρωμένη κλίμακα Μεσογειακής διατροφής PREDIMED, ενώ για τη διερεύνηση της δομικής εγκυρότητας συσχετίσθηκαν οι τιμές του mMDS με τα ανθρωπομετρικά χαρακτηριστικά, τις μετρήσεις αρτηριακής πίεσης και τους βιοχημικούς δείκτες καρδιαγγειακού κινδύνου των συμμετεχόντων. Αποτελέσματα: Το mMDS σκορ παρουσίασε στατιστικά σημαντική θετική συσχέτιση με το PREDIMED σκορ (r=0,736, p<0,001; ICC=0,593, 95% CI = 0,479- 0,681, p<0,001), ήταν στις αναμενόμενες κατευθύνσεις με τις διατροφικές προσλήψεις των τροφίμων που περιλαμβάνονται στο PREDIMED και επίσης διαπιστώθηκε μια μέτρια συμφωνία μεταξύ αυτών των δύο μεθόδων διατροφικής αξιολόγησης (κ=0,44, p<0,001). Κατά την ταξινόμηση των συμμετεχόντων σε κατηγορίες προσκόλλησης στη Μεσογειακή διατροφή με τα δύο αυτά ερωτηματολόγια, παρατηρήθηκε ποσοστό ορθής ταξινόμησης της τάξης του 62,4% (258 πυροσβέστες). Μετά από προσαρμογή ως προς το φύλο και την ηλικία των ατόμων, η πολλαπλή γραμμική παλινδρόμηση έδειξε ότι το mMDS παρουσίασε στατιστικά σημαντική αρνητική συσχέτιση με τον Δ.Μ.Σ. (p=0,019), το ποσοστό σωματικού λίπους (p=0,001), την περιφέρεια μέσης (p=0,014), την αναλογία ολικής/HDL χοληστερόλης (p<0,001), των επιπέδων τριγλυκεριδίων (p=0,020) και στατιστικά σημαντική θετική συσχέτιση με την ΗDL χοληστερόλη (p=0,020). Παρατηρήθηκε επίσης μία τάση για χαμηλότερα επίπεδα της ολικής χοληστερόλης (p=0,093), της LDL χοληστερόλης (p=0,088) και των επιπέδων σακχάρου (p=0,057) με την αύξηση του mMDS σκορ. Δεν παρατηρήθηκε στατιστικά σημαντική συσχέτιση του mMDS σκορ με την συστολική (p=0,330) και τη διαστολική πίεση (p=0,122).Συμπεράσματα: To σκορ mMDS είναι ένα έγκυρο εργαλείο για τη μέτρηση της προσκόλλησης στη Μεσογειακή Διατροφή σε εργαζόμενο μη Μεσογειακό πληθυσμό, όπως οι πυροσβέστες των ΗΠΑ, και μπορεί να είναι χρήσιμο στην έρευνα και στην κλινική πράξη για την αξιολόγηση της προσκόλλησης της Μεσογειακής διατροφής κα- θώς και να χρησιμοποιηθεί ως προβλεπτικό εργαλείο για την αξιολόγηση του κινδύνου χρόνιων μη μεταδοτικών νοσημάτων.

64-LB: Fourteen-Item Mediterranean Diet Score as Indicator for Prediabetes in Taiwan, a Cross-Sectional Study

Diabetes ◽

10.2337/db20-64-lb ◽

2020 ◽

Vol 69 (Supplement 1) ◽

pp. 64-LB

Author(s):

YI CHENG HOU

Keyword(s):

Mediterranean Diet ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index

Atherosclerosis ◽

10.1016/j.atherosclerosis.2015.09.017 ◽

2015 ◽

Vol 243 (1) ◽

pp. 260-267 ◽

Cited By ~ 17

Author(s):

Antonino Tuttolomondo ◽

Alessandra Casuccio ◽

Carmelo Buttà ◽

Rosaria Pecoraro ◽

Domenico Di Raimondo ◽

...

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Mediterranean Diet ◽

Severity Index ◽

Stroke Severity ◽

The Mediterranean Diet Score and Mortality Are Inversely Associated in Adults Living in the Subarctic Region

Journal of Nutrition ◽

10.3945/jn.112.160499 ◽

2012 ◽

Vol 142 (8) ◽

pp. 1547-1553 ◽

Cited By ~ 52

Author(s):

Gianluca Tognon ◽

Lena Maria Nilsson ◽

Lauren Lissner ◽

Ingegerd Johansson ◽

Göran Hallmans ◽

...

Keyword(s):

Mediterranean Diet ◽

Subarctic Region ◽

The Mediterranean ◽

Alternate Mediterranean diet score is positively associated with skeletal muscle mass index in middle-aged adults

British Journal Of Nutrition ◽

10.1017/s0007114517001118 ◽

2017 ◽

Vol 117 (8) ◽

pp. 1181-1188 ◽

Cited By ~ 9

Author(s):

Hui-yuan Tian ◽

Rui Qiu ◽

Li-peng Jing ◽

Zhan-yong Chen ◽

Geng-dong Chen ◽

...

Keyword(s):

Skeletal Muscle ◽

Mediterranean Diet ◽

Muscle Mass ◽

Skeletal Muscle Mass ◽

General Information ◽

Whole Body ◽

Cross Sectional ◽

Skeletal Muscle Mass Index ◽

AbstractResearches have suggested Mediterranean diet might lower the risk of chronic diseases, but data on skeletal muscle mass (SMM) are limited. This community-based cross-sectional study examined the association between the alternate Mediterranean diet score (aMDS) and SMM in 2230 females and 1059 males aged 40–75 years in Guangzhou, China. General information and habitual dietary information were assessed in face-to-face interviews conducted during 2008–2010 and 3 years later. The aMDS was calculated by summing the dichotomous points for the items of higher intakes of whole grain, vegetables, fruits, legumes, nuts, fish and ratio of MUFA:SFA, lower red meat and moderate ethanol consumption. The SMM of the whole body, limbs, arms and legs were measured using dual-energy X-ray absorptiometry during 2011–2013. After adjusting for potential covariates, higher aMDS was positively associated with skeletal muscle mass index (SMI, SMM/height2, kg/m2) at all of the studied sites in males (all Ptrend<0·05). The multiple covariate-adjusted SMI means were 2·70 % (whole body), 2·65 % (limbs), 2·50 % (arms) and 2·70 % (legs) higher in the high (v. low) category aMDS in males (all P<0·05). In females, the corresponding values were 1·35 % (Ptrend=0·03), 1·05, 0·52 and 1·20 %, (Ptrend>0·05). Age-stratified analyses showed that the favourable associations tended to be more pronounced in the younger subjects aged less than the medians of 59·2 and 62·2 years in females and males (Pinteraction>0·10). In conclusion, the aMDS shows protective associations with SMM in Chinese adults, particularly in male and younger subjects.

A modified Mediterranean diet score is inversely associated with metabolic syndrome in Korean adults

European Journal of Clinical Nutrition ◽

10.1038/s41430-018-0156-4 ◽

2018 ◽

Vol 72 (12) ◽

pp. 1682-1689 ◽

Cited By ~ 5

Author(s):

Youngyo Kim ◽

Youjin Je

Keyword(s):

Metabolic Syndrome ◽

Mediterranean Diet ◽

Korean Adults ◽

Abstract 13: Adherence to Various Dietary Patterns and Risk of Recurrent Coronary Heart Disease and Mortality in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study

Circulation ◽

10.1161/circ.135.suppl_1.13 ◽

2017 ◽

Vol 135 (suppl_1) ◽

Author(s):

James M Shikany ◽

Monika M Safford ◽

Joanna Bryan ◽

PK Newby ◽

Joshua S Richman ◽

...

Keyword(s):

Racial Differences ◽

Mediterranean Diet ◽

Dietary Patterns ◽

Dietary Pattern ◽

Lower Risk ◽

Proportional Hazards ◽

Cox Proportional Hazards ◽

The Mediterranean ◽

Background: We have shown that the Southern dietary pattern, characterized by added fats, fried foods, organ and processed meats, and sugar-sweetened beverages, is associated with a greater risk of incident CHD in REGARDS, a national, population-based, longitudinal cohort. We sought to determine if the Southern pattern, other dietary patterns, and the Mediterranean diet score were associated with CHD events and mortality in REGARDS participants who previously reported CHD. Methods: REGARDS enrolled white and black adults aged ≥45 years between 2003-2007. Data were analyzed from 3,562 participants with CHD at baseline. Participants completed an FFQ at baseline, from which 5 dietary patterns were derived through factor analysis (Table). The Mediterranean diet score was calculated for each participant. Expert-adjudicated CHD events included myocardial infarction and CHD death. Cox proportional hazards regression was used to model the association of the dietary patterns and score with CHD events and death, adjusting for sociodemographics, lifestyle factors, energy intake, anthropometrics, and medical conditions. Results: Over 7 years of follow-up, there were 581 recurrent CHD events and 1,098 deaths. In fully-adjusted analyses, the highest quartile of adherence to the alcohol/salads pattern and highest group of the Mediterranean diet score were associated with lower risk of recurrent CHD compared to the lowest quartile/group (HR: 0.76; 95% CI: 0.59 – 0.98, HR: 0.78; 95% CI: 0.62 – 0.98, respectively). The highest quartile of adherence to the Southern pattern was associated with higher mortality (HR: 1.57; 95% CI: 1.28 – 1.91), while the highest group of the Mediterranean diet score was associated with lower mortality (HR: 0.80; 95% CI: 0.68 – 0.95). Conclusions: While the Southern dietary pattern was not related to risk of recurrent CHD, it was associated with higher mortality in REGARDS participants with existing CHD. Greater adherence to a Mediterranean diet was associated with lower risk of recurrent CHD and mortality.

Healthy dietary patterns from food diaries and FFQ are not associated with colorectal cancer risk: results from the UKWCS

Proceedings of The Nutrition Society ◽

10.1017/s0029665120000348 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Petra Jones ◽

Janet Cade ◽

Charlotte Evans ◽

Neil Hancock ◽

Darren Greenwood

Keyword(s):

Colorectal Cancer ◽

Cancer Risk ◽

Mediterranean Diet ◽

Dietary Patterns ◽

Dietary Pattern ◽

Colorectal Cancer Risk ◽

Bland Altman Method ◽

The Mediterranean ◽

AbstractDietary pattern analyses have most commonly used food frequency questionnaire (FFQ) data for large population studies, whilst food diaries (FD) tend to be used with smaller datasets and followed up for shorter terms, restricting the possibility of a direct comparison. Studies comparing dietary patterns derived from two different assessment methods, in relation to diet and disease are limited. The aims of this study are to assess the agreement between dietary patterns derived from FFQ and FDs and to compare the associations between the Mediterranean dietary pattern and the World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) dietary pattern in relation to colorectal cancer incidence.The study population included 2276 healthy middle-aged women – participants of the UK Women's Cohort Study. Energy and nutrient intakes, derived from 4-day FDs and from a 217-item FFQ were compared. A 10 and an 8-component score indicating adherence to the Mediterranean diet and to the 2007 WCRF/AICR cancer prevention recommendations respectively were generated. Agreement was assessed by weighted Kappa statistics and the Bland-Altman method. Cox regression was used to estimate hazard ratios (HRs) for colorectal cancer risk for both the FD and the FFQ patterns, for each score separately.The Bland-Altman method showed that the FFQ gave a higher energy intake compared to the FD with a bias of -525 kcal (95% CI -556, -493) between the two methods. Agreement was slight for the Mediterranean diet score (Κ = 0.15; 95% CI: 0.14, 0.16) and fair for the WCRF/AICR score (Κ = 0.38; 95% CI: 0.37, 0.39). A total of 173 incident cases of colorectal cancer were documented. In the multi-variable adjusted models, the estimates for an association with colorectal cancer were weak: HR = 0.94 (95% CI: 0.83 to 1.06) for a 1-unit increment in the Mediterranean diet score using FD and HR = 1.01 (95% CI: 0.83 to 1.24) for a 1-unit increment in the WCRF/AICR score using FD. For scores derived from the FFQ, estimates were inverse, but weak (HR = 0.80 (95% CI: 0.90 to 1.00) for a 1-unit increment in the Mediterranean diet score using FFQ and HR = 0.84 (95% CI: 0.67 to 1.05) for a 1-unit increment in the WCRF/AICR score using FFQ.There is insufficient evidence of an association of colorectal cancer risk with the Mediterranean dietary pattern or with the WCRF/AICR cancer prevention recommendations, irrespective of the dietary assessment method in this sample. Further studies with larger sample sizes, using FD for diet assessment are warranted.

Mediterranean diet score and incidence of IHD: a global comparative study

Public Health Nutrition ◽

10.1017/s1368980018003877 ◽

2019 ◽

Vol 22 (8) ◽

pp. 1444-1450 ◽

Cited By ~ 1

Author(s):

Ayako Sezaki ◽

Tomoko Imai ◽

Keiko Miyamoto ◽

Fumiya Kawase ◽

Hiroshi Shimokata

Keyword(s):

Comparative Study ◽

Linear Model ◽

Mediterranean Diet ◽

General Linear Model ◽

General Linear ◽

Per Capita ◽

The Mediterranean ◽

International Comparative ◽

AbstractObjectiveThe aim of the present study was to clarify the global relationship between Mediterranean diet score (MDS) and the incidence of IHD by country using international statistics.DesignThe incidence of IHD by country was derived from the Global Burden of Disease (GBD) database. Average supplies of food (g/d per capita) and energy (kcal/d per capita) by country, excluding loss between production and household, were obtained from the FAOSTAT database. MDS was evaluated based on the total score of nine food items that characterize the Mediterranean diet. The association between MDS and the incidence of IHD was examined in countries with a population of 1 million or greater using a general linear model controlled for socio-economic and lifestyle variables.SettingPopulation data from global international databases.ParticipantsOne hundred and thirty-two countries with a population of over 1 million.ResultsMDS was inversely correlated with obesity rate, ageing rate, years of education and IHD incidence; however, no associations were found with gross domestic product, life expectancy, smoking rate, energy supply or health expenditure. In the general linear model of IHD incidence by MDS controlled for socio-economic and lifestyle variables, the β of the MDS was –26·4 (se 8·6; P<0·01).ConclusionsThe results of this global international comparative study confirmed that the Mediterranean diet is inversely associated with the incidence of IHD.