Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial.
<h4>Background</h4>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.<h4>Aim</h4>To evaluate how different...
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2013
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oai:doaj.org-article:ea5c3b9c3a7345a58a53da82b3222f182021-11-18T07:47:39ZLifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial.1932-620310.1371/journal.pone.0060166https://doaj.org/article/ea5c3b9c3a7345a58a53da82b3222f182013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23637743/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Aim</h4>To evaluate how different factors are associated with lower MedDiet adherence in older Spanish subjects.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Emily A HuEstefania ToledoJavier Diez-EspinoRamon EstruchDolores CorellaJordi Salas-SalvadoErnest VinyolesEnrique Gomez-GraciaFernando ArosMiquel FiolJose LapetraLluis Serra-MajemXavier PintóMaria Puy PortilloRosa M Lamuela-RaventosEmilio RosJose V SorliMiguel A Martinez-GonzalezPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e60166 (2013) |
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Medicine R Science Q |
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Medicine R Science Q Emily A Hu Estefania Toledo Javier Diez-Espino Ramon Estruch Dolores Corella Jordi Salas-Salvado Ernest Vinyoles Enrique Gomez-Gracia Fernando Aros Miquel Fiol Jose Lapetra Lluis Serra-Majem Xavier Pintó Maria Puy Portillo Rosa M Lamuela-Raventos Emilio Ros Jose V Sorli Miguel A Martinez-Gonzalez Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial. |
| description |
<h4>Background</h4>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.<h4>Aim</h4>To evaluate how different factors are associated with lower MedDiet adherence in older Spanish subjects.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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 |
article |
| author |
Emily A Hu Estefania Toledo Javier Diez-Espino Ramon Estruch Dolores Corella Jordi Salas-Salvado Ernest Vinyoles Enrique Gomez-Gracia Fernando Aros Miquel Fiol Jose Lapetra Lluis Serra-Majem Xavier Pintó Maria Puy Portillo Rosa M Lamuela-Raventos Emilio Ros Jose V Sorli Miguel A Martinez-Gonzalez |
| author_facet |
Emily A Hu Estefania Toledo Javier Diez-Espino Ramon Estruch Dolores Corella Jordi Salas-Salvado Ernest Vinyoles Enrique Gomez-Gracia Fernando Aros Miquel Fiol Jose Lapetra Lluis Serra-Majem Xavier Pintó Maria Puy Portillo Rosa M Lamuela-Raventos Emilio Ros Jose V Sorli Miguel A Martinez-Gonzalez |
| author_sort |
Emily A Hu |
| title |
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_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_sort |
lifestyles and risk factors associated with adherence to the mediterranean diet: a baseline assessment of the predimed trial. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2013 |
| url |
https://doaj.org/article/ea5c3b9c3a7345a58a53da82b3222f18 |
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