Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial

Hu, E.A. (Emily A.)|||/items/02c68339-c796-47c3-9caf-4c2b426b2b35; Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0; Diez-Espino, J. (Javier)|||/items/125690ae-ba81-4d29-a748-e644f3584853; Estruch, R. (Ramón)|||/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265; Corella, D. (Dolores)|||/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41; Salas-Salvado, J. (Jordi)|||/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6; Vinyoles, E. (Ernest)|||/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58; Gomez-Gracia, E. (Enrique)|||/items/89359409-0217-44dd-94b0-14f45dba2c99; Aros, F. (Fernando)|||/items/399e060f-9616-4d06-a6fd-9a2b2badc2ce; Fiol, M. (Miquel)|||/items/5d318070-a49f-4a89-8633-7809d4934fa2; Lapetra, J. (José)|||/items/c14c3d23-c16a-4a2c-9a96-e1088196339d; Serra-Majem, L. (Luis)|||/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7; Pinto, X. (Xavier)|||/items/4c705373-b9ef-443a-be57-4ae3aea0fe1b; Portillo, M.P. (María P.)|||/items/a9b050ad-eb19-4d20-8574-d4b2da33c873; Lamuela-Raventos, R.M. (Rosa Maria)|||/items/51521a3c-5376-4585-bb22-0f92268b1af0; Ros, E. (Emilio)|||/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7f; Sorli, J.V. (Jose V.)|||/items/4df644ee-a292-4fe6-a493-f23c7ff830f6; Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7

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 Med...

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Authors:	Hu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35, Toledo-Atucha, E. (Estefanía)\|\|\|/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0, Diez-Espino, J. (Javier)\|\|\|/items/125690ae-ba81-4d29-a748-e644f3584853, Estruch, R. (Ramón)\|\|\|/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265, Corella, D. (Dolores)\|\|\|/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41, Salas-Salvado, J. (Jordi)\|\|\|/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6, Vinyoles, E. (Ernest)\|\|\|/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58, Gomez-Gracia, E. (Enrique)\|\|\|/items/89359409-0217-44dd-94b0-14f45dba2c99, Aros, F. (Fernando)\|\|\|/items/399e060f-9616-4d06-a6fd-9a2b2badc2ce, Fiol, M. (Miquel)\|\|\|/items/5d318070-a49f-4a89-8633-7809d4934fa2, Lapetra, J. (José)\|\|\|/items/c14c3d23-c16a-4a2c-9a96-e1088196339d, Serra-Majem, L. (Luis)\|\|\|/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7, Pinto, X. (Xavier)\|\|\|/items/4c705373-b9ef-443a-be57-4ae3aea0fe1b, Portillo, M.P. (María P.)\|\|\|/items/a9b050ad-eb19-4d20-8574-d4b2da33c873, Lamuela-Raventos, R.M. (Rosa Maria)\|\|\|/items/51521a3c-5376-4585-bb22-0f92268b1af0, Ros, E. (Emilio)\|\|\|/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7f, Sorli, J.V. (Jose V.)\|\|\|/items/4df644ee-a292-4fe6-a493-f23c7ff830f6, Martínez-González, M.A. (Miguel Ángel)\|\|\|/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
Format:	article
Publication Date:	2013
Country:	España
Institution:	Universidad de Navarra
Repository:	Dadun. Depósito Académico Digital de la Universidad de Navarra
Language:	English
OAI Identifier:	oai:dadun.unav.edu:10171/29356
Online Access:	https://hdl.handle.net/10171/29356
Access Level:	Open access
Keyword:	Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors

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spelling	Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trialHu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35Toledo-Atucha, E. (Estefanía)\|\|\|/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0Diez-Espino, J. (Javier)\|\|\|/items/125690ae-ba81-4d29-a748-e644f3584853Estruch, R. (Ramón)\|\|\|/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265Corella, D. (Dolores)\|\|\|/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41Salas-Salvado, J. (Jordi)\|\|\|/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6Vinyoles, E. (Ernest)\|\|\|/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58Gomez-Gracia, E. (Enrique)\|\|\|/items/89359409-0217-44dd-94b0-14f45dba2c99Aros, F. (Fernando)\|\|\|/items/399e060f-9616-4d06-a6fd-9a2b2badc2ceFiol, M. (Miquel)\|\|\|/items/5d318070-a49f-4a89-8633-7809d4934fa2Lapetra, J. (José)\|\|\|/items/c14c3d23-c16a-4a2c-9a96-e1088196339dSerra-Majem, L. (Luis)\|\|\|/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7Pinto, X. (Xavier)\|\|\|/items/4c705373-b9ef-443a-be57-4ae3aea0fe1bPortillo, M.P. (María P.)\|\|\|/items/a9b050ad-eb19-4d20-8574-d4b2da33c873Lamuela-Raventos, R.M. (Rosa Maria)\|\|\|/items/51521a3c-5376-4585-bb22-0f92268b1af0Ros, E. (Emilio)\|\|\|/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7fSorli, J.V. (Jose V.)\|\|\|/items/4df644ee-a292-4fe6-a493-f23c7ff830f6Martínez-González, M.A. (Miguel Ángel)\|\|\|/items/8b591471-4165-4697-8534-cfa0ad5eb1b7Mediterranean dietLifestyleDietary patternPREDIMED studyRisk factorsBackground: 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.Public Library of ScienceDadun. Depósito Académico Digital Universidad de Navarra20132013-06-1120132013-01-0120132013-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/29356reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/293562026-06-21T12:47:57Z
dc.title.none.fl_str_mv	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
spellingShingle	Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial Hu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35 Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors
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
dc.creator.none.fl_str_mv	Hu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35 Toledo-Atucha, E. (Estefanía)\|\|\|/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0 Diez-Espino, J. (Javier)\|\|\|/items/125690ae-ba81-4d29-a748-e644f3584853 Estruch, R. (Ramón)\|\|\|/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265 Corella, D. (Dolores)\|\|\|/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41 Salas-Salvado, J. (Jordi)\|\|\|/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6 Vinyoles, E. (Ernest)\|\|\|/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58 Gomez-Gracia, E. (Enrique)\|\|\|/items/89359409-0217-44dd-94b0-14f45dba2c99 Aros, F. (Fernando)\|\|\|/items/399e060f-9616-4d06-a6fd-9a2b2badc2ce Fiol, M. (Miquel)\|\|\|/items/5d318070-a49f-4a89-8633-7809d4934fa2 Lapetra, J. (José)\|\|\|/items/c14c3d23-c16a-4a2c-9a96-e1088196339d Serra-Majem, L. (Luis)\|\|\|/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7 Pinto, X. (Xavier)\|\|\|/items/4c705373-b9ef-443a-be57-4ae3aea0fe1b Portillo, M.P. (María P.)\|\|\|/items/a9b050ad-eb19-4d20-8574-d4b2da33c873 Lamuela-Raventos, R.M. (Rosa Maria)\|\|\|/items/51521a3c-5376-4585-bb22-0f92268b1af0 Ros, E. (Emilio)\|\|\|/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7f Sorli, J.V. (Jose V.)\|\|\|/items/4df644ee-a292-4fe6-a493-f23c7ff830f6 Martínez-González, M.A. (Miguel Ángel)\|\|\|/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
author	Hu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35
author_facet	Hu, E.A. (Emily A.)\|\|\|/items/02c68339-c796-47c3-9caf-4c2b426b2b35 Toledo-Atucha, E. (Estefanía)\|\|\|/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0 Diez-Espino, J. (Javier)\|\|\|/items/125690ae-ba81-4d29-a748-e644f3584853 Estruch, R. (Ramón)\|\|\|/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265 Corella, D. (Dolores)\|\|\|/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41 Salas-Salvado, J. (Jordi)\|\|\|/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6 Vinyoles, E. (Ernest)\|\|\|/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58 Gomez-Gracia, E. (Enrique)\|\|\|/items/89359409-0217-44dd-94b0-14f45dba2c99 Aros, F. (Fernando)\|\|\|/items/399e060f-9616-4d06-a6fd-9a2b2badc2ce Fiol, M. (Miquel)\|\|\|/items/5d318070-a49f-4a89-8633-7809d4934fa2 Lapetra, J. (José)\|\|\|/items/c14c3d23-c16a-4a2c-9a96-e1088196339d Serra-Majem, L. (Luis)\|\|\|/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7 Pinto, X. (Xavier)\|\|\|/items/4c705373-b9ef-443a-be57-4ae3aea0fe1b Portillo, M.P. (María P.)\|\|\|/items/a9b050ad-eb19-4d20-8574-d4b2da33c873 Lamuela-Raventos, R.M. (Rosa Maria)\|\|\|/items/51521a3c-5376-4585-bb22-0f92268b1af0 Ros, E. (Emilio)\|\|\|/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7f Sorli, J.V. (Jose V.)\|\|\|/items/4df644ee-a292-4fe6-a493-f23c7ff830f6 Martínez-González, M.A. (Miguel Ángel)\|\|\|/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
author_role	author
author2	Toledo-Atucha, E. (Estefanía)\|\|\|/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0 Diez-Espino, J. (Javier)\|\|\|/items/125690ae-ba81-4d29-a748-e644f3584853 Estruch, R. (Ramón)\|\|\|/items/3e95ff5c-8b32-474d-a8d4-7b1425d89265 Corella, D. (Dolores)\|\|\|/items/edf5ac4d-018f-446d-aa6e-2448c41a1e41 Salas-Salvado, J. (Jordi)\|\|\|/items/e2fc08dd-d21f-475b-83fa-157f0b0067e6 Vinyoles, E. (Ernest)\|\|\|/items/0ccddc8e-1898-4ecd-a8fa-30aac5ef9a58 Gomez-Gracia, E. (Enrique)\|\|\|/items/89359409-0217-44dd-94b0-14f45dba2c99 Aros, F. (Fernando)\|\|\|/items/399e060f-9616-4d06-a6fd-9a2b2badc2ce Fiol, M. (Miquel)\|\|\|/items/5d318070-a49f-4a89-8633-7809d4934fa2 Lapetra, J. (José)\|\|\|/items/c14c3d23-c16a-4a2c-9a96-e1088196339d Serra-Majem, L. (Luis)\|\|\|/items/2b0e8280-1783-4e01-8f35-cc7161c52ff7 Pinto, X. (Xavier)\|\|\|/items/4c705373-b9ef-443a-be57-4ae3aea0fe1b Portillo, M.P. (María P.)\|\|\|/items/a9b050ad-eb19-4d20-8574-d4b2da33c873 Lamuela-Raventos, R.M. (Rosa Maria)\|\|\|/items/51521a3c-5376-4585-bb22-0f92268b1af0 Ros, E. (Emilio)\|\|\|/items/8c9fcd5a-f4ca-4a48-8fad-4737d7d5ca7f Sorli, J.V. (Jose V.)\|\|\|/items/4df644ee-a292-4fe6-a493-f23c7ff830f6 Martínez-González, M.A. (Miguel Ángel)\|\|\|/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
author2_role	author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv	Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors
topic	Mediterranean diet Lifestyle Dietary pattern PREDIMED study Risk factors
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.
publishDate	2013
dc.date.none.fl_str_mv	2013 2013-06-11 2013 2013-01-01 2013 2013-01-01
dc.type.none.fl_str_mv	journal article http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://hdl.handle.net/10171/29356
url	https://hdl.handle.net/10171/29356
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Public Library of Science
publisher.none.fl_str_mv	Public Library of Science
dc.source.none.fl_str_mv	reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra
instname_str	Universidad de Navarra
reponame_str	Dadun. Depósito Académico Digital de la Universidad de Navarra
collection	Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Lifestyles and risk factors associated with adherence to the Mediterranean diet: a baseline assessment of the PREDIMED trial

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