Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore

Panagiotakos, Demosthenes B.; Pitsavos, Christos; Arvaniti, Fotini; Stefanadis, Christodoulos

doi:10.1016/j.ypmed.2006.12.009

Cited by 558 publications

(470 citation statements)

References 32 publications

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“…There is therefore substantial basis for arguing that adherence to the MD is independently associated with diet quality in children. Our results are in line with the findings of Serra-Majem et al who reported that the adequacy of MD in the age range of 6-14 years increased with increased mean intakes of fibre and most of the vitamins and minerals while it decreased for inadequate intakes (,2/3 of the Reference Nutrient Intake) of Ca, folate and vitamin C in both genders and of Fe, vitamin B 6 , vitamins A and D in females (8) .…”

Section: Discussionsupporting

confidence: 93%

Level of adherence to the Mediterranean diet among children from Cyprus: the CYKIDS study

Lazarou

Panagiotakos

Matalas

2009

Public Health Nutr.

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Background: The Mediterranean diet (MD) prototype is widely used as an educational tool in public health programmes; few studies, however, have been conducted on the adherence of children to this diet. Objective: To evaluate the quality of Cypriot children's diet by assessing the degree of adherence to the MD. Methods: A national cross-sectional study among 1140 children (mean age 5 10?7 (SD 0?98) years), using stratified multistage sampling design, was conducted in primary schools of Cyprus. Dietary assessment was based on a 154-item semiquantitative FFQ and the two supplementary questionnaires (a Food Groups Frequency Questionnaire and a Short Eating Habits Questionnaire). Adherence to the MD was assessed by the KIDMED index. The association between the frequencies of consumption of various food groups and the level of adherence to the MD (poor v. average v. good KIDMED score) was also evaluated. Multiple logistic regression analyses were used to adjust for potential confounders. Results: Only 6?7 % of the sample was classified as high adherers of MD, whereas 37 % had a poor KIDMED score. Multiple logistic regression analysis has shown that children with at least an average KIDMED score were more likely to eat frequently seafood and fish, legumes, nuts, bread, fruits, leafy vegetables, olives, low glycaemic index foods and unrefined foods. Effect size of associations was from medium to high. Conclusion: Higher adherence to MD is associated with better diet quality in children. The MD prototype may thus represent a useful educational tool for promotion of healthy eating habits in children.

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Section: Discussionsupporting

confidence: 93%

Level of adherence to the Mediterranean diet among children from Cyprus: the CYKIDS study

Lazarou

Panagiotakos

Matalas

2009

Public Health Nutr.

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“…Similar components are included in the traditional Mediterranean diet defined a priori by Trichopoulou et al (3) . The beneficial effects of the Mediterranean diet have been widely examined (3,4,(33)(34)(35) . Prospective studies such as the EPIC (European Prospective Investigation into Cancer and Nutrition)-Greek cohort have shown a decrease in mortality for all causes, CVD and cancer among subjects who follow this dietary pattern (3) .…”

Section: Discussionmentioning

confidence: 99%

Association between dietary and beverage consumption patterns in the SUN (Seguimiento Universidad de Navarra) cohort study

Sánchez‐Villegas

Toledo

Bes–Rastrollo

et al. 2008

PHN

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Objective: The objective of the present study was to determine the dietary patterns of a Mediterranean cohort and relate them to the observed patterns of beverage consumption. Design: Prospective cohort study. Dietary habits were assessed with a semiquantitative FFQ validated in Spain. A principal components factor analysis was used to identify dietary patterns and to classify subjects according to their adherence to these patterns. The association between adherence to each dietary pattern and beverage consumption was assessed cross-sectionally. In a longitudinal analysis (2-year follow-up), the relationship between adherence to the baseline dietary patterns and the likelihood of changing alcohol consumption was ascertained. Setting: The SUN (Seguimiento Universidad de Navarra) study is conducted in Spain. Subjects: In total, 15 073 university graduates were included in the analyses. Results: Two major dietary patterns were identified. We labelled them as 'Western dietary pattern' (WDP) and 'Mediterranean dietary pattern' (MDP). Higher adherence to the WDP was associated with higher consumption of carbonated beverages and whole-fat milk (P for trend ,0?001), while higher adherence to the MDP was associated with higher consumption of decaffeinated coffee, orange juice, other natural juices, diet carbonated drinks, low-fat milk and bottled water (P for trend ,0?001). Participants with higher adherence to the WDP were less likely to decrease their alcohol consumption during follow-up (OR between extreme quintiles 5 0?68; 95 % CI 0?56, 0?84). By contrast, participants with higher adherence to the MDP were less likely to increase their alcohol consumption (OR 5 0?66, 95 % CI 0?46, 0?95). Conclusion: In this cohort of university graduates, a healthier dietary pattern was associated with a healthier pattern of beverage consumption.

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“…Food items for the RFS were as follows: daily frequency of meals (1), grains (1), legumes (4), vegetables (17), seaweeds (2), fruits (12), fish (5), dairy products (3), nuts (1) and tea (1) ( Table 1). As urinary MDA and urinary 8-OHdG do not have objective normal ranges, the sensitivities and specificities of RFS and aMDS were calculated in terms of hypertension, hypercholesterolemia, diabetes and obesity (Panagiotakos et al, 2007). The RFS was evaluated by the diagonal line of the receiver operating characteristic (ROC) curve used in the study by Panagiotakos et al (2007).…”

Section: Rfs and Amdsmentioning

confidence: 99%

“…As urinary MDA and urinary 8-OHdG do not have objective normal ranges, the sensitivities and specificities of RFS and aMDS were calculated in terms of hypertension, hypercholesterolemia, diabetes and obesity (Panagiotakos et al, 2007). The RFS was evaluated by the diagonal line of the receiver operating characteristic (ROC) curve used in the study by Panagiotakos et al (2007). The sensitivities of defining people with hypertension, hypercholesterolemia, diabetes and obesity were 62%, 54%, 73%, and 65%, respectively.…”

Section: Rfs and Amdsmentioning

confidence: 99%

Diet quality scores and oxidative stress in Korean adults

Kim

Yang

et al. 2011

Eur J Clin Nutr

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Background/Objectives: The purpose of diet-quality indices is to assess and guide individual dietary intake for the promotion of health and prevention of disease, and food based dietary-quality indices need to be applied by using each country's own unique diet. We assessed the relationships between relatively simple dietary quality scores modified for a Korean diet, such as the Recommended Food Score (RFS) and alternate Mediterranean Diet Score (aMDS), and oxidative stress biomarkers in Korean adults. Subjects/Methods: A total of 976 adults were recruited for the Biomarker Monitoring for Environmental Health Study between April and December 2005 in Seoul and Incheon, Korea. RFS and aMDS were calculated by using a food-frequency questionnaire. We used regression analyses to assess the associations between diet quality scores and urinary malondialdehyde (MDA) and 8-hydroxy-2 0 -deoxyguanosine (8-OHdG). Results: RFS and aMDS were negatively associated with urinary MDA concentrations (P ¼ 0.032 for RFS, P ¼ 0.043 for aMDS), but not with 8-OHdG after adjusted for potential covariates. After stratified analyses by sex, negative associations between the both scores and urinary MDA concentrations were not significant in both men and women. There were no significant associations of RFS and aMDS with urinary 8-OHdG concentrations. Conclusions: Higher RFS and aMDS scores were related to lower oxidative stress. Therefore, good quality of diet may be useful in reducing oxidative stress.

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Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore

Cited by 558 publications

References 32 publications

Level of adherence to the Mediterranean diet among children from Cyprus: the CYKIDS study

Level of adherence to the Mediterranean diet among children from Cyprus: the CYKIDS study

Association between dietary and beverage consumption patterns in the SUN (Seguimiento Universidad de Navarra) cohort study

Diet quality scores and oxidative stress in Korean adults

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