Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

Fuente-Arrillaga, Carmen de la; Zazpe, Itzíar; Santiago, Susana; Bes–Rastrollo, Maira; Ruiz‐Canela, Miguel; Gea, Alfredo; Martínez‐González, Miguel Ángel

doi:10.1186/s12889-016-2739-0

Cited by 22 publications

(15 citation statements)

References 52 publications

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“…A similar study whose results can be compared to ours has been reported by the Danish MONICA project, even though the follow-up period did not cover the same calendar period as our study [ 11 , 12 , 13 ]. The cohort population of this study was drawn from random, age-stratified samples of 30, 40, 50 and 60 years of age at recruitment and had a 10 year follow-up period (1982–1992).…”

Section: Discussionsupporting

confidence: 73%

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Changes in the Dietary Habits of the Greek EPIC Cohort Participants during a 14-Year Follow-Up Period (1997–2011)

et al. 2020

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The aim of this study is to evaluate the changes in the nutritional behavior of the Greek EPIC (European Prospective Investigation into Cancer and Nutrition) cohort participants regarding the consumption of basic food groups, during a 14-year period (1997–2011). In the Greek segment of the EPIC cohort study (EPIC-Greece), the changes in dietary habits of 23,505 participants regarding several food items/groups (vegetables, legumes, fruits, nuts, dairy, cereal, meat, fish/seafood, olive oil) were recorded repeatedly over time and compared to the baseline assessment (1994–1997), using a short, qualitative, follow-up questionnaire. Descriptive statistics were used to study the trends in nutritional behavior over time and ordinal logistic regression models to study the associations between the ordered responses of the questionnaire and sociodemographic and health factors. More participants reported an increase rather than a decrease in the consumption of vegetables, fruits, fish/seafood, whilst the inverse was observed for dairy products, nuts, cereals, and meat. No prevailing trend was noted for legumes and olive oil. Factors such as being female and having high education relate to more positive (healthy) changes in nutritional behavior. There seems to be primarily a change to a more healthy nutritional behavior of the EPIC-Greece participants over the follow-up period, with different participant subgroups presenting different degrees of nutritional changes.

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Section: Discussionsupporting

confidence: 73%

“…Although the above studies are not identical as far as mean age at baseline or their calendar period, it is important to note the fact that in all studies, the participants report an overall tendency of healthier nutritional habits with the passage of time [ 11 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in the Dietary Habits of the Greek EPIC Cohort Participants during a 14-Year Follow-Up Period (1997–2011)

et al. 2020

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“…(Reynolds, Cousins, Newell, & Imrie, 2013 ) in work exploring the impact on social relations of the proximity of trial staff to community members affecting HIV surveillance in South Africa, we emphasize that it is imperative to understand these potential implications when designing interventions that rely on and in turn, influence for the future, social relations between communities participating in the research and those charged with delivering it. Communities need to be understood not as homogenous and harmonious, but as diverse groupings with ongoing inequalities and power relationships (Enria et al., 2016 ) and community-based research should understand these underlying inequalities and power differentials and their potential impact on them.…”

Section: Discussionmentioning

confidence: 99%

“Not just dogs, but rabid dogs”: tensions and conflicts amongst research volunteers in Malawi

et al. 2018

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Building trust between researchers and communities involved in research is one goal of community engagement. This paper examines the implications of community engagement for trust within communities, including trust among community volunteers who assist with research and between these volunteers and other community members. We describe the experiences of two groups of community volunteers recruited as part of an HIV and TB intervention trial in Malawi: cluster representatives, recruited both to act as key informants for TB suspects and mortality reporting and to identify and report community concerns, and community counsellors, recruited to provide semi-supervised HIV self-testing. We examine tensions experienced due to playing multiple roles, and the implications of volunteer responsibilities for short- and long-term community relationships. Data was collected through a workshop, in-depth interviews and focus group discussions with volunteers and community members. While the volunteer system initially enhanced trust among volunteers and with the community, relationships deteriorated when cluster representatives assumed an additional supervisory role part-way through the trial. Combined with challenging recruitment targets and unequal power relations between volunteers, this new role damaged trust, with implications for volunteer well-being and social relationships. These experiences suggest researchers should consider potential social implications when designing community engagement systems.

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“…Finally, to score lipid intake, the monounsaturated to saturated fatty acids ratio is calculated. Since its creation, the MDScale has been used in hundreds of studies in Mediterranean and non-Mediterranean countries, including studies involving the Spanish cohort and the SUN project in which the MDScale was used to assess changes in dietary habits after a follow-up period of 10 years [22]. In a study conducted in 2015 in the United States, a high adherence to the MD, as assessed by using the MDScale, was associated with a low risk of cardiovascular disease [23].…”

Section: Methodsmentioning

confidence: 99%

Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

et al. 2019

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BACKGROUND/OBJECTIVES To compare five indices of adherence to the Mediterranean Diet (MD) among adults living in the Mediterranean region. SUBJECTS/METHODS A total of 100 healthy Lebanese adults aged between 18 and 65 years. Face-to-face interviews to collect sociodemographic and medical information, to take anthropometric measurements, and to fill a validated, culturally adapted, food frequency questionnaire (FFQ). The score for each item was calculated following the recommendations for each corresponding index. The five MD indices were Mediterranean Diet Scale (MDScale), Mediterranean Food Pattern (MFP), MD Score (MDS), Short Mediterranean Diet Questionnaire (SMDQ), and the MedDiet score. RESULTS Significant correlations were detected between items with P -values < 0.001. Minimal agreement was seen between MDScale and MedDiet score and maximal agreement between MDS and MedDiet score. Univariate and multivariate analyses showed that MDS and MedDiet scores had significant correlations with fiber and olive oil intake, main components of the MD. MDScale showed a significant correlation with waist-to-hip ratio and with total energy intake but none of the five indices was correlated to body mass index (BMI). CONCLUSIONS The indices that showed the highest correlation with variables related to the MD are the MDScale and the MedDiet score; therefore, they can be used to assess our future study populations. Based on the current results, more than half of the study population was non-adherent to the MD and adherence to this diet did not appear to protect against being overweight (BMI ≥ 30).

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Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

Cited by 22 publications

References 52 publications

Changes in the Dietary Habits of the Greek EPIC Cohort Participants during a 14-Year Follow-Up Period (1997–2011)

Changes in the Dietary Habits of the Greek EPIC Cohort Participants during a 14-Year Follow-Up Period (1997–2011)

“Not just dogs, but rabid dogs”: tensions and conflicts amongst research volunteers in Malawi

Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

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