Individual determinants of Mediterranean diet adherence among urban Lebanese adult residents

Malakieh, Roubina; Khoury, Veronique El; Boumosleh, Jocelyne Matar; Obeid, Cecile; Jaalouk, Doris

doi:10.1108/nfs-08-2022-0267

Cited by 3 publications

(1 citation statement)

References 32 publications

(56 reference statements)

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“…It was found that there was no significant difference between MEDAS scores according to gender (p>0.05). (Malakieh et al, 2022(Malakieh et al, , pp.1033(Malakieh et al, -1044found the mean MEDAS score was 7.59 ± 2.22 in their study on 326 Lebanese adults, which reflects acceptable adherence. In the study conducted on 1,197 adult volunteers, the MEDAS score was determined as 6.68±2.49.…”

Section: Discussionmentioning

confidence: 86%

Adherence to Mediterranean Diet and Sleep Quality in University Students

İnce Palamutoğlu,

Karaca,

Kara

et al. 2024

Izmir Democracy University Health Sciences Journal

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A healthy diet is an important supporter of quality of life. Food is a basic human right. Sleep, like food, is an indispensable part of life. A healthy diet and quality sleep can contribute to our health and well-being. This study was conducted to determine the adherence to the Mediterranean diet and the sleep quality of university students. The study was carried out on 480 people, 331 women and 149 men, who were studying at Higher Education Institutions in the Republic of Türkiye and voluntarily accepted to participate in the study. The demographic characteristics of the individuals, smoking, alcohol and caffeinated beverage use, and dietary habits were questioned with a questionnaire. The Mediterranean Diet Adherence Scale (MEDAS) was used to assess adherence to the Mediterranean diet, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Participants were made up of 69.0% (n=331) females and 31% (n=149) males. The average age; was 21.00±2.853, mean body mass index was 21.23±4.921 kg/m2 in women; in males, it was found to be 24±3.223 kg/m2. Adherence to the Mediterranean diet of the participants was 47.3% (n=227) below 7 points, which was insufficient adherence, 27.1% (n=130) were within the range of 7-8 points, which was acceptable adherence, and 25.6% (n=123) It was found above 9 points, which is strict adherence. Again, the average PSQI score of the participants is 6.29±3.06, the average PSQI score of women is 6.33±2.93 while the average PSQI score of men is 6.19±3.36. There was no significant difference between the PSQI scores of women and men (p>0.05). Sleep and nutritional status have many effects on health. For this reason, training should be given to individuals to increase the sleep quality of the students and to improve their nutritional status.

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Section: Discussionmentioning

confidence: 86%

Adherence to Mediterranean Diet and Sleep Quality in University Students

İnce Palamutoğlu,

Karaca,

Kara

et al. 2024

Izmir Democracy University Health Sciences Journal

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Adherence to the Mediterranean Diet and Cardiovascular Risk Factors among the Lebanese Population: A Nationwide Cross-Sectional Post Hoc Study

Zeenny,

Haddad,

Hajj

et al. 2024

Nutrients

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Objective: This study aims to identify the association between adherence to healthy eating, using the Lebanese Mediterranean Diet Scale (LMDS), and cardiovascular risk factors in the Lebanese population. Materials and Methods: A cross-sectional study using a multistage cluster sample was conducted in Lebanon. Sociodemographic characteristics were collected through structured interviews and self-administered questionnaires. The LMDS assessed dietary habits. The associations between diabetes, dyslipidemia, and cardiovascular disease were investigated using stratification analysis. Results: The study included 2048 people (mean age: 41.54 ± 17.09 years). Higher adherence to the Mediterranean diet was associated with older age (Beta = 0.175, p < 0.001), being female (Beta = 0.085, p = 0.001), being married (Beta = 0.054, p = 0.047), participating in regular physical activity (Beta = 0.142, p < 0.001), and having cardiovascular disease (Beta = 0.115, p < 0.001) and diabetes (Beta = 0.055, p = 0.043). Adherence was, however, negatively associated with being a smoker (Beta = −0.083, p = 0.002), a previous smoker (Beta = −0.059, p = 0.026), and having higher distress levels (Beta = −0.079, p = 0.002). Stratification analysis by diabetes, dyslipidemia, and cardiovascular disease (CVD) consistently demonstrated these associations. Conclusions: These findings suggest that demographic and health factors influence the Lebanese population’s adherence to the Mediterranean diet. Older age, female gender, married status, physical activity, CVD, and diabetes were all found to be associated with adherence to the Mediterranean diet in the Lebanese population. In contrast, smoking and distress were inversely associated with it.

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Cardiovascular Diseases and Metabolic Medications in the Lebanese Population: A Post Hoc Analysis from a Nationwide Cross-Sectional Study

Zeenny,

Abdo,

Haddad

et al. 2024

Pharmacy

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Objective: This study assesses the association of metabolic drugs (specifically hypoglycemic and hypolipemic agents) with cardiovascular diseases (CVD) among the Lebanese population and patients’ subgroups. Methods: A nationwide cross-sectional retrospective study was carried out in Lebanon. The survey collected information on sociodemographic characteristics, lifestyles, comorbidities, and medication use. Logistic regression models were employed to analyze the data and determine associations between CVD and metabolic drugs. Stratification analyses were performed based on diabetes and dyslipidemia status. Results: The study found significant associations with CVD among the 2048 participants. Higher scores on the Lebanese Mediterranean Diet Score (LMDS; ORa = 1.06), hypertension (ORa = 1.71), diabetes (ORa = 1.75), dyslipidemia (ORa = 1.89), family history of CVD (ORa = 1.58), and smoking (previous: ORa = 1.63, current: ORa = 2.15) were linked to increased CVD odds. Higher income (intermediate: ORa = 0.64, high: ORa = 0.40) was inversely related to it. A subsequent model that included hypoglycemic and lipid-lowering medications yielded similar results. However, neither hypoglycemic nor lipid-lowering medications demonstrated a significant association with CVD risk. A third regression model was conducted by taking the classes of drugs as an independent variable. Also, the result revealed that all the classes of medication were not associated with the risk of CVD. Stratification by diabetes revealed LMDS and hypertension as risk factors in both groups. Among non-diabetic participants, dyslipidemia (ORa = 2.40), current smoking (ORa = 2.28), and higher income (intermediate: ORa = 0.57, high: ORa = 0.62) were linked to CVD. Among people with diabetes, a family history of CVD (ORa = 2.69) increased the CVD odds, while being an employer (ORa = 0.49) lowered it. Stratification by dyslipidemia showed consistent risk factors, and higher LMDS (ORa = 1.07), diabetes (ORa = 2.14), hypertension (ORa = 1.79), and previous smoking (ORa = 1.95) were linked to CVD without dyslipidemia. Being a female (ORa = 0.52) and having a lower income (ORa = 0.40) were associated with lower CVD odds in those with dyslipidemia. Subgroup analyses showed that medications were not significantly associated with CVD odds among patients with diabetes or hyperlipidemia. Conclusions: This study’s findings highlight the importance of addressing modifiable risk factors and socioeconomic factors to reduce the burden of CVD. Targeted interventions and longitudinal research are necessary to optimize preventive strategies and improve the management of CVD in individuals using hypoglycemic and hypolipemic agents in low- and medium-income countries.

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Individual determinants of Mediterranean diet adherence among urban Lebanese adult residents

Cited by 3 publications

References 32 publications

Adherence to Mediterranean Diet and Sleep Quality in University Students

Adherence to Mediterranean Diet and Sleep Quality in University Students

Adherence to the Mediterranean Diet and Cardiovascular Risk Factors among the Lebanese Population: A Nationwide Cross-Sectional Post Hoc Study

Cardiovascular Diseases and Metabolic Medications in the Lebanese Population: A Post Hoc Analysis from a Nationwide Cross-Sectional Study

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