Mass media information and adherence to Mediterranean diet: results from the Moli-sani study

Bonaccio, Marialaura; Castelnuovo, Augusto Di; Costanzo, Simona; Lucia, Francesca De; Olivieri, Marco; Donati, Maria Benedetta; Gaetano, Giovanni de; Iacoviello, Licia; Bonanni, Americo

doi:10.1007/s00038-011-0327-8

Cited by 32 publications

(28 citation statements)

References 25 publications

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“…Differences in clinical symptoms and medical treatment suggest that Roma patients should require special attention from all health care professionals. These findings call for better prevention strategies, including the use of mass media information (Bonaccio et al 2012) and improvement of the medical treatment in high risk Roma CHD patients.…”

Section: Discussionmentioning

confidence: 99%

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Sudzinová

Nagyová

Studenčan³

et al. 2013

Int J Public Health

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Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma Sudzinova, A.; Nagyova, Iveta; Studencan, M.; Rosenberger, Jaroslav; Skodova, Z.; Vargová, Helena; Middel, Lambertus; Reijneveld, Sijmen; van Dijk, Jitze Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Sudzinova, A., Nagyova, I., Studencan, M., Rosenberger, J., Skodova, Z., Vargova, H., ... van Dijk, J. P. (2013). Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma. International Journal of Public Health, 58(3), 409-415. DOI: 10.1007/s00038-013-0462-5 Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Abstract Objectives Coronary heart disease (CHD) is the most common cause of mortality and morbidity world-wide. Evidence on ethnic differences between the Roma and nonRoma regarding medical risk factors is scarce. The aim of this study was to assess differences in medical risk factors and the severity of CHD in Roma compared with nonRoma CHD patients, adjusted for gender, age and education. Methods Six hundred seventy four patients were included in this cross-sectional study (132 Roma, 542 non-Roma). Data on medical risk factors, symptoms, medication and severity of CHD were obtained from medical records. After matching Roma and non-Roma according to education, linear and logistic regression analyses with adjustments for gender and age were used. Results Compared with non-Roma, Roma patients had significantly more risk factors and more severe types of CHD. They were treated less frequently with statins and beta-blockers, were more frequently left on pharmacotherapy and surgically revascularised. These differences remained after controlling for education, gender and age. Conclusions Roma CHD patients have a worse risk profile at entry of care and seem to be undertreated compared with non-Roma CHD patients.

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Section: Discussionmentioning

confidence: 99%

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Sudzinová

Nagyová

Studenčan³

et al. 2013

Int J Public Health

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“…[24][25][26][27][28][29][30] Briefly, the MOLI-SANI project is a cohort study that was started in March 2005. Participants, men and women aged ≥35, living in Molise, a region of Southern Italy, were randomly recruited from city-hall registries.…”

Section: Study Participantsmentioning

confidence: 99%

Association of D-dimer levels with all-cause mortality in a healthy adult population: findings from the MOLI-SANI study

et al. 2013

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Elevated D-dimer levels are reportedly associated with higher risk of total mortality in patients with different diseases. We investigated whether a similar association could be found in a large, apparently healthy population. A large sample of individuals (N=17,359, 47% men, age ≥35 years) free of clinically recognized cardiovascular and cancer disease, for whom baseline D-dimer level was available, were studied within the MOLI-SANI cohort, randomly recruited from the general adult population of Southern Italy. The cohort was followed for a median of 4.2 years (73,807 person-years). D-dimer was measured in fresh citrated plasma by an automated latex-enhanced immunoassay. Hazard ratios were calculated using three Cox-proportional hazard models. Two hundred and eighty deaths were recorded. When modeled as a continuous variable, D-dimer level at baseline showed a non-linear association with mortality, whose incidence increased only in the upper quartile of the distribution (D-dimer ≥221 ng/mL). Thus, the group of individuals with D-dimer <221 ng/mL (75% of the population) acted as the reference group, while the remaining individuals were subdivided in tertiles and compared with the former group. Multivariable hazard ratios for mortality were 1.06, 1.45 and 1.97, respectively (P for trend <0.0001) across the three categories of increasing Ddimer concentration. The association was slightly attenuated, but still highly significant (P for trend 0.0002), after further adjustment for white blood cell count and C-reactive protein.In conclusion, Elevated D-dimer levels were independently associated with increased risk of death from any cause in an apparently healthy adult population.Association of D-dimer levels with all-cause mortality in a healthy adult population: findings from the MOLI-SANI study

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“…The results show that exposure of a sample of a general adult Italian population to information delivered by mass media is associated with a greater adherence to a Mediterranean-like eating pattern [45]. In other words, when mass media and the Internet are evaluated from an informative point of view, people in the highest exposure group had healthier diets independently from other possible confounding factors such as education or physical activity (Figures 3 and 4).…”

Section: The Media and The Mediterranean Dietmentioning

confidence: 91%

“…More research is warranted in order to better define the relationship between information, knowledge and Mediterranean diet, and how to exploit all the opportunities available. But, classical as well as new media could well play a really cost-effective role in promoting greater adherence to Mediterranean diet, consequently offering a unique opportunity to induce a healthy behavior capable of producing impressive results in terms of public health [45].…”

Section: The Media and The Mediterranean Dietmentioning

confidence: 99%

Information, Culture and Socioeconomics as Determinants of Adherence to Mediterranean Diet

Bonaccio

Bonanni

Donati

et al. 2015

The Mediterranean Diet

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Mass media information and adherence to Mediterranean diet: results from the Moli-sani study

Abstract: Exposure to mass media information is significantly associated with greater adherence to both Mediterranean diet and Mediterranean-like eating pattern, an association that public health strategies should take into account.

Cited by 32 publications

References 25 publications

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Association of D-dimer levels with all-cause mortality in a healthy adult population: findings from the MOLI-SANI study

Information, Culture and Socioeconomics as Determinants of Adherence to Mediterranean Diet

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