MedDietScore: A computer program that evaluates the adherence to the Mediterranean dietary pattern and its relation to cardiovascular disease risk

Panagiotakos, Demosthenes B.; Milias, George A.; Pitsavos, Christos; Stefanadis, Christodoulos

doi:10.1016/j.cmpb.2006.05.003

Cited by 81 publications

(68 citation statements)

References 12 publications

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“…Alcohol consumption was measured by daily ethanol intake, in wine glasses (100 mL and 12 g ethanol concentration). Based on the Mediterranean diet pyramid [30], we calculated a special diet score ranging from 0 to 55 [31]. Higher values of this score (MedDietScore) indicate adherence to the Mediterranean diet, whereas lower values indicate adherence to the “Westernized” diet.…”

Section: Methodsmentioning

confidence: 99%

Physical Activity and Adherence to Mediterranean Diet Increase Total Antioxidant Capacity: The ATTICA Study

Kavouras

Panagiotakos

Pitsavos

et al. 2011

Cardiology Research and Practice

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We studied the association of physical activity and adherence to the Mediterranean diet, in total antioxidant capacity (TAC). A random sample of 1514 men and 1528 women was selected from Attica region. Physical activity was assessed with a translated version of the validated “International Physical Activity Questionnaire” (iPAQ), and dietary intake through a validated Food Frequency Questionnaire (FFQ). Adherence to the Mediterranean diet was assessed by the MedDietScore that incorporated the inherent characteristics of this diet. TAC was positively correlated with the degree of physical activity (P < .05). TAC was also positively correlated with MedDietScore (r = 0.24, P < .001). Stratified analysis by diet status revealed that the most beneficial results were observed to highly active people as compared to inactive, who also followed the Mediterranean diet (288 ± 70 μmol/L, 230 ± 50 μmol/L, resp.), after adjusting for various confounders. Increased physical activity and greater adherence to the Mediterranean diet were associated with increased total antioxidant capacity.

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Section: Methodsmentioning

confidence: 99%

Physical Activity and Adherence to Mediterranean Diet Increase Total Antioxidant Capacity: The ATTICA Study

Kavouras

Panagiotakos

Pitsavos

et al. 2011

Cardiology Research and Practice

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“…], and the second one being a diet style observed in Mediterranean populations - the Mediterranean DP (i.e., MeDi, Mediterranean Diet Scale, MedDietScore, etc.) [21–24]. …”

Section: Patterning Approachesmentioning

confidence: 99%

“…Although slightly different methods have been used [24], the MeDi score is commonly constructed in the following way: For fruits, vegetables, legumes, cereals, fish, ratio of MUFA/SFA, and mild-moderate alcohol (beneficial components), individuals whose calorie-adjusted amount (grams) consumption is below the median are assigned a value of 0, and individuals whose calorie-adjusted consumption is at or above the median are assigned a value of 1. For meat and dairy products (components presumed to be detrimental), individuals whose consumption is below the median were assigned a value of 1, and individuals whose consumption is at or above the median were assigned a value of 0.…”

Section: Patterning Approachesmentioning

confidence: 99%

Dietary Patterns in Alzheimers Disease and Cognitive Aging

Gu¹,

Scarmeas²

2011

CAR

138

109

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Much of the attention on diet and Alzheimer’s disease (AD) or cognition among the elderly has focused on the role of single nutrients or foods, while available information on dietary pattern (DP) analysis, which better reflects the complexity of the diet, is sparse. In this review, we describe different patterning approaches and present studies performed to date that have assessed the associations between DPs and risk of AD or cognitive function in the elderly. Three patterning approaches have been most commonly used: (i) hypothesis-based that use dietary quality indexes or scores (e.g. Mediterranean pattern), (ii) data-driven that use factor or cluster analysis to derive DPs, (iii) reduced rank regression which combines characteristics of the former two approaches. Despite differences existing among the approaches, DPs characterized by higher intake of fruits, vegetables, fish, nuts and legumes, and lower intake of meats, high fat dairy, and sweets seemed to be associated with lower odds of cognitive deficits or reduced risk of AD. Overall, the inherent advantages as well as the existing evidence of DP analyses strongly suggest that this approach may be valuable in AD and aging research. Further studies are warranted, though, to confirm the findings in different population settings, to address some methodological issues, and possibly utilize the information for future clinical trial design.

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“…According to previous data (29)(30)(31)(32) , a presumably beneficial effect on overall morbidity and mortality was attributed to vegetables, fruit and nuts, cereals, legumes, fish and shellfish, moderate alcohol consumption, and ratio of monounsaturated to saturated lipids, whereas a presumably detrimental effect on overall morbidity and mortality was attributed to meat and meat products, and milk and dairy products.…”

Section: Mediterranean Diet Scorementioning

confidence: 99%

“…Since the Mediterranean diet has long been associated with better health status, several types of Mediterranean dietary score that attempt to evaluate the level of adherence to the MDP have been proposed (26)(27)(28) . Moreover, several of these indices have been associated with cardiovascular risk factors and biological markers of illness (29,30) , and it has been shown that maximum adherence to the Mediterranean diet (high Mediterranean dietary score) is associated with the lowest cardiovascular risk factors and with the highest longevity (16,21,31,32) . Because of reduced size and isolation due to naturally defined borders, insular environments seem appropriate for bringing to light food habits preserved from external influences, a priori less numerous than on a continent (11) .…”

mentioning

confidence: 99%

Food patterns and Mediterranean diet in western and eastern Mediterranean islands

Romaguera

Bamia

Pons

et al. 2009

Public Health Nutr.

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Objective: To assess current Mediterranean dietary patterns (MDP) in the western and eastern Mediterranean, i.e. in Balearic islanders (BI) and Greek islanders (GI). Subjects and methods: Dietary patterns were assessed using FFQ on a representative sample (n 1200) of the BI and GI (n 1324) adult population. A Mediterranean Diet Score (MDS) was calculated according to the consumption of nine MDP components: (i) with a beneficial effect on health, i.e. vegetables, fruits and nuts, cereals, legumes, fish and shellfish, MUFA:SFA ratio, and moderate alcohol consumption; and (ii) with a detrimental effect on health, i.e. meat and meat products, and milk and dairy products. Persons with consumption of beneficial components below the median (GI plus BI) received a value of 0 and those with consumption above the median a value of 1. Persons with below-median consumption of detrimental components received a value of 1 and above-median consumption a value of 0. For alcohol, a value of 1 was given to consumptions of 10-50 g/d (men) and 5-25 g/d (women). The range of the MDS was 0-9, with higher scores indicating greater adherence to the MDP. Results: GI showed higher adherence (mean MDS 5?12 (SD 1?42)) to the MDP than BI (mean MDS 3?32 (SD 1?23)). BI diet was characterized by a high intake of legumes, nuts, seed oils, sugar and confectionery, and non-alcoholic beverages compared with GI, whereas GI diet was richer in fruit, vegetables, potatoes, olive oil, animal products and alcoholic beverages. Conclusions: The GI diet seems closer to the traditional MDP than the BI diet.

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MedDietScore: A computer program that evaluates the adherence to the Mediterranean dietary pattern and its relation to cardiovascular disease risk

Cited by 81 publications

References 12 publications

Physical Activity and Adherence to Mediterranean Diet Increase Total Antioxidant Capacity: The ATTICA Study

Physical Activity and Adherence to Mediterranean Diet Increase Total Antioxidant Capacity: The ATTICA Study

Dietary Patterns in Alzheimers Disease and Cognitive Aging

Food patterns and Mediterranean diet in western and eastern Mediterranean islands

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