A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort

Mata-Fernández, Arancha; Hershey, María Soledad; Pastrana-Delgado, Juan; Sotos-Prieto, Mercedes; Ruíz-Canela, Miguel; Kales, Stefanos N.; Martínez‐González, Miguel A.; Fernández-Montero, Alejandro

doi:10.1016/j.numecd.2021.02.022

Cited by 17 publications

(15 citation statements)

References 30 publications

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“…The main objective of all the articles was to evaluate the MLS in order to analyze the relationship between adherence to this lifestyle and other variables, either with other lifestyles [ 23 , 24 , 33 ], with the symptomatology of certain pathologies [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 22 , 25 , 28 ], or with the effectiveness of an intervention program in which the MLS was implemented in the daily lives of participants, comparing certain variables before and after the implementation of this LS [ 18 , 19 , 20 , 21 , 27 , 31 , 32 ]. Another study focused on the assessment of changes in adherence to the MLS after the COVID-19 pandemic [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the studies included in this review, Table 3 reveals that nine were cross-sectional [ 12 , 16 , 17 , 23 , 24 , 25 , 28 ], ten were randomized controlled trials [ 10 , 15 , 18 , 19 , 20 , 21 , 27 , 31 , 32 , 35 ], and the remaining seven were cohort studies [ 5 , 11 , 13 , 14 , 22 , 26 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, seven articles used the MEDLIFE tool in combination with other questionnaires to evaluate certain dimensions of the MLS separately [ 5 , 11 , 13 , 14 , 15 , 17 , 35 ]. Hershey et al [ 17 ] modified the original MEDLIFE questionnaire, making variations in a total of nine items.…”

Section: Resultsmentioning

confidence: 99%

“…According to numerous studies, the benefits of adhering to the MLS include a significant improvement in quality of life [ 10 ]. In this regard, many studies have shown that adherence to the MLS acts as a protective factor against chronic non-communicable diseases, including cardiovascular diseases, type 2 diabetes, hypertension [ 11 , 12 , 13 , 14 , 15 ], and metabolic syndrome [ 16 ], showing a lower prevalence of these diseases among people with strong adherence to the MLS [ 16 ]. In fact, the study by Hershey et al showed that greater adherence to the MLS can be associated with 41% less mortality from cardiovascular disease [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…In fact, the study by Hershey et al showed that greater adherence to the MLS can be associated with 41% less mortality from cardiovascular disease [ 11 ]. Hence, MLS adherence acts as a protective factor against chronic diseases, especially in the elderly [ 10 ], given that adherence to this lifestyle is significantly associated with a lower risk of cardiovascular disease mortality [ 11 , 12 , 13 , 14 , 15 ]. Moreover, as previously indicated, adherence to the MLS is also closely related to a lower prevalence of metabolic syndrome [ 17 ] and has been linked to a lower development of glucose disorders in pregnant patients, subsequently reducing the rate of gestational diabetes [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

et al. 2022

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The Mediterranean Lifestyle (MLS) has been related to better health and quality of life. However, there is no consensus on how to assess this lifestyle. The main objective of this work was to systematically review the methodology used in different studies on the evaluation of the MLS. The specific objectives were (1) to analyze the MLS components evaluated in previous studies, (2) to explore the assessment instruments available for the analysis of the MLS, and (3) to identify the psychometric properties of these instruments. The search was carried out using the PubMed, Scopus, Web of Science, and ScienceDirect databases with the purpose of identifying those published articles in which the MLS was assessed. The review included 26 studies linked to the assessment of the MLS. Of these studies, only four exclusively used a tool to analyze MLS components globally. These studies included two questionnaires and three different indexes. None of them, however, evaluated all of the recognized MLS components, and food preparation was the least frequently evaluated component. Given the clear importance of analyzing MLS adherence and the lack of consensus in previous research, an evaluation tool needs to be created to comprehensively assess all of the MLS dimensions by means of appropriate psychometric properties.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

et al. 2022

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Mediterranean lifestyle index and 24-h systolic blood pressure and heart rate in community-dwelling older adults

et al. 2023

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Specific foods, nutrients, dietary patterns, and physical activity are associated with lower blood pressure (BP) and heart rate (HR), but little is known about the joint effect of lifestyle factors captured in a multidimensional score. We assessed the association of a validated Mediterranean-lifestyle (MEDLIFE) index with 24-h-ambulatory BP and HR in everyday life among community-living older adults. Data were taken from 2,184 individuals (51% females, mean age: 71.4 years) from the Seniors-ENRICA-2 cohort. The MEDLIFE index consisted of 29 items arranged in three blocks: 1) Food consumption; 2) Dietary habits; and 3) Physical activity, rest, and conviviality. A higher MEDLIFE score (0–29 points) represented a better Mediterranean lifestyle adherence. 24-h-ambulatory BP and HR were obtained with validated oscillometric devices. Analyses were performed with linear regression adjusted for the main confounders. The MEDLIFE-highest quintile (vs Q1) was associated with lower nighttime systolic BP (SBP) (-3.17 mmHg [95% CI: -5.25, -1.08]; p-trend = 0.011), greater nocturnal-SBP fall (1.67% [0.51, 2.83]; p-trend = 0.052), and lower HR (-2.04 bpm [daytime], -2.33 bpm [nighttime], and -1.93 bpm [24-h]; all p-trend < 0.001). Results were similar for each of the three blocks of MEDLIFE and by hypertension status (yes/no). Among older adults, higher adherence to MEDLIFE was associated with lower nighttime SBP, greater nocturnal-SBP fall, and lower HR in their everyday life. These results suggest a synergistic BP-related protection from the components of the Mediterranean lifestyle. Future studies should determine whether these results replicate in older adults from other Mediterranean and non-Mediterranean countries.

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The Mediterranean lifestyle (MEDLIFE) index and metabolic syndrome in a non-Mediterranean working population

et al. 2021

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A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort

Cited by 17 publications

References 30 publications

Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

Mediterranean lifestyle index and 24-h systolic blood pressure and heart rate in community-dwelling older adults

The Mediterranean lifestyle (MEDLIFE) index and metabolic syndrome in a non-Mediterranean working population

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