Adherence to the Mediterranean dietary pattern among the population of the Balearic Islands

Tur, Josep A.; Romaguera, Dora; Pons, Antoni

doi:10.1079/bjn20041209

Cited by 63 publications

(91 citation statements)

References 20 publications

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“…In contrast to previous findings [14,31], success was lower among women, in spite of the fact that women are usually more motivated to respond to health messages focused on diet [14]. A reason that may explain this is that their baseline dietary patterns were closer to the intended dietary goals than those of men, and a healthier diet at baseline was a major predictor of not attaining the intended changes.…”

Section: Discussioncontrasting

confidence: 87%

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Predictors of adherence to a Mediterranean-type diet in the PREDIMED trial

et al. 2009

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Background: Determinants of dietary changes obtained with a nutritional intervention promoting the Mediterranean diet have been rarely evaluated.Aim of the study: To identify predictors of higher success of an intervention aimed to increase adherence to a Mediterranean diet (MeDiet) in individuals at high cardiovascular risk participating in a trial for primary prevention of cardiovascular disease: the PREDIMED (PREvención con DIeta MEDiterránea) trial. Candidate predictors included demographic and socioeconomic characteristics, cardiovascular risk-factors and baseline dietary habits.Methods: 1048 asymptomatic subjects aged 55-80 years allocated to the active intervention groups (subjects in the control group were excluded). Participants' characteristics were assessed at baseline among subjects. Dietary change were evaluated after 12 months. Main Outcome measures were: attained changes in 5 dietary goals: increases in 1) fruit consumption; 2) vegetable consumption, 3) monounsaturated fatty acid (MUFA)/ saturated fatty acid (SFA) ratio, and decreases in 4) sweets and pastries consumption, 5) and meat consumption. Univariate and multivariate logistic regression analyses were used to examine associations between the candidate predictors and likelihood of attaining optimum dietary change (improved adherence to a MeDiet).Results: Among men, positive changes toward better compliance with the MeDiet were more frequent among non-diabetics, and among those with worse dietary habits at baseline (higher consumption of meat, higher SFA intake, lower consumption of fruit and vegetables). Among women, marital status (married) and worse baseline dietary habits (high in meats, low in fruits and vegetables) were the strongest predictors of success in improving adherence to the MeDiet.Conclusions/ applications: Some participant characteristics (marital status, and baseline dietary habits) could contribute to predicting the likelihood of achieving dietary goals in interventions aimed to improve adherence to a MeDiet and may be useful for promoting individualized long-term dietary changes and improving the effectiveness of dietary counseling.

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Section: Discussioncontrasting

confidence: 87%

“…Consistently with the literature, failure to meet the dietary goals was usually found among older participants [31,35], which may be explained because our participants had deeply rooted dietary habits and they were already fairly adherent to the MeDiet pattern at baseline [8,26].…”

Section: Discussionsupporting

confidence: 86%

Predictors of adherence to a Mediterranean-type diet in the PREDIMED trial

et al. 2009

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“…Several epidemiological studies reported a direct association between diet quality and healthy lifestyle variables (Ruidavets et al, 2004;Thiele et al, 2004;Tur et al, 2004). In the present population, participants with a high adherence to low-energy density diets showed a trend towards a healthier lifestyle characterized through a higher degree of physical activity during leisure time, lower prevalence of smoking, sedentary lifestyle and alcohol consumption.…”

Section: Discussionmentioning

confidence: 54%

Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population

et al. 2007

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Objective: Dietary intake is strongly influenced by the energy density of the diet. The purpose of this study was to determine the association of energy density with diet quality, dietary reference intake (DRI) for energy and lifestyle characteristics in free-living people. Subjects: The subjects were Spanish men (n ¼ 1491) and women (n ¼ 1563) selected in between 1999 and 2000 among the general population according to the 1996 census. Results: A low-energy density diet was significantly associated (Po0.001) with a higher consumption of vegetables, fruits, legumes, fish and white meat as compared to high-energy density diets. More subjects (Po0.001) with a high adherence to low-energy density diets meet DRI for energy intake and tended to be closer (Po0.05) to the recommendations of dietary intakes, established by the Spanish Society of Community Nutrition than those following a high-energy density diet. Alcohol consumption, the prevalence of a sedentary lifestyle and smoking significantly increased (Po0.01) across quartile distribution of energy density. Conclusion: Low-energy density diets of the present population were associated with a healthier lifestyle. Furthermore, our data suggest that adherence to low-energy density diets, with similar characteristics to those found in the present population, promote adequate energy intakes and increase overall diet quality.

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“…Recent nutritional surveys carried out in Spain also confirmed a progressive departure from the traditional Mediterranean diet towards a Western dietary pattern, mainly in young generations (5)(6)(7)(8)(9)(10)(11) . Because there is evidence that nutritional behaviours track from adolescence into adulthood, the promotion of healthy nutrition during adolescence has the potential to confer significant long-term health benefits (1) .…”

mentioning

confidence: 85%