Changes in a Mediterranean lifestyle during the COVID-19 pandemic among elderly Italians: an analysis of gender and socioeconomic inequalities in the “LOST in Lombardia” study

Bonaccio, Marialaura; Gianfagna, Francesco; Stival, Chiara; Amerio, Andrea; Bosetti, Cristina; Doro, Luca; Odone, Anna; Stuckler, David; Zucchi, Alberto; Gallus, Silvano; Iacoviello, Licia

doi:10.1080/09637486.2022.2040009

Cited by 11 publications

(19 citation statements)

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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 ]. Two other studies considered the designing of a questionnaire to measure MLS adherence and the verification of its reliability [ 5 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies focused on these two components [ 10 , 18 , 24 , 33 ], five also included night-time sleep [ 19 , 20 , 21 , 23 , 28 ], and three included MD, PA, and socialization [ 18 , 31 , 32 ]. Another study included MD, PA, and the use of locally grown, seasonal products [ 34 ]. Only six articles evaluated all of the MLS components, with the exception of the participation in food preparation and the consumption of locally grown and seasonal products [ 5 , 11 , 14 , 15 , 35 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…It shows all of the MLS components together with the questionnaires or self-reported ad hoc questions that were used to evaluate each dimension, with the exception of six studies, which exclusively used a tool to analyze the MLS components globally. The MEDLIFE questionnaire, the MedCOVID-19 score, the Total Lifestyle Index (TLI), MEDiLIFE-index, and MEDI-Lifestyle index were used [ 12 , 16 , 23 , 28 , 34 , 36 ]. It should be noted that, in one of the studies, instead of applying the previously validated 28-item MEDLIFE questionnaire, Bowden et al [ 16 ] used an initial pilot 32-item questionnaire that was created by the original authors, which included 4 questions that could not be validated in a second study [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Thus, most of the studies have employed different statistical analyses to integrate punctuations from diet adherence or dietary intake, sleep quality, or physical activity in a global MLS score. Moreover, the methodologies used to examine the structure of these questionnaires or indices are related to PCA, KMO, and also reliability and validity analyses [ 5 , 28 , 34 , 35 ].…”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 99%

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Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

et al. 2022

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“…Within the ‘LOckdown and lifeSTyles in Lombardia’ (LOST in Lombardia) study [25] , [26] , [27] , [28] , we investigated COVID-19 impact on physical and mental health outcomes, behavioural risk factors and healthcare services use among older people with diabetes, in comparison with older people not affected by any chronic disease.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Vigezzi¹,

Bossi²,

Derosa³

et al. 2022

Primary Care Diabetes

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Transition to retirement impact on smoking habit: results from a longitudinal analysis within the Survey of Health, Ageing and Retirement in Europe (SHARE) project

et al. 2023

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Background In an ageing society, retirement impacts on behavioural risk factors and health outcomes should be carefully assessed. Scant evidence exists from longitudinal studies on the short- and long-term consequences of the transition to retirement on smoking habit. Methods We conducted a longitudinal study based on the Survey of Health, Ageing and Retirement in Europe (SHARE) data from 27 European countries plus Israel collected in 2004–2020. To estimate relative risks (RR) and corresponding 95% confidence intervals (CI) for smoking status and intensity at seven time periods before and after retirement, we fitted adjusted generalised estimating equation (GEE) models for repeated measures. Results We selected a cohort of 8998 individuals employed at baseline and retired at follow-up (median follow-up time: 9 years; maximum: 16 years). As compared to the year of retirement, the RR of smoking was 1.59 (95% CI 1.44–1.76) at 10 years or more before retirement, 1.35 (95% CI 1.25–1.46) from 5 to 9 years before retirement, and 1.18 (95% CI 1.10–1.27) from 1 to 4 years before retirement. Smoking steadily decreased after retirement, being 0.94 (95% CI 0.87–1.01) from 1 to 4 years after retirement, 0.76 (95% CI 0.69–0.84) from 5 to 9 years, and 0.58 (95% CI 0.46–0.74) 10 years or more after retirement. In smokers, the estimated number of cigarettes smoked/day decreased from about 27 cigarettes/day at 10 years or more before retirement to 9 cigarettes/day at 10 years or more after retirement (p trend < 0.001). Conclusion Longitudinal data suggest that lifestyles might favourably change with retirement. Further studies are needed to direct healthy ageing promotion policies better.

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Changes in a Mediterranean lifestyle during the COVID-19 pandemic among elderly Italians: an analysis of gender and socioeconomic inequalities in the “LOST in Lombardia” study

Cited by 11 publications

References 36 publications

Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

Assessment Strategies to Evaluate the Mediterranean Lifestyle: A Systematic Review

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Transition to retirement impact on smoking habit: results from a longitudinal analysis within the Survey of Health, Ageing and Retirement in Europe (SHARE) project

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