High adherence to the Mediterranean diet is associated with cardiovascular protection in higher but not in lower socioeconomic groups: prospective findings from the Moli-sani study

Bonaccio, Marialaura; Castelnuovo, Augusto Di; Pounis, George; Costanzo, Simona; Persichillo, Mariarosaria; Cerletti, Chiara; Donati, Maria Benedetta; Gaetano, Giovanni de; Iacoviello, Licia; Investigators, Moli-sani Study

doi:10.1093/ije/dyx145

Cited by 59 publications

(50 citation statements)

References 30 publications

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“…The findings of this study are partially consistent with observed trends in scientific literature, showing a slow abandonment of healthy dietary habits among individuals living in southern Italy, leading to adverse metabolic-related health conditions [22][23][24]. Adherence to traditional healthy dietary patterns has been associated to lower risk of metabolic disorders and cardiovascular outcomes among individuals living in southern Italy [25][26][27], including hypertension [28], obesity [29], dyslipidemia [30], insulin resistance [31] but also overall quality of life [32]. Nevertheless, there is evidence of the so-called "nutrition transition" phenomenon, described as a shift toward Westernized dietary habits, including high-sugar, high-refined, high-fat processed foods and beverages in spite of more natural, biologic (or less processed), local goods [33,34]; these trends have been demonstrated especially among younger generations [ [35][36][37].…”

Section: Discussionsupporting

confidence: 88%

“…Occupational status was categorized as (i) unemployed, (ii) low (unskilled workers), (iii) medium (partially skilled workers) and (iv) high (skilled workers). Physical activity status was evaluated using the International Physical Activity Questionnaires (IPAQ) [27], which comprised a set of questionnaires (five domains) investigating the time spent being physically active in the last 7 days: based on the IPAQ guidelines, the final scores allows to categorized physical activity level as (1) low, (2) moderate, and (3) high. Smoking status was categorized as (1) non-smoker, (2) ex-smoker, and (3) current smoker.…”

Section: Data Collectionmentioning

confidence: 99%

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Meal habits and metabolic status in Southern Italian adults

Zappalà

Platania

Paladino

et al. 2019

NHA

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BACKGROUND:Recently eating habits, such as breakfast, snaking, and out-of-home meals, have been shown to influence metabolic health of general population. OBJECTIVE: The aim of this study is to explore the association between meal habits and metabolic status in Southern Italian adults. METHODS: Data from the Mediterranean healthy Eating, Aging and Lifestyle study was used, including a total of 1952 subjects. RESULTS: Individuals having type 2 diabetes, dyslipidemias, and hypertension were more likely to adhere to a diet characterized by skipping breakfast, having unhealthy snacks and having out-of-home meals. Having breakfast was associated with higher odds of having dyslipidemias (OR = 2.71, 95% CI: 1.74, 4.23); having snacks was associated with higher odds of being obese (OR = 2.09, 95% CI: 1.42, 3.09); and having out-of-home meals was associated with higher odds of having dyslipidemias (OR = 1.55, 95% CI: 1.03, 2.32) and hypertension (OR = 1.61, 95% CI: 1.18, 2.21). CONCLUSIONS:The results of this study indicate that eating habits may be associated with metabolic status in adults living in the Mediterranean area.

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Section: Discussionsupporting

confidence: 88%

Section: Data Collectionmentioning

confidence: 99%

Meal habits and metabolic status in Southern Italian adults

Zappalà

Platania

Paladino

et al. 2019

NHA

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“…Many studies have considered MedDiet as a healthy consumption pattern benchmark Rosi et al, 2017) and compared the differences against other, not so allegedly healthy diets, like current Western patterns or meat-based diets, or with socioeconomic factors (Bonaccio et al, 2017). On the other hand, other studies also have made comparisons with other supposedly healthier diets, like a pescetarian, vegetarian, ovo-lacto-vegetarian, vegan, or even flexitarian (Springmann et al, 2018) diets.…”

Section: Nutritional Analysismentioning

confidence: 99%

Environmental and nutritional impacts of changing diets and food waste in Spain

Morente¹

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Tribunal nombrado por el Sr. Rector Magfco. de la Universidad Politécnica de Madrid, el día ……… de …………………. de 201… Presidente: ………………………………………………………………………… Vocal: ……………………………………………………………………………… Vocal: ……………………………………………………………………………… Vocal: ……………………………………………………………………………… Secretario: ………………………………………………………………………… Suplente:…………………………………………………………………… Suplente: ………………………………………………………………………… Realizado el acto de defensa y lectura de la Tesis el día …… de …………. de 201… en la E.T.S.I./Facultad ………………………. Calificación …………………………………………. EL PRESIDENTE LOS VOCALES EL SECRETARIO A mis padres; José Luis y Oliva, e Iván i AGRADECIMIENTOS Durante todos estos años de realización de la Tesis Doctoral, tengo que agradecer a muchas personas e instituciones, el gran apoyo, ayuda y confianza que me han mostrado para su escritura y finalización. De una manera muy especial, y, en primer lugar, a mis dos tutores; Alberto Garrido y Bárbara Willaarts. A Alberto le tengo que agradecer su gran dedicación, apoyo y esfuerzo con la que se ha entregado desde el principio, ha sido un gran tutor, que me ha sabido llevar (no solo estos tres años de Tesis, sino unos cuantos más como investigador) con gran templanza, educación y saber, mi camino para convertirme en doctor y buen profesional; gracias por confiar en mí todos estos años. Y qué decir de Bárbara, que desde que apareció para ayudarme cuando estaba atascado en mi primer artículo, se quedó para ser una gran tutora. Gracias a ella sin duda he realizado esta Tesis, y sin ella aún estaría pensando que hacer. Ha sido enorme su apoyo, ánimos y esfuerzo (que ha hecho en cualquier lugar desde donde se encontraba) para que saliese adelante esta Tesis… ¡menos mal que entré ese día en tu despacho! Gracias. Agradecer igualmente a las instituciones gracias a las cuales he podido realizar esta Tesis. En primer lugar, al Observatorio del Agua de la Fundación Botín, el cual me ha financiado y apoyado el proyecto de investigación. Desde que entré a formar parte del equipo, hasta hoy en día, me ha apoyado para la consecución de la Tesis. En especial agradecer al equipo actual (Toni, Gabi, Lucia y Alberto) el apoyo, compañerismo y profesionalidad mostrado. También a Maite Aldaya, que me ayudó en mis primeras incursiones de la Huella Hídrica y a Michelaina Jhonson por el trabajo con la Dieta Americana. A Paulo Dias y Olcay Unver de FAO-Roma, y Jan Lundqvist de SIWI, por la ayuda y la participación en el tercer artículo durante mi estancia. A Javier Mazorra, por ayudarme tanto este último año de Tesis en todo, ¡Y a la Co-Co, sin ella estos últimos meses de finalización de Tesis hubiesen sido mucho más difíciles e interminables…gracias Sori! Agradecer enormemente a CEIGRAM. No solo ha sido mi lugar de trabajo durante casi 6 años, sino que también ha sido el sitio donde me he desarrollado personalmente, y he conocido a gente maravillosa y verdaderos amigos. Gracias a los antiguos Ceigrameros (Lola, Dani, Elenita, Jorge, Gloria, Paula, Berta, Sori, Willaarts, Ana Felis…) por los momentos tan divertidos y maravilloso...

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“…Clinicians advocate physical activity, especially outdoors in nature, and adherence to a Mediterranean-style diet. However, adherence to the latter-with all of its stress and inflammation-buffering components-is determined by income [237,238]. Increasing numbers of Americans are holding down two jobs-reflecting the inability of one job to provide a living wage [239]; the lack of a living wage, often referred to as 'in-work poverty', is an obvious barrier to adherence of the former, spending time outdoors in nature, and the realization of the oft-discussed 'work-life balance' [240,241].…”

Section: Redefining the Narrativementioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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High adherence to the Mediterranean diet is associated with cardiovascular protection in higher but not in lower socioeconomic groups: prospective findings from the Moli-sani study

Cited by 59 publications

References 30 publications

Meal habits and metabolic status in Southern Italian adults

Meal habits and metabolic status in Southern Italian adults

Environmental and nutritional impacts of changing diets and food waste in Spain

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

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