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

Byline: Itziar Zazpe (1,2,18), Ramon Estruch (3,4), Estefania Toledo (5), Ana Sanchez-Tainta (1), Dolores Corella (4,6), Monica Bullo (7), Miquel Fiol (4,8), Pablo Iglesias (9), Enrique Gomez-Gracia (10), Fernando Aros (11), Emilio Ros (4,12), Helmut Schroder (4,13), Lluis Serra-Majem (14), Xavier P... Full description

Journal Title: European Journal of Nutrition 2010, Vol.49(2), pp.91-99
Main Author: Zazpe, Itziar
Other Authors: Estruch, Ramón , Toledo, Estefanía , Sánchez-Taínta, Ana , Corella, Dolores , Bulló, Mónica , Fiol, Miquel , Iglesias, Pablo , Gómez-Gracia, Enrique , Arós, Fernando , Ros, Emilio , Schröder, Helmut , Serra-Majem, Lluis , Pintó, Xavier , Lamuela-Raventós, Rosa , Ruiz-Gutiérrez, Valentina , Martínez-González, Miguel
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1436-6207 ; E-ISSN: 1436-6215 ; DOI: 10.1007/s00394-009-0053-7
Link: http://dx.doi.org/10.1007/s00394-009-0053-7
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recordid: springer_jour10.1007/s00394-009-0053-7
title: Predictors of adherence to a Mediterranean-type diet in the PREDIMED trial
format: Article
creator:
  • Zazpe, Itziar
  • Estruch, Ramón
  • Toledo, Estefanía
  • Sánchez-Taínta, Ana
  • Corella, Dolores
  • Bulló, Mónica
  • Fiol, Miquel
  • Iglesias, Pablo
  • Gómez-Gracia, Enrique
  • Arós, Fernando
  • Ros, Emilio
  • Schröder, Helmut
  • Serra-Majem, Lluis
  • Pintó, Xavier
  • Lamuela-Raventós, Rosa
  • Ruiz-Gutiérrez, Valentina
  • Martínez-González, Miguel
subjects:
  • Dietary predictors
  • Dietary adherence
  • Mediterranean diet
  • Cardiovascular risk
  • PREDIMED study
ispartof: European Journal of Nutrition, 2010, Vol.49(2), pp.91-99
description: Byline: Itziar Zazpe (1,2,18), Ramon Estruch (3,4), Estefania Toledo (5), Ana Sanchez-Tainta (1), Dolores Corella (4,6), Monica Bullo (7), Miquel Fiol (4,8), Pablo Iglesias (9), Enrique Gomez-Gracia (10), Fernando Aros (11), Emilio Ros (4,12), Helmut Schroder (4,13), Lluis Serra-Majem (14), Xavier Pinto (15), Rosa Lamuela-Raventos (16), Valentina Ruiz-Gutierrez (17), Miguel Angel Martinez-Gonzalez (1) Keywords: Dietary predictors; Dietary adherence; Mediterranean diet; Cardiovascular risk; PREDIMED study Abstract: Background Determinants of dietary changes obtained with a nutritional intervention promoting the Mediterranean diet have been rarely evaluated. Aim 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 (PREvencion con DIeta MEDiterranea) trial. Candidate predictors included demographic and socioeconomic characteristics, cardiovascular risk factors, and baseline dietary habits. Methods A total of 1,048 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 changes were evaluated after 12 months. Main outcome measures were: attained changes in five 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 Some participant characteristics (marital status and baseline dietary habits) could contribute to predicting the likelihood of achieving dietary goals in interve
language: eng
source:
identifier: ISSN: 1436-6207 ; E-ISSN: 1436-6215 ; DOI: 10.1007/s00394-009-0053-7
fulltext: fulltext
issn:
  • 1436-6215
  • 14366215
  • 1436-6207
  • 14366207
url: Link


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titlePredictors of adherence to a Mediterranean-type diet in the PREDIMED trial
creatorZazpe, Itziar ; Estruch, Ramón ; Toledo, Estefanía ; Sánchez-Taínta, Ana ; Corella, Dolores ; Bulló, Mónica ; Fiol, Miquel ; Iglesias, Pablo ; Gómez-Gracia, Enrique ; Arós, Fernando ; Ros, Emilio ; Schröder, Helmut ; Serra-Majem, Lluis ; Pintó, Xavier ; Lamuela-Raventós, Rosa ; Ruiz-Gutiérrez, Valentina ; Martínez-González, Miguel
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subjectDietary predictors ; Dietary adherence ; Mediterranean diet ; Cardiovascular risk ; PREDIMED study
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descriptionByline: Itziar Zazpe (1,2,18), Ramon Estruch (3,4), Estefania Toledo (5), Ana Sanchez-Tainta (1), Dolores Corella (4,6), Monica Bullo (7), Miquel Fiol (4,8), Pablo Iglesias (9), Enrique Gomez-Gracia (10), Fernando Aros (11), Emilio Ros (4,12), Helmut Schroder (4,13), Lluis Serra-Majem (14), Xavier Pinto (15), Rosa Lamuela-Raventos (16), Valentina Ruiz-Gutierrez (17), Miguel Angel Martinez-Gonzalez (1) Keywords: Dietary predictors; Dietary adherence; Mediterranean diet; Cardiovascular risk; PREDIMED study Abstract: Background Determinants of dietary changes obtained with a nutritional intervention promoting the Mediterranean diet have been rarely evaluated. Aim 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 (PREvencion con DIeta MEDiterranea) trial. Candidate predictors included demographic and socioeconomic characteristics, cardiovascular risk factors, and baseline dietary habits. Methods A total of 1,048 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 changes were evaluated after 12 months. Main outcome measures were: attained changes in five 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 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. Author Affiliation: (1) Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain (2) Department of Nutrition and Food Sciences, Physiology and Toxicology, University of Navarra, Pamplona, Spain (3) Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain (4) CIBER CB06/03 Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain (5) Department of Preventive Medicine and Quality Management, Hospital Virgen del Camino, Pamplona, Spain (6) Department of Preventive Medicine, University of Valencia, Valencia, Spain (7) Human Nutrition Department, University Rovira i Virgili, Reus, Spain (8) Institut Universitari de Ciencies de la Salut (IUNICS), Universidad de les Illes Balears, Palma de Mallorca, Spain (9) Department of Family Medicine, Primary Care Division of Sevilla, Bellavista Health Center, Sevilla, Spain (10) Department of Preventive Medicine, University of Malaga, Malaga, Spain (11) Department of Cardiology, Hospital Universitario Txagorritxu, Vitoria, Spain (12) Unitat de Lipids, Servei d'Endocrinologia i Nutricio, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Hospital Clinic, Barcelona, Spain (13) Lipids and Cardiovascular Epidemiology Research Unit, Institut Municipal d'Investigacio Medica, IMIM- Hospital del Mar, Barcelona, Spain (14) Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain (15) Lipids and Vascular Risk Unit, Internal Medicine Service Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain (16) Department of Nutrition and Food Science, University of Barcelona, Barcelona, Spain (17) Instituto de la grasa, Consejo Superior de Investigaciones Cientificas, Sevilla, Spain (18) School of Medicine, Clinica Universitaria de Navarra, Irunlarrea 1, 31080, Pamplona, Navarra, Spain Article History: Registration Date: 15/08/2009 Received Date: 01/04/2009 Accepted Date: 15/08/2009 Online Date: 04/09/2009
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