High adherence to Mediterranean diet, but not individual foods or nutrients, is associated with lower likelihood of being obese in a Mediterranean cohort
Purpose The aim of the present study was to evaluate the association between the Mediterranean diet and obesity in a Mediterranean cohort. Methods The study population of MEAL (Mediterranean Healthy Eating, Ageing, and Lifestyle) study comprised 1814 men and women (18 + years) recruited in the city...
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| Veröffentlicht in: | Eating and weight disorders 2018-10, Vol.23 (5), p.605-614 |
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| creator | Zappalà, Gaetano Buscemi, Silvio Mulè, Serena La Verde, Melania D’Urso, Maurizio Corleo, Davide Marranzano, Marina |
| description | Purpose
The aim of the present study was to evaluate the association between the Mediterranean diet and obesity in a Mediterranean cohort.
Methods
The study population of MEAL (Mediterranean Healthy Eating, Ageing, and Lifestyle) study comprised 1814 men and women (18 + years) recruited in the city of Catania, southern Italy. Food intake was evaluated through a validated food frequency questionnaire and the Mediterranean diet adherence was assessed through the MEDI-LITE score.
Results
Individuals highly adherent to the Mediterranean diet (highest quartile of the score) were less likely to be obese (OR 0.53, 95% CI 0.32, 0.89) despite there was no significant associations when considering men and women separately. The dietary profile of obese and non-obese individuals did not significantly differ, except for vitamin E, processed meat, and alcohol more consumed among non-obese ones. Among the food groups characterizing this dietary pattern, only satisfaction of the criterion for dairy products ( |
| doi_str_mv | 10.1007/s40519-017-0454-1 |
| format | Article |
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The aim of the present study was to evaluate the association between the Mediterranean diet and obesity in a Mediterranean cohort.
Methods
The study population of MEAL (Mediterranean Healthy Eating, Ageing, and Lifestyle) study comprised 1814 men and women (18 + years) recruited in the city of Catania, southern Italy. Food intake was evaluated through a validated food frequency questionnaire and the Mediterranean diet adherence was assessed through the MEDI-LITE score.
Results
Individuals highly adherent to the Mediterranean diet (highest quartile of the score) were less likely to be obese (OR 0.53, 95% CI 0.32, 0.89) despite there was no significant associations when considering men and women separately. The dietary profile of obese and non-obese individuals did not significantly differ, except for vitamin E, processed meat, and alcohol more consumed among non-obese ones. Among the food groups characterizing this dietary pattern, only satisfaction of the criterion for dairy products (< 1 serving/day) was significantly associated with lower odds of being obese. Among other covariates, current smoking was associated with obesity, while high physical activity and regular alcohol drinking were inversely associated. Some differences between men and women in the highest category of occupational status occurred, as the former were less likely, while the latter were more likely to be obese.
Conclusions
Higher adherence to the Mediterranean diet as a whole dietary pattern, rather than its individual components, is associated with less likelihood of being obese.
Level of evidence
Level V, cross-sectional descriptive study.</description><identifier>ISSN: 1124-4909</identifier><identifier>EISSN: 1590-1262</identifier><identifier>DOI: 10.1007/s40519-017-0454-1</identifier><identifier>PMID: 29124678</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Diet ; Diet, Mediterranean ; Eating ; Exercise ; Feeding Behavior ; Female ; Health Surveys ; Humans ; Italy ; Life Style ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity - prevention & control ; Original Article ; Psychiatry ; Socioeconomic Factors ; Women ; Young Adult</subject><ispartof>Eating and weight disorders, 2018-10, Vol.23 (5), p.605-614</ispartof><rights>Springer International Publishing AG 2017</rights><rights>Springer International Publishing AG 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2a7e9c163d5abaf28f1db6896c7f84019adf5755e3f93fb8a67ce38e65a853043</citedby><cites>FETCH-LOGICAL-c372t-2a7e9c163d5abaf28f1db6896c7f84019adf5755e3f93fb8a67ce38e65a853043</cites><orcidid>0000-0003-0730-7649</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40519-017-0454-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40519-017-0454-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29124678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zappalà, Gaetano</creatorcontrib><creatorcontrib>Buscemi, Silvio</creatorcontrib><creatorcontrib>Mulè, Serena</creatorcontrib><creatorcontrib>La Verde, Melania</creatorcontrib><creatorcontrib>D’Urso, Maurizio</creatorcontrib><creatorcontrib>Corleo, Davide</creatorcontrib><creatorcontrib>Marranzano, Marina</creatorcontrib><title>High adherence to Mediterranean diet, but not individual foods or nutrients, is associated with lower likelihood of being obese in a Mediterranean cohort</title><title>Eating and weight disorders</title><addtitle>Eat Weight Disord</addtitle><addtitle>Eat Weight Disord</addtitle><description>Purpose
The aim of the present study was to evaluate the association between the Mediterranean diet and obesity in a Mediterranean cohort.
Methods
The study population of MEAL (Mediterranean Healthy Eating, Ageing, and Lifestyle) study comprised 1814 men and women (18 + years) recruited in the city of Catania, southern Italy. Food intake was evaluated through a validated food frequency questionnaire and the Mediterranean diet adherence was assessed through the MEDI-LITE score.
Results
Individuals highly adherent to the Mediterranean diet (highest quartile of the score) were less likely to be obese (OR 0.53, 95% CI 0.32, 0.89) despite there was no significant associations when considering men and women separately. The dietary profile of obese and non-obese individuals did not significantly differ, except for vitamin E, processed meat, and alcohol more consumed among non-obese ones. Among the food groups characterizing this dietary pattern, only satisfaction of the criterion for dairy products (< 1 serving/day) was significantly associated with lower odds of being obese. Among other covariates, current smoking was associated with obesity, while high physical activity and regular alcohol drinking were inversely associated. Some differences between men and women in the highest category of occupational status occurred, as the former were less likely, while the latter were more likely to be obese.
Conclusions
Higher adherence to the Mediterranean diet as a whole dietary pattern, rather than its individual components, is associated with less likelihood of being obese.
Level of evidence
Level V, cross-sectional descriptive study.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Eating</subject><subject>Exercise</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Italy</subject><subject>Life Style</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - prevention & control</subject><subject>Original Article</subject><subject>Psychiatry</subject><subject>Socioeconomic Factors</subject><subject>Women</subject><subject>Young Adult</subject><issn>1124-4909</issn><issn>1590-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1rFTEUhgdRbK3-ADdywI2LjuZ7JkspaoWKG12HzOTkTurcpCYZiz_Ff2sutyoUXCVwnvc9B56ue07Ja0rI8KYIIqnuCR16IqTo6YPulEpNesoUe9j-lIleaKJPuielXBMiKOfkcXfCdJuoYTztfl2G3QLWLZgxzgg1wSd0oWLONqKN4ALWc5i2CjFVCNGFH8FtdgWfkiuQMsSt5oCxlnMIBWwpaQ62ooPbUBdY0y1mWMM3XMPSIpA8TBjiDtKEBVsj2Hsr57SkXJ92j7xdCz67e8-6r-_ffbm47K8-f_h48faqn_nAas_sgHqmijtpJ-vZ6Kmb1KjVPPhREKqt83KQErnX3E-jVcOMfEQl7Sg5Efyse3Xsvcnp-4almn0oM65rOyZtxVCtOBukIqShL--h12nLsV1nmCCjaDLogaJHas6plIze3OSwt_mnocQcvJmjN9O8mYM3Q1vmxV3zNu3R_U38EdUAdgRKG8Ud5n-r_9_6GxxYpLY</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Zappalà, Gaetano</creator><creator>Buscemi, Silvio</creator><creator>Mulè, Serena</creator><creator>La Verde, Melania</creator><creator>D’Urso, Maurizio</creator><creator>Corleo, Davide</creator><creator>Marranzano, Marina</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0730-7649</orcidid></search><sort><creationdate>20181001</creationdate><title>High adherence to Mediterranean diet, but not individual foods or nutrients, is associated with lower likelihood of being obese in a Mediterranean cohort</title><author>Zappalà, Gaetano ; Buscemi, Silvio ; Mulè, Serena ; La Verde, Melania ; D’Urso, Maurizio ; Corleo, Davide ; Marranzano, Marina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2a7e9c163d5abaf28f1db6896c7f84019adf5755e3f93fb8a67ce38e65a853043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Diet</topic><topic>Diet, Mediterranean</topic><topic>Eating</topic><topic>Exercise</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Italy</topic><topic>Life Style</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - prevention & control</topic><topic>Original Article</topic><topic>Psychiatry</topic><topic>Socioeconomic Factors</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zappalà, Gaetano</creatorcontrib><creatorcontrib>Buscemi, Silvio</creatorcontrib><creatorcontrib>Mulè, Serena</creatorcontrib><creatorcontrib>La Verde, Melania</creatorcontrib><creatorcontrib>D’Urso, Maurizio</creatorcontrib><creatorcontrib>Corleo, Davide</creatorcontrib><creatorcontrib>Marranzano, Marina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Eating and weight disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zappalà, Gaetano</au><au>Buscemi, Silvio</au><au>Mulè, Serena</au><au>La Verde, Melania</au><au>D’Urso, Maurizio</au><au>Corleo, Davide</au><au>Marranzano, Marina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High adherence to Mediterranean diet, but not individual foods or nutrients, is associated with lower likelihood of being obese in a Mediterranean cohort</atitle><jtitle>Eating and weight disorders</jtitle><stitle>Eat Weight Disord</stitle><addtitle>Eat Weight Disord</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>23</volume><issue>5</issue><spage>605</spage><epage>614</epage><pages>605-614</pages><issn>1124-4909</issn><eissn>1590-1262</eissn><abstract>Purpose
The aim of the present study was to evaluate the association between the Mediterranean diet and obesity in a Mediterranean cohort.
Methods
The study population of MEAL (Mediterranean Healthy Eating, Ageing, and Lifestyle) study comprised 1814 men and women (18 + years) recruited in the city of Catania, southern Italy. Food intake was evaluated through a validated food frequency questionnaire and the Mediterranean diet adherence was assessed through the MEDI-LITE score.
Results
Individuals highly adherent to the Mediterranean diet (highest quartile of the score) were less likely to be obese (OR 0.53, 95% CI 0.32, 0.89) despite there was no significant associations when considering men and women separately. The dietary profile of obese and non-obese individuals did not significantly differ, except for vitamin E, processed meat, and alcohol more consumed among non-obese ones. Among the food groups characterizing this dietary pattern, only satisfaction of the criterion for dairy products (< 1 serving/day) was significantly associated with lower odds of being obese. Among other covariates, current smoking was associated with obesity, while high physical activity and regular alcohol drinking were inversely associated. Some differences between men and women in the highest category of occupational status occurred, as the former were less likely, while the latter were more likely to be obese.
Conclusions
Higher adherence to the Mediterranean diet as a whole dietary pattern, rather than its individual components, is associated with less likelihood of being obese.
Level of evidence
Level V, cross-sectional descriptive study.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29124678</pmid><doi>10.1007/s40519-017-0454-1</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0730-7649</orcidid></addata></record> |
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| ispartof | Eating and weight disorders, 2018-10, Vol.23 (5), p.605-614 |
| issn | 1124-4909 1590-1262 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Diet Diet, Mediterranean Eating Exercise Feeding Behavior Female Health Surveys Humans Italy Life Style Male Medicine Medicine & Public Health Middle Aged Obesity Obesity - prevention & control Original Article Psychiatry Socioeconomic Factors Women Young Adult |
| title | High adherence to Mediterranean diet, but not individual foods or nutrients, is associated with lower likelihood of being obese in a Mediterranean cohort |
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