Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy
Objectives To investigate the association between adherence to the Mediterranean Diet (Med-Diet), cardiometabolic disorders and polypharmacy. Design Cross-sectional study. Setting Geriatrics outpatient clinic, Policlinico Umberto I, Sapienza University of Rome. Participants 508 patients (219 male, 2...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2018, Vol.22 (1), p.73-81 |
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| creator | Vicinanza, Roberto Troisi, G. Cangemi, R. Ulderico de Martino, M. Pastori, D. Bernardini, S. Crisciotti, F. di Violante, F. Frizza, A. Cacciafesta, M. Pignatelli, P. Marigliano, V. |
| description | Objectives
To investigate the association between adherence to the Mediterranean Diet (Med-Diet), cardiometabolic disorders and polypharmacy.
Design
Cross-sectional study.
Setting
Geriatrics outpatient clinic, Policlinico Umberto I, Sapienza University of Rome.
Participants
508 patients (219 male, 289 female) aged 50 to 89 who were evaluated for cardiovascular and metabolic disorders.
Methods and Measurements
Patients underwent a comprehensive medical assessment including medical history and the use of medications. Adherence to Med-Diet was assessed using the validated Med-Diet 14-item questionnaire; for the analysis, patients were divided in high (≥8) and medium-low ( |
| doi_str_mv | 10.1007/s12603-017-0922-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1984750999</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2011231318</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-b6c810ec344dde5c024dda49898d35461ed97b0b6b556deb79e24c631a8880ce3</originalsourceid><addsrcrecordid>eNp1kU2LFDEQhoMo7rr6A7xIwIuX1spHdxJvw_gJK4roOaST2ums3Z0xySDz7806q4LgqRLqed-q5CXkMYPnDEC9KIwPIDpgqgPDeSfukHOmBuik0vpuO3NlOqVAnZEHpVwDyN7o4T4540a0C-_PybfNLq476tZAN2HCjKtHWhOtE9IPGGLFnN2KbqWvItaX9DPOrsa0linu6Y9YJ7p1OcS0YHVjmqNvXEk5YC6_TD-l-bifXF6cPz4k967cXPDRbb0gX9-8_rJ9111-fPt-u7nsvGR97cbBawbohZQhYO-Bt-qk0UYH0cuBYTBqhHEY-34IOCqDXPpBMKe1Bo_igjw7-e5z-n7AUu0Si8d5bg9Jh2KZ0VL1YIxp6NN_0Ot0yGvbznJgjAsmmG4UO1E-p1IyXtl9jovLR8vA3iRhT0nYloS9ScKKpnly63wYFwx_FL-_vgH8BJTWWneY_47-v-tPX52TqA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2011231318</pqid></control><display><type>article</type><title>Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Alma/SFX Local Collection</source><creator>Vicinanza, Roberto ; Troisi, G. ; Cangemi, R. ; Ulderico de Martino, M. ; Pastori, D. ; Bernardini, S. ; Crisciotti, F. ; di Violante, F. ; Frizza, A. ; Cacciafesta, M. ; Pignatelli, P. ; Marigliano, V.</creator><creatorcontrib>Vicinanza, Roberto ; Troisi, G. ; Cangemi, R. ; Ulderico de Martino, M. ; Pastori, D. ; Bernardini, S. ; Crisciotti, F. ; di Violante, F. ; Frizza, A. ; Cacciafesta, M. ; Pignatelli, P. ; Marigliano, V.</creatorcontrib><description>Objectives
To investigate the association between adherence to the Mediterranean Diet (Med-Diet), cardiometabolic disorders and polypharmacy.
Design
Cross-sectional study.
Setting
Geriatrics outpatient clinic, Policlinico Umberto I, Sapienza University of Rome.
Participants
508 patients (219 male, 289 female) aged 50 to 89 who were evaluated for cardiovascular and metabolic disorders.
Methods and Measurements
Patients underwent a comprehensive medical assessment including medical history and the use of medications. Adherence to Med-Diet was assessed using the validated Med-Diet 14-item questionnaire; for the analysis, patients were divided in high (≥8) and medium-low (<8) adherence. Polypharmacy was defined as taking ≥5 medications.
Results
476 patients completed the study. Mean age was 70.4 years; 58% female. Median Med-Diet score was 8 (
6
-
9
). Patients with medium-low adherence had higher body mass index (p=0.029) and higher prevalence of arterial hypertension (p<0.001), previous coronary (p=0.002) and cerebrovascular events (p=0.011), diabetes, (p<0.001) and dyslipidemia (p=0.001) compared to those at high adherence. Med-Diet score decreased with the number of cardiometabolic disorders (p<0.001). The prevalence of polypharmacy was 39%. Consumption of olive oil (p=0.005), vegetables, (p<0.001), wine (p=0.017), legumes (p=0.028), fish (p=0.046) and nuts (p=0.045) were all inversely associated with the overall number of medications. In a multivariable regression model, medium-low adherence to Med-Diet was independently associated to polypharmacy (O.R.:1.859; 95% CI 1.142 to 3.025; p=0.013), after adjusting for possible confounding factors.
Conclusion
Med-Diet was inversely associated with cardiometabolic disorders and with polypharmacy, suggesting that improved Med-Diet adherence might potentially delay the onset of age-related health deterioration and reduce the need of multiple medications.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-017-0922-3</identifier><identifier>PMID: 29300425</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Aging ; Aging - physiology ; Animals ; Body Mass Index ; Cardiovascular disease ; Cardiovascular Diseases - epidemiology ; Cross-Sectional Studies ; Diet ; Diet, Mediterranean - statistics & numerical data ; Female ; Fishes ; Geriatrics/Gerontology ; Health behavior ; Humans ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases - epidemiology ; Metabolic disorders ; Middle Aged ; Neurosciences ; Nutrition ; Nuts ; Olive Oil ; Patient Compliance ; Polypharmacy ; Primary Care Medicine ; Quality of Life Research ; Surveys and Questionnaires ; Vegetables</subject><ispartof>The Journal of nutrition, health & aging, 2018, Vol.22 (1), p.73-81</ispartof><rights>Serdi and Springer-Verlag France SAS, part of Springer Nature 2018</rights><rights>The journal of nutrition, health & aging is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-b6c810ec344dde5c024dda49898d35461ed97b0b6b556deb79e24c631a8880ce3</citedby><cites>FETCH-LOGICAL-c415t-b6c810ec344dde5c024dda49898d35461ed97b0b6b556deb79e24c631a8880ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-017-0922-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-017-0922-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29300425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vicinanza, Roberto</creatorcontrib><creatorcontrib>Troisi, G.</creatorcontrib><creatorcontrib>Cangemi, R.</creatorcontrib><creatorcontrib>Ulderico de Martino, M.</creatorcontrib><creatorcontrib>Pastori, D.</creatorcontrib><creatorcontrib>Bernardini, S.</creatorcontrib><creatorcontrib>Crisciotti, F.</creatorcontrib><creatorcontrib>di Violante, F.</creatorcontrib><creatorcontrib>Frizza, A.</creatorcontrib><creatorcontrib>Cacciafesta, M.</creatorcontrib><creatorcontrib>Pignatelli, P.</creatorcontrib><creatorcontrib>Marigliano, V.</creatorcontrib><title>Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
To investigate the association between adherence to the Mediterranean Diet (Med-Diet), cardiometabolic disorders and polypharmacy.
Design
Cross-sectional study.
Setting
Geriatrics outpatient clinic, Policlinico Umberto I, Sapienza University of Rome.
Participants
508 patients (219 male, 289 female) aged 50 to 89 who were evaluated for cardiovascular and metabolic disorders.
Methods and Measurements
Patients underwent a comprehensive medical assessment including medical history and the use of medications. Adherence to Med-Diet was assessed using the validated Med-Diet 14-item questionnaire; for the analysis, patients were divided in high (≥8) and medium-low (<8) adherence. Polypharmacy was defined as taking ≥5 medications.
Results
476 patients completed the study. Mean age was 70.4 years; 58% female. Median Med-Diet score was 8 (
6
-
9
). Patients with medium-low adherence had higher body mass index (p=0.029) and higher prevalence of arterial hypertension (p<0.001), previous coronary (p=0.002) and cerebrovascular events (p=0.011), diabetes, (p<0.001) and dyslipidemia (p=0.001) compared to those at high adherence. Med-Diet score decreased with the number of cardiometabolic disorders (p<0.001). The prevalence of polypharmacy was 39%. Consumption of olive oil (p=0.005), vegetables, (p<0.001), wine (p=0.017), legumes (p=0.028), fish (p=0.046) and nuts (p=0.045) were all inversely associated with the overall number of medications. In a multivariable regression model, medium-low adherence to Med-Diet was independently associated to polypharmacy (O.R.:1.859; 95% CI 1.142 to 3.025; p=0.013), after adjusting for possible confounding factors.
Conclusion
Med-Diet was inversely associated with cardiometabolic disorders and with polypharmacy, suggesting that improved Med-Diet adherence might potentially delay the onset of age-related health deterioration and reduce the need of multiple medications.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging - physiology</subject><subject>Animals</subject><subject>Body Mass Index</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, Mediterranean - statistics & numerical data</subject><subject>Female</subject><subject>Fishes</subject><subject>Geriatrics/Gerontology</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases - epidemiology</subject><subject>Metabolic disorders</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Nuts</subject><subject>Olive Oil</subject><subject>Patient Compliance</subject><subject>Polypharmacy</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>Surveys and Questionnaires</subject><subject>Vegetables</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU2LFDEQhoMo7rr6A7xIwIuX1spHdxJvw_gJK4roOaST2ums3Z0xySDz7806q4LgqRLqed-q5CXkMYPnDEC9KIwPIDpgqgPDeSfukHOmBuik0vpuO3NlOqVAnZEHpVwDyN7o4T4540a0C-_PybfNLq476tZAN2HCjKtHWhOtE9IPGGLFnN2KbqWvItaX9DPOrsa0linu6Y9YJ7p1OcS0YHVjmqNvXEk5YC6_TD-l-bifXF6cPz4k967cXPDRbb0gX9-8_rJ9111-fPt-u7nsvGR97cbBawbohZQhYO-Bt-qk0UYH0cuBYTBqhHEY-34IOCqDXPpBMKe1Bo_igjw7-e5z-n7AUu0Si8d5bg9Jh2KZ0VL1YIxp6NN_0Ot0yGvbznJgjAsmmG4UO1E-p1IyXtl9jovLR8vA3iRhT0nYloS9ScKKpnly63wYFwx_FL-_vgH8BJTWWneY_47-v-tPX52TqA</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Vicinanza, Roberto</creator><creator>Troisi, G.</creator><creator>Cangemi, R.</creator><creator>Ulderico de Martino, M.</creator><creator>Pastori, D.</creator><creator>Bernardini, S.</creator><creator>Crisciotti, F.</creator><creator>di Violante, F.</creator><creator>Frizza, A.</creator><creator>Cacciafesta, M.</creator><creator>Pignatelli, P.</creator><creator>Marigliano, V.</creator><general>Springer Paris</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>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2018</creationdate><title>Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy</title><author>Vicinanza, Roberto ; Troisi, G. ; Cangemi, R. ; Ulderico de Martino, M. ; Pastori, D. ; Bernardini, S. ; Crisciotti, F. ; di Violante, F. ; Frizza, A. ; Cacciafesta, M. ; Pignatelli, P. ; Marigliano, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-b6c810ec344dde5c024dda49898d35461ed97b0b6b556deb79e24c631a8880ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging - physiology</topic><topic>Animals</topic><topic>Body Mass Index</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, Mediterranean - statistics & numerical data</topic><topic>Female</topic><topic>Fishes</topic><topic>Geriatrics/Gerontology</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases - epidemiology</topic><topic>Metabolic disorders</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Nuts</topic><topic>Olive Oil</topic><topic>Patient Compliance</topic><topic>Polypharmacy</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><topic>Surveys and Questionnaires</topic><topic>Vegetables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vicinanza, Roberto</creatorcontrib><creatorcontrib>Troisi, G.</creatorcontrib><creatorcontrib>Cangemi, R.</creatorcontrib><creatorcontrib>Ulderico de Martino, M.</creatorcontrib><creatorcontrib>Pastori, D.</creatorcontrib><creatorcontrib>Bernardini, S.</creatorcontrib><creatorcontrib>Crisciotti, F.</creatorcontrib><creatorcontrib>di Violante, F.</creatorcontrib><creatorcontrib>Frizza, A.</creatorcontrib><creatorcontrib>Cacciafesta, M.</creatorcontrib><creatorcontrib>Pignatelli, P.</creatorcontrib><creatorcontrib>Marigliano, V.</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>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vicinanza, Roberto</au><au>Troisi, G.</au><au>Cangemi, R.</au><au>Ulderico de Martino, M.</au><au>Pastori, D.</au><au>Bernardini, S.</au><au>Crisciotti, F.</au><au>di Violante, F.</au><au>Frizza, A.</au><au>Cacciafesta, M.</au><au>Pignatelli, P.</au><au>Marigliano, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2018</date><risdate>2018</risdate><volume>22</volume><issue>1</issue><spage>73</spage><epage>81</epage><pages>73-81</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
To investigate the association between adherence to the Mediterranean Diet (Med-Diet), cardiometabolic disorders and polypharmacy.
Design
Cross-sectional study.
Setting
Geriatrics outpatient clinic, Policlinico Umberto I, Sapienza University of Rome.
Participants
508 patients (219 male, 289 female) aged 50 to 89 who were evaluated for cardiovascular and metabolic disorders.
Methods and Measurements
Patients underwent a comprehensive medical assessment including medical history and the use of medications. Adherence to Med-Diet was assessed using the validated Med-Diet 14-item questionnaire; for the analysis, patients were divided in high (≥8) and medium-low (<8) adherence. Polypharmacy was defined as taking ≥5 medications.
Results
476 patients completed the study. Mean age was 70.4 years; 58% female. Median Med-Diet score was 8 (
6
-
9
). Patients with medium-low adherence had higher body mass index (p=0.029) and higher prevalence of arterial hypertension (p<0.001), previous coronary (p=0.002) and cerebrovascular events (p=0.011), diabetes, (p<0.001) and dyslipidemia (p=0.001) compared to those at high adherence. Med-Diet score decreased with the number of cardiometabolic disorders (p<0.001). The prevalence of polypharmacy was 39%. Consumption of olive oil (p=0.005), vegetables, (p<0.001), wine (p=0.017), legumes (p=0.028), fish (p=0.046) and nuts (p=0.045) were all inversely associated with the overall number of medications. In a multivariable regression model, medium-low adherence to Med-Diet was independently associated to polypharmacy (O.R.:1.859; 95% CI 1.142 to 3.025; p=0.013), after adjusting for possible confounding factors.
Conclusion
Med-Diet was inversely associated with cardiometabolic disorders and with polypharmacy, suggesting that improved Med-Diet adherence might potentially delay the onset of age-related health deterioration and reduce the need of multiple medications.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>29300425</pmid><doi>10.1007/s12603-017-0922-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1279-7707 |
| ispartof | The Journal of nutrition, health & aging, 2018, Vol.22 (1), p.73-81 |
| issn | 1279-7707 1760-4788 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1984750999 |
| source | MEDLINE; SpringerLink Journals; Alma/SFX Local Collection |
| subjects | Activities of Daily Living Aged Aged, 80 and over Aging Aging - physiology Animals Body Mass Index Cardiovascular disease Cardiovascular Diseases - epidemiology Cross-Sectional Studies Diet Diet, Mediterranean - statistics & numerical data Female Fishes Geriatrics/Gerontology Health behavior Humans Male Medicine Medicine & Public Health Metabolic Diseases - epidemiology Metabolic disorders Middle Aged Neurosciences Nutrition Nuts Olive Oil Patient Compliance Polypharmacy Primary Care Medicine Quality of Life Research Surveys and Questionnaires Vegetables |
| title | Aging and Adherence to the Mediterranean Diet: Relationship with Cardiometabolic Disorders and Polypharmacy |
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