Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients
The Mediterranean food pattern (MeDiet) has been suggested to have beneficial effects on cardiovascular risk factors. Scarcity of assessment of this effect on large samples of patients at high risk is, however, observed. Our objective was to estimate the association between adherence to MeDiet and t...
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Veröffentlicht in: | European journal of cardiovascular prevention and rehabilitation 2008-10, Vol.15 (5), p.589-593 |
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creator | Sánchez-Taínta, Ana Estruch, Ramón Bulló, Mónica Corella, Dolores Gómez-Gracia, Enrique Fiol, Miquel Algorta, Jaime Covas, María-Isabel Lapetra, José Zazpe, Itziar Ruiz-Gutiérrez, Valentina Ros, Emilio Martínez-González, Miguel A |
description | The Mediterranean food pattern (MeDiet) has been suggested to have beneficial effects on cardiovascular risk factors. Scarcity of assessment of this effect on large samples of patients at high risk is, however, observed. Our objective was to estimate the association between adherence to MeDiet and the prevalence of risk factors in 3,204 asymptomatic high-risk patients.
Cross-sectional assessment of baseline characteristics of participants in a primary prevention trial.
Participants were assessed by their usual primary-care physicians to ascertain the prevalence of diet-related cardiovascular risk factors (diabetes, hypertension, dyslipidemia, or obesity) using standard diagnostic criteria. A dietitian interviewed each participant to obtain a 14-point score measuring the degree of adherence to MeDiet.
Adherence to MeDiet was inversely associated with individual risk factors and, above all, with the clustering of them. The multivariate adjusted odds ratio to present simultaneously the four risk factors for those above the median value of the MeDiet score was 0.67 (95% confidence interval: 0.53-0.85). The multivariate odds ratios for successive categories of adherence to MeDiet were 1 (ref.), 1.03, 0.85, 0.70 and 0.54 (P for trend |
doi_str_mv | 10.1097/HJR.0b013e328308ba61 |
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Cross-sectional assessment of baseline characteristics of participants in a primary prevention trial.
Participants were assessed by their usual primary-care physicians to ascertain the prevalence of diet-related cardiovascular risk factors (diabetes, hypertension, dyslipidemia, or obesity) using standard diagnostic criteria. A dietitian interviewed each participant to obtain a 14-point score measuring the degree of adherence to MeDiet.
Adherence to MeDiet was inversely associated with individual risk factors and, above all, with the clustering of them. The multivariate adjusted odds ratio to present simultaneously the four risk factors for those above the median value of the MeDiet score was 0.67 (95% confidence interval: 0.53-0.85). The multivariate odds ratios for successive categories of adherence to MeDiet were 1 (ref.), 1.03, 0.85, 0.70 and 0.54 (P for trend <0.001).
Following a MeDiet was inversely associated with the clustering of hypertension, diabetes, obesity, and hypercholesterolemia among high-risk patients.</description><identifier>ISSN: 1741-8267</identifier><identifier>DOI: 10.1097/HJR.0b013e328308ba61</identifier><identifier>PMID: 18830087</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention & control ; Cohort Studies ; Cross-Sectional Studies ; Diabetes Mellitus - diet therapy ; Diabetes Mellitus - epidemiology ; Diet, Mediterranean ; Dyslipidemias - complications ; Dyslipidemias - diet therapy ; Dyslipidemias - epidemiology ; Female ; Humans ; Hypertension - complications ; Hypertension - diet therapy ; Hypertension - epidemiology ; Male ; Middle Aged ; Obesity - complications ; Obesity - diet therapy ; Obesity - epidemiology ; Odds Ratio ; Patient Compliance ; Prevalence ; Risk Assessment ; Risk Factors ; Spain - epidemiology</subject><ispartof>European journal of cardiovascular prevention and rehabilitation, 2008-10, Vol.15 (5), p.589-593</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18830087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez-Taínta, Ana</creatorcontrib><creatorcontrib>Estruch, Ramón</creatorcontrib><creatorcontrib>Bulló, Mónica</creatorcontrib><creatorcontrib>Corella, Dolores</creatorcontrib><creatorcontrib>Gómez-Gracia, Enrique</creatorcontrib><creatorcontrib>Fiol, Miquel</creatorcontrib><creatorcontrib>Algorta, Jaime</creatorcontrib><creatorcontrib>Covas, María-Isabel</creatorcontrib><creatorcontrib>Lapetra, José</creatorcontrib><creatorcontrib>Zazpe, Itziar</creatorcontrib><creatorcontrib>Ruiz-Gutiérrez, Valentina</creatorcontrib><creatorcontrib>Ros, Emilio</creatorcontrib><creatorcontrib>Martínez-González, Miguel A</creatorcontrib><creatorcontrib>PREDIMED group</creatorcontrib><title>Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients</title><title>European journal of cardiovascular prevention and rehabilitation</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>The Mediterranean food pattern (MeDiet) has been suggested to have beneficial effects on cardiovascular risk factors. Scarcity of assessment of this effect on large samples of patients at high risk is, however, observed. Our objective was to estimate the association between adherence to MeDiet and the prevalence of risk factors in 3,204 asymptomatic high-risk patients.
Cross-sectional assessment of baseline characteristics of participants in a primary prevention trial.
Participants were assessed by their usual primary-care physicians to ascertain the prevalence of diet-related cardiovascular risk factors (diabetes, hypertension, dyslipidemia, or obesity) using standard diagnostic criteria. A dietitian interviewed each participant to obtain a 14-point score measuring the degree of adherence to MeDiet.
Adherence to MeDiet was inversely associated with individual risk factors and, above all, with the clustering of them. The multivariate adjusted odds ratio to present simultaneously the four risk factors for those above the median value of the MeDiet score was 0.67 (95% confidence interval: 0.53-0.85). The multivariate odds ratios for successive categories of adherence to MeDiet were 1 (ref.), 1.03, 0.85, 0.70 and 0.54 (P for trend <0.001).
Following a MeDiet was inversely associated with the clustering of hypertension, diabetes, obesity, and hypercholesterolemia among high-risk patients.</description><subject>Aged</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - diet therapy</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diet, Mediterranean</subject><subject>Dyslipidemias - complications</subject><subject>Dyslipidemias - diet therapy</subject><subject>Dyslipidemias - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - diet therapy</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Obesity - diet therapy</subject><subject>Obesity - epidemiology</subject><subject>Odds Ratio</subject><subject>Patient Compliance</subject><subject>Prevalence</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><issn>1741-8267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtOwzAQRb0A0VL4A4S8YkWKnae9rCqgoCIk1H00scfEkCbBdir1J_hmQimrka7OudIdQq44m3Mmi7vV89ucVYwnmMQiYaKCnJ-QKS9SHok4Lybk3PsPxuI0kfKMTLgYKSaKKfle6Bodtgpp6CjQF9Q2oHPQIrRR2PdItcVAodXUoR4Uato73EFzcDpDVTP40RhzBU7bbgdeDQ046qz_pAZU6Jynth3LVVd3LvxKyW3MUlrb9zo6YD0Ei23wF-TUQOPx8nhnZPNwv1muovXr49NysY76LC2iGCXkiAzACMGFZpVgMuPSoEm5zFWmIVVM6yTlleGx4CZjQhiWFSgLrWUyIzd_tb3rvgb0odxar7Bpxtnd4Mtc5lzINBvB6yM4VFvUZe_sFty-_H9g8gM5UHQr</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Sánchez-Taínta, Ana</creator><creator>Estruch, Ramón</creator><creator>Bulló, Mónica</creator><creator>Corella, Dolores</creator><creator>Gómez-Gracia, Enrique</creator><creator>Fiol, Miquel</creator><creator>Algorta, Jaime</creator><creator>Covas, María-Isabel</creator><creator>Lapetra, José</creator><creator>Zazpe, Itziar</creator><creator>Ruiz-Gutiérrez, Valentina</creator><creator>Ros, Emilio</creator><creator>Martínez-González, Miguel A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200810</creationdate><title>Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients</title><author>Sánchez-Taínta, Ana ; Estruch, Ramón ; Bulló, Mónica ; Corella, Dolores ; Gómez-Gracia, Enrique ; Fiol, Miquel ; Algorta, Jaime ; Covas, María-Isabel ; Lapetra, José ; Zazpe, Itziar ; Ruiz-Gutiérrez, Valentina ; Ros, Emilio ; Martínez-González, Miguel A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p547-2e9a6ee0aaf8818d0b809519fef4196c5da4c0dd341bf1281f5088f057e97dd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - diet therapy</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diet, Mediterranean</topic><topic>Dyslipidemias - complications</topic><topic>Dyslipidemias - diet therapy</topic><topic>Dyslipidemias - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertension - diet therapy</topic><topic>Hypertension - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Obesity - diet therapy</topic><topic>Obesity - epidemiology</topic><topic>Odds Ratio</topic><topic>Patient Compliance</topic><topic>Prevalence</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Sánchez-Taínta, Ana</creatorcontrib><creatorcontrib>Estruch, Ramón</creatorcontrib><creatorcontrib>Bulló, Mónica</creatorcontrib><creatorcontrib>Corella, Dolores</creatorcontrib><creatorcontrib>Gómez-Gracia, Enrique</creatorcontrib><creatorcontrib>Fiol, Miquel</creatorcontrib><creatorcontrib>Algorta, Jaime</creatorcontrib><creatorcontrib>Covas, María-Isabel</creatorcontrib><creatorcontrib>Lapetra, José</creatorcontrib><creatorcontrib>Zazpe, Itziar</creatorcontrib><creatorcontrib>Ruiz-Gutiérrez, Valentina</creatorcontrib><creatorcontrib>Ros, Emilio</creatorcontrib><creatorcontrib>Martínez-González, Miguel A</creatorcontrib><creatorcontrib>PREDIMED group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardiovascular prevention and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez-Taínta, Ana</au><au>Estruch, Ramón</au><au>Bulló, Mónica</au><au>Corella, Dolores</au><au>Gómez-Gracia, Enrique</au><au>Fiol, Miquel</au><au>Algorta, Jaime</au><au>Covas, María-Isabel</au><au>Lapetra, José</au><au>Zazpe, Itziar</au><au>Ruiz-Gutiérrez, Valentina</au><au>Ros, Emilio</au><au>Martínez-González, Miguel A</au><aucorp>PREDIMED group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients</atitle><jtitle>European journal of cardiovascular prevention and rehabilitation</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2008-10</date><risdate>2008</risdate><volume>15</volume><issue>5</issue><spage>589</spage><epage>593</epage><pages>589-593</pages><issn>1741-8267</issn><abstract>The Mediterranean food pattern (MeDiet) has been suggested to have beneficial effects on cardiovascular risk factors. Scarcity of assessment of this effect on large samples of patients at high risk is, however, observed. Our objective was to estimate the association between adherence to MeDiet and the prevalence of risk factors in 3,204 asymptomatic high-risk patients.
Cross-sectional assessment of baseline characteristics of participants in a primary prevention trial.
Participants were assessed by their usual primary-care physicians to ascertain the prevalence of diet-related cardiovascular risk factors (diabetes, hypertension, dyslipidemia, or obesity) using standard diagnostic criteria. A dietitian interviewed each participant to obtain a 14-point score measuring the degree of adherence to MeDiet.
Adherence to MeDiet was inversely associated with individual risk factors and, above all, with the clustering of them. The multivariate adjusted odds ratio to present simultaneously the four risk factors for those above the median value of the MeDiet score was 0.67 (95% confidence interval: 0.53-0.85). The multivariate odds ratios for successive categories of adherence to MeDiet were 1 (ref.), 1.03, 0.85, 0.70 and 0.54 (P for trend <0.001).
Following a MeDiet was inversely associated with the clustering of hypertension, diabetes, obesity, and hypercholesterolemia among high-risk patients.</abstract><cop>England</cop><pmid>18830087</pmid><doi>10.1097/HJR.0b013e328308ba61</doi><tpages>5</tpages></addata></record> |
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source | Access via SAGE; MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
subjects | Aged Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cardiovascular Diseases - prevention & control Cohort Studies Cross-Sectional Studies Diabetes Mellitus - diet therapy Diabetes Mellitus - epidemiology Diet, Mediterranean Dyslipidemias - complications Dyslipidemias - diet therapy Dyslipidemias - epidemiology Female Humans Hypertension - complications Hypertension - diet therapy Hypertension - epidemiology Male Middle Aged Obesity - complications Obesity - diet therapy Obesity - epidemiology Odds Ratio Patient Compliance Prevalence Risk Assessment Risk Factors Spain - epidemiology |
title | Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients |
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