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
Hauptverfasser: 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
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container_issue 5
container_start_page 589
container_title European journal of cardiovascular prevention and rehabilitation
container_volume 15
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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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 &lt;0.001). 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ispartof European journal of cardiovascular prevention and rehabilitation, 2008-10, Vol.15 (5), p.589-593
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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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