Determinants of Adherence to the Mediterranean Diet: Findings from a Cross-Sectional Study in Women from Southern Italy
| Autor: | Valerio Fiore, Roberta Magnano San Lio, Martina Barchitta, Antonella Agodi, Andrea Maugeri, Maria Clara La Rosa, Giuliana Rosta, Giuliana Favara, Claudia La Mastra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Mediterranean diet 030309 nutrition & dietetics Cross-sectional study Health Status Health Toxicology and Mutagenesis socio-economic status lcsh:Medicine Diet Mediterranean Logistic regression Article 03 medical and health sciences 0302 clinical medicine Quality of life Odds Ratio Humans Medicine 030212 general & internal medicine Socioeconomic status 0303 health sciences diet exercise nutrition public health business.industry Public health lcsh:R Public Health Environmental and Occupational Health Feeding Behavior Odds ratio Middle Aged Confidence interval Cross-Sectional Studies Italy Socioeconomic Factors Quality of Life Female business Demography |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 16 Issue 16 International Journal of Environmental Research and Public Health, Vol 16, Iss 16, p 2963 (2019) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph16162963 |
| Popis: | The Mediterranean diet (MD)&mdash the dietary pattern usually consumed by Mediterranean populations&mdash can help promote a favorable health status and better quality of life. Uncovering the main factors associated with the adherence to MD may be useful in understanding and counteracting the global shift toward a Western diet, which has been documented also in the Mediterranean region. Here, we evaluated the adherence to MD and its major social and behavioral determinants in women from Catania, Southern Italy. This cross-sectional study included 841 women, aged 25&ndash 64 years, with no history of severe diseases. Adherence to MD was assessed by the Food Frequency Questionnaire and Mediterranean Diet Score (MDS). Associations between variables were tested by multivariable logistic regression analysis and expressed as an odds ratio (OR) with a 95% confidence interval (CI). Among social factors, medium and high educational levels were associated with an ideal intake of alcohol (OR = 4.059 95%CI = 1.311&ndash 12.570 p = 0.015 OR = 4.258 95%CI = 1.068&ndash 16.976 p = 0.040 respectively), living in a couple with ideal intake of cereals (OR = 2.801 95%CI = 1.188&ndash 6.602 p = 0.018), and having children with an ideal intake of fruits (OR = 3.149 95%CI = 1.245&ndash 7.762 p = 0.015). With respect to behaviors, current smoking was negatively associated with an ideal intake of meat (OR = 0.449 95%CI = 0.0220&ndash 0.917 p = 0.028), while more engagement in physical activity was associated with an ideal intake of vegetables (OR = 6.148 95%CI = 1.506&ndash 25.104 p = 0.011) and legumes (OR = 5.832 95%CI = 1.414&ndash 24.063 p = 0.015). In line with these findings, moderately or highly physically active women were more likely to show medium or high adherence to MD than those who performed less physical activity (OR = 6.024 95%CI = 1.192&ndash 30.440 OR = 9.965 95%CI = 1.683&ndash 58.993 p = 0.011 respectively). Our results confirm an urgent need for public health strategies, which should take into account determinants of diet quality. Particularly, our study indicates that more engagement in physical activity is a major positive determinant of the adherence to MD. |
| Databáze: | OpenAIRE |
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