Unit:
Κατεύθυνση Φυσιολογία της Γήρανσης και Γηριατρικά ΣύνδρομαLibrary of the School of Health Sciences
Supervisors info:
Σφηκάκης Πέτρος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κραββαρίτη Ευρυδίκη, Ακαδημαϊκή Υπότροφος, Ιατρική Σχολή, ΕΚΠΑ
Παναγιωτάκος Δημοσθένης, Καθηγητής, Τμήμα Επιστήμης Διαιτολογίας-Διατροφής, Χαροκόπειο Πανεπιστήμιο
Original Title:
Προσήλωση στη μεσογειακή διατροφή και θετική ανίχνευση προ-ευπάθειας και ευπάθειας στον ελληνικό πληθυσμό: 20ετής παρακολούθηση στη μελέτη ΑΤΤΙΚΗ (2002-2022)
Translated title:
Adherence to the Mediterranean diet and positive pre-frailty and frailty screening in Greek adults; 20 year follow-up of the ATTICA study (2002-2022)
Summary:
Background: The Mediterranean Diet (MeDi) represents one of the healthiest dietary patterns and has been recognized as an effective tool for improving public health. Frailty is characterized by functional decline and increased risk of adverse health outcomes in the elderly and is considered a preventable and reversible nutrition-associated condition.
Objective: The aim of the present study was to examine the relationship between adherence to the MeDi and positive screening of frailty and pre-frailty.
Methods: Data were drawn from the prospective epidemiological ATTICA study conducted in 2001-2002, with a 10-year and 20-year follow-up in 2011-2012 and 2022. In total 238 community-dwelling adults aged above 55 years were included in the present analysis. Adherence to MeDi was estimated via Panagiotakos’ MedDietScore, based on a standard food frequency questionnaire at baseline and at the 10-year follow-up. Frailty was evaluated through the self-reported frailty screening tool FRAIL scale at the 20-year follow-up. MedDietScore was treated either as a continuous variable or as a binary variable; low or high adherence to MeDi.
Results: Average MedDietScores were found to be 25.7±5.8 at baseline and 25.4±5.5 at the 10-year reassessment, indicating a low adherence to MeDi. Individuals with higher adherence were mainly women, of younger age and with lower BMI values. Screening with the FRAIL scale revealed 104 (43.7%) pre-frail and 11 (4.6%) frail participants, with “Fatigue” being the most prominent component. Adherence to the MeDi was statistically significantly inversely associated with positive frailty and pre-frailty screening only for the women participants (p=0.002). Moreover, after increasing diagnostic test sensitivity of the FRAIL scale, "long-term" adherence to the MeDi throughout the 20 years of ATTICA study seems to have a protective role concerning frailty screening (p<0.001).
Conclusions: Conformity to the MeDi may play an important role in prevention of pre-frailty and frailty and further intervention studies are needed for confirmation.
Main subject category:
Health Sciences
Keywords:
Mediterranean diet, ATTICA study, Frailty, Pre-frailty, Older adults
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Master thesis_Maria Drandaki.pdf
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