Περίληψη:
Background: There is an association between a greater adherence to a Mediterranean diet and a reduced risk of developing chronic diseases. However, it is not clear whether this dietary pattern may be protective also against the development of obesity. Objective: We assessed the association between the adherence to the Mediterranean dietary pattern (MDP), prospective weight change, and the incidence of overweight or obesity. Design: We conducted a prospective cohort study [the European Prospective Investigation into Cancer and Nutrition-Physical Activity, Nutrition, Alcohol Consumption, Cessation of Smoking, Eating Out of Home, and Obesity (EPIC-PANACEA) project] in 373,803 individuals (103,455 men and 270,348 women; age range: 25-70 y) from 10 European countries. Anthropometric measurements were obtained at recruitment and after a median follow-up time of 5 y. The relative Mediterranean Diet Score (rMED; score range: 0-18) was used to assess adherence to the MDP according to the consumption of 9 dietary components that are characteristic of the Mediterranean diet. The association between the rMED and 5-y weight change was modeled through multiadjusted mixed-effects linear regression. Results: Individuals with a high adherence to the MDP according to the rMED (11-18 points) showed a 5-y weight change of -0.16 kg (95% CI: -0.24, -0.07 kg) and were 10% (95% CI: 4%, 18%) less likely to develop overweight or obesity than were individuals with a low adherence to the MDP (0-6 points). The low meat content of the Mediterranean diet seemed to account for most of its positive effect against weight gain. Conclusion: This study shows that promoting the MDP as a model of healthy eating may help to prevent weight gain and the development of obesity. © 2010 American Society for Nutrition.
Συγγραφείς:
Romaguera, D.
Norat, T.
Vergnaud, A.-C.
Mouw, T.
May, A.M.
Agudo, A.
Buckland, G.
Slimani, N.
Rinaldi, S.
Couto, E.
Clavel-Chapelon, F.
Boutron-Ruault, M.-C.
Cottet, V.
Rohrmann, S.
Teucher, B.
Bergmann, M.
Boeing, H.
Tjønneland, A.
Halkjaer, J.
Jakobsen, M.U.
Dahm, C.C.
Travier, N.
Rodriguez, L.
Sanchez, M.J.
Amiano, P.
Barricarte, A.
Huerta, J.M.
Luan, J.
Wareham, N.
Key, T.J.
Spencer, E.A.
Orfanos, P.
Naska, A.
Trichopoulou, A.
Palli, D.
Agnoli, C.
Mattiello, A.
Tumino, R.
Vineis, P.
Bueno-de-Mesquita, H.B.
Büchner, F.L.
Manjer, J.
Wirfält, E.
Johansson, I.
Hellstrom, V.
Lund, E.
Braaten, T.
Engeset, D.
Odysseos, A.
Riboli, E.
Peeters, P.H.M.
