Περίληψη:
Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated:saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg·m-2) or WC (cm) was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (20.09; 95% CI 20.14 to 20.04) and women (20.06; 95% CI 20.10 to 20.01). The association was stronger in men (20.20; 95% CI 20.23 to 20.17) and women (20.17; 95% CI 20.21 to 20.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women. © 2009 American Society for Nutrition.
Συγγραφείς:
Romaguera, D.
Norat, T.
Mouw, T.
May, A.M.
Bamia, C.
Slimani, N.
Travier, N.
Besson, H.
Luan, J.
Wareham, N.
Rinaldi, S.
Couto, E.
Clavel-Chapelon, F.
Boutron-Ruault, M.-C.
Cottet, V.
Palli, D.
Agnoli, C.
Panico, S.
Tumino, R.
Vineis, P.
Agudo, A.
Rodriguez, L.
Sanchez, M.J.
Amiano, P.
Barricarte, A.
Huerta, J.M.
Key, T.J.
Spencer, E.A.
Bueno-de-Mesquita, H.B.
Büchner, F.L.
Orfanos, P.
Naska, A.
Trichopoulou, A.
Rohrmann, S.
Kaaks, R.
Bergmann, M.
Boeing, H.
Johansson, I.
Hellstrom, V.
Manjer, J.
Wirfält, E.
Jacobsen, M.U.
Overvad, K.
Tjonneland, A.
Halkjaer, J.
Lund, E.
Braaten, T.
Engeset, D.
Odysseos, A.
Riboli, E.
Peeters, P.H.M.
Λέξεις-κλειδιά:
alcohol; unsaturated fatty acid, abdominal fat; adult; aged; alcohol consumption; anthropometry; article; body fat; body mass; cereal; dairy product; Europe; female; fish; fruit; human; legume; major clinical study; male; meat; Mediterranean diet; nut; questionnaire; sea food; validation process; vegetable; waist circumference, Abdominal Fat; Adiposity; Adult; Aged; Body Mass Index; Cohort Studies; Cross-Sectional Studies; Diet; Diet, Mediterranean; Europe; Female; Geography; Humans; Linear Models; Male; Middle Aged; Obesity; Prospective Studies; Waist Circumference
