Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore

dc.contributor.author	Panagiotakos, DB	en
dc.contributor.author	Pitsavos, C	en
dc.contributor.author	Arvaniti, F	en
dc.contributor.author	Stefanadis, C	en
dc.date.accessioned	2014-06-06T06:47:35Z
dc.date.available	2014-06-06T06:47:35Z
dc.date.issued	2007	en
dc.identifier.issn	00917435	en
dc.identifier.uri	http://dx.doi.org/10.1016/j.ypmed.2006.12.009	en
dc.identifier.uri	http://62.217.125.90/xmlui/handle/123456789/3699
dc.subject.other	adult	en
dc.subject.other	aged	en
dc.subject.other	article	en
dc.subject.other	cardiovascular risk	en
dc.subject.other	congestive heart failure	en
dc.subject.other	controlled study	en
dc.subject.other	diabetes mellitus	en
dc.subject.other	female	en
dc.subject.other	food intake	en
dc.subject.other	human	en
dc.subject.other	hypercholesterolemia	en
dc.subject.other	hypertension	en
dc.subject.other	major clinical study	en
dc.subject.other	male	en
dc.subject.other	Mediterranean diet	en
dc.subject.other	mortality	en
dc.subject.other	obesity	en
dc.subject.other	patient assessment	en
dc.subject.other	patient compliance	en
dc.subject.other	prevalence	en
dc.subject.other	priority journal	en
dc.subject.other	scoring system	en
dc.subject.other	Southern Europe	en
dc.subject.other	Adult	en
dc.subject.other	Aged	en
dc.subject.other	Aged, 80 and over	en
dc.subject.other	Attitude to Health	en
dc.subject.other	Consumer Satisfaction	en
dc.subject.other	Diabetes Mellitus	en
dc.subject.other	Diet, Mediterranean	en
dc.subject.other	Female	en
dc.subject.other	Food Habits	en
dc.subject.other	Greece	en
dc.subject.other	Health Behavior	en
dc.subject.other	Humans	en
dc.subject.other	Hypercholesterolemia	en
dc.subject.other	Hypertension	en
dc.subject.other	Male	en
dc.subject.other	Middle Aged	en
dc.subject.other	Obesity	en
dc.subject.other	Prevalence	en
dc.subject.other	Questionnaires	en
dc.subject.other	Risk Assessment	en
dc.subject.other	Urban Health	en
dc.title	Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore	en
heal.type	journalArticle	en
heal.identifier.primary	10.1016/j.ypmed.2006.12.009	en
heal.publicationDate	2007	en
heal.abstract	Objective.: We sought to evaluate the accuracy of a diet score in relation to hypertension, hypercholesterolemia, diabetes and obesity. Methods.: A diet score (range 0-55) has been developed that assesses adherence to the Mediterranean diet. For the consumption of items presumed to be close to Mediterranean dietary pattern (non-refined cereals, fruits, vegetables, legumes, olive oil, fish and potatoes) scores 0 to 5 for never, rare, frequent, very frequent, weekly and daily consumption were assigned, while for the consumption of foods presumed to be away from this pattern (red meat and products, poultry and full fat dairy products) scores on a reverse scale were assigned. Positive and negative predictive values, in relation to hypertension, hypercholesterolemia, diabetes and obesity status of the ATTICA study participants (n = 3042, enrolment 2001-02 in Athens metropolitan area, aged 18-89 years) were calculated and the 10-year CHD risk based on Framingham equations was estimated, too. Results.: The positive predictive values of the score regarding hypertension, hypercholesterolemia, diabetes and obesity are: 45% (95% CI 43%-48%), 46% (95% CI 44%-49%), 12% (95% CI 11%-14%) and 33% (95% CI 30%-35%), while the negative predictive values are 86% (95% CI 85%-88%), 71% (95% CI 69%-74%), 98% (95% CI 97%-99%) and 97% (95% CI 96%-98%), respectively. Moreover, a 10-unit increase in the diet score is associated with 4% lower 10-year CHD risk (± 0.1%, p < 0.001). Conclusion.: The proposed Mediterranean Diet Score may be useful in detecting individuals prone to the development of nutrition-related health conditions and cardiovascular disease. © 2006 Elsevier Inc. All rights reserved.	en
heal.journalName	Preventive Medicine	en
dc.identifier.issue	4	en
dc.identifier.volume	44	en
dc.identifier.doi	10.1016/j.ypmed.2006.12.009	en
dc.identifier.spage	335	en
dc.identifier.epage	340	en