Adherence to the Mediterranean diet and albuminuria levels in Greek adolescents: Data from the Leontio Lyceum ALbuminuria (3L study)

dc.contributor.author	Mazaraki, A	en
dc.contributor.author	Tsioufis, C	en
dc.contributor.author	Dimitriadis, K	en
dc.contributor.author	Tsiachris, D	en
dc.contributor.author	Stefanadi, E	en
dc.contributor.author	Zampelas, A	en
dc.contributor.author	Richter, D	en
dc.contributor.author	Mariolis, A	en
dc.contributor.author	Panagiotakos, D	en
dc.contributor.author	Tousoulis, D	en
dc.contributor.author	Stefanadis, C	en
dc.date.accessioned	2014-06-06T06:51:11Z
dc.date.available	2014-06-06T06:51:11Z
dc.date.issued	2011	en
dc.identifier.issn	09543007	en
dc.identifier.uri	http://dx.doi.org/10.1038/ejcn.2010.244	en
dc.identifier.uri	http://62.217.125.90/xmlui/handle/123456789/5371
dc.subject	3L study (Leontio Lyceum ALbuminuria Study)	en
dc.subject	Albuminuria	en
dc.subject	atherosclerosis	en
dc.subject.other	albumin	en
dc.subject.other	adolescent	en
dc.subject.other	age distribution	en
dc.subject.other	albumin blood level	en
dc.subject.other	albuminuria	en
dc.subject.other	article	en
dc.subject.other	body mass	en
dc.subject.other	child	en
dc.subject.other	child nutrition	en
dc.subject.other	cohort analysis	en
dc.subject.other	controlled study	en
dc.subject.other	feedback system	en
dc.subject.other	female	en
dc.subject.other	Greece	en
dc.subject.other	health program	en
dc.subject.other	human	en
dc.subject.other	Leontio Lyceum Albuminuria	en
dc.subject.other	lifestyle	en
dc.subject.other	male	en
dc.subject.other	Mediterranean diet	en
dc.subject.other	microalbuminuria	en
dc.subject.other	negative feedback	en
dc.subject.other	normal human	en
dc.subject.other	patient compliance	en
dc.subject.other	practice guideline	en
dc.subject.other	pulse pressure	en
dc.subject.other	school child	en
dc.subject.other	sex ratio	en
dc.subject.other	systolic blood pressure	en
dc.subject.other	waist circumference	en
dc.subject.other	Adolescent	en
dc.subject.other	Age Factors	en
dc.subject.other	Albuminuria	en
dc.subject.other	Blood Pressure	en
dc.subject.other	Body Mass Index	en
dc.subject.other	Child	en
dc.subject.other	Cohort Studies	en
dc.subject.other	Creatinine	en
dc.subject.other	Diet, Mediterranean	en
dc.subject.other	Female	en
dc.subject.other	Greece	en
dc.subject.other	Guideline Adherence	en
dc.subject.other	Humans	en
dc.subject.other	Male	en
dc.subject.other	Sex Factors	en
dc.title	Adherence to the Mediterranean diet and albuminuria levels in Greek adolescents: Data from the Leontio Lyceum ALbuminuria (3L study)	en
heal.type	journalArticle	en
heal.identifier.primary	10.1038/ejcn.2010.244	en
heal.publicationDate	2011	en
heal.abstract	Background/Objectives: Mediterranean diet has favorable effects on the cardiovascular system, whereas albuminuria is associated with atherosclerosis progression. The aim of the study was to assess the relationships of adherence rates to the Mediterranean diet with albumin to creatinine ratio (ACR), in a cohort of Greek adolescents who participated in the Leontio Lyceum ALbuminuria (3L) study.Subjects/Methods: In a total of 365 adolescents 12-17 years of age included in 3L study, ACR values were determined in a morning-spot urine.Results: The Mediterranean diet Quality Index for children and adolescents (KIDMED) was estimated and accordingly subjects were divided into those with high (≥8), average (4-7) and low (≤3) score. Adolescents with low (n = 153, 42%) compared with those with average (n = 187, 51.2%) and high (n = 25, 6.8%) KIDMED score were characterized by greater ACR values (22.4 vs 13.4 vs 12.1 mg/g, P<0.05) even after adjustment for confounders. In the total population, KIDMED score was related to body mass index (r=0.122, P=0.02), waist circumference (r=0.118, P=0.02), systolic blood pressure (BP) (r=0.119, P=0.023), whereas it was negatively associated with ACR (r=-0.111, P=0.041). Regarding ACR, it was associated with age (r=-0.11, P=0.044), male sex (r=0.16, P=0.003), body mass index (r=-0.131, P=0.016) and systolic BP (r=-0.144, P=0.008).Conclusions: Adolescents who adhere to the Mediterranean diet exhibit lower levels of albuminuria, independently of demographic and hemodynamic confounders. The inverse relation of KIDMED index with ACR suggests a close link of accelerated vascular damage reflected by albuminuria with low adherence to this favorable diet of the Mediterranean basin. © 2011 Macmillan Publishers Limited All rights reserved.	en
heal.journalName	European Journal of Clinical Nutrition	en
dc.identifier.issue	2	en
dc.identifier.volume	65	en
dc.identifier.doi	10.1038/ejcn.2010.244	en
dc.identifier.spage	219	en
dc.identifier.epage	225	en