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Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults
The Mediterranean diet (MD) has beneficial effects on cardiovascular diseases, cancer, and mortality. Although various attempts have been made for estimating adherence to the MD using diet quality indices, few studies involving validated questionnaires for estimating adherence have been performed in...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231050/ https://www.ncbi.nlm.nih.gov/pubmed/32316107 http://dx.doi.org/10.3390/nu12041102 |
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author | Kwon, Yu-Jin Lee, Hyangkyu Yoon, Yooeun Kim, Hyung Mi Chu, Sang Hui Lee, Ji-Won |
author_facet | Kwon, Yu-Jin Lee, Hyangkyu Yoon, Yooeun Kim, Hyung Mi Chu, Sang Hui Lee, Ji-Won |
author_sort | Kwon, Yu-Jin |
collection | PubMed |
description | The Mediterranean diet (MD) has beneficial effects on cardiovascular diseases, cancer, and mortality. Although various attempts have been made for estimating adherence to the MD using diet quality indices, few studies involving validated questionnaires for estimating adherence have been performed in Asian populations. We aimed to develop and validate the Korean version of the Mediterranean Diet Adherence Screener (K-MEDAS) by including 211 participants that visited health check-up centers and 116 participants with overweight or hypercholesterolemia that visited obesity clinic. The participants completed both the K-MEDAS and a 106-item food frequency questionnaire (FFQ). We translated 13 questions and developed 1 question. Considering the agreement between the K-MEDAS and FFQ, nine of the 14 questions showed moderate or high kappa values (≥0.4). The total MD scores measured by the K-MEDAS and FFQ showed substantial concordance (intraclass correlation coefficient = 0.678, 95% confidence interval: 0.520, 0.785). Multiple linear regression analyses revealed significant inverse associations between MD score and the levels of serum total cholesterol, low-density lipoprotein cholesterol, and non-high-density lipoprotein cholesterol, after adjusting for confounding variables. We found that K-MEDAS is valid tool for assessing adherence to the MD in the Korean population. |
format | Online Article Text |
id | pubmed-7231050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72310502020-05-22 Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults Kwon, Yu-Jin Lee, Hyangkyu Yoon, Yooeun Kim, Hyung Mi Chu, Sang Hui Lee, Ji-Won Nutrients Article The Mediterranean diet (MD) has beneficial effects on cardiovascular diseases, cancer, and mortality. Although various attempts have been made for estimating adherence to the MD using diet quality indices, few studies involving validated questionnaires for estimating adherence have been performed in Asian populations. We aimed to develop and validate the Korean version of the Mediterranean Diet Adherence Screener (K-MEDAS) by including 211 participants that visited health check-up centers and 116 participants with overweight or hypercholesterolemia that visited obesity clinic. The participants completed both the K-MEDAS and a 106-item food frequency questionnaire (FFQ). We translated 13 questions and developed 1 question. Considering the agreement between the K-MEDAS and FFQ, nine of the 14 questions showed moderate or high kappa values (≥0.4). The total MD scores measured by the K-MEDAS and FFQ showed substantial concordance (intraclass correlation coefficient = 0.678, 95% confidence interval: 0.520, 0.785). Multiple linear regression analyses revealed significant inverse associations between MD score and the levels of serum total cholesterol, low-density lipoprotein cholesterol, and non-high-density lipoprotein cholesterol, after adjusting for confounding variables. We found that K-MEDAS is valid tool for assessing adherence to the MD in the Korean population. MDPI 2020-04-16 /pmc/articles/PMC7231050/ /pubmed/32316107 http://dx.doi.org/10.3390/nu12041102 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kwon, Yu-Jin Lee, Hyangkyu Yoon, Yooeun Kim, Hyung Mi Chu, Sang Hui Lee, Ji-Won Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title | Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title_full | Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title_fullStr | Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title_full_unstemmed | Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title_short | Development and Validation of a Questionnaire to Measure Adherence to the Mediterranean Diet in Korean Adults |
title_sort | development and validation of a questionnaire to measure adherence to the mediterranean diet in korean adults |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231050/ https://www.ncbi.nlm.nih.gov/pubmed/32316107 http://dx.doi.org/10.3390/nu12041102 |
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