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Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study

We recently developed and validated a questionnaire to measure adherence to the Mediterranean diet, called Medi-Lite. The aim of this study was to assess the accuracy of the Medi-Lite adherence score in relation to obesity status. A total of 208 patients who attended the Clinical Nutrition Unit of C...

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Autores principales: Dinu, Monica, Pagliai, Giuditta, Lotti, Sofia, Giangrandi, Ilaria, Colombini, Barbara, Sofi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230530/
https://www.ncbi.nlm.nih.gov/pubmed/34200879
http://dx.doi.org/10.3390/nu13062007
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author Dinu, Monica
Pagliai, Giuditta
Lotti, Sofia
Giangrandi, Ilaria
Colombini, Barbara
Sofi, Francesco
author_facet Dinu, Monica
Pagliai, Giuditta
Lotti, Sofia
Giangrandi, Ilaria
Colombini, Barbara
Sofi, Francesco
author_sort Dinu, Monica
collection PubMed
description We recently developed and validated a questionnaire to measure adherence to the Mediterranean diet, called Medi-Lite. The aim of this study was to assess the accuracy of the Medi-Lite adherence score in relation to obesity status. A total of 208 patients who attended the Clinical Nutrition Unit of Careggi University Hospital, Florence, were included in this retrospective analysis. Of them, 126 (45%) had abdominal obesity (110 F; 16 M). The mean adherence score, calculated through the Medi-Lite questionnaire, was 9.5 ± 2.2, with significantly (p < 0.001) lower values in patients with abdominal obesity (8.9 ± 1.9) than those without abdominal obesity (10 ± 2.2). Logistic regression analysis adjusted for age and sex showed that the Medi-Lite score determined significant protection (−28%) against the risk of abdominal obesity for every one-unit increase in the total score (OR 0.72, 95% CI 0.63–0.82; p < 0.001). Looking for cut-off values that denote increased risk of having abdominal obesity, we observed that patients who scored ≤9 had a significantly increased risk (OR 3.21, 95% CI 1.91–5.39; p < 0.001). Adherence to the Mediterranean diet assessed through the Medi-Lite score was found to be associated with abdominal obesity. In particular, patients who reported a score of ≤9 had a 3.5-fold times higher risk of having abdominal obesity than those who scored >9.
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spelling pubmed-82305302021-06-26 Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study Dinu, Monica Pagliai, Giuditta Lotti, Sofia Giangrandi, Ilaria Colombini, Barbara Sofi, Francesco Nutrients Article We recently developed and validated a questionnaire to measure adherence to the Mediterranean diet, called Medi-Lite. The aim of this study was to assess the accuracy of the Medi-Lite adherence score in relation to obesity status. A total of 208 patients who attended the Clinical Nutrition Unit of Careggi University Hospital, Florence, were included in this retrospective analysis. Of them, 126 (45%) had abdominal obesity (110 F; 16 M). The mean adherence score, calculated through the Medi-Lite questionnaire, was 9.5 ± 2.2, with significantly (p < 0.001) lower values in patients with abdominal obesity (8.9 ± 1.9) than those without abdominal obesity (10 ± 2.2). Logistic regression analysis adjusted for age and sex showed that the Medi-Lite score determined significant protection (−28%) against the risk of abdominal obesity for every one-unit increase in the total score (OR 0.72, 95% CI 0.63–0.82; p < 0.001). Looking for cut-off values that denote increased risk of having abdominal obesity, we observed that patients who scored ≤9 had a significantly increased risk (OR 3.21, 95% CI 1.91–5.39; p < 0.001). Adherence to the Mediterranean diet assessed through the Medi-Lite score was found to be associated with abdominal obesity. In particular, patients who reported a score of ≤9 had a 3.5-fold times higher risk of having abdominal obesity than those who scored >9. MDPI 2021-06-10 /pmc/articles/PMC8230530/ /pubmed/34200879 http://dx.doi.org/10.3390/nu13062007 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dinu, Monica
Pagliai, Giuditta
Lotti, Sofia
Giangrandi, Ilaria
Colombini, Barbara
Sofi, Francesco
Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title_full Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title_fullStr Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title_full_unstemmed Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title_short Adherence to Mediterranean Diet Measured through Medi-Lite Score and Obesity: A Retrospective Study
title_sort adherence to mediterranean diet measured through medi-lite score and obesity: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230530/
https://www.ncbi.nlm.nih.gov/pubmed/34200879
http://dx.doi.org/10.3390/nu13062007
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