Beatriz Teixeira1, Cláudia Afonso2, Ana S Sousa3, Rita S Guerra4, Alejandro Santos5, Nuno Borges6, Pedro Moreira7, Patrícia Padrão2, Teresa F Amaral4. 1. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal. Electronic address: bea.teixeira20@hotmail.com. 2. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal. 3. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal. 4. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal; Unidade de Integração de Sistemas e Processos Automatizados (UISPA) - Instituto de Engenharia Mecânica (IDMEC), Faculdade de Engenharia, Universidade do Porto, Porto, Portugal. 5. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal; I3S - Instituto de Investigação e Inovação em Saúde, Porto, Portugal. 6. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal; CINTESIS - Centro de Investigação em Tecnologia e Serviços de Saúde, Porto, Portugal. 7. Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Centro de Atividade Física, Saúde e Lazer, Universidade do Porto, Porto, Portugal.
Abstract
OBJECTIVES: The aim of this study was to evaluate adherence to the Mediterranean dietary pattern (MDP) and its associated factors in older Portuguese adults. METHODS: A cross-sectional observational study was designed. In the context of the Nutrition UP 65 study, a national cluster sample of 1407 Portuguese individuals ≥65 y of age was analyzed. Adherence to the MDP was evaluated with the Portuguese version of the Prevention with Mediterranean Diet tool. The association between an individual's characteristics and adherence to the MDP was analyzed through hierarchical logistic regression analysis. RESULTS: In this study, 43% of participants adhered to the MDP (n = 609). Higher educational level (odds ratio [OR], 2.38; 95% confidence interval [CI], 1.54-3.69), living in the center (OR, 1.35; 95% CI, 1.01-1.79), being married or living in a common-law marriage (OR, 1.54; 95% CI, 1.20-1.97), and body mass index (ORpreobese, 1.52; 95% CI, 1.02-2.25) were related with increased odds of adherence to the MDP. Otherwise, lower adherence to the MDP was found for participants who were ≥80 y of age (OR, 0.70; 95% CI, 0.52-0.94), who lived in Madeira (OR, 0.35; 95% CI, 0.14-0.89) and Azores (OR, 0.28; 95% CI, 0.08-0.99), who rated their health as moderate (OR, 0.65; 95% CI, 0.50-0.84) or as bad or very bad (OR, 0.63; 95% CI, 0.45-0.90), and those who reported six or more comorbidities (OR, 0.62; 95% CI, 0.39-0.97). CONCLUSIONS: Of the sample, 57% did not adhere to the Mediterranean diet. Potentially modifiable factors associated with lower adherence to the MDP were lower educational and health status.
OBJECTIVES: The aim of this study was to evaluate adherence to the Mediterranean dietary pattern (MDP) and its associated factors in older Portuguese adults. METHODS: A cross-sectional observational study was designed. In the context of the Nutrition UP 65 study, a national cluster sample of 1407 Portuguese individuals ≥65 y of age was analyzed. Adherence to the MDP was evaluated with the Portuguese version of the Prevention with Mediterranean Diet tool. The association between an individual's characteristics and adherence to the MDP was analyzed through hierarchical logistic regression analysis. RESULTS: In this study, 43% of participants adhered to the MDP (n = 609). Higher educational level (odds ratio [OR], 2.38; 95% confidence interval [CI], 1.54-3.69), living in the center (OR, 1.35; 95% CI, 1.01-1.79), being married or living in a common-law marriage (OR, 1.54; 95% CI, 1.20-1.97), and body mass index (ORpreobese, 1.52; 95% CI, 1.02-2.25) were related with increased odds of adherence to the MDP. Otherwise, lower adherence to the MDP was found for participants who were ≥80 y of age (OR, 0.70; 95% CI, 0.52-0.94), who lived in Madeira (OR, 0.35; 95% CI, 0.14-0.89) and Azores (OR, 0.28; 95% CI, 0.08-0.99), who rated their health as moderate (OR, 0.65; 95% CI, 0.50-0.84) or as bad or very bad (OR, 0.63; 95% CI, 0.45-0.90), and those who reported six or more comorbidities (OR, 0.62; 95% CI, 0.39-0.97). CONCLUSIONS: Of the sample, 57% did not adhere to the Mediterranean diet. Potentially modifiable factors associated with lower adherence to the MDP were lower educational and health status.
Authors: Ajka Pribisalić; Romana Popović; Fiorella Pia Salvatore; Maja Vatavuk; Marija Mašanović; Caroline Hayward; Ozren Polašek; Ivana Kolčić Journal: Nutrients Date: 2021-10-26 Impact factor: 5.717