https://doi.org/10.4081/monaldi.2022.2391

Adherence to Mediterranean diet among patients with acute cardiovascular events admitted in Cardiac Rehabilitation unit

Vol. 93 No. 3 (2023)
Submitted: July 29, 2022
Accepted: October 8, 2022
Published: October 14, 2022
Cardiovascular prevention, adherence, secondary cardiovascular prevention
Abstract Views: 1227
PDF: 311
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Fortuna Lubrano
https://orcid.org/0000-0002-1283-9765
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Ilaria Fucile
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Maurizio Conte
https://orcid.org/0000-0003-0171-3515
Ciro Santoro
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Francesco Rozza
https://orcid.org/0000-0002-6631-6230
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Nicola De Luca
https://orcid.org/0000-0002-9606-6586
Costantino Mancusi
costantino.mancusi@unina.it
https://orcid.org/0000-0001-6690-1408
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.

The Mediterranean Diet plays a critical role in the prevention of primary cardiovascular disease (CVD). Actually, there is a scarcity of evidence for secondary prevention. The current study aims to assess adherence to the Mediterranean diet (MD) in patients recently admitted to the Cardiac Rehabilitation Unit following acute cardiovascular disease. Adherence to MD was assessed in 111 patients admitted to the Cardiac Rehabilitation Unit of the Federico II Hospital in Naples. The Medi-Lite score was used to assess adherence to MD. The main determinant of reduced MD compliance was assessed using Pearson’s correlation analysis and a multivariable regression model. The population had a median MD adherence score of 11 and a mean score of 10.9. The lowest possible score was 5 (indicating poor adherence), and the highest possible score was 15 (excellent adherence index). There were 3 participants with a poor score (<7), 82 with a good score (7-12), and 26 with an excellent score (³13). Lower Medi-Lite score was associated with younger age and being an active worker in a multivariate regression model (both p<0.05). Our findings show that among patients admitted to the Cardiac Rehabilitation Unit after a major CV event, young active workers have the lowest adherence to MD, requiring an individualized and multidisciplinary approach to improve their adherence to MD for secondary CV prevention.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
de Lorgeril M, Salen P, Martin JL, et al. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation 1999;99:779-85. DOI: https://doi.org/10.1161/01.CIR.99.6.779
Vilela DLS, Fonseca PG, Pinto SL, Bressan J. Influence of dietary patterns on the metabolically healthy obesity phenotype: A systematic review. Influence of dietary patterns on the metabolically healthy obesity phenotype: A systematic review. Nutr Metab Cardiovasc Dis 2021;31:2779-91. DOI: https://doi.org/10.1016/j.numecd.2021.05.007
Antoniazzi L, Arroyo-Olivares R, Bittencourt MS, et al. Adherence to a Mediterranean diet, dyslipidemia and inflammation in familial hypercholesterolemia. Nutr Metab Cardiovasc Dis 2021;31:2014-22. DOI: https://doi.org/10.1016/j.numecd.2021.04.006
Sofi F, Dinu M, Pagliai G, Marcucci R, Casini A. Validation of a literature-based adherence score to Mediterranean diet: the MEDI-LITE score. Int J Food Sci Nutr 2017;68:757-62. DOI: https://doi.org/10.1080/09637486.2017.1287884
Conte M, Rozza F, Fucile I, et al. Low awareness of cardiovascular risk factor among patients admitted in cardiac rehabilitation unit. High Blood Press Cardiovasc Prev 2021;28:321-4. DOI: https://doi.org/10.1007/s40292-021-00444-y
Scarano P, Magnoni M, Vergani V, et al. Effect of adherence to Mediterranean diet on first ST-elevation myocardial infarction: Insights from multiethnic case-control study. Nutrition 2019;65:185-90. DOI: https://doi.org/10.1016/j.nut.2019.03.014
Magnoni M, Scarano P, Vergani V, et al. Impact of adherence to a Mediterranean Diet pattern on patients with first acute myocardial infarction. Nutr Metab Cardiovasc Dis 2020;30:574-80. DOI: https://doi.org/10.1016/j.numecd.2019.11.014
Dinu M, Pagliai G, Giangrandi I, et al. Adherence to the Mediterranean diet among Italian adults: results from the web-based Medi-Lite questionnaire. Int J Food Sci Nutr 2021;72:271-9. DOI: https://doi.org/10.1080/09637486.2020.1793306
Dinu M, Pagliai G, Lotti S, et al. Adherence to Mediterranean diet measured through Medi-Lite score and obesity: A retrospective study. Nutrients 2021;13:2007. DOI: https://doi.org/10.3390/nu13062007

How to Cite

Lubrano, Fortuna, Ilaria Fucile, Maurizio Conte, Ciro Santoro, Francesco Rozza, Nicola De Luca, and Costantino Mancusi. 2022. “Adherence to Mediterranean Diet Among Patients With Acute Cardiovascular Events Admitted in Cardiac Rehabilitation Unit”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2391.
Copyright (c) 2022 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.