Predictors of adherence to a Mediterranean-type diet in the PREDIMED trial

Zazpe, Itziar; Estruch, Ramón; Toledo, Estefanía; Sánchez-Taínta, Ana; Corella, Dolores; Bulló, Mónica; Fiol, Miquel; Iglesias, Pablo; Gómez-Gracia, Enrique; Arós, Fernando; Ros, Emilio; Schröder, Helmut; Serra-Majem, Lluis; Pintó, Xavier; Lamuela-Raventós, Rosa; Ruiz-Gutiérrez, Valentina; Martínez-Gonzólez, Miguel Ángel
March 2010
European Journal of Nutrition;Mar2010, Vol. 49 Issue 2, p91
Academic Journal
Determinants of dietary changes obtained with a nutritional intervention promoting the Mediterranean diet have been rarely evaluated. To identify predictors of higher success of an intervention aimed to increase adherence to a Mediterranean diet (MeDiet) in individuals at high cardiovascular risk participating in a trial for primary prevention of cardiovascular disease: the PREDIMED (PREvención con DIeta MEDiterránea) trial. Candidate predictors included demographic and socioeconomic characteristics, cardiovascular risk factors, and baseline dietary habits. A total of 1,048 asymptomatic subjects aged 55–80 years allocated to the active intervention groups (subjects in the control group were excluded). Participants’ characteristics were assessed at baseline among subjects. Dietary changes were evaluated after 12 months. Main outcome measures were: attained changes in five dietary goals: increases in (1) fruit consumption, (2) vegetable consumption, (3) monounsaturated fatty acid (MUFA)/saturated fatty acid (SFA) ratio, and decreases in (4) sweets and pastries consumption, (5) and meat consumption. Univariate and multivariate logistic regression analyses were used to examine associations between the candidate predictors and likelihood of attaining optimum dietary change (improved adherence to a MeDiet). Among men, positive changes toward better compliance with the MeDiet were more frequent among non-diabetics, and among those with worse dietary habits at baseline (higher consumption of meat, higher SFA intake, lower consumption of fruit and vegetables). Among women, marital status (married) and worse baseline dietary habits (high in meats, low in fruits and vegetables) were the strongest predictors of success in improving adherence to the MeDiet. Some participant characteristics (marital status and baseline dietary habits) could contribute to predicting the likelihood of achieving dietary goals in interventions aimed to improve adherence to a MeDiet, and may be useful for promoting individualized long-term dietary changes and improving the effectiveness of dietary counseling.


Related Articles

  • Validity of a questionnaire to assess fruit and vegetable intake in adults. Kristjansdottir, A. G.; Andersen, L. F.; Haraldsdottir, J.; de Almeida, M. D. V.; Thorsdottir, I. // European Journal of Clinical Nutrition;Mar2006, Vol. 60 Issue 3, p408 

    Objective:To validate a method for assessing fruit and vegetable intake among adults in a population of low intake. The method assesses mean intake and ranks individuals by their usual intake.Design:A precoded fruit and vegetable Questionnaire included a 24-h recall and a food frequency. The...

  • Missing from the Evidence for Antioxidants and Heart Health: Evidence.  // Tufts University Health & Nutrition Letter;Oct2004, Vol. 22 Issue 8, p2 

    Reports on the results of a review conducted by the American Heart Association regarding the effect of antioxidant supplements on the risk for cardiovascular disease. Difference of antioxidants found in fruits and vegetables from antioxidant supplements; Information on diets rich in...

  • Cancer Prevention by Phytochemicals. Nishino, Hoyoku; Murakoshi, Michiaki; Mou, Xiao Yang; Wada, Saeri; Masuda, Mitsuharu; Ohsaka, Yasuhito; Satomi, Yoshiko; Jinno, Kenji // Oncology;2005 Supplement 1, Vol. 69, p38 

    Information has been accumulated indicating that diets rich in vegetables and fruits can reduce the risk of a number of chronic diseases, including cancer, cardiovascular disease, diabetes and age-related macular degeneration. Phytochemicals (various factors in plant foods), such as carotenoids,...

  • MIND Your Diet: Diet and Alzheimer's Disease.  // Good Medicine;Summer2017, Vol. 26 Issue 3, p13 

    The article presents questions and answers related to Mediterranean- Dietary Approaches to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay (MIND) Diet including fruits with protective effect; reduction in cardiovascular disease risk by MIND Diet; and benefits of MIND Diet.

  • Cardiovascular disease and diet: the way to a healthy heart. Merriman, Sheila // Nursing & Residential Care;Jan2013, Vol. 15 Issue 1, p22 

    No abstract available.

  • 10 tips on … Diet, nutrition and health. Williams, Nerys // Practice Nurse;6/24/2005, Vol. 29 Issue 12, p33 

    Offers advice on diet, nutrition and health. Importance of eating fruit and vegetables in reducing the risk of cardiovascular disease and cancer; Role of whole foods in disease prevention; Link between salt and stomach cancer; Types of vegetarians.

  • Fruits and veggies good for the heart but fail cancer test.  // Active Living;Nov2007, Vol. 16 Issue 6, p12 

    The article deals with a study by researchers at the Harvard School of Public Health which found that a diet high in fruits and vegetables works well in reducing one's risk of cardiovascular disease. The study also revealed that the role of fruit and vegetable intake in cancer prevention may be...

  • One man's meat is another's poison. Cheney, Clare // Food Manufacture;Mar2009, Vol. 84 Issue 3, p12 

    The article reports on the strategies that will help consumers lower their intake of unsaturated fat in Great Britain. These include eating fruits and vegetables, eliminating sweets, and considering balanced meals. The author stresses that the ways will help people comply to the campaign of the...

  • Eat Away Heart Disease. PALINSKI-WADE, ERIN // Natural Solutions;Spring2015 Heart Issue, Issue 171, p26 

    Several recipes for good heart health is presented including grilled teriyaki salmon over wasabi sesame rice, cinnamon oatmeal with almonds, and rainbow green smoothie.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics