Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern.
BACKGROUND
A prospective cohort study with university level participants was initiated to study the effect of Mediterranean diet on health.


OBJECTIVE
The objective of this study was to identify possible lifestyle and socioeconomic variables associated with the consumption of a Mediterranean dietary pattern (MDP).


METHODS
This analysis includes 1587 males and 2260 females. MDP was defined "a priori" by summing the standardized residuals of nutrients and foods after adjusting a regression model using total energy intake as the independent variable. Multiple regression and non-parametric locally weighted regression models were adjusted with the relative adherence to the MDP as the dependent variable in males and females.


RESULTS
Women were more compliant than men with the MDP (Coefficient regression (b) = 4.1; Confidence Interval (CI) 95 % = 3.2 to 4.9). The compliance with the MDP was significantly poorer among younger participants both in men and women (p < 0.001 in men and in women). Participants who were more physically active were more likely to fulfill the traditional MDP (p = 0.01 in men and p < 0.001 in women).


CONCLUSIONS
Our findings provide evidence supporting the progressive departure from the traditional MDP in younger and highly educated subjects of the Mediterranean area. A more active life-style is associated with a better compliance with the MDP.
Sánchez-Villegas
A
A
Department of Epidemiology and Public Health, University of Navarra, Pamplona, Spain.
Martínez
J A
JA
De Irala
J
J
Martínez-González
M A
MA
D000328:Adult; D017677:Age Distribution; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004034:Diet Surveys; D038441:Diet, Mediterranean; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012044:Regression Analysis; D012907:Smoking; D012959:Socioeconomic Factors