期刊
NUTRIENTS
卷 15, 期 8, 页码 -出版社
MDPI
DOI: 10.3390/nu15081910
关键词
nutrition; Mediterranean diet; biomarkers; score; cardiovascular risk; visceral adiposity
Adherence to the Mediterranean diet is associated with reduced mortality, particularly in individuals with cardiovascular disease, obesity, and diabetes. Existing validated Mediterranean diet scores did not show a significant association with adiposity, leading to the proposal of a new questionnaire, the Chrono Med-Diet score (CMDS), which focuses on dietary chronobiology and physical activity. CMDS was found to be linked to increased waist circumference, dysmetabolic conditions, cardiovascular risk, and Fatty Liver Index.
Adherence to the Mediterranean diet (MedDiet) leads to reduction of mortality from all causes, especially in subjects with cardiovascular disease, obesity, and diabetes. Numerous scores have been proposed to evaluate the adherence to MedDiet, mainly focused on eating habits. In this study, we verified whether existing validated MedDiet scores, namely, MEDI-LITE and the Mediterranean Diet Score (MDS), could be associated with visceral adiposity. Failing to find a significant association with adiposity, we proposed the validation of a new, easy-to-use adherence questionnaire, the Chrono Med-Diet score (CMDS). CMDS contains eleven food categories, including chronobiology of dietary habits and physical activity. Compared to the MEDI-LITE score and MDS, low values of CMDS are linked to increased waist circumference (WC) and dysmetabolic conditions. CMDS was also inversely correlated with cardiovascular risk (CVR), as well as Fatty Liver Index (FLI). In conclusion, the CMDS is a novel questionnaire to study the adherence to the MedDiet that, focusing on type and timing of carbohydrates intake, has the peculiar capability of capturing subjects with abdominal obesity, thus being an easy-to-use instrument of personalized medicine.
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