Cangemi, Roberto, Miglionico, Marzia, D'Amico, Tania, Fasano, Salvatore, Proietti, Marco 
ORCID: 0000-0003-1452-2478, Romiti, Giulio Francesco, Corica, Bernadette ORCID: 0000-0001-9460-4435, Stefanini, Lucia, Tanzilli, Gaetano, Basili, Stefania et al (show 3 more authors)
(2023)
Adherence to the Mediterranean Diet in Preventing Major Cardiovascular Events in Patients with Ischemic Heart Disease: The EVA Study.
NUTRIENTS, 15 (14).
3150-.
Abstract
<h4>Background</h4>Adherence to healthy dietary patterns, such as the Mediterranean diet (Med-diet), is recommended for the maintenance of cardiovascular health. The determinants for adherence to Med-diet and its importance in secondary cardiovascular disease prevention are still unclear. The aim of the study was to evaluate the influence of sex- and psycho-socio-cultural (i.e., gender-related) factors on Med-diet adherence and its role in preventing major cardiovascular events (MACEs) in patients with ischemic heart disease (IHD).<h4>Methods</h4>Med-diet adherence was evaluated among 503 consecutive adults with IHD. MACEs were collected during a long-term follow-up.<h4>Results</h4>Male Bem Sex-Role Inventory score (i.e., male personality traits) and physical functional capacity were associated with higher adherence, while cohabitation with a smoker and physical inactivity with poorer adherence. During a median follow-up of 22 months, 48 participants experienced MACEs (17.5%, 8.1%, and 3.9% of patients with low, medium, and high adherence, respectively; <i>p</i> = 0.016). At multivariate Cox--regression analysis, a greater adherence remained inversely associated with MACEs (HR: 0.49; 95% CI: 0.29-0.82; <i>p</i> = 0.006) after adjusting for confounding factors.<h4>Conclusion</h4>The study suggests that gender-related factors have a role in maintaining a healthy dietary pattern. Improving Med-diet adherence may lower the risk of recurring cardiovascular events.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | adherence, gender, ischemic heart disease, Mediterranean diet, sex |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 14 Dec 2023 08:52 |
| Last Modified: | 14 Dec 2023 08:53 |
| DOI: | 10.3390/nu15143150 |
| Open Access URL: | https://doi.org/10.3390/nu15143150 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3177362 |
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