Factors associated with a low adherence to a Mediterranean diet pattern in healthy Spanish women before pregnancy
Copyright policy )Factors associated with a low adherence to a Mediterranean diet pattern in healthy Spanish women before pregnancy
AbstractObjectiveTo analyse the factors associated with the level of adherence to a Mediterranean dietary pattern in healthy Spanish women before pregnancy.DesignA prospective series of 1175 women. An FFQ validated in Spanish populations served to collect dietary data. The Mediterranean Diet Adherence Index was used to assess the level of adherence to a Mediterranean diet pattern. Polytomic regression was performed to identify the associated factors.SettingCatchment area of Virgen de las Nieves University Hospital, Andalusia, Spain.SubjectsThe women were invited to participate in the study at the 20th–22nd gestational week. The selection criteria were: Spanish nationality, 18 years of age or older, singleton pregnancy and absence of health problems that required modifying the diet or physical activity.ResultsAn inverse relationship was found between women's age and level of adherence to a Mediterranean diet pattern, with a clear dose–response association: a younger age entailed worse adherence (P < 0·001). The habit of smoking and sedentary lifestyle had a positive relationship with low adherence, giving OR = 5·36 (95 % 1·91, 15·07) for women who smoked >20 cigarettes/d and OR = 2·07 (95 % CI 1·34, 3·17) for sedentary women. Higher age, higher educational level, and higher social class of the women were associated with a higher level of adherence to the Mediterranean diet (P < 0·001).ConclusionsIn our sample population, younger age, lower social class, primary educational level and elements of an unhealthy lifestyle such as smoking and lack of exercise were associated with low adherence to a Mediterranean diet.
Adult, Medical Subject Headings::Technology, Industry, Agriculture::Food and Beverages::Food, Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Gestational Age, Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life Style::Sedentary Lifestyle, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Energy Intake, Medical Subject Headings::Health Care::Health Care Economics and Organizations::Health Planning::Regional Health Planning::Catchment Area (Health), Gestational Age, Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective Studies, Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Patient Acceptance of Health Care::Patient Compliance, Diet, Mediterranean, Pregnant People, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Diet, Mediterranean, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Body Mass Index, Catchment Area, Health, Pregnancy, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult, Surveys and Questionnaires, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Mass Index, Humans, Prospective Studies, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Habits::Smoking, Exercise, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged, Medical Subject Headings::Named Groups::Persons::Women::Pregnant Women, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires, Smoking, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Young Adult, Medical Subject Headings::Check Tags::Female, Medical Subject Headings::Disciplines and Occupations::Human Activities::Exercise, Middle Aged, Social Class, Food, Spain, Patient Compliance, Female, Sedentary Behavior, Energy Intake
Adult, Medical Subject Headings::Technology, Industry, Agriculture::Food and Beverages::Food, Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Gestational Age, Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life Style::Sedentary Lifestyle, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Energy Intake, Medical Subject Headings::Health Care::Health Care Economics and Organizations::Health Planning::Regional Health Planning::Catchment Area (Health), Gestational Age, Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective Studies, Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Patient Acceptance of Health Care::Patient Compliance, Diet, Mediterranean, Pregnant People, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Diet::Diet, Mediterranean, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Body Mass Index, Catchment Area, Health, Pregnancy, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult, Surveys and Questionnaires, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Mass Index, Humans, Prospective Studies, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Habits::Smoking, Exercise, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged, Medical Subject Headings::Named Groups::Persons::Women::Pregnant Women, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires, Smoking, Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Young Adult, Medical Subject Headings::Check Tags::Female, Medical Subject Headings::Disciplines and Occupations::Human Activities::Exercise, Middle Aged, Social Class, Food, Spain, Patient Compliance, Female, Sedentary Behavior, Energy Intake
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