Sociodemographic, nutritional and health status factors associated with adherence to Mediterranean diet in an agricultural Moroccan adult’s population

• Autorzy: Moustakim R. , Mziwira M. , El Ayachi M. , Belahsen R.
• Języki publikacji: EN

Abstrakty

EN

Background. Numerous studies have demonstrated beneficial effects of adherence to the Mediterranean diet (MD) on many chronic diseases, including chronic kidney disease (CKD). Objective. The aim of this study was to assess the adherence of a rural population to the Mediterranean diet, to identify the sociodemographic and lifestyle determinants and to analyze the association between adherence to MD and CKD. Material and Methods. In a cross-sectional study, data on sociodemographic, lifestyle factors, clinical, biochemical parameters and diet were collected on a sample of 154 subjects. Adherence to MD was assessed according to a simplified MD score based on the daily frequency of intake of eight food groups (vegetables, legumes, fruits, cereal or potatoes, fish, red meat, dairy products and MUFA/SFA), using the sex specific sample medians as cut-offs. A value of 0 or 1 was assigned to consumption of each component according to its presumed detrimental or beneficial effect on health. Results. According to the simplified MD score, the study data show that high adherence (44.2%) to MD was characterized by intakes high in vegetables, fruits, fish, cereals, olive oil, and low in meat and moderate in dairy. Furthermore, several factors such as age, marital status, education level, and hypertension status were associated with the adherence to MD in the study population. The majority of subjects with CKD have poor adherence to the MD compared to non-CKD with a statistically insignificant difference. Conclusions. In Morocco, maintaining the traditional MD pattern play crucial role for public health. More research is needed in this area to precisely measure this association.

• Wydawca: -
• Czasopismo: Roczniki Państwowego Zakładu Higieny
• Rocznik: 2023
• Tom: 74
• Numer: 2
• Opis fizyczny: p.167-175,ref.

Twórcy

autor

Moustakim R.

• Laboratory of Biotechnology, Biochemistry and Nutrition, Training and Research Unit on Nutrition and Food Sciences, Faculty of Sciences, Chouaib Doukkali University, El Jadida, Morocco

autor

Mziwira M.

• Laboratory of Bio-Geosciences and Materials Engineering, Higher Normal School of Hassan II University, Casablanca, Morocco

autor

El Ayachi M.

• Laboratory of Biotechnology, Biochemistry and Nutrition, Training and Research Unit on Nutrition and Food Sciences, Faculty of Sciences, Chouaib Doukkali University, El Jadida, Morocco

autor

Belahsen R.

• Laboratory of Biotechnology, Biochemistry and Nutrition, Training and Research Unit on Nutrition and Food Sciences, Faculty of Sciences, Chouaib Doukkali University, El Jadida, Morocco

Bibliografia

• 1. Benhammou S, Heras-González L, Ibáñez-Peinado D, Barceló C, Hamdan M, Rivas A, et al. Comparison of Mediterranean diet compliance between European and non-European populations in the Mediterranean basin. Appetite. 2016;107:521‑6.
• 2. Meybeck A, Redfern S, Hachem F, Capone R, Dernini S, Food and Agriculture Organization of the United Nations, et al., éditeurs. Development of voluntary guidelines for the sustainability of the Mediterranean diet in the Mediterranean region: proceedings of a technical workshop, 14-15 March 2017, CIHEAMBari, Valenzano (Bari). 2017.
• 3. Trichopoulou A, Martínez-González MA, Tong TY, Forouhi NG, Khandelwal S, Prabhakaran D, et al. Definitions and potential health benefits of the Mediterranean diet: views from experts around the world. BMC Med. 2014;12(1):112.
• 4. Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, et al. Updating the Mediterranean Diet Pyramid towards Sustainability: Focus on Environmental Concerns. Int J Environ Res Public Health. 2020;17(23):8758.
• 5. Meybeck A, Suzanne R, Sandro Dernini, Roberto Capone, Fatima Hachem,. Development of voluntary guidelines for the sustainability of the Mediterranean diet in the Mediterranean region. 2017; Publisher: FAO and CIHEAMISBN: 978-92-5-109832-5.
• 6. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean Diet and Survival in a Greek Population. N Engl J Med. 2003;348(26):2599‑608.
• 7. Chauveau P, Aparicio M, Bellizzi V, Campbell K, Hong X, Johansson L, et al. Mediterranean diet as the diet of choice for patients with chronic kidney disease. Nephrol Dial Transplant. 2018;33(5):725‑35.
• 8. Grosso G, Mistretta A, Marventano S, Purrello A, Vitaglione P, Calabrese G, et al. Beneficial Effects of the Mediterranean Diet on Metabolic Syndrome. Curr Pharm Des. 2014;20(31):5039‑44.
• 9. Hariharan D, Vellanki K, Kramer H. The Western Diet and Chronic Kidney Disease. Curr Hypertens Rep. 2015;17(3):16.
• 10. Kiortsis DN, Simos YV. Mediterranean Diet for the Prevention and Treatment of Metabolic Syndrome: Is it Worth It? Angiology. 2014;65(1):5‑8.
• 11. Martínez-González MÁ, Fuente-Arrillaga C de la, Nunez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Vazquez Z, et al. Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study. BMJ. 2008;336(7657):1348‑51.
• 12. Moustakim R, Mziwira M, El Ayachi M, Belahsen R. Association of Metabolic Syndrome and Chronic Kidney Disease in Moroccan Adult Population. Metab Syndr Relat Disord. 2021;19(8):460‑8.
• 13. Zappalá G, Platania A, Bellia MA, Ragusa R, Marranzano M. Eating habits and food intake in relation to adherence to the mediterranean diet, in adults living in the Island of Sicily. Mediterr J Nutr Metab. 2019;12(3):271‑81.
• 14. Galbete C, Schwingshackl L, Schwedhelm C, Boeing H, Schulze MB. Evaluating Mediterranean diet and risk of chronic disease in cohort studies: an umbrella review of meta-analyses. Eur J Epidemiol. 2018;33(10):909‑31.
• 15. Aridi YS, Walker JL, Roura E, Wright ORL. Adherence to the Mediterranean Diet and Chronic Disease in Australia: National Nutrition and Physical Activity Survey Analysis. Nutrients. 2020;12(5):1251.
• 16. Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. The Lancet. 2013;382(9888):260‑72.
• 17. Moustakim R, Mziwira M, El Aaychi M, Belahsen R. Dietary diversity score and the incidence of chronic kidney disease in an agricultural Moroccan adults population. Rocz Państw Zakładu Hig 2022;73(3):293-301. doi: 10.32394/rpzh.2022.0221.27
• 18. Moustakim R, El Ayachi M, Mziwira M, Belahsen R. Undiagnosed chronic kidney disease and its associated risk factors in an agricultural Moroccan adult’s population. Néphrologie Thérapeutique. 2020;16(3):147‑52.
• 19. Moustakim R., Mziwira M., El Ayachi M., Belahsen R.. Assessment of nutritional status, dietary intake and adherence to dietary recommendations in hemodialysis patients. GSC Adv Res Rev. 2020;3(2):009‑19.
• 20. Belahsen R. R, Bermudez O.I. OI, Mohamed M. M, Fatima F. F, Newby P.K. PK, Tucker L.K. KL. Obesity and related metabolic disorders are prevalent in Moroccan women of childbearing age. Int J Diabetes Metab. 2005;13(3):159‑66. DOI: https://doi.org/10.1159/000497585
• 21. Grundy SM. Metabolic Syndrome Pandemic. Arterioscler Thromb Vasc Biol. 2008;28(4):629‑36.
• 22. Mziwira M, El Ayachi M, Lairon D, Belahsen R. Mediterranean Diet and Metabolic Syndrome in Adult Moroccan Women. J Res Obes. 2015;1‑18.
• 23. Anderson CAM, Nguyen HA, Rifkin DE. Nutrition Interventions in Chronic Kidney Disease. Med Clin North Am. 2016;100(6):1265‑83.
• 24. FAO and WHO. Sustainable healthy diets. 2019.
• 25. D’Alessandro A, De Pergola G. The Mediterranean Diet: its definition and evaluation of a priori dietary indexes in primary cardiovascular prevention. Int J Food Sci Nutr. 2018;69(6):647‑59.
• 26. Mohtadi K, Msaad R, Benalioua N, Jafri A, Meftah H, Elkardi Y, et al. Sociodemographic and Lifestyle Factors Associated with Adherence to Mediterranean Diet in Representative Adult Population in Casablanca City, Morocco: A Cross-Sectional Study. J Nutr Metab. 2020;2020:1‑9.
• 27. Trichopoulou A, Lagiou P. Healthy Traditional Mediterranean Diet: An Expression of Culture, History, and Lifestyle. Nutr Rev. 1997;55(11):383‑9.
• 28. Belahsen R. Nutrition transition and food sustainability. Proc Nutr Soc. 2014;73(3):385‑8.
• 29. Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E, et al. Diet and overall survival in elderly people. BMJ. 1995;311(7018):1457‑60.
• 30. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean Diet and Survival in a Greek Population. N Engl J Med. 2003;348(26):2599‑608.
• 31. Farhadnejad H, Asghari G, Mirmiran P, Yuzbashian E, Azizi F. Micronutrient Intakes and Incidence of Chronic Kidney Disease in Adults: Tehran Lipid and Glucose Study. Nutrients. 2016;8(4):217.
• 32. Levey AS, Coresh J. Chronic kidney disease. The Lancet. 2012;379(9811):165‑80.
• 33. Vinhas J, Gardete-Correia L, Boavida JM, Raposo JF, Mesquita A, Fona MC, et al. Prevalence of Chronic Kidney Disease and Associated Risk Factors, and Risk of End-Stage Renal Disease: Data from the PREVADIAB Study. Nephron Clin Pract. 2011;119(1):c35‑40.
• 34. El Rhazi K, Nejjari C, Romaguera D, Feart C, Obtel M, Zidouh A, et al. Adherence to a Mediterranean diet in Morocco and its correlates: cross-sectional analysis of a sample of the adult Moroccan population. BMC Public Health. 2012;12(1):345.
• 35. Godos J, Rapisarda G, Marventano S, Galvano F, Mistretta A, Grosso G. Association between polyphenol intake and adherence to the Mediterranean diet in Sicily, southern Italy. NFS J. 2017;8:1‑7.
• 36. Martínez-González MA, Gea A, Ruiz-Canela M. The Mediterranean Diet and Cardiovascular Health: A Critical Review. Circ Res. 2019;124(5):779‑98.
• 37. O’Connor LE, Hu EA, Steffen LM, Selvin E, Rebholz CM. Adherence to a Mediterranean-style eating pattern and risk of diabetes in a U.S. prospective cohort study. Nutr Diabetes. 2020;10(1):8.
• 38. Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean Diet; A Literature Review. Nutrients. 2015;7(11):9139‑53.
• 39. Murphy KJ, Parletta N. Implementing a Mediterranean-Style Diet Outside the Mediterranean Region. Curr Atheroscler Rep. 2018;20(6):28.
• 40. Nissensohn M, Román-Viñas B, Sánchez-Villegas A, Piscopo S, Serra-Majem L. The Effect of the Mediterranean Diet on Hypertension: A Systematic Review and Meta-Analysis. J Nutr Educ Behav. 2016;48(1):42-53.e1.
• 41. Sofi F, Macchi C, Abbate R, Gensini GF, Casini A. Mediterranean diet and health status: an updated metaanalysis and a proposal for a literature-based adherence score. Public Health Nutr. 2014;17(12):2769‑82.
• 42. Hu EA, Toledo E, Diez-Espino J, Estruch R, Corella D, Salas-Salvado J, et al. Lifestyles and Risk Factors Associated with Adherence to the Mediterranean Diet: A Baseline Assessment of the Predimed Trial. Ruiz JR, éditeur. PLoS ONE. 2013;8(4):e60166.
• 43. Papadaki A, Wood L, Sebire SJ, Jago R. Adherence to the Mediterranean diet among employees in South West England: Formative research to inform a webbased, work-place nutrition intervention. Prev Med Rep.2015;2:223‑8.
• 44. Gouveri E, Diamantopoulos EJ. Chapter 29 - The Mediterranean Diet and Metabolic Syndrome. Mediterr Diet. 2015;313‑23.
• 45. Tzima N, Pitsavos C, Panagiotakos DB, Skoumas J, Zampelas A, Chrysohoou C, et al. Mediterranean diet and insulin sensitivity, lipid profile and blood pressure levels, in overweight and obese people; The Attica study. Lipids Health Dis. 2007;7.
• 46. Bonaccorsi G, Lorini C, Santomauro F, Sofi F, Vannetti F, Pasquini G, et al. Adherence to Mediterranean diet and nutritional status in a sample of nonagenarians. Exp Gerontol. 2018;103:57‑62.
• 47. Tong TYN, Imamura F, Monsivais P, Brage S, Griffin SJ, Wareham NJ, et al. Dietary cost associated with adherence to the Mediterranean diet, and its variation by socio-economic factors in the UK Fenland Study. Br J Nutr. 2018;119(6):685‑94.

Identyfikatory

DOI

10.32394/rpzh.2023.0256