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Relationship Among Adherence to The Mediterranean Diet and Anthropometric and Metabolic Parameters in Subjects with Obesity

Author(s):

Luisa Lampignano, Roberta Zupo, Rossella Donghia, Vito Guerra, Fabio Castellana, Isanna Murro, Carmen Di Noia, Rodolfo Sardone, Gianluigi Giannelli, Vincenzo Triggiani and Giovanni De Pergola*   Pages 1 - 7 ( 7 )

Abstract:


Background: There is moderate-to-high evidence that the Mediterranean diet prevents increases in body weight and waist circumference in non-obese individuals but less is known about its effects in subjects with overweight and obesity. The present study was focused on exploring the cross-sectional association among the adherence to Mediterranean diet and the most commonly used variables of metabolic and cardiovascular risk factors in a cohort of overweight subjects from a typical Mediterranean region, Apulia, in Southern Italy.

Methods: The study was performed in a cohort of 1214 individuals, all with overweight or obesity but no other clinical condition. We investigated the association among adherence to Mediterranean diet, assessed with the PREDIMED score, and anthropometric parameters [namely body mass index (BMI), WC, waist to height ratio (WHtR) and neck circumference (NC)], fasting serum levels of glucose, insulin, uric acid and lipids (triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol), and blood pressure and insulin resistance, measured by HOMA-IR.

Results:The waist to height ratio was negatively associated to a PREDIMED score ≥7 (p<0.04), whereas HDL cholesterol was positively associated to a PREDIMED score ≥7 (p<0.04)

Conclusion: This study suggests that body fat distribution and HDL-cholesterol are the parameters most strongly influenced by MedDiet in Apulian subjects.

Keywords:

Mediterranean diet, body fat distribution cardiovascular risk, HDL cholesterol, waist to height ratio.

Affiliation:

Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, University of Bari, School of Medicine, Policlinico, Bari, Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, University of Bari, School of Medicine, Policlinico, Bari, Population Health Unit - "Salus in Apulia Study” National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Scientific Direction, National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Endocrinology and Metabolic Diseases, Interdisciplinary Department of Medicine University of Bari “A. Moro” Bari, Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, University of Bari, School of Medicine, Policlinico, Bari



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