scholarly journals Social support, adherence to Mediterranean diet and physical activity in adults: results from a community-based cross-sectional study

2020 ◽  
Vol 9 ◽  
Author(s):  
Elpiniki Laiou ◽  
Iro Rapti ◽  
Georgios Markozannes ◽  
Luisella Cianferotti ◽  
Lena Fleig ◽  
...  

Abstract There is a growing recognition that social support can potentially exert consistent or opposing effects in influencing health behaviours. The present paper presents a cross-sectional study, including 2,064 adults from Italy, Spain and Greece, who were participants in a multi-centre randomised controlled trial (C4H study), aiming to examine whether social support is correlated with adherence to a healthy Mediterranean diet and physical activity. Social support data were available for 1,572 participants. The majority of the sample reported emotional support availability (84·5 %), financial support availability (72·6 %) and having one or more close friends (78·2 %). Mediterranean diet adherence was significantly associated with emotional support (P = 0·009) and social network support (P = 0·021). No statistically significant associations were found between participant physical activity and the social support aspects studied. In conclusion, emotional and social network support may be associated with increased adherence to the Mediterranean diet. However, further research is needed to evaluate the role of social support in adherence to healthy Mediterranean diet.

2021 ◽  
Author(s):  
Ourania Kolokotroni ◽  
Maria Mosquera ◽  
Annalisa Quattrocchi ◽  
Alexandros Heraclides ◽  
Christiana Demetriou ◽  
...  

Abstract Background The COVID-19 pandemic and widespread control measures disrupted efforts to address lifestyle risk factors for non-communicable diseases (NCD). This study aimed to explore the effects of COVID-19 lockdown on all lifestyle medicine pillars.Methods This was a cross-sectional study on a convenient sample of adults residing in Cyprus during the Spring 2020 lockdown. Participants completed an anonymous online questionnaire incorporating six validated tools regarding the following lifestyle behaviours before and during lockdown: adherence to the Mediterranean diet, physical activity, stress and social support levels, sleep pattern and use of risky substances such as smoking and alcohol. Median total scores for each lifestyle pillar before and during lockdown were compared using Wilcoxon Signed-Rank test and stratified analyses for sociodemographic characteristics were performed.Results Of 745 participants, 74% were female and median age was 39 years. Overall participants reported significantly higher perceived stress score (22 v 25, p<0.01), lower social support score (71 v 68, p<0.001), and worse sleep quality score (4 v 5, p<0.01) during lockdown. Mediterranean diet (MD) adherence was moderate and increased significantly only in those practicing religious fasting (score of 6 v 7, p<0.01). Total minutes spent sitting increased (120 v 180, p<0.01) although overall physical activity score did not significantly change. Smoking intensity increased during lockdown whilst frequency of alcohol consumption decreased (ptrend=0.03 and <0.01, respectively). ConclusionLifestyle was adversely affected by the COVID-19 lockdown in Cyprus. Evidence from this study supports development of holistic lifestyle interventions during and following the pandemic to reduce short and long-term NCD risks by building on lifestyle behaviour strengths and addressing longstanding and emerging gaps and needs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ourania Kolokotroni ◽  
Maria C. Mosquera ◽  
Annalisa Quattrocchi ◽  
Alexandros Heraclides ◽  
Christiana Demetriou ◽  
...  

Abstract Background The COVID-19 pandemic and the widespread adoption of virus control measures have inevitably disrupted efforts to address lifestyle risk factors for non-communicable diseases (NCD). This study aimed to explore the effects of COVID-19 lockdown on all lifestyle medicine pillars, namely diet, physical activity, sleep, stress, social support and use of risky substances. Methods This was a cross-sectional study on a convenient sample of adults who resided in Cyprus during the Spring 2020 lockdown. Participants completed an anonymous online questionnaire comprised of six validated tools regarding the following lifestyle behaviours before and during lockdown: adherence to the Mediterranean diet, physical activity, stress and social support levels, sleep pattern and use of risky substances such as smoking and alcohol. Paired before and during lockdown comparisons for each lifestyle pillar were undertaken using Wilcoxon Signed-Rank test and Bowker symmetry Test where response was numerical (non-parametric data) and categorical respectively. Furthermore, stratified analyses for sociodemographic characteristics were performed. Results Out of 745 participants, 74% were female and median age was 39 years. Overall participants reported significantly higher perceived stress score (22 v 25, p <  0.01), lower social support score (71 v 68, p <  0.001), and worse sleep quality score (4 v 5, p <  0.01) during lockdown. Mediterranean diet (MD) adherence was moderate and increased significantly only in those practicing religious fasting (score of 6 v 7, p <  0.01). Total minutes spent sitting increased (120 v 180, p <  0.01) although overall physical activity score did not significantly change. Smoking intensity increased during lockdown whilst frequency of alcohol consumption decreased (ptrend = 0.03 and <  0.01, respectively). Conclusion Various lifestyle factors were adversely affected by the COVID-19 lockdown in Cyprus. Evidence from this study supports development of holistic lifestyle interventions during and following the pandemic to reduce short and long-term NCD risks by building on lifestyle behaviour strengths and addressing longstanding and emerging gaps and needs.


Author(s):  
Andrea Maugeri ◽  
Martina Barchitta ◽  
Valerio Fiore ◽  
Giuliana Rosta ◽  
Giuliana Favara ◽  
...  

The Mediterranean diet (MD)—the dietary pattern usually consumed by Mediterranean populations—can help promote a favorable health status and better quality of life. Uncovering the main factors associated with the adherence to MD may be useful in understanding and counteracting the global shift toward a Western diet, which has been documented also in the Mediterranean region. Here, we evaluated the adherence to MD and its major social and behavioral determinants in women from Catania, Southern Italy. This cross-sectional study included 841 women, aged 25–64 years, with no history of severe diseases. Adherence to MD was assessed by the Food Frequency Questionnaire and Mediterranean Diet Score (MDS). Associations between variables were tested by multivariable logistic regression analysis and expressed as an odds ratio (OR) with a 95% confidence interval (CI). Among social factors, medium and high educational levels were associated with an ideal intake of alcohol (OR = 4.059; 95%CI = 1.311–12.570; p = 0.015; OR = 4.258 95%CI = 1.068–16.976; p = 0.040; respectively), living in a couple with ideal intake of cereals (OR = 2.801 95%CI = 1.188–6.602; p = 0.018), and having children with an ideal intake of fruits (OR = 3.149; 95%CI = 1.245–7.762; p = 0.015). With respect to behaviors, current smoking was negatively associated with an ideal intake of meat (OR = 0.449; 95%CI = 0.0220–0.917; p = 0.028), while more engagement in physical activity was associated with an ideal intake of vegetables (OR = 6.148; 95%CI = 1.506–25.104; p = 0.011) and legumes (OR = 5.832; 95%CI = 1.414–24.063; p = 0.015). In line with these findings, moderately or highly physically active women were more likely to show medium or high adherence to MD than those who performed less physical activity (OR = 6.024; 95%CI = 1.192–30.440; p = 0.040; OR = 9.965 95%CI = 1.683–58.993; p = 0.011; respectively). Our results confirm an urgent need for public health strategies, which should take into account determinants of diet quality. Particularly, our study indicates that more engagement in physical activity is a major positive determinant of the adherence to MD.


2020 ◽  
Author(s):  
Beatriz León-Salas ◽  
Edurne Zabaleta-del-Olmo ◽  
Joan LLobera ◽  
Bonaventura Bolíbar-Ribas ◽  
Tomas López-Jiménez ◽  
...  

Abstract Background: The purpose of this study was to compare health status, lifestyle habits, and perceived social support between cancer survivors and people who have never had cancer. Methods: Descriptive, cross-sectional multicenter study nested in phases II and III of the cluster randomized clinical trial ERIA, designed to analyze the effects of a complex primary care intervention compared with care as usual on smoking cessation, improved adherence to the Mediterranean diet, and increased physical activity. For the cross-sectional study, patients were divided into two groups: cancer survivors and people who had never had cancer (controls). Thirty eight Primary care centers Spanish provinces of Barcelona, Girona, Balearic Islands, Malaga, Seville, Salamanca, Soria, Toledo, Vigo, Vizcaya, and Zaragoza. Adults aged between 45 and 75 years with at least two risk behaviors. Patients being treated for active cancer or in end-of-life care were excluded.Primary outcomes: Sociodemographic variables, diet, physical activity, smoking, body mass index, Charlson Comorbidity Index, and self-perceived health and social support.Results: Of the 4259 people included, 190 (4.46%) were cancer survivors. Their mean±SD age was 62.8±7 years versus 58.7±8 years (P<0.01) for people who had never had cancer. Long-term sick leave was also more common in this group (11.9% vs 3.5%, P<0.001). No between-group differences were observed for smoking, adherence to the Mediterranean diet, physical activity, obesity, or perceived social support. Cancer survivors reported worse health (OR 1.82; IC95% 1.02–2.75) and were more likely to have two or more comorbid conditions (OR 1.68; 95% CI 1.18–2.39), chronic pulmonary obstructive disease (OR 2.17; 95% CI 1.25–3.78), and depression (OR 1.65; 95% CI 1.06–2.57). In the multiple regression analysis, older age and worse self-perceived health continued to be significantly associated with having survived cancer.Conclusions: Cancer survivors have more chronic diseases, a greater likelihood of being on long-term sick leave, and worse self-perceived health than people without a history of cancer, regardless of age. The two groups perceived similar levels of social support.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Husnah Dr MPH

Abstrak. Hipertensi merupakan penyakit degeneratif yang menjadi masalah kesehatan masyarakat dan sering muncul tanpa gejala. Hipertensi disebabkan oleh banyak faktor, salah satu diantaranya pola makan dan aktivitas fisik. Penelitian ini bertujuan untuk mengetahui hubungan pola makan dan aktivitas fisik dengan kejadiaan hipertensi. Pengambilan data dilaksanakan dari tanggal 23 November sampai dengan 31 Desember 2013 di Poli klinik Penyakit Dalam Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Jenis penelitian analitik observasional dengan pendekatan cross sectional study. Jumlah responden sebanyak 81 orang yang diambil secara consecutive sampling. Penilaian hipertensi dengan mengukur tekanan darah, pola makan menggunakan kuesioner FFQ dan aktivitas fisik kuesioner Beache metode wawancara terpimpin. Uji statistik adalah uji chi-square dengan α 0,05 dan C I95%. Hasil penelitian menunjukkan responden dominan hipertensi derajat II ( 56,8% ). pola makan salah (54,3%) dan aktivitas sedang (55,5%). Terdapat hubungan antara pola makan dengan derajat hipertensi (p ≤ 0,05) p=0,013, RR = 2,012 dan terdapat hubungan aktivitas fisik dengan derajat hipertensi nilai p= 0,008. Dapat disimpulkan bahwa pola makan dan aktivitas fisik berhubungan dengan derajat hipertensi, pasien dengan pola makan salah beresiko 2,012 kali menderita hipertensi derajat II. Kata kunci : hipertensi, pola makan, aktivitas fisik. Abstract. Hypertension is a degenerative disease that is a public health problem and often appears asymptomatic. Hypertension is caused by many factors, one of which is diet and physical activity. This study aims to determine the relationship between diet and physical activity with hypertension occurrence. Data collection was conducted from November 23 to December 31, 2013 at the Polyclinic of Internal Medicine of dr. Zainoel Abidin Banda Aceh. Type of analytic observational research with cross sectional study approach. The number of respondents was 81 people taken by consecutive sampling. Assessment of hypertension by measuring blood pressure, diet using FFQ questionnaire and physical activity of Beache questionnaire surveyed interview method. The statistical test is a chi-square test with α 0,05 and 95% CI. The results showed that dominant respondents of hypertension of degree II (56.8%) were wrong diet (54.3%) and moderate activity (55.5%). There is relationship between diet with degree of hypertension (p ≤ 0,05) p = 0,013, RR = 2,012 and there is relation of physical activity with degree of hypertension value p = 0,008. It can be concluded that diet and physical activity related to degree of hypertension, the wrong diet is at risk of 2,012 times of degree II hypertension. Key words : hypertension, dietary, physical activity.


Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1566 ◽  
Author(s):  
Ramón Chacón-Cuberos ◽  
Félix Zurita-Ortega ◽  
Asunción Martínez-Martínez ◽  
Eva Olmedo-Moreno ◽  
Manuel Castro-Sánchez

Background: Several studies have shown that following a healthy diet and practicing regular physical activity (PA) are related with multiple health benefits. However, the cognitive and academic implications of these behaviors within adolescents requires further study. Material and Methods: A cross-sectional study was conducted with a simple of 1059 adolescents from Spain. The main instruments employed were the Adherence to Mediterranean Diet Test (KIDMED), the Physical Activity Questionnaire for Adolescents (PAQ-A) and the Motivation and Learning Strategies Short Form (MSLQ-SF). Results: Practicing PA for more than three hours per week was related to better dietary habits (p < 0.001) such as increased consumption of vegetables (0.75 ± 0.43 vs. 0.62 ± 0.48), fish (0.67 ± 0.47 vs. 0.58 ± 0.49), cereals (0.85 ± 0.35 vs. 0.77 ± 0.41) and nuts (0.44 ± 0.49 vs. 0.35 ± 0.47). High adherence to a Mediterranean diet (MD) was positively related to elaboration strategies (r = 0.116), organizational strategies (r = 0.109), critical thinking (r = 0.116), self-regulation (r = 0.159), time and study habits (r = 0.160), self-regulation of effort (r = 0.118), and intrinsically orientated goals (r = 0.090) (p < 0.01 for all variables). Practicing PA every week was also related to improvements in several of the measured variables and in addition was related to lower levels of anxiety within the academic environment (r = −0.070; p < 0.05). Conclusions: Given the benefits of eating habits and the practice of PA in the cognitive processes involved in adolescent learning, intervention programs within the educational context are recommended to improve healthy habits.


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