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Mediterranean Diet Adherence in Cardiac Patients

A Cross-sectional Study

Bibliographic Data

ID15329818
AuthorsBenjamin Greiner (0000-0001-7604-2539, corresponding author), Benjamin H Greiner, Julie M Croff (0000-0002-0415-3237), Julie Croff, Denna Wheeler, Bridget Miller (0000-0003-4479-9945)
Year2018
Volume42
Issue6
Pages3-10
Publication date2018-08-30
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.42.6.1
PMID30157996
OpenAlexW2889332050
LanguageEN
Citations received3

Objective We analyzed the constructs of social cognitive theory that explain adherence to the Mediterranean diet in patients diagnosed with cardiovascular disease. Methods A cross-sectional study of 337 cardiac patients using a validated questionnaire was conducted and analyzed at an outpatient cardiology clinic, employing social cognitive theory (SCT) as the theoretical framework. Results Dietary adherence was associated with statistically significant improvements in the SCT constructs. Self-regulation to consume healthy diet groups, negative perceived outcomes, and self-efficacy had the most influence on patient ability to maintain the Mediterranean diet. Self-regulation to avoid unhealthy food options like processed, sugary foods and positive perceived outcomes had smaller associations with patient ability to maintain the Mediterranean diet. Conclusions SCT constructs should be utilized by physicians when educating patients on heart healthy dieting as they are highly associated with improved dietary behaviors. Self-efficacy, self-regulation in choosing healthy diet options, and negatively perceived expected outcomes predicted diet quality in cardiac patients. Improvements in these constructs might yield positive results in cardiac patients attempting diet modifications

Cognition · Cross-sectional study · Dieting · Disease · Healthy diet · Mediterranean diet · Obesity · Outpatient clinic · Pathology · Psychiatry · Weight loss · Medicine · Nutritional Studies and Diet · Food Science · Internal Medicine

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Unique citing works3
Citations per year0,5
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3
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