Quality, but not cost, of diet is associated with 5-year incidence of CVD

The Attica study

Bibliographic Data

ID15097606
AuthorsKonstantinos Vlismas (Harokopio University of Athens, corresponding author), Demosthenes B Panagiotakos (0000-0001-8583-153X, Harokopio University of Athens), Christos Pitsavos (0000-0002-4175-2124, National and Kapodistrian University of Athens), Christina Chrysohoou (0000-0002-6340-3996, National and Kapodistrian University of Athens), Yannis Skoumas (National and Kapodistrian University of Athens), Marietta Sitara (Harokopio University of Athens), John Yfantopoulos (0000-0003-0424-6887, National Centre for Social Research), Vassilios Stavrinos, Christodoulos Stefanadis (0000-0002-5388-2735, National and Kapodistrian University of Athens)
Year2010
Volume13
Issue11
Pages1890-1897
Publication date2010-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980010000649
PMID20359379
OpenAlexW2049750850
LanguageEN
Citations received1
References cited35

Objective The aim of the present work was to calculate the current cost of the Mediterranean diet in Greece and to evaluate the role of diet cost in the development of cardiovascular events after a 5-year follow-up. Design Cross-sectional. Cost of diet was measured in €/week based on common Greek dietary choices, while baseline dietary habits were assessed through a semi-quantitative FFQ (Greek-EPIC). The Mediterranean Diet Score (MedDietScore) was applied to assess overall adherence to this pattern using scores of eleven food variables and alcohol, according to the principles of the Mediterranean diet. Setting Five-year follow-up of the ATTICA study, a nutrition and health survey of a representative, free-living sample of the Greek population resident in the province of Attica, where Athens is a major metropolis. Subjects From 2001 to 2002, 1514 men and 1528 women (aged >18 years) without known CVD were enrolled. In 2006, the 5-year follow-up was performed. Results The weekly cost of participants’ diets varied from 5·35 to 83·57 €/week in men (mean 25·45 ( sd 6·80) €/week) and from 10·89 to 55·49 €/week in women (mean 25·63 ( sd 6·30) €/week). Diet cost was correlated marginally to MedDietScore ( r = 0·060, P = 0·05) as well as being associated with history of hypercholesterolaemia (mean ( sd ), yes v . no: 24·90 (5·73) v . 25·82 (6·95) €/week, P = 0·027), physical activity (mean ( sd ), yes v . no: 26·42 (6·90) v . 24·82 (6·20) €/week, P sd ), yes v . no: 24·99 (6·40) v . 25·98 (6·70) €/week, P = 0·017). No significant association was found between diet cost and 5-year incidence of CVD (hazard ratio = 1·021, 95 % CI 0·965, 1·081). However, adherence to the traditional Mediterranean diet was inversely associated with the development of CVD (relative risk per 1-unit increase in MedDietScore = 0·92, 95 % CI 0·89, 0·94) after adjustment for various potential confounders including diet cost. Conclusions Quality but not cost of the diet is associated with the development of CVD

Environmental health · EPIC · Incidence (geometry · Mediterranean diet · Population · Consumer Attitudes and Food Labeling · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Internal Medicine

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