Greiner Benjamin, Wheeler Denna, Croff Julie, Miller Bridget
J Am Osteopath Assoc. 2019 Mar 1;119(3):183-188. doi: 10.7556/jaoa.2019.029.
Cardiovascular disease (CVD) is the leading cause of death in the United States, and cardiovascular events have been shown to be reduced and prevented when patients follow the Mediterranean diet.
To understand how familiarity with the Mediterranean diet affects dietary habits in cardiology patients by using social cognitive theory.
This cross-sectional study included patients at a metropolitan outpatient cardiology clinic in Oklahoma. A survey was used to analyze patient knowledge of the Mediterranean diet. Patients were separated into low-, medium-, and high-diet adherence groups based on their daily consumption of fruits, vegetables, fish, whole grains, and nuts. Multinomial logistic regression was used to analyze patients' knowledge of Mediterranean diet principles with dietary adherence.
A total of 337 patients were included in the study. Patients with a college education, patients reporting familiarity with the diet, and women were 6.7, 4.0, and 3.2 times as likely, respectively, to have strong adherence to the Mediterranean diet.
The finding that familiarity with the Mediterranean diet was closely associated with adherence to its principles indicates that patient education on heart-healthy diets may improve the eating habits of patients, especially patients at risk for cardiac events.
心血管疾病（CVD）是美国的主要死因，并且当患者遵循地中海饮食时，心血管事件已被证明会减少和预防。
运用社会认知理论来了解对地中海饮食的熟悉程度如何影响心脏病患者的饮食习惯。
这项横断面研究纳入了俄克拉荷马州一家大都市门诊心脏病诊所的患者。采用一项调查来分析患者对地中海饮食的了解情况。根据患者每日水果、蔬菜、鱼类、全谷物和坚果的摄入量，将患者分为低、中、高饮食依从性组。使用多项逻辑回归分析患者对地中海饮食原则的了解与饮食依从性之间的关系。
该研究共纳入337名患者。受过大学教育的患者、报告熟悉该饮食的患者以及女性，分别有6.7倍、4.0倍和3.2倍的可能性严格遵循地中海饮食。
对地中海饮食的熟悉程度与对其原则的依从性密切相关这一发现表明，对心脏健康饮食的患者教育可能会改善患者的饮食习惯，尤其是有心脏事件风险的患者。
