地中海饮食依从程度与成功老龄化之间的关联：对 ATTICA 和 MEDIS（地中海岛屿研究）流行病学研究的分析。
The association between the level of adherence to the Mediterranean diet and successful aging: An analysis of the ATTICA and MEDIS (MEDiterranean Islands Study) epidemiological studies.
机构信息
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Faculty of Health, University of Canberra, Canberra, Australia; Collaborative Research in Bioactives and Biomarkers (CRIBB) Group, University of Canberra, Bruce, Australia.
出版信息
Arch Gerontol Geriatr. 2020 Jul-Aug;89:104044. doi: 10.1016/j.archger.2020.104044. Epub 2020 Mar 27.
AIM
The aim of the present work was to evaluate the association between the level of adherence to the Mediterranean diet and successful aging, taking into consideration the overall dietary pattern, rather than individual foods, among middle-aged and older individuals.
METHODS
A harmonized dataset of middle-aged and older participants (>50 years old) from the ATTICA (n = 1,128) and MEDIS (n = 2,221) population-based cross-sectional studies was used. Socio-demographic, anthropometric, clinical and lifestyle characteristics were measured in both studies and harmonized using standardized procedures. Level of adherence to the Mediterranean diet was evaluated using the MedDietScore (range 0-55, "Low" adherence <34, "High">38). Successful aging was evaluated using the validated successful aging index (SAI, range 0-10) comprising of health-related, social, lifestyle and clinical characteristics.
RESULTS
Adherence to the Mediterranean diet was positively associated with SAI (b ± SE "High" vs. "Low": 1.094 ± 0.130, p < 0.001 and "Moderate" vs "Low": 0.476 ± 0.156, p = 0.003).
CONCLUSION
Higher adherence to the Mediterranean diet was independently associated with a higher level of successful aging. Mediterranean diet or dietary patterns that are close to this pattern, should be actively promoted and encouraged to middle aged and older people to achieve successful aging.
目的
本研究旨在评估中年和老年人的地中海饮食依从水平与成功老龄化之间的关联，同时考虑整体饮食模式，而不仅仅是个别食物。
方法
使用来自 ATTICA（n=1128）和 MEDIS（n=2221）两项基于人群的横断面研究的中年和老年人（>50 岁）的协调数据集。在这两项研究中测量了社会人口统计学、人体测量学、临床和生活方式特征，并采用标准化程序进行了协调。采用 MedDietScore（范围 0-55，“低”依从性<34，“高”>38）评估地中海饮食的依从性。成功老龄化采用经过验证的成功老龄化指数（SAI，范围 0-10）进行评估，包括健康相关、社会、生活方式和临床特征。
结果
地中海饮食的依从性与 SAI 呈正相关（“高”与“低”相比：1.094±0.130，p<0.001；“中”与“低”相比：0.476±0.156，p=0.003）。
结论
较高的地中海饮食依从性与更高水平的成功老龄化独立相关。应积极向中年和老年人推广并鼓励地中海饮食或接近这种模式的饮食模式，以实现成功老龄化。
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