Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Unit of Clinical Nutrition, Careggi University Hospital, 50139 Florence, Italy.
Nutrients. 2021 Jun 10;13(6):2007. doi: 10.3390/nu13062007.
We recently developed and validated a questionnaire to measure adherence to the Mediterranean diet, called Medi-Lite. The aim of this study was to assess the accuracy of the Medi-Lite adherence score in relation to obesity status. A total of 208 patients who attended the Clinical Nutrition Unit of Careggi University Hospital, Florence, were included in this retrospective analysis. Of them, 126 (45%) had abdominal obesity (110 F; 16 M). The mean adherence score, calculated through the Medi-Lite questionnaire, was 9.5 ± 2.2, with significantly ( < 0.001) lower values in patients with abdominal obesity (8.9 ± 1.9) than those without abdominal obesity (10 ± 2.2). Logistic regression analysis adjusted for age and sex showed that the Medi-Lite score determined significant protection (-28%) against the risk of abdominal obesity for every one-unit increase in the total score (OR 0.72, 95% CI 0.63-0.82; < 0.001). Looking for cut-off values that denote increased risk of having abdominal obesity, we observed that patients who scored ≤9 had a significantly increased risk (OR 3.21, 95% CI 1.91-5.39; < 0.001). Adherence to the Mediterranean diet assessed through the Medi-Lite score was found to be associated with abdominal obesity. In particular, patients who reported a score of ≤9 had a 3.5-fold times higher risk of having abdominal obesity than those who scored >9.
我们最近开发并验证了一种用于测量地中海饮食依从性的问卷，称为 Medi-Lite。本研究的目的是评估 Medi-Lite 依从性评分与肥胖状态的准确性。共有 208 名在佛罗伦萨 Careggi 大学医院临床营养科就诊的患者纳入了这项回顾性分析。其中，126 名（45%）患有腹型肥胖（110 名女性；16 名男性）。通过 Medi-Lite 问卷计算的平均依从性评分（9.5 ± 2.2），在腹型肥胖患者（8.9 ± 1.9）中显著低于无腹型肥胖患者（10 ± 2.2）（<0.001）。调整年龄和性别后进行的逻辑回归分析表明，Medi-Lite 评分每增加 1 分，对腹型肥胖的风险具有显著保护作用（-28%）（OR 0.72，95%CI 0.63-0.82；<0.001）。寻找表示腹型肥胖风险增加的临界值时，我们观察到得分≤9 的患者发生腹型肥胖的风险显著增加（OR 3.21，95%CI 1.91-5.39；<0.001）。通过 Medi-Lite 评分评估的地中海饮食依从性与腹型肥胖有关。具体来说，得分≤9 的患者发生腹型肥胖的风险比得分>9 的患者高 3.5 倍。
