Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women

Dora Romaguera; Teresa Norat; Traci Mouw; Anne M. May; Christina Bamia; Nadia Slimani; Noemie Travier; Herve Besson; Jian'an Luan; Nick Wareham; Sabina Rinaldi; Elisabeth Couto; Francoise Clavel-Chapelon; Marie-Christine Boutron-Ruault; Vanessa Cottet; Domenico Palli; Claudia Agnoli; Salvatore Panico; Rosario Tumino; Paolo Vineis; Antonio Agudo; Laudina Rodriguez; Maria Jose Sanchez; Pilar Amiano; Aurelio Barricarte; Jose Maria Huerta; Timothy J. Key; Elisabeth A. Spencer; H. Bas Bueno-de-Mesquita; Frederike L. Buchner; Philippos Orfanos; Androniki Naska; Antonia Trichopoulou; Sabine Rohrmann; Rudolf Kaaks; Manuela Bergmann; Heiner Boeing; Ingegerd Johansson; Veronica Hellstrom; Jonas Manjer; Elisabet Wirfalt; Marianne Uhre Jakobsen; Kim Overvad; Anne Tjonneland; Jytte Halkjaer; Eiliv Lund; Toni Braaten; Dragun Engeset; Andreani Odysseos; Elio Riboli; Petra H. M. Peeters

doi:10.3945/jn.109.108902

Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women

Dora Romaguera, Teresa Norat, Traci Mouw, Anne M. May, Christina Bamia, Nadia Slimani, Noemie Travier, Herve Besson, Jian'an Luan, Nick Wareham, Sabina Rinaldi, Elisabeth Couto, Francoise Clavel-Chapelon, Marie-Christine Boutron-Ruault, Vanessa Cottet, Domenico Palli, Claudia Agnoli, Salvatore Panico, Rosario Tumino, Paolo VineisAntonio Agudo, Laudina Rodriguez, Maria Jose Sanchez, Pilar Amiano, Aurelio Barricarte, Jose Maria Huerta, Timothy J. Key, Elisabeth A. Spencer, H. Bas Bueno-de-Mesquita, Frederike L. Buchner, Philippos Orfanos, Androniki Naska, Antonia Trichopoulou, Sabine Rohrmann, Rudolf Kaaks, Manuela Bergmann, Heiner Boeing, Ingegerd Johansson, Veronica Hellstrom, Jonas Manjer, Elisabet Wirfalt, Marianne Uhre Jakobsen, Kim Overvad, Anne Tjonneland, Jytte Halkjaer, Eiliv Lund, Toni Braaten, Dragun Engeset, Andreani Odysseos, Elio Riboli, Petra H. M. Peeters

Aarhus University Hospital

Research output: Contribution to journal › Journal article › Research › peer-review

Abstract

Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated: saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women. J. Nutr. 139: 1728-1737, 2009.

Original language	English
Journal	Journal of Nutrition
Volume	139
Issue number	9
Pages (from-to)	1728-1737
Number of pages	10
ISSN	0022-3166
DOIs	https://doi.org/10.3945/jn.109.108902
Publication status	Published - 2009
Externally published	Yes

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Romaguera, D., Norat, T., Mouw, T., May, A. M., Bamia, C., Slimani, N., Travier, N., Besson, H., Luan, J., Wareham, N., Rinaldi, S., Couto, E., Clavel-Chapelon, F., Boutron-Ruault, M.-C., Cottet, V., Palli, D., Agnoli, C., Panico, S., Tumino, R., ... Peeters, P. H. M. (2009). Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women. Journal of Nutrition, 139(9), 1728-1737. https://doi.org/10.3945/jn.109.108902

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title = "Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women",

abstract = "Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated: saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women. J. Nutr. 139: 1728-1737, 2009.",

author = "Dora Romaguera and Teresa Norat and Traci Mouw and May, {Anne M.} and Christina Bamia and Nadia Slimani and Noemie Travier and Herve Besson and Jian'an Luan and Nick Wareham and Sabina Rinaldi and Elisabeth Couto and Francoise Clavel-Chapelon and Marie-Christine Boutron-Ruault and Vanessa Cottet and Domenico Palli and Claudia Agnoli and Salvatore Panico and Rosario Tumino and Paolo Vineis and Antonio Agudo and Laudina Rodriguez and {Jose Sanchez}, Maria and Pilar Amiano and Aurelio Barricarte and {Maria Huerta}, Jose and Key, {Timothy J.} and Spencer, {Elisabeth A.} and Bueno-de-Mesquita, {H. Bas} and Buchner, {Frederike L.} and Philippos Orfanos and Androniki Naska and Antonia Trichopoulou and Sabine Rohrmann and Rudolf Kaaks and Manuela Bergmann and Heiner Boeing and Ingegerd Johansson and Veronica Hellstrom and Jonas Manjer and Elisabet Wirfalt and Jakobsen, {Marianne Uhre} and Kim Overvad and Anne Tjonneland and Jytte Halkjaer and Eiliv Lund and Toni Braaten and Dragun Engeset and Andreani Odysseos and Elio Riboli and Peeters, {Petra H. M.}",

year = "2009",

doi = "10.3945/jn.109.108902",

language = "English",

volume = "139",

pages = "1728--1737",

journal = "Journal of Nutrition",

issn = "0022-3166",

publisher = "Elsevier",

number = "9",

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Romaguera, D, Norat, T, Mouw, T, May, AM, Bamia, C, Slimani, N, Travier, N, Besson, H, Luan, J, Wareham, N, Rinaldi, S, Couto, E, Clavel-Chapelon, F, Boutron-Ruault, M-C, Cottet, V, Palli, D, Agnoli, C, Panico, S, Tumino, R, Vineis, P, Agudo, A, Rodriguez, L, Jose Sanchez, M, Amiano, P, Barricarte, A, Maria Huerta, J, Key, TJ, Spencer, EA, Bueno-de-Mesquita, HB, Buchner, FL, Orfanos, P, Naska, A, Trichopoulou, A, Rohrmann, S, Kaaks, R, Bergmann, M, Boeing, H, Johansson, I, Hellstrom, V, Manjer, J, Wirfalt, E, Jakobsen, MU, Overvad, K, Tjonneland, A, Halkjaer, J, Lund, E, Braaten, T, Engeset, D, Odysseos, A, Riboli, E & Peeters, PHM 2009, 'Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women', Journal of Nutrition, vol. 139, no. 9, pp. 1728-1737. https://doi.org/10.3945/jn.109.108902

TY - JOUR

T1 - Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women

AU - Romaguera, Dora

AU - Norat, Teresa

AU - Mouw, Traci

AU - May, Anne M.

AU - Bamia, Christina

AU - Slimani, Nadia

AU - Travier, Noemie

AU - Besson, Herve

AU - Luan, Jian'an

AU - Wareham, Nick

AU - Rinaldi, Sabina

AU - Couto, Elisabeth

AU - Clavel-Chapelon, Francoise

AU - Boutron-Ruault, Marie-Christine

AU - Cottet, Vanessa

AU - Palli, Domenico

AU - Agnoli, Claudia

AU - Panico, Salvatore

AU - Tumino, Rosario

AU - Vineis, Paolo

AU - Agudo, Antonio

AU - Rodriguez, Laudina

AU - Jose Sanchez, Maria

AU - Amiano, Pilar

AU - Barricarte, Aurelio

AU - Maria Huerta, Jose

AU - Key, Timothy J.

AU - Spencer, Elisabeth A.

AU - Bueno-de-Mesquita, H. Bas

AU - Buchner, Frederike L.

AU - Orfanos, Philippos

AU - Naska, Androniki

AU - Trichopoulou, Antonia

AU - Rohrmann, Sabine

AU - Kaaks, Rudolf

AU - Bergmann, Manuela

AU - Boeing, Heiner

AU - Johansson, Ingegerd

AU - Hellstrom, Veronica

AU - Manjer, Jonas

AU - Wirfalt, Elisabet

AU - Jakobsen, Marianne Uhre

AU - Overvad, Kim

AU - Tjonneland, Anne

AU - Halkjaer, Jytte

AU - Lund, Eiliv

AU - Braaten, Toni

AU - Engeset, Dragun

AU - Odysseos, Andreani

AU - Riboli, Elio

AU - Peeters, Petra H. M.

PY - 2009

Y1 - 2009

N2 - Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated: saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women. J. Nutr. 139: 1728-1737, 2009.

AB - Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated: saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women. J. Nutr. 139: 1728-1737, 2009.

U2 - 10.3945/jn.109.108902

DO - 10.3945/jn.109.108902

M3 - Journal article

SN - 0022-3166

VL - 139

SP - 1728

EP - 1737

JO - Journal of Nutrition

JF - Journal of Nutrition

IS - 9

ER -

Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women

Abstract

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