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, Françoise 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. Büchner, Philippos Orfanos, Androniki Naska, Antonia Trichopoulou, Sabine Rohrmann, Rudolf Kaaks, Manuela Bergmann, Heiner Boeing, Ingegerd Johansson, Veronica Hellstrom, Jonas Manjer, Elisabet Wirfält, Marianne Uhre Jacobsen, Kim Overvad, Anne Tjonneland, Jytte Halkjaer, Eiliv Lund, Toni Braaten, Dragun Engeset, Andreani Odysseos, Elio Riboli, Petra H M Peeters

Research output: Contribution to journalArticle

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 (20.09; 95% CI 20.14 to 20.04) and women (20.06; 95% CI 20.10 to 20.01). The association was stronger in men (20.20; 95% CI 20.23 to 20.17) and women (20.17; 95% CI 20.21 to 20.13) 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.

Original languageEnglish
Pages (from-to)1728-1737
Number of pages10
JournalJournal of Nutrition
Volume139
Issue number9
DOIs
Publication statusPublished - Sep 2009

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Mediterranean Diet
Adiposity
Waist Circumference
Unsaturated Fatty Acids
Vegetables
Seafood
Meat Products
Nuts
Dairy Products
Dietary Fats
Fabaceae
Meat
Adipose Tissue
Linear Models
Fruit
Fishes
Fatty Acids
Alcohols
Diet
Food

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Romaguera, D., Norat, T., Mouw, T., May, A. M., Bamia, C., Slimani, N., ... 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

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

In: Journal of Nutrition, Vol. 139, No. 9, 09.2009, p. 1728-1737.

Research output: Contribution to journalArticle

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, MC, Cottet, V, Palli, D, Agnoli, C, Panico, S, Tumino, R, Vineis, P, Agudo, A, Rodriguez, L, Sanchez, MJ, Amiano, P, Barricarte, A, Huerta, JM, Key, TJ, Spencer, EA, Bueno-de-Mesquita, HB, Büchner, FL, Orfanos, P, Naska, A, Trichopoulou, A, Rohrmann, S, Kaaks, R, Bergmann, M, Boeing, H, Johansson, I, Hellstrom, V, Manjer, J, Wirfält, E, Jacobsen, 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
Romaguera, Dora ; Norat, Teresa ; Mouw, Traci ; May, Anne M. ; Bamia, Christina ; Slimani, Nadia ; Travier, Noemie ; Besson, Herve ; Luan, Jian'an ; Wareham, Nick ; Rinaldi, Sabina ; Couto, Elisabeth ; Clavel-Chapelon, Françoise ; Boutron-Ruault, Marie Christine ; Cottet, Vanessa ; Palli, Domenico ; Agnoli, Claudia ; Panico, Salvatore ; Tumino, Rosario ; Vineis, Paolo ; Agudo, Antonio ; Rodriguez, Laudina ; Sanchez, Maria Jose ; Amiano, Pilar ; Barricarte, Aurelio ; Huerta, Jose Maria ; Key, Timothy J. ; Spencer, Elisabeth A. ; Bueno-de-Mesquita, H. Bas ; Büchner, Frederike L. ; Orfanos, Philippos ; Naska, Androniki ; Trichopoulou, Antonia ; Rohrmann, Sabine ; Kaaks, Rudolf ; Bergmann, Manuela ; Boeing, Heiner ; Johansson, Ingegerd ; Hellstrom, Veronica ; Manjer, Jonas ; Wirfält, Elisabet ; Jacobsen, Marianne Uhre ; Overvad, Kim ; Tjonneland, Anne ; Halkjaer, Jytte ; Lund, Eiliv ; Braaten, Toni ; Engeset, Dragun ; Odysseos, Andreani ; Riboli, Elio ; Peeters, Petra H M. / Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women. In: Journal of Nutrition. 2009 ; Vol. 139, No. 9. pp. 1728-1737.
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AU - Romaguera, Dora

AU - Norat, Teresa

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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, Françoise

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 - Sanchez, Maria Jose

AU - Amiano, Pilar

AU - Barricarte, Aurelio

AU - Huerta, Jose Maria

AU - Key, Timothy J.

AU - Spencer, Elisabeth A.

AU - Bueno-de-Mesquita, H. Bas

AU - Büchner, 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 - Wirfält, Elisabet

AU - Jacobsen, 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

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