Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: Cross-sectional results from the Moli-sani study

Marialaura Bonaccio, Americo Ettore Bonanni, Augusto Di Castelnuovo, Francesca De Lucia, Maria Benedetta Donati, Giovanni De Gaetano, Licia Iacoviello

Research output: Contribution to journalArticle

Abstract

Objectives: To examine cross-sectional associations of socioeconomic status (ie, income and education) with an adherence to a Mediterranean dietary pattern and obesity prevalence. Design: Cross-sectional study on a sample of Italian subjects enrolled in the Moli-sani Project, a population-based cohort study. The Italian EPIC food frequency questionnaire was used to determine food intake. Adherence to a Mediterranean diet (MD) was appraised according to both the Mediterranean score elaborated by Trichopoulou (MDS) and the novel Italian Mediterranean Index (IMI) and to the a posteriori scores derived from principal component analysis. Four income categories were identified. Setting: Molise region, Italy. Participants: 13 262 subjects (mean age 53±11, 50% men) out of 24 318 citizens (age ≥35) randomly enrolled in the Moli-sani Project. Main outcomes: Dietary patterns and risk factors for cardiovascular disease. Results: Household higher income were significantly associated with greater adherence to an MD (p

Original languageEnglish
Article numbere001685
JournalBMJ Open
Volume2
Issue number6
DOIs
Publication statusPublished - 2012

ASJC Scopus subject areas

  • Medicine(all)

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