Mediterranean diet and physical functioning trajectories in Eastern Europe: Findings from the HAPIEE study

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dc.contributor.author Stefler, Denes
dc.contributor.author Hu, Yaoyue
dc.contributor.author Malyutina, Sofia
dc.contributor.author Pajak, Andrzej
dc.contributor.author Kubinova, Ruzena
dc.contributor.author Peasey, Anne
dc.contributor.author Pikhart, Hynek
dc.contributor.author Rodriguez Artalejo, Fernando
dc.contributor.author Bobak, Martin
dc.contributor.other UAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología es_ES
dc.date.accessioned 2019-06-05T17:03:09Z
dc.date.available 2019-06-05T17:03:09Z
dc.date.issued 2018-07-12
dc.identifier.citation PLoS ONE 13.7 (2018): e0200460 es_ES
dc.identifier.issn 1932-6203 es_ES
dc.identifier.uri http://hdl.handle.net/10486/687685
dc.description.abstract Background Unhealthy diet may increase the risk of impaired physical functioning in older age. Although poor diet and limited physical functioning both seem to be particularly common in Eastern Europe, no previous study has assessed the relationship between these two factors in this region. The current analysis examined the association between overall diet quality and physical functioning in Eastern European populations. Methods We used data on 25,504 persons (aged 45–69 years at baseline) who participated in the Health Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) study. Dietary assessment at baseline used food frequency questionnaire, and the overall diet quality was evaluated by the Mediterranean diet score (MDS). Physical functioning (PF) was measured by the physical functioning subscale (PF-10) of the 36-item Short-Form Health Survey at baseline and three subsequent occasions over a 10-year period. The cross-sectional and longitudinal relationships between the MDS and PF were examined simultaneously using growth curve models. Results Men and women with higher adherence to the Mediterranean diet had significantly better PF at baseline; after multivariable adjustment, the regression coefficient per 1-unit increase in the MDS was 0.39 (95% CI: 0.25, 0.52) in men and 0.50 (0.36, 0.64) in women. However, we found no statistically significant link between baseline MDS and the subsequent slope of PF decline in neither gender; the coefficients were -0.02 (-0.04, 0.00) in men and -0.01 (-0.03, 0.02) in women. Discussion Our results do not support the hypothesis that the Mediterranean diet has a substantial impact on the trajectories of physical functioning, although the differences existing at baseline may be related to dietary habits in earlier life. en_US
dc.description.sponsorship The HAPIEE study was supported by the Wellcome Trust [grant numbers WT064947, WT081081], the US National Institute of Aging [grant number 1RO1AG23522] and the MacArthur Foundation Initiative on Social Upheaval and Health. The current analysis was partly supported by the Russian Scientific Foundation [grant number 14-45-00030]. This work was also supported by the ATHLOS Project, a European Union Horizon 2020 Research and Innovation Program [grant number 635316]. en_US
dc.format.extent 14 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en
dc.publisher Public Library of Science en_US
dc.relation.ispartof PLoS ONE es_ES
dc.rights © 2018 Stefler et al. es_ES
dc.title Mediterranean diet and physical functioning trajectories in Eastern Europe: Findings from the HAPIEE study en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.relation.publisherversion https://doi.org/10.1371/ journal.pone.0200460 es_ES
dc.identifier.doi 10.1371/journal.pone.0200460 es_ES
dc.identifier.publicationfirstpage e0200460-1 es_ES
dc.identifier.publicationissue 7 es_ES
dc.identifier.publicationlastpage e0200460-14 es_ES
dc.identifier.publicationvolume 13 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/635316/EU//ATHLOS es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en
dc.rights.cc Reconocimiento es_ES
dc.rights.accessRights openAccess en
dc.authorUAM Rodríguez Artalejo, Fernando (259343)


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