Adherence to Mediterranean diet in liver transplant recipients: a cross-sectional multicenter study

被引:4
作者
Gitto, Stefano [1 ,20 ]
Golfieri, Lucia [2 ]
Sofi, Francesco [3 ]
Tame, Maria R. [4 ]
Vitale, Giovanni [2 ]
de Maria, Nicola [5 ]
Marzi, Luca [6 ]
Mega, Andrea [6 ]
Valente, Giovanna [7 ]
Borghi, Alberto [8 ]
Forte, Paolo [9 ]
Cescon, Matteo [10 ]
di Benedetto, Fabrizio [11 ]
Andreone, Pietro [12 ]
Petranelli, Marco [13 ]
Dinu, Monica [3 ]
Carrai, Paola [14 ]
Arcangeli, Giulio [15 ]
Grandi, Silvana [16 ]
Lau, Chloe [17 ]
Morelli, Maria Cristina [2 ]
de Simone, Paolo [14 ]
Chiesi, Francesca [18 ]
Marra, Fabio [1 ,19 ]
机构
[1] Univ Florence, Careggi Univ Hosp, Dept Expt & Clin Med, Internal Med & Liver Unit, Florence, Italy
[2] Univ Hosp Bologna, Surg Dept Digest, Hepat & Endocrine Metab Dis, Bologna, Italy
[3] Careggi Univ Hosp, Univ Florence, Dept Expt & Clin Med, Unit Clin Nutr, Florence, Italy
[4] Univ Hosp Bologna, Surg Dept Digest Hepat & Endocrine Metab Dis, Div Gastroenterol, Bologna, Italy
[5] Univ Hosp Modena, Univ Modena & Reggio Emilia, Dept Gastroenterol, Modena, Italy
[6] Bolzano Reg Hosp, Div Gastroenterol, Bolzano, Italy
[7] Dept Med Sci, Liver Unit Transplant Management, Liver Unit Transplant Management SATTE, Caserta, Italy
[8] Hosp Faenza, Unit Internal Med, Ravenna, Italy
[9] Univ Hosp Careggi, Unit Gastroenterol, Florence, Italy
[10] Univ Hosp Bologna, Unit Gen Surg & Transplants, Bologna, Italy
[11] Univ Modena & Reggio Emilia, Unit Hepatopancreato Biliary Surg & Liver Transpla, Modena, Italy
[12] Univ Hosp Modena, Univ Modena & Reggio Emilia, Unit Internal & Metab Med, Modena, Italy
[13] Univ Florence, Dept Expt & Clin Med, Florence, Italy
[14] Univ Pisa, Med Sch, Pisa, Italy
[15] Careggi Univ Hosp, Univ Florence, Dept Expt & Clin Med, Unit Occupat Hlth, Florence, Italy
[16] Univ Bologna, Dept Psychol Lab Psychosomat & Clinimetr, Bologna, Italy
[17] Univ Western Ontario, Dept Psychol, London, ON, Canada
[18] Univ Florence, Dept Neurosci Psychol & Childs Hlth NEUROFARBA, Sect Psychol, Florence, Italy
[19] Higher Educ & Transfer DENOThe Univ Florence, Ctr Res, Florence, Italy
[20] Univ Florence, Careggi Univ Hosp, Dept Expt & Clin Med, Unit Internal Med & Liver, Largo Brambilla 3, I-50134 Florence, Italy
来源
MINERVA GASTROENTEROLOGY | 2024年 / 70卷 / 01期
关键词
Diet; Mediterranean; Surveys and questionnaires; Liver transplantation; Heart disease risk factors; SF-12 HEALTH SURVEY; CARDIOVASCULAR-DISEASE; RELIABILITY; VALIDITY; VALIDATION; SAMPLE;
D O I
10.23736/S2724-5985.22.03290-9
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUND: Seeing the importance of healthy diet after liver transplant (LT), our study aimed to evaluate the adherence to Mediterranean diet (MD) in a large population of LT recipients.METHODS: The present multicenter study was developed in clinically stable, liver transplanted patients, from June to September 2021. Patients completed a survey about adherence to MD, Quality of Life (QoL), sport, and employment. To analyze the correlations, we computed Pearson's coefficients; while to compare subgroups, independent samples t-tests and ANOVAs. We used a multivariable logistic regression analysis to find the predictors of impaired adherence to MD.RESULTS: The questionnaire was administered to 511 patients. They were males in 71% of cases with a mean age of 63.1 years (SD +/- 10.8). LT recipients coming from central Italy displayed higher adherence to the MD (M=11.10 +/- 1.91) than patients from northern (M=9.94 +/- 2.28, P<0.001) or southern Italy (M=10.04 +/- 2.16, P<0.001). Patients from central Italy showed a significantly higher consumption of fruit, vegetables, legumes, cereals, olive oil, fish and a significantly lower intake of dairy products than patients resident in the other Italian areas. At multivariate analysis, recipients from central Italy were 3.8 times more likely to report adherence to the MD. Patients with a high physical health score were more adherent to MD, as well as patients transplanted at an earlier time.CONCLUSIONS: We demonstrated that place of stay, time from transplant and physical dimension of QoL significantly influences the adherence to MD. Continuous information campaigns about a correct diet and lifestyle would be necessary.
引用
收藏
页码:42 / 51
页数:10
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