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https://doi.org/10.3325/cmj.2016.57.415

Mediterranean diet in the southern Croatia – does it still exist?

Ivana Kolčić orcid.org/0000-0001-7918-6052 ; 1University of Split, School of Medicine, Split, Croatia
Ajka Relja orcid.org/0000-0002-3725-3728 ; 1University of Split, School of Medicine, Split, Croatia
Andrea Gelemanović orcid.org/0000-0001-9195-646X ; 1University of Split, School of Medicine, Split, Croatia
Ana Miljković ; 1University of Split, School of Medicine, Split, Croatia
Kristina Boban ; 2Medical student, University of SplitSchool of Medicine, Split, Croatia
Caroline Hayward ; Institute for Genetics and Molecular Medicine, University ofEdinburgh, Edinburgh, UK
Igor Rudan ; Centre for Global Health Research, Usher Institute, University ofEdinburgh, Edinburgh, UK
Ozren Polašek orcid.org/0000-0002-5765-1862 ; 1University of Split, School of Medicine, Split, Croatia

Sažetak

Aim To assess the adherence to the Mediterranean diet in
the population of Dalmatia in southern Croatia.
Methods A cross-sectional study was performed within
the 10 001 Dalmatians cohort, encompassing 2768 participants
from Korčula and Vis islands and the City of Split,
who were recruited during 2011-2014. Using the data obtained
from food frequency questionnaire we calculated
the Mediterranean Diet Serving Score (MDSS). Multivariate
logistic regression was used to identify the characteristics
associated with the adherence to the Mediterranean diet,
with age, sex, place of residence, education attainment,
smoking, and physical activity as covariates.
Results The median MDSS score was 11 out of maximum
24 points (interquartile range 8-13), with the highest score
recorded on the island of Vis. Participants reported a dietary
pattern that had high compliance with the Mediterranean
diet guidelines for consumption of cereals (87% met the criteria),
potatoes (73%), olive oil (69%), and fish (61%), moderate
for consumption of fruit (54%) and vegetables (31%),
and low for consumption of nuts (6%). Overall, only 23%
of the participants were classified as being adherent to
the Mediterranean diet, with a particularly low percentage
among younger participants (12%) compared to the older
ones (34%). Men were less likely to show good adherence
(odds ratio 0.52, 95% confidence interval 0.42-0.65).
Conclusion This study revealed rather poor compliance
with the current recommendations on the Mediterranean
diet composition in the population of Dalmatia. Public
health intervention is especially needed in younger age
groups and in men, who show the greatest departure from
traditional Mediterranean diet and lifestyle.

Ključne riječi

Hrčak ID:

170448

URI

https://hrcak.srce.hr/170448

Datum izdavanja:

15.10.2016.

Posjeta: 1.405 *