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Campobasso, Italy

Bonaccio M.,Science Communication Unit | Di Castelnuovo A.,Research Laboratories | Costanzo S.,Research Laboratories | De Lucia F.,Science Communication Unit | And 5 more authors.
International Journal of Public Health | Year: 2012

Objective To investigate the association between mass media information, dietary habits and risk factors for cardiovascular disease in an Italian adult population. Methods Subsample of 1,132 subjects (mean age 53 ± 10, 50% men) enrolled in the Moli-sani Project, a population- based cohort study. A specific questionnaire on exposure to information from various media sources was elaborated, validated, and administered. A mass media exposure score was obtained from principal component analysis of ten items of media exposure. Dietary habits were assessed based on eating patterns obtained from principal component analysis of 45 food groups derived from the EPIC food frequency questionnaire and by the Mediterranean score. Results In a multivariable general linear regression analysis including age, sex, social status, physical activity, C-reactive protein, total calories intake, three dietary patterns or Mediterranean score, higher media exposure was positively associated with adherence to a Mediterraneanlike eating pattern (P = 0.0018) as well as to the Mediterranean score (P = 0.0005). Conclusions Exposure to mass media information is significantly associated with greater adherence to both Mediterranean diet and Mediterranean-like eating pattern, an association that public health strategies should take into account. © Swiss School of Public Health 2011.

Bonaccio M.,Science Communication Unit | Bonaccio M.,Epicomed Research | Bonanni A.E.,Science Communication Unit | Castelnuovo A.D.,Research Laboratories | And 7 more authors.
BMJ Open | Year: 2012

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<0.0001) and to Olive oil and Vegetables dietary pattern in a multivariable model including age, sex, daily energy intake, body mass index, physical activity, smoking, alcohol consumption, education and marital status. The odds of having the highest adherence to an MD clearly increased according to income levels. People having the highest income had 54% (95% CI 21% to 97%, MDS) or 72% (95% CI 34% to 121%, IMI) higher probability to stick to an MD-like eating pattern than those in the lowest-income group. Obesity prevalence was higher in the lowest-income group (36%) in comparison with the highest-income category (20%, p<0.0001). Income was associated with dietary patterns in all categories of education. Conclusions: A higher income and education are independently associated with a greater adherence to MD-like eating patterns and a lower prevalence of obesity.

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