Mass media information and adherence to Mediterranean diet: results from the Moli-sani study
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To investigate the association between mass media information, dietary habits and risk factors for cardiovascular disease in an Italian adult population.
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.
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 Mediterranean-like eating pattern (P = 0.0018) as well as to the Mediterranean score (P = 0.0005).
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.
KeywordsMass media exposure Mediterranean diet Cardiovascular risk factors
The Moli-sani Project was partially supported by research Grants from Pfizer Foundation (Rome, Italy) and the Italian Ministry of University and Research (MIUR, Rome, Italy)—Programma Triennale di Ricerca, Decreto no.1588. Neither sponsor had any role in study design, collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.
Conflict of interest
All authors had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. None of the authors had a personal or financial conflict of interest.
- Bonaccio M, Iacoviello L and de Gaetano G (2011) The Mediterranean diet: the reasons for a success. Thromb Res [Epub ahead of print]Google Scholar
- Centritto F, Iacoviello L, di Giuseppe R, De Curtis A, Costanzo S, Zito F, Grioni S, Sieri S, Donati MB, de Gaetano G, Di Castelnuovo A, Moli-sani Investigators (2009) Dietary patterns, cardiovascular risk factors and C-reactive protein in a healthy Italian population. Nutr Metab Cardiovasc Dis 19:697–706PubMedCrossRefGoogle Scholar
- Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection (2001) Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) JAMA 285:2486–2497Google Scholar
- Iacoviello L, Bonanni A, Costanzo S, De Curtis A, Di Castelnuovo A, Olivieri M, Zito F, Donati MB, de Gaetano G, on behalf of the Moli-sani Project Investigators (2007) The Moli-sani Project, a randomized, prospective cohort study in the Molise region in Italy; design, rationale and objectives. Italian J Public Health 4:110–118Google Scholar
- ISTAT (2006) L’uso dei media e del cellulare in Italia. Indagine multiscopo sulle famiglie “I cittadini e il tempo libero”. http://www.istat.it/dati/catalogo/20080429_00/testointegrale20080429.pdf. Accessed 27 May 2011
- Kim JO, Mueller CW (1978) Factor analysis: statistical method and practical issues. Sage Publications, Thousand OaksGoogle Scholar
- Special Eurobarometer 293 (2008) E-communications Household Survey. Version current June 2008. http://ec.europa.eu/public_opinion/archives/ebs/ebs_293_full_en.pdf. Accessed 28 October 2010