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Cited by 81Nutritional Studies and DietDietary Effects on HealthFatty Acid Research and Health

Adherence to the Mediterranean diet is inversely associated with visceral abdominal tissue in Caucasian subjects

Bertoli, Simona, Leone, Alessandro, Vignati, Laila, Bedogni, Giorgio, Martínez-González, Miguel Ángel, Bes-Rastrollo, Maira, Spadafranca, Angela, Vanzulli, Angelo +1 more·2015·Clinical Nutrition
DOI 10.1016/j.clnu.2015.10.003
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Abstract

Background & aim: Adherence to the Mediterranean dietary pattern (MDP) is inversely related with abdominal adiposity as detected by waist circumference but the specific association to subcutaneous and visceral abdominal tissue has not been investigated. To this purpose we evaluated the association between MDP, visceral (VAT) and subcutaneous (SAT) abdominal tissue in a large sample of Italian adults.Methods A cross-sectional study was carried out on 4388 consecutive adults (73.2% women) followed as outpatients at Nutritional Research Centre in Milan, ICANS. VAT and SAT were measured by ultrasonography. MDP was evaluated using a Mediterranean dietary score (MEDscore) obtained from a validated 14-item questionnaire.Results At multiple linear regression adjusted for sex, age, smoking and physical activity, a 1-unit increase in MEDscore was associated with a -0.118 kg/m(2) decrease in BMI (p < 0.01), a -0.292 cm decrease in waist circumference (p < 0.01), a -0.002 cm:cm decrease in waist to height ratio (p < 0.001), a -1.125 mm decrease in the sum of 4 skinfolds (p < 0.001), and with a -0.045 cm decrease in VAT (p < 0.05). MEDscore was, however, not associated with SAT. Finally, the adherence to the MDP was a protective factor for obesity (OR = 0.717, 95%CI: 0.555-0.922) and VAT excess (OR = 0.717, 95%CI: 0.530-0.971).Conclusion Our study confirms the inverse association between MDP, BMI and waist circumference and adds that the association with abdominal obesity as detected by waist circumference is due to an association with VAT and not with SAT.

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  • In cross-sectional studies, adherence to the Mediterranean diet has been shown to be inversely associated with abdominal adiposity.

    “In cross-sectional studies, adherence to MD has been shown to be inversely associated with abdominal adiposity [17, 27, 28].”

    From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [27]

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Authors
Bertoli, S., Leone, A., Vignati, L., Bedogni, G., Martínez-González, M. Á., Bes-Rastrollo, M., Spadafranca, A., Vanzulli, A., & Battezzati, A.
Affiliations
  • University of Milan (IT)
  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
Corresponding author
Bertoli, Simona
ORCID
Venue
Clinical Nutrition
Publisher
Elsevier BV
Published
2015-12
Volume
34
Issue
6
Pages
1266-1272
ISSN
0261-5614 (ISSN-L)
DOI
10.1016/j.clnu.2015.10.003
OpenAlex
W2146574245
Cited by
81
References
36
Citations by year
2026: 1 · 2025: 6 · 2024: 5 · 2023: 10 · 2022: 11 · 2021: 10 · 2020: 15 · 2019: 8 · 2018: 3 · 2017: 8 · 2016: 3 · 2015: 1
FWCI
5.36
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Physiology › Dietary Effects on Health
  • Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
Keywords
Mediterranean diet, dietary adherence, visceral adipose tissue, subcutaneous adipose tissue, abdominal obesity, waist circumference, waist-to-height ratio, skinfold thickness, body mass index, Caucasian adults
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Italy, Male, Middle Aged, Motor Activity, Patient Compliance, Surveys and Questionnaires, Ultrasonography, Body Mass Index, Multivariate Analysis, Linear Models, Diet, Mediterranean, White People, Intra-Abdominal Fat, Subcutaneous Fat, Abdominal, Waist Circumference, Young Adult, Obesity, Abdominal

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