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Title: Association of the Modified Mediterranean Diet Score (mMDS) with Anthropometric and Biochemical Indices in US Career Firefighters
Authors: Romanidou, Maria 
Tripsianis, Grigorios 
Hershey, Maria Soledad 
Sotos-Prieto, Mercedes 
Christophi, Costas A. 
Moffatt, Steven M. 
Constantinidis, Theodoros C. 
Kales, Stefanos N. 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: Mediterranean diet;Mediterranean diet scores;Anthropometrics;Cardiometabolic risk;Lipids
Issue Date: Dec-2020
Source: Nutrients, 2020, vol. 12, no. 12, articl. no. 3693
Volume: 12
Issue: 12
Journal: Nutrients 
Abstract: The Mediterranean diet is associated with multiple health benefits, and the modified Mediterranean Diet Score (mMDS) has been previously validated as a measure of Mediterranean diet adherence. The aim of this study was to examine associations between the mMDS and anthropometric indices, blood pressure, and biochemical parameters in a sample of career firefighters. The participants were from Indiana Fire Departments, taking part in the "Feeding America's Bravest" study, a cluster-randomized controlled trial that aimed to assess the efficacy of a Mediterranean diet intervention. We measured Mediterranean diet adherence using the mMDS. Anthropometric, blood pressure, and biochemical measurements were also collected. Univariate and multivariate linear regression models were used. In unadjusted analyses, many expected favorable associations between the mMDS and cardiovascular disease risk factors were found among the 460 firefighters. After adjustment for age, gender, ethnicity, physical activity, and smoking, a unitary increase in the mMDS remained associated with a decrease of the total cholesterol/HDL ratio (β-coefficient -0.028, p = 0.002) and an increase of HDL-cholesterol (β-coefficient 0.254, p = 0.004). In conclusion, greater adherence to the Mediterranean diet was associated with markers of decreased cardiometabolic risk. The mMDS score is a valid instrument for measuring adherence to the Mediterranean diet and may have additional utility in research and clinical practice.
ISSN: 2072-6643
DOI: 10.3390/nu12123693
Rights: © by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Type: Article
Affiliation : Democritus University of Thrace 
University of Navarra 
Harvard University 
Universidad Autónoma de Madrid 
Carlos III Health Institute 
Cyprus University of Technology 
National Institute for Public Safety Health, Indianapolis 
Harvard University 
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