Articles producció científica> Medicina i Cirurgia

Effectiveness of a Motivational Nutritional Intervention through Social Networks 2.0 to Increase Adherence to the Mediterranean Diet and Improve Lung Function in Active Smokers: The DIET Study, a Randomized, Controlled and Parallel Clinical Trial in

  • Datos identificativos

    Identificador: imarina:9231659
    Autores:
    Salamanca-Gonzalez, PatriciaValls-Zamora, Rosa MariaPedret-Figuerola, AnnaSorli-Aguilar, MarSantigosa-Ayala, AntoniCatalin, Roxana-ElenaPalleja-Millan, MeritxellSola-Alberich, RosaMartin-Lujan, FranciscoCENIT Res Grp Investigators
    Resumen:
    Background: Diet can help preserve lung function in smokers, as well as aid individuals who avoid smoking. This study aimed to evaluate the effectiveness of a nutritional intervention, using the Social Networks 2.0 tool, to increase adherence to the Mediterranean diet (MD) and improve lung function in smokers without prior respiratory disease. Methods: A randomized controlled parallel design was used. The participants were assigned to either the intervention or control group. Data from representative smokers without respiratory disease (n = 77) aged 18-70 years were analyzed. The participants completed a validated semi-quantitative food-frequency questionnaire, and their adherence to the diet was evaluated by using the questionnaire called the Mediterranean Diet Adherence Score (MEDAS, with 14 items), which considers & GE;9 points to indicate high adherence. The lung function was assessed by spirometry. Associations among variables were determined by logistic regression. Results: A comparison of the variables at the end of the study between the control and intervention groups showed that the intervention significantly increased adherence to the MD based on the MEDAS questionnaire (0.69 (2.1) vs. 2.05 (2.03); p = 0.009). Specifically, the consumption of fruits was increased after two years in both groups; however, a more significant increase was detected in the intervention group (121 (178) vs. 12.7 (167) in the control group; p-value = 0.008). In the unadjusted analysis, the intervention only showed a statistical significant increase in the score of adherence to the MD (beta: 1.36; 95% CI 0.35; 2.3; p = 0.009), and this increase was maintained after adjusting for age and sex (beta: 1.15; 95% CI 0.05; 2.2; p = 0.040) and after adjusting for various sociodemographic, life
  • Otros:

    Autor según el artículo: Salamanca-Gonzalez, Patricia; Valls-Zamora, Rosa Maria; Pedret-Figuerola, Anna; Sorli-Aguilar, Mar; Santigosa-Ayala, Antoni; Catalin, Roxana-Elena; Palleja-Millan, Meritxell; Sola-Alberich, Rosa; Martin-Lujan, Francisco; CENIT Res Grp Investigators;
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: Valls Zamora, Rosa Maria
    Palabras clave: Vegetable consumption Validation Tobacco consumption Standardization Spirometry Social network Smoking Sex difference Risk Respiratory health Randomized controlled trial Quality indexes Prospective cohort Primary medical care Primary care centers Physical-activity questionnaire Physical examination Physical activity Parallel design Obstructive pulmonary-disease Nutritional intervention Nut Mediterranean diet Meat consumption Meat Male Major clinical study Lung function Lung disease Low density lipoprotein cholesterol Lifestyle Legume Laboratory test Human Fruit consumption Food intake Food frequency questionnaire Female Egg Diet therapy Diastolic blood pressure Dairy product Controlled study Consumption Comparative study Cigarette smoking Cereal Associations Article Aged Age Adult
    Resumen: Background: Diet can help preserve lung function in smokers, as well as aid individuals who avoid smoking. This study aimed to evaluate the effectiveness of a nutritional intervention, using the Social Networks 2.0 tool, to increase adherence to the Mediterranean diet (MD) and improve lung function in smokers without prior respiratory disease. Methods: A randomized controlled parallel design was used. The participants were assigned to either the intervention or control group. Data from representative smokers without respiratory disease (n = 77) aged 18-70 years were analyzed. The participants completed a validated semi-quantitative food-frequency questionnaire, and their adherence to the diet was evaluated by using the questionnaire called the Mediterranean Diet Adherence Score (MEDAS, with 14 items), which considers & GE;9 points to indicate high adherence. The lung function was assessed by spirometry. Associations among variables were determined by logistic regression. Results: A comparison of the variables at the end of the study between the control and intervention groups showed that the intervention significantly increased adherence to the MD based on the MEDAS questionnaire (0.69 (2.1) vs. 2.05 (2.03); p = 0.009). Specifically, the consumption of fruits was increased after two years in both groups; however, a more significant increase was detected in the intervention group (121 (178) vs. 12.7 (167) in the control group; p-value = 0.008). In the unadjusted analysis, the intervention only showed a statistical significant increase in the score of adherence to the MD (beta: 1.36; 95% CI 0.35; 2.3; p = 0.009), and this increase was maintained after adjusting for age and sex (beta: 1.15; 95% CI 0.05; 2.2; p = 0.040) and after adjusting for various sociodemographic, lifestyle and anthropometric variables (beta: 1.17; 95% CI 0.02; 2.31; p = 0.046). The pulmonary function parameters improved more in the intervention group; however, no significant differences were observed between the two groups. Conclusions: A nutritional intervention based on a dietetic-nutritional education program resulted in a significant increase in adherence to the MD. However, some evidence suggests that an MD dietary intervention can improve lung function, but in our study, we were not able to demonstrate this. Further research is needed to obtain more robust data and confirm a possible benefit of the program before it can be extended to general practice.</p>
    Áreas temáticas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: rosamaria.valls@urv.cat
    Identificador del autor: 0000-0002-3351-0942
    Fecha de alta del registro: 2024-07-27
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.mdpi.com/2072-6643/13/10/3597
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Nutrients. 13 (10):
    Referencia de l'ítem segons les normes APA: Salamanca-Gonzalez, Patricia; Valls-Zamora, Rosa Maria; Pedret-Figuerola, Anna; Sorli-Aguilar, Mar; Santigosa-Ayala, Antoni; Catalin, Roxana-Elena; Pa (2021). Effectiveness of a Motivational Nutritional Intervention through Social Networks 2.0 to Increase Adherence to the Mediterranean Diet and Improve Lung Function in Active Smokers: The DIET Study, a Randomized, Controlled and Parallel Clinical Trial in Primary Care. Nutrients, 13(10), -. DOI: 10.3390/nu13103597
    DOI del artículo: 10.3390/nu13103597
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2021
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Food Science,Nutrition & Dietetics,Nutrition and Dietetics
    Vegetable consumption
    Validation
    Tobacco consumption
    Standardization
    Spirometry
    Social network
    Smoking
    Sex difference
    Risk
    Respiratory health
    Randomized controlled trial
    Quality indexes
    Prospective cohort
    Primary medical care
    Primary care centers
    Physical-activity questionnaire
    Physical examination
    Physical activity
    Parallel design
    Obstructive pulmonary-disease
    Nutritional intervention
    Nut
    Mediterranean diet
    Meat consumption
    Meat
    Male
    Major clinical study
    Lung function
    Lung disease
    Low density lipoprotein cholesterol
    Lifestyle
    Legume
    Laboratory test
    Human
    Fruit consumption
    Food intake
    Food frequency questionnaire
    Female
    Egg
    Diet therapy
    Diastolic blood pressure
    Dairy product
    Controlled study
    Consumption
    Comparative study
    Cigarette smoking
    Cereal
    Associations
    Article
    Aged
    Age
    Adult
    Zootecnia / recursos pesqueiros
    Saúde coletiva
    Química
    Psicología
    Planejamento urbano e regional / demografia
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Food science
    Farmacia
    Engenharias iv
    Engenharias ii
    Enfermagem
    Educação física
    Economia
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências agrárias i
    Ciência de alimentos
    Biotecnología
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