Abstract
BackgroundTo analyze the interplay between diet, physical activity and health-related quality of life in a Spanish randomly selected sample of individuals attended in general practitioners offices with intermediate cardiovascular risk.MethodsThis study analyzed 314 subjects, aged 35–74 years (50.6% women), from the MARK study, conducted in Spain. Health related quality of life was measured by the SF-12 questionnaire. The assessment of the lifestyles included the diet quality index, the adherence to the Mediterranean diet and the leisure time physical activity practice.ResultsThe highest values of health related quality of life were obtained in the area of vitality (51.05 ± 11.13), while the lowest were found in the general health (39.89 ± 8.85). In the multiple linear regression analysis, after adjustment for age, gender and other confounders, for each point of increase in the Mediterranean diet adherence score, there was an increase of 1.177 points in the mental component value (p < 0.01). Similarly, for each point of increase in the Diet Quality Index Score, there was an increase in the mental component of 0.553 (p < 0.05). Likewise, the physical activity was positively associated with the physical function and vitality (β = 0.090 and 0.087, (p < 0.01 and p < 0.05), respectively).ConclusionsIn people with intermediate cardiovascular risk, better food habits and greater adherence to the Mediterranean diet are associated with higher scores on the mental component of quality of life. Likewise, increased physical activity is related with positive scores on the physical function.Electronic supplementary materialThe online version of this article (doi:10.1186/s12955-016-0572-x) contains supplementary material, which is available to authorized users.
Highlights
To analyze the interplay between diet, physical activity and health-related quality of life in a Spanish randomly selected sample of individuals attended in general practitioners offices with intermediate cardiovascular risk
Design The MARK study [28] is a longitudinal study to evaluate if ankle-brachial index (ABI), measures of arterial stiffness (CAVI), postprandial glucose, glycosylated hemoglobin, self-measured blood pressure and the presence of comorbidities are independently associated with the incidence of vascular events and whether they can improve the predictive capacity of current risk equations in the intermediate risk population
Study population The study population comprised 500 subjects recruited in Salamanca, aged 35–74 years, with intermediate cardiovascular risk, defined as coronary risk 5–15% at 10 years according to the adaptation of the Framingham risk equation (REGICOR) [29], risk of cardiovascular mortality among 1–5% to 10 years according to the SCORE equation [30] or moderate risk according to the 2007 European Society of Hypertension guidelines for the management of arterial hypertension [31]
Summary
To analyze the interplay between diet, physical activity and health-related quality of life in a Spanish randomly selected sample of individuals attended in general practitioners offices with intermediate cardiovascular risk. Sanchez-Aguadero et al Health and Quality of Life Outcomes (2016) 14:169 and cultural aspects related to the Mediterranean diet may provide additional health benefits [12]. The PREDIMED study showed in a follow-up period of 4.8 years, that an energy-unrestricted Mediterranean diet which includes consumption of extra-virgin olive oil or nuts resulted in an absolute risk reduction of approximately 3 major cardiovascular events per 1000 person-year, for a relative risk reduction of approximately 30%. These results support the benefits of the Mediterranean diet for cardiovascular risk reduction [13]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
