Abstract

Objective: The purpose of the study was to determine the adherence of adults to the Mediterranean diet (MD), physical activity status, and the association between adherence to the MD and chronic disease. Material and Methods: A total of 380 individuals were included in this cross-sectional study. The adherence to the MD was evaluated with the Mediterranean Diet Adherence Scale (MEDAS), and physical activities with the International Physical Activity Questionnaire (IPAQ). Results: There was no difference between men and women in terms of physical activity level assessed by IPAQ score and IPAQ classification (p>0.05). Moderate-high adherence to the MD in adults, mean MEDAS score, obesity, and chronic disease were significantly higher in women than in men (p<0.05). the rates of the individuals that had moderate/high adherence to the MD and the mean body mass index (BMI) values, frequency of chronic disease and frequency of previous dietary counseling were higher (p<0.05). In addition the frequency of previous dietary counseling was higher in physically inactive individuals (p<0.05). There were significant positive relations were detected between the MEDAS and BMI values (r=0.126, p=0.014). There were negative significant relations between IPAQ score, BMI (r=-0.118, p=0.022) and waist circumference values (r=-0.124, p=0.018). Conclusion: It was determined that while moderate compliance with the MD was observed, the level of physical activity was low in adults. It has shown the necessity and importance of developing preventive health services for nutrition and physical activity in the prevention and treatment of chronic diseases.

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