https://doi.org/10.4081/monaldi.2022.2391

Adherence to Mediterranean diet among patients with acute cardiovascular events admitted in Cardiac Rehabilitation unit

Vol. 93 No. 3 (2023)
Submitted: July 29, 2022
Accepted: October 8, 2022
Published: October 14, 2022
Cardiovascular prevention, adherence, secondary cardiovascular prevention
Abstract Views: 1445
PDF: 409
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Authors

Fortuna Lubrano
https://orcid.org/0000-0002-1283-9765
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Ilaria Fucile
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Maurizio Conte
https://orcid.org/0000-0003-0171-3515
Ciro Santoro
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Francesco Rozza
https://orcid.org/0000-0002-6631-6230
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.
Nicola De Luca
https://orcid.org/0000-0002-9606-6586
Costantino Mancusi
costantino.mancusi@unina.it
https://orcid.org/0000-0001-6690-1408
Cardiac Rehabilitation Unit, Federico II University Hospital, Naples, Italy.

The Mediterranean Diet plays a critical role in the prevention of primary cardiovascular disease (CVD). Actually, there is a scarcity of evidence for secondary prevention. The current study aims to assess adherence to the Mediterranean diet (MD) in patients recently admitted to the Cardiac Rehabilitation Unit following acute cardiovascular disease. Adherence to MD was assessed in 111 patients admitted to the Cardiac Rehabilitation Unit of the Federico II Hospital in Naples. The Medi-Lite score was used to assess adherence to MD. The main determinant of reduced MD compliance was assessed using Pearson’s correlation analysis and a multivariable regression model. The population had a median MD adherence score of 11 and a mean score of 10.9. The lowest possible score was 5 (indicating poor adherence), and the highest possible score was 15 (excellent adherence index). There were 3 participants with a poor score (<7), 82 with a good score (7-12), and 26 with an excellent score (³13). Lower Medi-Lite score was associated with younger age and being an active worker in a multivariate regression model (both p<0.05). Our findings show that among patients admitted to the Cardiac Rehabilitation Unit after a major CV event, young active workers have the lowest adherence to MD, requiring an individualized and multidisciplinary approach to improve their adherence to MD for secondary CV prevention.

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How to Cite

Lubrano, Fortuna, Ilaria Fucile, Maurizio Conte, Ciro Santoro, Francesco Rozza, Nicola De Luca, and Costantino Mancusi. 2022. “Adherence to Mediterranean Diet Among Patients With Acute Cardiovascular Events Admitted in Cardiac Rehabilitation Unit”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2391.
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