Relationship Between Adherence to the Mediterranean Diet and Health-Related Quality of Life and Life Satisfaction Among Older Adults
Evaluate the relationship between adherence to the Mediterranean diet and health-related quality of life and degree of life satisfaction among older adults.
Design and Setting
Cross-sectional descriptive study.
A total of 351 people older than 60 years participated in the study.
The Mediterranean Diet Score (MDS) was calculated to assess the degree of adherence to the MD. MD adherence was related to health-related quality of life using the Short Form Healthy Survey (SF-12) questionnaire, to life satisfaction using the Satisfaction with Life Scale (SWLS), and to sociodemographic, clinical and lifestyle variables. Multiple logistic regression models were used to analyse this relationship.
Mediterranean diet adherence was related to health-related quality of life. Participants with better adherence to the MD were more physically active (p=0.01) and had better health-related quality of life (p<0.05) and lower consumption of alcoholic beverages (p=0.04). The age-adjusted model showed a significant association between the MD and mental function for both sexes and with physical function only for men. The fully adjusted model showed a direct relationship between the MD and life satisfaction of women (p>0.05) but not for that of men (p=0.31).
The adherence to the MD is directly associated with the self-perceived physical and mental function of both sexes and with the life satisfaction of women. Further studies in older adult populations should be performed to obtain conclusive results on the MD effect on health-related quality of life, including wellness indicators.
Key wordsMediterranean diet older adults adherence health-related quality of life life satisfaction
- 3.Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, Medina FX, Battino M, Belahsen R, Miranda G, Serra-Majem L; Mediterranean Diet Foundation Expert Group. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr 2011;14(12A):2274–84.CrossRefPubMedGoogle Scholar
- 8.Knight A, Bryan J, Wilson C, Hodgson J, Murphy K. A randomised controlled intervention trial evaluating the efficacy of a Mediterranean dietary pattern on cognitive function and psychological wellbeing in healthy older adults: the MedLey study. BMC Geriatr 2015;15:55.CrossRefPubMedPubMedCentralGoogle Scholar
- 10.Mosconi, J. Murray, W.H. Tsui, Y. Li, M. Davies, S. Williams, E, et al. Mediterranean diet and magnetic resonance imaging-assessed brain atrophy in cognitively normal individuals at risk for alzheimer’s disease. J Prev Alz Dis 2014; 1(1): 23–32.Google Scholar
- 13.Alcubierre N, Martinez-Alonso M, Valls J, Rubinat E, Traveset A, Hernández M, et al. Relationship of the adherence to the Mediterranean diet with health-related quality of life and treatment satisfaction in patients with type 2 diabetes mellitus: a post-hoc analysis of a cross-sectional study. Health Qual Life Outcomes 2016;14(1):69.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.Cases J, Romain C, Dallas C, Gerbi A, Cloarec M. Regular consumption of Fiitns, a polyphenol extract from fruit and vegetables frequently consumed within the Mediterranean diet, improves metabolic ageing of obese volunteers: a randomized, double-blind, parallel trial. Int J Food Sci Nutr 2015; 66(1): 120–5.CrossRefPubMedGoogle Scholar
- 18.Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess 1985; 49(1): 71–5Google Scholar
- 20.Grao-Cruces A, Nuviala A, Fernández-Martínez A, Porcel-Gálvez AM, Moral-García JE, Martínez-López EJ. Adherence to the Mediterranean diet in rural and urban adolescents of southern Spain, life satisfaction, anthropometry, and physical and sedentary activities. Nutr Hosp 2013; 28(4): 1129–35.PubMedGoogle Scholar
- 22.Mateix-Verdú J. Tabla de composición de Alimentos. Editorial Universidad de Granada: eug. Granada 2011.Google Scholar
- 23.Willett, WC. Nutritional Epidemiology. Third edition: Oxford University Press. Oxford 2013.Google Scholar
- 26.Arce, Constantino. Técnicas de construcción de escalas psicológicas. Síntesis, 1994.Google Scholar
- 32.Vilagut G, Ferrer M, Rajmil L, Rebollo P, Permanyer-Miralda G, Quintana JM, Santed R, et al. El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos[The Spanish version of the Short Form 36 Health Survey: a decade of expe-rience and new developments]. Gaceta Sanitaria 2008; 19(2): 135–50.CrossRefGoogle Scholar
- 34.Bonaccio M, Di Castelnuovo A, Bonanni A, Costanzo S, de Lucia F, Pounis G, et al. Adherence to a Mediterranean diet is associated with a better health-related quality of life: a possible role of high dietary antioxidant content. BMJ Open 2013;3(8).Google Scholar
- 35.Macia E, Duboz P, Montepare JM, Gueye L. Exploring Life Satisfaction Among Older Adults in Dakar. J Cross Cult Gerontol. 2015; 30(4): 377–91.Google Scholar
- 45.Scoditti E, Calabriso N, Massaro M, Pellegrino M, Storelli C, Martines G, et al. Mediterranean diet polyphenols reduce inflammatory angiogenesis through MMP-9 and COX-2 inhibition in human vascular endothelial cells: a potentially protective mechanism in atherosclerotic vascular disease and cancer. Arch Biochem Biophys 2012; 527(2): 81–9.CrossRefPubMedGoogle Scholar
- 52.Chamberlain AM, Manemann SM, Dunlay SM, Spertus JA, Moser DK, Berardi C. Self-rated health predicts healthcare utilization in heart failure. J Am Heart Assoc 2014;3(3).Google Scholar