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        Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

        Aoun, Carla,Papazian, Tatiana,Helou, Khalil,El Osta, Nada,Khabbaz, Lydia Rabbaa The Korean Nutrition Society 2019 Nutrition Research and Practice Vol.13 No.4

        BACKGROUND/OBJECTIVES: To compare five indices of adherence to the Mediterranean Diet (MD) among adults living in the Mediterranean region. SUBJECTS/METHODS: A total of 100 healthy Lebanese adults aged between 18 and 65 years. Face-to-face interviews to collect sociodemographic and medical information, to take anthropometric measurements, and to fill a validated, culturally adapted, food frequency questionnaire (FFQ). The score for each item was calculated following the recommendations for each corresponding index. The five MD indices were Mediterranean Diet Scale (MDScale), Mediterranean Food Pattern (MFP), MD Score (MDS), Short Mediterranean Diet Questionnaire (SMDQ), and the MedDiet score. RESULTS: Significant correlations were detected between items with P-values < 0.001. Minimal agreement was seen between MDScale and MedDiet score and maximal agreement between MDS and MedDiet score. Univariate and multivariate analyses showed that MDS and MedDiet scores had significant correlations with fiber and olive oil intake, main components of the MD. MDScale showed a significant correlation with waist-to-hip ratio and with total energy intake but none of the five indices was correlated to body mass index (BMI). CONCLUSIONS: The indices that showed the highest correlation with variables related to the MD are the MDScale and the MedDiet score; therefore, they can be used to assess our future study populations. Based on the current results, more than half of the study population was non-adherent to the MD and adherence to this diet did not appear to protect against being overweight ($BMI{\geq}30$).

      • KCI등재

        Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

        Carla Aoun,Tatiana Papazian,Khalil Helou,Nada El Osta,Lydia Rabbaa Khabbaz 한국영양학회 2019 Nutrition Research and Practice Vol.13 No.4

        BACKGROUND/OBJECTIVES: To compare five indices of adherence to the Mediterranean Diet (MD) among adults living in the Mediterranean region. SUBJECTS/METHODS: A total of 100 healthy Lebanese adults aged between 18 and 65 years. Face-to-face interviews to collect sociodemographic and medical information, to take anthropometric measurements, and to fill a validated, culturally adapted, food frequency questionnaire (FFQ). The score for each item was calculated following the recommendations for each corresponding index. The five MD indices were Mediterranean Diet Scale (MDScale), Mediterranean Food Pattern (MFP), MD Score (MDS), Short Mediterranean Diet Questionnaire (SMDQ), and the MedDiet score. RESULTS: Significant correlations were detected between items with P-values < 0.001. Minimal agreement was seen between MDScale and MedDiet score and maximal agreement between MDS and MedDiet score. Univariate and multivariate analyses showed that MDS and MedDiet scores had significant correlations with fiber and olive oil intake, main components of the MD. MDScale showed a significant correlation with waist-to-hip ratio and with total energy intake but none of the five indices was correlated to body mass index (BMI). CONCLUSIONS: The indices that showed the highest correlation with variables related to the MD are the MDScale and the MedDiet score; therefore, they can be used to assess our future study populations. Based on the current results, more than half of the study population was non-adherent to the MD and adherence to this diet did not appear to protect against being overweight (BMI ≥ 30).

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        Telemedicine in an Academic Movement Disorders Center during COVID-19

        Christine Doss Esper,Laura Scorr,Sosi Papazian,Daniel Bartholomew,Gregory Jacob Esper,Stewart Alan Factor 대한파킨슨병및이상운동질환학회 2021 Journal Of Movement Disorders Vol.14 No.2

        ObjectiveaaTelemedicine has rapidly gained momentum in movement disorder neurology during the coronavirus disease (COVID-19) pandemic to preserve clinical care while mitigating the risks of in-person visits. We present data from the rapid implementationof virtual visits in a large, academic, movement disorder practice during the COVID-19 pandemic. MethodsaaWe describe the strategic shift to virtual visits and retrospectively examine elements that impacted the ability toswitch to telemedicine visits using historical prepandemic in-person data as a comparator, including demographics, distancedriven, and diagnosis distribution, with an additional focus on patients with deep brain stimulators. ResultsaaA total of 686 telemedicine visits were performed over a five-week period (60% of those previously scheduled for inofficevisits). The average age of participants was 65 years, 45% were female, and 73% were Caucasian. Men were more likely tomake the transition (p = 0.02). Telemedicine patients lived farther from the clinic than those seen in person (66.47 km vs. 42.16km, p < 0.001), age was not associated with making the switch, and patient satisfaction did not change. There was a significantshift in the distribution of movement disorder diagnoses seen by telemedicine compared to prepandemic in-person visits (p <0.001). Patients with deep brain stimulators were more likely to use telemedicine (11.5% vs. 7%, p < 0.001). ConclusionaaTelemedicine is feasible, viable and relevant in the care of movement disorder patients, although health care disparitiesappear evident for women and minorities. Patients with deep brain stimulators preferred telemedicine in our study. Furtherstudy is warranted to explore these findings.

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