Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index

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Abstract

AbstractBACKGROUND:Adherence to a Mediterranean Diet appears to reduce the risk of cardiovascular disease, cancer, Alzheimer's disease, and Parkinson's disease, as well as the risk of death due to cardiovascular disease. No study has addressed the association between diagnostic subtype of stroke and its severity and adherence to a Mediterranean Diet in subjects with acute ischemic stroke.AIM:To evaluate the association between Mediterranean Diet adherence, TOAST subtype, and stroke severity by means of a retrospective study.METHODS:The type of acute ischemic stroke was classified according to the TOAST criteria. All patients admitted to our ward with acute ischemic stroke completed a 137-item validated food-frequency questionnaire adapted to the Sicilian population. A scale indicating the degree of adherence to the traditional Mediterranean Diet was used (Me-Di score: range 0-9).RESULTS:198 subjects with acute ischemic stroke and 100 control subjects without stroke. Stroke subjects had a lower mean Mediterranean Diet score compared to 100 controls without stroke. We observed a significant positive correlation between Me-Di score and SSS score, whereas we observed a negative relationship between Me-Di score and NIHSS and Rankin scores. Subjects with atherosclerotic (LAAS) stroke subtype had a lower mean Me-Di score compared to subjects with other subtypes. Multinomial logistic regression analysis in a simple model showed a negative relationship between MeDi score and LAAS subtype vs. lacunar subtype (and LAAS vs. cardio-embolic subtype).CONCLUSIONS:Patients with lower adherence to a Mediterranean Diet are more likely to have an atherosclerotic (LAAS) stroke, a worse clinical presentation of ischemic stroke at admission and a higher Rankin score at discharge.
Lingua originaleEnglish
pagine (da-a)260-267
Numero di pagine8
RivistaATHEROSCLEROSIS
Volume243
Stato di pubblicazionePublished - 2015

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Mediterranean Diet
Stroke
Cardiovascular Diseases
Parkinson Disease
Alzheimer Disease

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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@article{a04121e09c5245519afd57b14ae6fa24,
title = "Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index",
abstract = "AbstractBACKGROUND:Adherence to a Mediterranean Diet appears to reduce the risk of cardiovascular disease, cancer, Alzheimer's disease, and Parkinson's disease, as well as the risk of death due to cardiovascular disease. No study has addressed the association between diagnostic subtype of stroke and its severity and adherence to a Mediterranean Diet in subjects with acute ischemic stroke.AIM:To evaluate the association between Mediterranean Diet adherence, TOAST subtype, and stroke severity by means of a retrospective study.METHODS:The type of acute ischemic stroke was classified according to the TOAST criteria. All patients admitted to our ward with acute ischemic stroke completed a 137-item validated food-frequency questionnaire adapted to the Sicilian population. A scale indicating the degree of adherence to the traditional Mediterranean Diet was used (Me-Di score: range 0-9).RESULTS:198 subjects with acute ischemic stroke and 100 control subjects without stroke. Stroke subjects had a lower mean Mediterranean Diet score compared to 100 controls without stroke. We observed a significant positive correlation between Me-Di score and SSS score, whereas we observed a negative relationship between Me-Di score and NIHSS and Rankin scores. Subjects with atherosclerotic (LAAS) stroke subtype had a lower mean Me-Di score compared to subjects with other subtypes. Multinomial logistic regression analysis in a simple model showed a negative relationship between MeDi score and LAAS subtype vs. lacunar subtype (and LAAS vs. cardio-embolic subtype).CONCLUSIONS:Patients with lower adherence to a Mediterranean Diet are more likely to have an atherosclerotic (LAAS) stroke, a worse clinical presentation of ischemic stroke at admission and a higher Rankin score at discharge.",
keywords = "Mediterranean Diet, Mediterranean Diet score, Stroke, TOAST subtype",
author = "Alessandra Casuccio and {Della Corte}, Vittoriano and Rosaria Pecoraro and Irene Simonetta and Maida, {Carlo Domenico} and Valentina Arnao and Giuseppe Miceli and Antonio Pinto and Antonino Tuttolomondo and Francesca Corpora and {Di Raimondo}, Domenico and {Di Bona}, Danilo and Anna Cirrincione and Benedetto Lucifora and Giuseppe Clemente",
year = "2015",
language = "English",
volume = "243",
pages = "260--267",
journal = "ATHEROSCLEROSIS",
issn = "1879-1484",

}

TY - JOUR

T1 - Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index

AU - Casuccio, Alessandra

AU - Della Corte, Vittoriano

AU - Pecoraro, Rosaria

AU - Simonetta, Irene

AU - Maida, Carlo Domenico

AU - Arnao, Valentina

AU - Miceli, Giuseppe

AU - Pinto, Antonio

AU - Tuttolomondo, Antonino

AU - Corpora, Francesca

AU - Di Raimondo, Domenico

AU - Di Bona, Danilo

AU - Cirrincione, Anna

AU - Lucifora, Benedetto

AU - Clemente, Giuseppe

PY - 2015

Y1 - 2015

N2 - AbstractBACKGROUND:Adherence to a Mediterranean Diet appears to reduce the risk of cardiovascular disease, cancer, Alzheimer's disease, and Parkinson's disease, as well as the risk of death due to cardiovascular disease. No study has addressed the association between diagnostic subtype of stroke and its severity and adherence to a Mediterranean Diet in subjects with acute ischemic stroke.AIM:To evaluate the association between Mediterranean Diet adherence, TOAST subtype, and stroke severity by means of a retrospective study.METHODS:The type of acute ischemic stroke was classified according to the TOAST criteria. All patients admitted to our ward with acute ischemic stroke completed a 137-item validated food-frequency questionnaire adapted to the Sicilian population. A scale indicating the degree of adherence to the traditional Mediterranean Diet was used (Me-Di score: range 0-9).RESULTS:198 subjects with acute ischemic stroke and 100 control subjects without stroke. Stroke subjects had a lower mean Mediterranean Diet score compared to 100 controls without stroke. We observed a significant positive correlation between Me-Di score and SSS score, whereas we observed a negative relationship between Me-Di score and NIHSS and Rankin scores. Subjects with atherosclerotic (LAAS) stroke subtype had a lower mean Me-Di score compared to subjects with other subtypes. Multinomial logistic regression analysis in a simple model showed a negative relationship between MeDi score and LAAS subtype vs. lacunar subtype (and LAAS vs. cardio-embolic subtype).CONCLUSIONS:Patients with lower adherence to a Mediterranean Diet are more likely to have an atherosclerotic (LAAS) stroke, a worse clinical presentation of ischemic stroke at admission and a higher Rankin score at discharge.

AB - AbstractBACKGROUND:Adherence to a Mediterranean Diet appears to reduce the risk of cardiovascular disease, cancer, Alzheimer's disease, and Parkinson's disease, as well as the risk of death due to cardiovascular disease. No study has addressed the association between diagnostic subtype of stroke and its severity and adherence to a Mediterranean Diet in subjects with acute ischemic stroke.AIM:To evaluate the association between Mediterranean Diet adherence, TOAST subtype, and stroke severity by means of a retrospective study.METHODS:The type of acute ischemic stroke was classified according to the TOAST criteria. All patients admitted to our ward with acute ischemic stroke completed a 137-item validated food-frequency questionnaire adapted to the Sicilian population. A scale indicating the degree of adherence to the traditional Mediterranean Diet was used (Me-Di score: range 0-9).RESULTS:198 subjects with acute ischemic stroke and 100 control subjects without stroke. Stroke subjects had a lower mean Mediterranean Diet score compared to 100 controls without stroke. We observed a significant positive correlation between Me-Di score and SSS score, whereas we observed a negative relationship between Me-Di score and NIHSS and Rankin scores. Subjects with atherosclerotic (LAAS) stroke subtype had a lower mean Me-Di score compared to subjects with other subtypes. Multinomial logistic regression analysis in a simple model showed a negative relationship between MeDi score and LAAS subtype vs. lacunar subtype (and LAAS vs. cardio-embolic subtype).CONCLUSIONS:Patients with lower adherence to a Mediterranean Diet are more likely to have an atherosclerotic (LAAS) stroke, a worse clinical presentation of ischemic stroke at admission and a higher Rankin score at discharge.

KW - Mediterranean Diet

KW - Mediterranean Diet score

KW - Stroke

KW - TOAST subtype

UR - http://hdl.handle.net/10447/158397

M3 - Article

VL - 243

SP - 260

EP - 267

JO - ATHEROSCLEROSIS

JF - ATHEROSCLEROSIS

SN - 1879-1484

ER -