Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing cardiovascular disease

Authors: Moore, S.E., Appleton, K. et al.

Journal: Journal of Human Nutrition and Dietetics

Volume: 31

Issue: 4

Pages: 451-462

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12523

Abstract:

Background: Strong evidence links the consumption of a Mediterranean diet (MD) with a reduced cardiovascular disease (CVD) risk; however, there is uncertainty as to whether non-Mediterranean regions will adopt this diet. The present qualitative research aimed to investigate attitudes towards a MD in individuals at high CVD risk in a Northern European population. This information is needed to inform development of MD interventions in non-Mediterranean high-risk populations. Methods: Focus groups (n = 12) were held with individuals at high CVD risk from Northern Europe (≥2 CVD risk factors, aged ≥50 years, no established CVD/type 2 diabetes). Attitudes to dietary change towards a MD were explored. Data were analysed using inductive thematic analysis. Results: Sixty-seven adults participated (60% female, mean age 64 years). There was some awareness of the term MD but limited knowledge of its composition. Barriers to general dietary change were evident, including perception of expense, concern over availability, expectation of time commitment, limited knowledge, lack of cooking skills, amount and conflicting nature of media information on diets, changing established eating habits and resistance to dietary change. Barriers specific to MD adoption were also identified, including perceived difficulty living in a colder climate, perceived impact on body weight, acceptability of a MD and cultural differences. Conclusions: Knowledge of a MD was limited in this Northern European sample at high CVD risk. In addition to general barriers to dietary change, barriers specific to a MD were identified. These findings have implications for the development of interventions aiming to promote MD adoption in non-Mediterranean populations.

https://eprints.bournemouth.ac.uk/30072/

Source: Scopus

Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing cardiovascular disease.

Authors: Moore, S.E., Appleton, K. et al.

Journal: J Hum Nutr Diet

Volume: 31

Issue: 4

Pages: 451-462

eISSN: 1365-277X

DOI: 10.1111/jhn.12523

Abstract:

BACKGROUND: Strong evidence links the consumption of a Mediterranean diet (MD) with a reduced cardiovascular disease (CVD) risk; however, there is uncertainty as to whether non-Mediterranean regions will adopt this diet. The present qualitative research aimed to investigate attitudes towards a MD in individuals at high CVD risk in a Northern European population. This information is needed to inform development of MD interventions in non-Mediterranean high-risk populations. METHODS: Focus groups (n = 12) were held with individuals at high CVD risk from Northern Europe (≥2 CVD risk factors, aged ≥50 years, no established CVD/type 2 diabetes). Attitudes to dietary change towards a MD were explored. Data were analysed using inductive thematic analysis. RESULTS: Sixty-seven adults participated (60% female, mean age 64 years). There was some awareness of the term MD but limited knowledge of its composition. Barriers to general dietary change were evident, including perception of expense, concern over availability, expectation of time commitment, limited knowledge, lack of cooking skills, amount and conflicting nature of media information on diets, changing established eating habits and resistance to dietary change. Barriers specific to MD adoption were also identified, including perceived difficulty living in a colder climate, perceived impact on body weight, acceptability of a MD and cultural differences. CONCLUSIONS: Knowledge of a MD was limited in this Northern European sample at high CVD risk. In addition to general barriers to dietary change, barriers specific to a MD were identified. These findings have implications for the development of interventions aiming to promote MD adoption in non-Mediterranean populations.

https://eprints.bournemouth.ac.uk/30072/

Source: PubMed

Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing cardiovascular disease

Authors: Moore, S.E., Appleton, K. et al.

Journal: JOURNAL OF HUMAN NUTRITION AND DIETETICS

Volume: 31

Issue: 4

Pages: 451-462

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12523

https://eprints.bournemouth.ac.uk/30072/

Source: Web of Science (Lite)

Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing Cardiovascular disease

Authors: Appleton, K.

Journal: Journal of Human Nutrition & Dietetics

Publisher: Blackwell Publishing Inc.

ISSN: 0952-3871

DOI: 10.1111/jhn.12523

https://eprints.bournemouth.ac.uk/30072/

Source: Manual

Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing cardiovascular disease.

Authors: Moore, S.E., Appleton, K. et al.

Journal: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

Volume: 31

Issue: 4

Pages: 451-462

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12523

Abstract:

Background

Strong evidence links the consumption of a Mediterranean diet (MD) with a reduced cardiovascular disease (CVD) risk; however, there is uncertainty as to whether non-Mediterranean regions will adopt this diet. The present qualitative research aimed to investigate attitudes towards a MD in individuals at high CVD risk in a Northern European population. This information is needed to inform development of MD interventions in non-Mediterranean high-risk populations.

Methods

Focus groups (n = 12) were held with individuals at high CVD risk from Northern Europe (≥2 CVD risk factors, aged ≥50 years, no established CVD/type 2 diabetes). Attitudes to dietary change towards a MD were explored. Data were analysed using inductive thematic analysis.

Results

Sixty-seven adults participated (60% female, mean age 64 years). There was some awareness of the term MD but limited knowledge of its composition. Barriers to general dietary change were evident, including perception of expense, concern over availability, expectation of time commitment, limited knowledge, lack of cooking skills, amount and conflicting nature of media information on diets, changing established eating habits and resistance to dietary change. Barriers specific to MD adoption were also identified, including perceived difficulty living in a colder climate, perceived impact on body weight, acceptability of a MD and cultural differences.

Conclusions

Knowledge of a MD was limited in this Northern European sample at high CVD risk. In addition to general barriers to dietary change, barriers specific to a MD were identified. These findings have implications for the development of interventions aiming to promote MD adoption in non-Mediterranean populations.

https://eprints.bournemouth.ac.uk/30072/

Source: Europe PubMed Central

Barriers to adopting a Mediterranean diet in Northern European adults at high risk of developing Cardiovascular disease

Authors: Moore, S.E., Appleton, K. et al.

Journal: Journal of Human Nutrition & Dietetics

Volume: 31

Issue: 4

Pages: 451-462

ISSN: 0952-3871

Abstract:

Background: Strong evidence links consumption of the Mediterranean diet (MD) to a reduced risk of Cardiovascular Disease (CVD), however there is uncertainty whether non-Mediterranean regions will adopt this dietary pattern. This research aimed to investigate attitudes towards a MD in individuals at high CVD risk in a Northern European population. Involvement of the target population in early intervention development helps to understand factors influencing dietary change. Results will inform the development of an intervention to encourage dietary change towards a MD.

Methods: A qualitative methodology using focus group discussion was undertaken. Focus groups (n=12) were held with the target group and explored awareness of a MD, attitudes towards MD components and barriers to dietary change towards a MD. Discussions were audio-recorded, transcribed verbatim and analysed thematically. Nvivo software was used to manage the coded data. Results: Sixty-seven adults at high risk of CVD (60% female, mean age 64 y) took part. Participants were aware of the MD but knowledge of the specific composition of this dietary pattern was limited. Barriers associated with healthy eating in general were evident, however, barriers specific to following a MD were also identified, including food specific barriers, consumption of a moderate fat diet, culture and climate.

Conclusions: Although there was good awareness of the term MD in this Northern European sample at high CVD risk, there was limited knowledge of the specific composition of a traditional MD and a number of barriers to adopting a MD were identified. Knowledge gaps and barriers revealed will inform the development of a MD intervention in a Northern European population.

https://eprints.bournemouth.ac.uk/30072/

Source: BURO EPrints