Mediterranean diet adherence in cardiac patients: A cross-sectional study

Research output: Contribution to journalArticle

Abstract

Objective: We analyzed the constructs of social cognitive theory that explain adherence to the Mediterranean diet in patients diagnosed with cardiovascular disease. Methods: A cross-sectional study of 337 cardiac patients using a validated questionnaire was conducted and analyzed at an outpatient cardiology clinic, employing social cognitive theory (SCT) as the theoretical framework. Results: Dietary adherence was associated with statistically significant improvements in the SCT constructs. Self-regulation to consume healthy diet groups, negative perceived outcomes, and self-efficacy had the most influence on patient ability to maintain the Mediterranean diet. Self-regulation to avoid unhealthy food options like processed, sugary foods and positive perceived outcomes had smaller associations with patient ability to maintain the Mediterranean diet. Conclusions: SCT constructs should be utilized by physicians when educating patients on heart healthy dieting as they are highly associated with improved dietary behaviors. Self-efficacy, self-regulation in choosing healthy diet options, and negatively perceived expected outcomes predicted diet quality in cardiac patients. Improvements in these constructs might yield positive results in cardiac patients attempting diet modifications.

Original languageEnglish
Pages (from-to)3-10
Number of pages8
JournalAmerican Journal of Health Behavior
Volume42
Issue number6
DOIs
StatePublished - 1 Nov 2018

Fingerprint

Mediterranean Diet
cognitive theory
cross-sectional study
Cross-Sectional Studies
self-regulation
self-efficacy
Aptitude
food
outpatient clinic
Self Efficacy
ability
Diet Therapy
physician
Food
Disease
Ambulatory Care Facilities
questionnaire
Cardiology
Cardiovascular Diseases
Diet

Keywords

  • Diet adherence
  • Health promotion
  • Mediterranean diet
  • Social cognitive theory

Cite this

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title = "Mediterranean diet adherence in cardiac patients: A cross-sectional study",
abstract = "Objective: We analyzed the constructs of social cognitive theory that explain adherence to the Mediterranean diet in patients diagnosed with cardiovascular disease. Methods: A cross-sectional study of 337 cardiac patients using a validated questionnaire was conducted and analyzed at an outpatient cardiology clinic, employing social cognitive theory (SCT) as the theoretical framework. Results: Dietary adherence was associated with statistically significant improvements in the SCT constructs. Self-regulation to consume healthy diet groups, negative perceived outcomes, and self-efficacy had the most influence on patient ability to maintain the Mediterranean diet. Self-regulation to avoid unhealthy food options like processed, sugary foods and positive perceived outcomes had smaller associations with patient ability to maintain the Mediterranean diet. Conclusions: SCT constructs should be utilized by physicians when educating patients on heart healthy dieting as they are highly associated with improved dietary behaviors. Self-efficacy, self-regulation in choosing healthy diet options, and negatively perceived expected outcomes predicted diet quality in cardiac patients. Improvements in these constructs might yield positive results in cardiac patients attempting diet modifications.",
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Mediterranean diet adherence in cardiac patients : A cross-sectional study. / Greiner, Benjamin H.; Croff, Julie; Wheeler, Denna; Miller, Bridget.

In: American Journal of Health Behavior, Vol. 42, No. 6, 01.11.2018, p. 3-10.

Research output: Contribution to journalArticle

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T2 - A cross-sectional study

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