Effect of the Mediterranean Diet on BMI in Middle-Aged Hispanic Women with Pre-Obesity and Obesity Central Washington State
- 1 School of Public Health, Benedictine University, Lisle, IL, USA
Abstract
Background: Conclusive evidence has yet to emerge regarding the effectiveness and applicability of the Mediterranean diet on middle-aged Hispanic women, the largest female minority group in the United States who is at-risk of metabolic disorders. Objective: The aim of this study is to evaluate the effect of the Mediterranean diet (MED) on the BMI in middle-aged Hispanic women with pre-obesity and obesity in Central Washington State. Design: A prospective study was performed to determine the effect of Mediterranean diet on the BMI of 67 Hispanic women with pre-obesity and obesity between 45 to 65 years of age in Central Washington State. The study was carried out for eight weeks. Dietary adherence was monitored to ensure consistent results. Results: The proportion of Hispanic women who reported a reduction in BMI was 94%, with a decrease in mean BMI after eight weeks of 2.8 (95% CI: 2.5 to 3.0) and P = 0.02, with an odds ratio of 2.6. Multiple linear regression analysis was used to adjust for age, education, physical activity, and smoking. Conclusion: The reduction in BMI demonstrates that the Mediterranean diet can be a promising, culturally appropriate therapy to address the obesity epidemic that is prevalent among Hispanic women.
- Centers for Disease Control and Prevention (2016) Deaths: Leading Causes for 2016. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm.
- Cawley, J. and Meyerhoefer, C. (2012) The Medical Care Costs of Obesity: An Instrumental Variables Approach. Journal of Health Economics, 31, 219-230. https://doi.org/10.1016/j.jhealeco.2011.10.003
- U.S. Census Bureau (2010) Hispanics in Washington State. http://www.census.gov.libweb.ben.edu/2010census/
- Hales, C.M., Carroll, M.D., Fryar, C.D. and Ogden, C.L. (2017) Prevalence of Obesity among Adults and Youth: United States, 2015-2016. NCHS Data Brief; No. 288. National Center for Health Statistics, Hyattsville, MD.
- Daviglus, M.L., Talavera, G.A., Avilés-Santa, M.L., Allison, M., Cai, J., et al. (2012) Prevalence of Major Cardiovascular Risk Factors and Cardiovascular Diseases among Hispanic/Latino Individuals of Diverse Backgrounds in the United States. Journal of the American Medical Association, 308, 1775-1784. https://doi.org/10.1001/jama.2012.14517
- ASPE (2011) Overview of the Uninsured in the United States: A Summary of the 2011 Current Population Survey. https://aspe.hhs.gov/basic-report/overview-uninsured-united-states- summary-2011-current-population-survey.
- Ahmad, S., Moorthy, M.V., Demler, O.V., Hu, F.B., Ridker, P.M., Chasman, D.I., et al. (2018) Assessment of Risk Factors and Biomarkers Associated With Risk of Cardiovascular Disease among Women Consuming a Mediterranean Diet. JAMA Network Open, 1, e185708. https://doi.org/10.1001/jamanetworkopen.2018.5708
- Voelker, R. (2018) The Mediterranean Diet’s Fight against Frailty. Journal of the American Medical Association, 319, 1971-1972. https://doi.org/10.1001/jama.2018.3653
- Nordmann, A.J., Suter-Zimmermann, K., Bucher, H.C., Shai, I., Tuttle, K.R., Estruch, R., et al. (2011) Meta-Analysis Comparing Mediterranean to Low-Fat Diets for Modification of Cardiovascular Risk Factors. The American Journal of Medicine, 124, 841-851. https://doi.org/10.1016/j.amjmed.2011.04.024
- Eguaras, S., Toledo, E., Hernandez-Hernandez, A., Cervantes, S. and Martinez-Gonzalez, M.A. (2015) Better Adherence to the Mediterranean Diet Could Mitigate the Adverse Consequences of Obesity on Cardiovascular Disease: The SUN Prospective Cohort. Nutrients, 7, 9154-9162. https://doi.org/10.3390/nu7115457
- Howarth, N.C., Saltzman, E. and Roberts, S.B. (2001) Dietary Fiber and Weight Regulation. Nutrition Reviews, 59, 129-139. https://doi.org/10.1111/j.1753-4887.2001.tb07001.x