Adherence to Mediterranean diet and prevalence of differentiated thyroid cancer: a single-center Unit of Thyroid Surgery experience in a Southern-Italy cohort.

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Minerva endocrinology Pub Date : 2024-09-30 DOI:10.23736/S2724-6507.24.04173-3
Alessandro Monaco, Ludovica Verde, Marcello Filograna Pignatelli, Annamaria Docimo, Sonia Ferrandes, Luigi Barrea, Francesco Calisti, Giovanni Cozzolino, Giovanna Muscogiuri, Giovanni Docimo
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Abstract

Background: The Mediterranean diet (MD) is recognized as a cultural heritage by UNESCO, thus, is a nutritional model widely spread in all Mediterranean countries. As already demonstrated by several studies, high adherence to MD is a protective factor against many chronic diseases. Conversely, poor adherence to the diet is correlated with an increased prevalence of these pathologies. The aim of the current study was to investigate the relationship between the adherence to MD and the prevalence of benign and malignant thyroid disease.

Methods: We analyzed the health status of 60 patients, referred to total thyroidectomy and histological examination, due to nodular thyroid disease. Eating habits were evaluated according to the PREDIMED questionnaire, and patients' results were evaluated according to histological findings of benign or malignant disease.

Results: PREDIMED Score was lower in patients with malignant thyroid disease (MTD) than those with benign thyroid disease (BTD) (5.27±0.87 vs. 7.00±1.23, respectively; P value <0.001). A significant correlation was found between poor adherence to MD and diagnosis of MTD (r=0.454; P<0.001). Excessive consumption of butter and sugary drinks, along with low consumption of pasta, white meat, and rice were found to be predictive factors of MTD.

Conclusions: In our cohort, a PREDIMED Score ≤7 resulted significantly related to MTD diagnosis, while a good adherence to MD resulted associated with BTD. Moreover, high consumption of sweetened beverages seemed to predict MTD histologic diagnosis, while, conversely, low consumption resulted predictor of BTD. Nevertheless, more studies are needed to evaluate the effective impact of MD on MTD incidence on larger cohorts.

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坚持地中海饮食与分化型甲状腺癌的发病率:意大利南部队列中甲状腺外科单中心的经验。
背景:地中海饮食(Mediterranean diet,MD)被联合国教科文组织认定为文化遗产,因此是一种在所有地中海国家广泛传播的营养模式。多项研究表明,高度坚持地中海饮食是预防多种慢性疾病的保护因素。相反,对饮食的不良坚持则与这些病症的发病率增加有关。本研究的目的是调查坚持MD与甲状腺良性和恶性疾病发病率之间的关系:我们分析了60名因甲状腺结节病而接受甲状腺全切除术和组织学检查的患者的健康状况。根据 PREDIMED 问卷对饮食习惯进行评估,并根据良性或恶性疾病的组织学检查结果对患者的健康状况进行评估:结果:恶性甲状腺疾病(MTD)患者的 PREDIMED 评分低于良性甲状腺疾病(BTD)患者(分别为 5.27±0.87 对 7.00±1.23;P 值 结论:在我们的队列中,PREDIMED 评分低于良性甲状腺疾病(BTD)患者(分别为 5.27±0.87 对 7.00±1.23;P 值):在我们的队列中,PREDIMED评分≤7与MTD诊断有显著相关性,而良好的MD依从性则与BTD相关。此外,甜饮料的高消费量似乎预示着 MTD 的组织学诊断,反之,低消费量则预示着 BTD。尽管如此,还需要更多的研究来评估 MD 对更大规模的 MTD 发病率的有效影响。
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146
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