Pub Date : 2026-01-01DOI: 10.1016/j.pmedr.2026.103374
Kora-Mareen Bühler , Javier Calleja-Conde , Carlo Bressa , Félix Gómez-Gallego , Jacobo Albert , Mateo Pérez-Wiesner , Jose Antonio López-Moreno
Objectives
This study examined whether adherence to the Mediterranean Diet (MedDiet) is associated with emotional states, lifestyle behaviors, and subjective well-being in Spanish adults.
Methods
We conducted a cross-sectional survey in Spain between July and October 2023 of 2751 adults across 14 major cities. Participants completed digital questionnaires on weekly frequency of six basic emotions, anxiety, life satisfaction, happiness, and health behaviors. MedDiet adherence was assessed via a weighted 15-item score and categorized into tertiles. Associations were examined using multivariate, covariate-adjusted models.
Results
Higher MedDiet adherence was significantly associated with greater joy and surprise, and lower anger, disgust, and sadness (all p < 0.05). Participants in the highest tertile reported more frequent sport (p < 0.01), cooking, and social activities, along with higher life satisfaction and happiness (p < 0.01). Beer and wine showed distinct patterns: beer was linked to greater anger, whereas wine related to more sport and reduced anxiety.
Conclusions
MedDiet adherence reflects a lifestyle characterized by emotional balance and well-being, with distinct psychosocial patterns for wine and beer.
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Pub Date : 2026-01-01DOI: 10.1016/j.pmedr.2025.103360
Meseret Derbew Molla , Erin L. Symonds , Jean M. Winter , Charles Cock , Molla M. Wassie
Objective
To assess association between metabolic obesity phenotypes and risk of colorectal neoplasia in a South Australian surveillance colonoscopy population.
Methods
A retrospective cohort study in individuals undergoing surveillance colonoscopy between February 24, 2021, to May 25, 2024, was conducted. The four groups based on obesity and metabolic health status were: metabolically healthy non-obesity (MHNO) or obesity (MHO) and metabolically unhealthy non-obesity (MUNO) or obesity (MUO). Metabolically unhealthy status based on the presence of type 2 diabetes, hypertension, or dyslipidemia) and colonoscopy outcomes were collected from clinical databases. Multivariable logistic regression was applied in the overall as well as subgroup analysis by sex of participants.
Results
Both MHO (adjusted odds ratio (AOR) = 1.36, 95 % CI 1.00, 1.85) and MUO (AOR = 1.39, 95 % CI 1.11,1.76) were positively associated with the risk of conventional adenoma but not with serrated polyps as compared to non-neoplastic groups. An increased risk of advanced conventional adenoma was observed in individuals with MHO (AOR = 1.38, 95 % CI 1.04, 1.83) and MUO (AOR = 1.27, 95 % CI 1.03,1.58). This risk for advanced conventional adenomas was significant in male participants, but not in females.
Conclusions
Obesity, independent of other metabolic diseases, was associated with a higher risk of conventional adenoma, particularly in males.
目的评估南澳大利亚监测结肠镜人群中代谢性肥胖表型与结直肠瘤变风险之间的关系。方法对2021年2月24日至2024年5月25日接受结肠镜检查的患者进行回顾性队列研究。根据肥胖和代谢健康状况分为代谢健康非肥胖(MHNO)或肥胖(MHO)组和代谢不健康非肥胖(MUNO)或肥胖(MUO)组。代谢不健康状态(基于2型糖尿病、高血压或血脂异常)和结肠镜检查结果从临床数据库中收集。多变量逻辑回归应用于参与者性别的整体和亚组分析。结果与非肿瘤组相比,MHO(调整优势比(AOR) = 1.36, 95% CI 1.00, 1.85)和MUO (AOR = 1.39, 95% CI 1.11,1.76)与常规腺瘤的风险呈正相关,但与锯齿状息肉的风险无关。MHO (AOR = 1.38, 95% CI 1.04, 1.83)和MUO (AOR = 1.27, 95% CI 1.03,1.58)患者发生晚期常规腺瘤的风险增加。晚期常规腺瘤的风险在男性参与者中显著,但在女性中不显著。结论肥胖与其他代谢性疾病无关,与常规腺瘤的高风险相关,尤其是男性。
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引用次数: 0
IF 2.4 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH