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Abstract：
OBJECTIVE: This study aims to identify the association between adherence to healthy eating, using the Lebanese Mediterranean Diet Scale (LMDS), and cardiovascular risk factors in the Lebanese population.
METHODS: A cross-sectional study using a multistage cluster sample was conducted in Lebanon. Sociodemographic characteristics were collected through structured interviews and self-administered questionnaires. The LMDS assessed dietary habits. The associations between diabetes, dyslipidemia, and cardiovascular disease were investigated using stratification analysis.
RESULTS: The study included 2048 people (mean age: 41.54 ± 17.09 years). Higher adherence to the Mediterranean diet was associated with older age (Beta = 0.175, p < 0.001), being female (Beta = 0.085, p = 0.001), being married (Beta = 0.054, p = 0.047), participating in regular physical activity (Beta = 0.142, p < 0.001), and having cardiovascular disease (Beta = 0.115, p < 0.001) and diabetes (Beta = 0.055, p = 0.043). Adherence was, however, negatively associated with being a smoker (Beta = -0.083, p = 0.002), a previous smoker (Beta = -0.059, p = 0.026), and having higher distress levels (Beta = -0.079, p = 0.002). Stratification analysis by diabetes, dyslipidemia, and cardiovascular disease (CVD) consistently demonstrated these associations.
CONCLUSIONS: These findings suggest that demographic and health factors influence the Lebanese population\'s adherence to the Mediterranean diet. Older age, female gender, married status, physical activity, CVD, and diabetes were all found to be associated with adherence to the Mediterranean diet in the Lebanese population. In contrast, smoking and distress were inversely associated with it.
METHODS: A cross-sectional study using a multistage cluster sample was conducted in Lebanon. Sociodemographic characteristics were collected through structured interviews and self-administered questionnaires. The LMDS assessed dietary habits. The associations between diabetes, dyslipidemia, and cardiovascular disease were investigated using stratification analysis.
RESULTS: The study included 2048 people (mean age: 41.54 ± 17.09 years). Higher adherence to the Mediterranean diet was associated with older age (Beta = 0.175, p < 0.001), being female (Beta = 0.085, p = 0.001), being married (Beta = 0.054, p = 0.047), participating in regular physical activity (Beta = 0.142, p < 0.001), and having cardiovascular disease (Beta = 0.115, p < 0.001) and diabetes (Beta = 0.055, p = 0.043). Adherence was, however, negatively associated with being a smoker (Beta = -0.083, p = 0.002), a previous smoker (Beta = -0.059, p = 0.026), and having higher distress levels (Beta = -0.079, p = 0.002). Stratification analysis by diabetes, dyslipidemia, and cardiovascular disease (CVD) consistently demonstrated these associations.
CONCLUSIONS: These findings suggest that demographic and health factors influence the Lebanese population\'s adherence to the Mediterranean diet. Older age, female gender, married status, physical activity, CVD, and diabetes were all found to be associated with adherence to the Mediterranean diet in the Lebanese population. In contrast, smoking and distress were inversely associated with it.
摘要：
目的：本研究旨在确定坚持健康饮食之间的关联，使用黎巴嫩地中海饮食量表（LMDS），以及黎巴嫩人口中的心血管危险因素。
方法：在黎巴嫩进行了一项使用多级集群样本的横断面研究。通过结构化访谈和自我管理问卷收集社会人口统计学特征。LMDS评估了饮食习惯。糖尿病之间的联系，血脂异常,和心血管疾病采用分层分析。
结果：该研究包括2048人（平均年龄：41.54±17.09岁）。坚持地中海饮食与年龄较大有关(β=0.175,p<0.001),为女性（Beta=0.085，p=0.001），已婚（Beta=0.054，p=0.047），参加有规律的体力活动（β=0.142，p<0.001），患有心血管疾病（β=0.115，p<0.001）和糖尿病（β=0.055，p=0.043）。坚持是，然而,与吸烟者呈负相关(β=-0.083，p=0.002)，以前的吸烟者（Beta=-0.059，p=0.026），并具有较高的痛苦水平(β=-0.079，p=0.002)。按糖尿病分层分析，血脂异常,和心血管疾病（CVD）一致证明了这些关联。
结论：这些研究结果表明，人口统计学和健康因素影响黎巴嫩人口对地中海饮食的坚持。年纪大了,女性性别,婚姻状况,身体活动,CVD,和糖尿病都被发现与黎巴嫩人口坚持地中海饮食有关。相比之下,吸烟和痛苦与它成反比。
方法：在黎巴嫩进行了一项使用多级集群样本的横断面研究。通过结构化访谈和自我管理问卷收集社会人口统计学特征。LMDS评估了饮食习惯。糖尿病之间的联系，血脂异常,和心血管疾病采用分层分析。
结果：该研究包括2048人（平均年龄：41.54±17.09岁）。坚持地中海饮食与年龄较大有关(β=0.175,p<0.001),为女性（Beta=0.085，p=0.001），已婚（Beta=0.054，p=0.047），参加有规律的体力活动（β=0.142，p<0.001），患有心血管疾病（β=0.115，p<0.001）和糖尿病（β=0.055，p=0.043）。坚持是，然而,与吸烟者呈负相关(β=-0.083，p=0.002)，以前的吸烟者（Beta=-0.059，p=0.026），并具有较高的痛苦水平(β=-0.079，p=0.002)。按糖尿病分层分析，血脂异常,和心血管疾病（CVD）一致证明了这些关联。
结论：这些研究结果表明，人口统计学和健康因素影响黎巴嫩人口对地中海饮食的坚持。年纪大了,女性性别,婚姻状况,身体活动,CVD,和糖尿病都被发现与黎巴嫩人口坚持地中海饮食有关。相比之下,吸烟和痛苦与它成反比。
