20.500.12556/RUL-155616 Effects of cardiac rehabilitation and diet counselling on adherence to the Mediterranean lifestyle in patients after myocardial infarction Adherence to the Mediterranean lifestyle—as captured by the Medlife Index Questionnaire (i.e., encompassing a Mediterranean diet as well as other aspects of healthy living, such as food preparation, physical activity, and socializing)—has been associated with reduced cardiovascular events in healthy individuals. In the present study, we sought to determine the adherence to, and the effect of comprehensive cardiac rehabilitation on, Mediterranean lifestyle adherence in patients after myocardial infarction. We included 121 patients (mean age, 55 years; women, 37%) undergoing comprehensive cardiac rehabilitation—i.e., exercise training 3 times per week for 12 weeks plus dedicated workshops promoting the Mediterranean lifestyle. Before and after cardiac rehabilitation, patients completed the Medlife Index Questionnaire. High baseline adherence was associated with favourable glucose (5.39 vs. 6.1 mmol/L; p < 0.001), triglycerides (1.1 vs. 1.5 mmol/L; p = 0.002), and HDL cholesterol levels (1.32 vs. 1.12 mmol/L; p = 0.032). More importantly, the Medlife Score significantly improved following comprehensive cardiac rehabilitation in patients with low baseline adherence (from 13.8 to 16.7 points; p < 0.001), but not in patients with high baseline adherence (from 19.4 to 18.8 points; p = 0.205). Our findings suggested that Mediterranean lifestyle promotion during cardiac rehabilitation improved adherence to the Mediterranean lifestyle, especially in low-adherence patients. Mediterranean diet Mediterranean lifestyle myocardial infarction coronary artery disease cardiac rehabilitation lipid status physical activity miokardni infarkt mediteranski način življenja mediteranska dieta koronarna arterijska bolezen lipidi fizična aktivnost true false true Angleški jezik Slovenski jezik Članek v reviji 2024-04-08 14:21:21 2024-04-08 14:21:22 2024-04-09 03:46:02 0000-00-00 00:00:00 2022 0 0 13 str. iss. 19, art. 4048 Vol. 14 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.1 2072-6643 10.3390/nu14194048 125311235 nutrients-14-04048.pdf nutrients-14-04048.pdf 1 D28A5A9B9620807193AAEACC00DE439C f0f11e3598342b0822fc47854bb680b9d6e3d68ee29651c1e20654083a67ecea e62420a8-f5a2-11ee-937a-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=182598 https://www.mdpi.com/2072-6643/14/19/4048 1 83579e9c-f5a2-11ee-937a-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=182597 Medicinska fakulteta 0 0 0