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Persistent moderate-to-weak Mediterranean diet adherence and low scoring for plant-based foods across several Southern European countries : are we overlooking the Mediterranean diet recommendations?

2021-05Contribution to journal Open access
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorQuarta, Stefano
dc.contributor.authorMassaro, Marika
dc.contributor.authorChervenkov, Mihail
dc.contributor.authorIvanova, Teodora
dc.contributor.authorDimitrova, Dessislava
dc.contributor.authorJorge, Rui
dc.contributor.authorAndrade, Vanda
dc.contributor.authorPhilippou, Elena
dc.contributor.authorZisimou, Constantinos
dc.contributor.authorMaksimova, Viktorija
dc.contributor.authorSmilkov, Katarina
dc.contributor.authorAckova, Darinka Gjorgieva
dc.contributor.authorMiloseva, Lence
dc.contributor.authorRuskovska, Tatjana
dc.contributor.authorDeligiannidou, Georgia Eirini
dc.contributor.authorKontogiorgis, Christos A.
dc.contributor.authorSánchez-Meca, Julio
dc.contributor.authorPinto, Paula
dc.contributor.authorGarcía-Conesa, María-Teresa
dc.date.accessioned2025-10-10T09:13:11Z
dc.date.available2025-10-10T09:13:11Z
dc.date.issued2021-05
dc.description.abstractThe Mediterranean diet (MD) has been sponsored worldwide as a healthy and sustainable diet. Our aim was to update and compare MD adherence and food choices across several Southern European countries: Spain (SP), Portugal (PT), Italy (IT), Greece (GR), and Cyprus (CY) (MED, Mediterranean), and Bulgaria (BG) and the Republic of North Macedonia (NMK) (non-MED, non-Mediterranean). Participants (N = 3145, ≥18 y) completed a survey (MeDiWeB) with sociodemographic, anthropometric, and food questions (14-item Mediterranean Diet Adherence Screener, 14-MEDAS). The MED and non-MED populations showed moderate (7.08 ± 1.96) and weak (5.58 ± 1.82) MD adherence, respectively, with significant yet small differences across countries (SP > PT > GR > IT > CY > BG > NMK, p-value < 0.001). The MED participants scored higher than the non-MED ones for most of the Mediterranean-typical foods, with the greatest differences found for olive oil (OO) and white meat preference. In most countries, ≥70% of the participants reported quantities of red meat, butter, sweet drinks, and desserts below the recommended cutoff points, whereas <50% achieved the targets for plant-based foods, OO, fish, and wine. Being a woman and increasing age were associated with superior adherence (p-value < 0.001), but differences were rather small. Our results suggest that the campaigns carried out to support and reinforce the MD and to promote plant-based foods have limited success across Southern Europe, and that more hard-hitting strategies are needed.eng
dc.identifier.citationQuarta S, Massaro M, Chervenkov M, Ivanova T, Dimitrova D, Jorge R, Andrade V, Philippou E, Zisimou C, Maksimova V, et al. Persistent Moderate-to-Weak Mediterranean Diet Adherence and Low Scoring for Plant-Based Foods across Several Southern European Countries: Are We Overlooking the Mediterranean Diet Recommendations? Nutrients. 2021; 13(5):1432. https://doi.org/10.3390/nu13051432
dc.identifier.doi10.3390/nu13051432
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.26/59033
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/nu13051432
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMediterranean diet
dc.subjectMeDiWeB questionnaire
dc.subjectsex
dc.subjectage
dc.subjectbody mass index
dc.subjectdisease status
dc.subjectdiet adherence
dc.subjectdietary habits
dc.subjectfood choices
dc.subject14-MEDAS
dc.titlePersistent moderate-to-weak Mediterranean diet adherence and low scoring for plant-based foods across several Southern European countries : are we overlooking the Mediterranean diet recommendations?eng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue5
oaire.citation.startPage1432
oaire.citation.titleNutrients
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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