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Exploring the validity of the 14-item mediterranean diet adherence screener (MEDAS): a cross-national study in seven european countries around the Mediterranean region

2020-10Contribution to journal Open access
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorGarcía-Conesa, María-Teresa
dc.contributor.authorPhilippou, Elena
dc.contributor.authorPafilas, Christos
dc.contributor.authorMassaro, Marika
dc.contributor.authorQuarta, Stefano
dc.contributor.authorAndrade, Vanda
dc.contributor.authorJorge, Rui
dc.contributor.authorChervenkov, Mihail
dc.contributor.authorIvanova, Teodora
dc.contributor.authorDimitrova, Dessislava
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.authorPinto, Paula
dc.date.accessioned2025-07-21T15:39:51Z
dc.date.available2025-07-21T15:39:51Z
dc.date.issued2020-10
dc.description.abstractThis study provides comprehensive validation of the 14-item Mediterranean Diet Adherence Screener (14-MEDAS) in an adult population from Greece (GR), Portugal (PT), Italy (IT), Spain (SP), Cyprus (CY), Republic of North Macedonia (NMK), and Bulgaria (BG). A moderate association between the 14-MEDAS and the reference food diary was estimated for the entire population (Pearson r = 0.573, p-value < 0.001; Intraclass Correlation Coefficient (ICC) = 0.692, p-value < 0.001) with the strongest correlation found in GR, followed by PT, IT, SP, and CY. These results were supported by kappa statistics in GR, PT, IT, and SP with ≥50% of food items exhibiting a fair or better agreement. Bland–Altman analyses showed an overestimation of the 14-MEDAS score in the whole population (0.79 ± 1.81, 95%Confidence Interval (CI) 0.61, 0.96), but this value was variable across countries, with GR, NMK, and BG exhibiting the lowest bias. Taking all analyses together, the validation achieved slightly better results in the Mediterranean countries but a definitive validation ranking order was not evident. Considering growing evidence of the shift from Mediterranean Diet (MD) adherence and of the importance of culture in making food choices it is crucial that we further improve validation protocols with specific applications to measure and compare MD adherence across countries and to relate it to the health status of a specific population.eng
dc.identifier.citationGarcía-Conesa, M.-T., Philippou, E., Pafilas, C., Massaro, M., Quarta, S., Andrade, V., Jorge, R., Chervenkov, M., Ivanova, T., Dimitrova, D., Maksimova, V., Smilkov, K., Ackova, D. G., Miloseva, L., Ruskovska, T., Deligiannidou, G. E., Kontogiorgis, C. A., & Pinto, P. (2020). Exploring the Validity of the 14-Item Mediterranean Diet Adherence Screener (MEDAS): A Cross-National Study in Seven European Countries around the Mediterranean Region. Nutrients, 12(10), 2960. https://doi.org/10.3390/nu12102960
dc.identifier.doi10.3390/nu12102960
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.26/58144
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/nu12102960
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMediterranean Diet
dc.subjectValidation
dc.subjectdietary health benefits
dc.subjectdietary assessment
dc.subjectfood frequency questionnaire
dc.subjectbody mass index
dc.subjectdiet quality
dc.subjectdiet adherence
dc.subjectsurvey instruments
dc.subjectSouthern Europe
dc.subjectDietary assessment
dc.titleExploring the validity of the 14-item mediterranean diet adherence screener (MEDAS): a cross-national study in seven european countries around the Mediterranean regioneng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue10
oaire.citation.startPage2960
oaire.citation.titleNutrients
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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