1. 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?
- Author
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Marika Massaro, Dessislava Dimitrova, Christos Kontogiorgis, Teodora Ivanova, Stefano Quarta, María-Teresa García-Conesa, Mihail Chervenkov, Katarina Smilkov, Lence Miloseva, Tatjana Ruskovska, Darinka Gjorgieva Ackova, Rui Jorge, Julio Sánchez-Meca, Vanda Andrade, Paula Pinto, Georgia Eirini Deligiannidou, Constantinos Zisimou, Elena Philippou, and Viktorija Maksimova
- Subjects
Adult ,Male ,0301 basic medicine ,Mediterranean climate ,Mediterranean diet ,White meat ,body mass index ,14-MEDAS ,Diet, Mediterranean ,Recommended Dietary Allowances ,Diet Surveys ,Article ,Food Preferences ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Food choice ,Humans ,Medicine ,sex ,TX341-641 ,030212 general & internal medicine ,dietary habits ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Nutrition. Foods and food supply ,disease status ,Plant based ,diet adherence ,Middle Aged ,Anthropometry ,Europe ,food choices ,age ,Red meat ,MeDiWeB questionnaire ,Plants, Edible ,business ,Body mass index ,Food Science ,Demography - Abstract
The 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.
- Published
- 2021
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