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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?

2021-04-23Journal article Open access
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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.accessioned2021-07-13T15:00:59Z
dc.date.available2021-07-13T15:00:59Z
dc.date.issued2021-04-23
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.pt_PT
dc.description.sponsorshipFCT, Bulgarian Ministry of Education and Sciencept_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationQuarta, Stefano, Marika Massaro, Mihail Chervenkov, Teodora Ivanova, Dessislava Dimitrova, Rui Jorge, Vanda Andrade, Elena Philippou, Constantinos Zisimou, Viktorija Maksimova, Katarina Smilkov, Darinka G. Ackova, Lence Miloseva, Tatjana Ruskovska, Georgia E. Deligiannidou, Christos A. Kontogiorgis, Julio Sánchez-Meca, Paula Pinto, and María-Teresa García-Conesa. 2021. "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 13, no. 5: 1432. https://doi.org/10.3390/nu13051432pt_PT
dc.identifier.doi10.3390/nu13051432pt_PT
dc.identifier.eissn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.15/3520
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationFCT-Fundacao para a Ciencia e Tecnologia/Ministerio da Educacao e Ciencia UIDP/04748/2020pt_PT
dc.relationBulgarian Ministry of Education and Science 577/17.08.2018pt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2072-6643/13/5/1432pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectDiet Surveyspt_PT
dc.subjectEuropept_PT
dc.subjectFood Preferencespt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectYoung Adultpt_PT
dc.subjectDiet, Mediterraneanpt_PT
dc.subjectPlants, Ediblept_PT
dc.subjectRecommended Dietary Allowancespt_PT
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?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBaselpt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage1432pt_PT
oaire.citation.titleNutrientspt_PT
oaire.citation.volume13pt_PT
person.familyNameJorge
person.familyNameFalcão Espada Lopes de Andrade
person.familyNamePaula S F S Pinto
person.givenNameRui
person.givenNameVanda Maria
person.givenNameMaria
person.identifier.ciencia-id7D1D-0A75-A4B7
person.identifier.ciencia-id6D1B-AC87-16EE
person.identifier.ciencia-id011F-62A8-AE04
person.identifier.orcid0000-0002-5261-2688
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd3474cac-b596-4a55-8584-41b8e5efc137
relation.isAuthorOfPublication234e40fd-c190-4a90-b5c5-81e0e97aa9f2
relation.isAuthorOfPublication2260faef-53cb-403f-a0ea-637298da3dc7
relation.isAuthorOfPublication.latestForDiscovery234e40fd-c190-4a90-b5c5-81e0e97aa9f2

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