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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

2020-09-27Journal article Open access
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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.accessioned2020-12-28T11:07:54Z
dc.date.available2020-12-28T11:07:54Z
dc.date.issued2020-09-27
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 compare MD adherence across countries.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGarcía-Conesa MT, Philippou E, Pafilas C, Massaro M, Quarta S, Andrade V, Jorge R, Chervenkov M, Ivanova T, Dimitrova D, Maksimova V, Smilkov K, Ackova DG, Miloseva L, Ruskovska T, Deligiannidou GE, Kontogiorgis CA, Pinto P. 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. 2020 Sep 27;12(10):2960. doi: 10.3390/nu12102960. PMID: 32992649; PMCID: PMC7601687.pt_PT
dc.identifier.doi10.3390/nu12102960pt_PT
dc.identifier.pmid32992649
dc.identifier.urihttp://hdl.handle.net/10400.15/3164
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMediterranean dietpt_PT
dc.subjectvalidationpt_PT
dc.subjectdietary health benefitspt_PT
dc.subjectdietary assessmentpt_PT
dc.subjectfood frequency questionnaire;pt_PT
dc.subjectbody mass indexpt_PT
dc.subjectdiet qualitypt_PT
dc.subjectdiet adherencept_PT
dc.subjectsurvey instrumentspt_PT
dc.subjectSouthern Europept_PT
dc.subjectdietary assessmentpt_PT
dc.titleExploring the Validity of the 14-Item Mediterranean Diet Adherence Screener (MEDAS): A Cross-National Study in Seven European Countries around the Mediterranean Regionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue10pt_PT
oaire.citation.startPage2960pt_PT
oaire.citation.titleNutrientspt_PT
oaire.citation.volume12pt_PT
person.familyNameFalcão Espada Lopes de Andrade
person.familyNameJorge
person.familyNamePaula S F S Pinto
person.givenNameVanda Maria
person.givenNameRui
person.givenNameMaria
person.identifier.ciencia-id6D1B-AC87-16EE
person.identifier.ciencia-id7D1D-0A75-A4B7
person.identifier.ciencia-id011F-62A8-AE04
person.identifier.orcid0000-0002-5261-2688
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication234e40fd-c190-4a90-b5c5-81e0e97aa9f2
relation.isAuthorOfPublicationd3474cac-b596-4a55-8584-41b8e5efc137
relation.isAuthorOfPublication2260faef-53cb-403f-a0ea-637298da3dc7
relation.isAuthorOfPublication.latestForDiscoveryd3474cac-b596-4a55-8584-41b8e5efc137

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