Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study

Bonaccio, Marialaura; Castelnuovo, Augusto Di; Bonanni, Americo; Costanzo, Simona; Lucia, Francesca De; Persichillo, Mariarosaria; Zito, Francesco; Donati, Maria Benedetta; Gaetano, Giovanni de; Iacoviello, Licia

doi:10.1016/j.numecd.2014.02.014

Cited by 132 publications

(139 citation statements)

References 20 publications

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“…Similar trend was observed in other adult populations (39,40). In the present study, we also found a relationship between educational status of parents and the MD adherence level.…”

Section: Discussionsupporting

confidence: 92%

Mediterranean diet adherence among Catalonian adolescents: socio-economic and lifestyle factors

Fauquet¹,

Sofi²,

López-Guimerà³

et al. 2016

Nutr Hosp

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ResumenObjetivo: el objetivo del artićulo consiste en describir, mediante el cuestionario KIDMED, la adherencia a la dieta mediterránea (DM) de una muestra de adolescentes catalanes y la asociación entre los niveles de adherencia a la DM y determinadas conductas relacionadas con el estilo de vida y los factores socioeconómicos. Material y métodos: los datos forman parte de un estudio longitudinal multicéntrico diseñado para evaluar los factores de riesgo relacionados con los problemas de la alimentación y el peso. En este trabajo se analizan, en un corte transversal, los datos de la lińea base recogidos en el periodo académico 2010-11. Los participantes fueron 1.502 adolescentes reclutados en 11 escuelas de la provincia de Barcelona. Resultados y conclusiones: los resultados indican un elevado nivel de adherencia a la DM cuando los padres tienen un nivel educativo alto y cuando los adolescentes presentan un bajo consumo de tiempo de pantalla y un nivel elevado de actividad fiśica semanal. AbstractAim: This study aims to describe the adherence to the Mediterranean diet (MD), using the KIDMED questionnaire, in a sample of Catalonian adolescents and to assess the association between the MD adherence and socio-economic and lifestyle behaviours. Material and methods: Data are part of a multi-centre longitudinal study designed for the reduction of risk factors of eating and weight-related problems in adolescents. Here, a cross-sectional analysis was performed with the baseline data, academic period 2010-11. The participants were 1,502 adolescents recruited from 11 schools from the province of Barcelona. Results and conclusions: The results showed a higher level of MD adherence when parents had higher educational level, and when adolescents reported a low level of screen-time, and high weekly physical activity. 1284J. Fauquet et al.

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“…Similar trend was observed in other adult populations (39,40). In the present study, we also found a relationship between educational status of parents and the MD adherence level.…”

Section: Discussionsupporting

confidence: 92%

Mediterranean diet adherence among Catalonian adolescents: socio-economic and lifestyle factors

Fauquet¹,

Sofi²,

López-Guimerà³

et al. 2016

Nutr Hosp

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“…A similar study performed in Spain reported an average MDSS score among women of 12.5 ± 2.7 (20). The percentage of participants who adhered to the Mediterranean diet in our study was comparable to or lower than figures obtained in other Mediterranean countries, eg, 32% in Greece (29) and 18% in Italy (30). However, it is not possible to make any in-depth comparisons between these studies and our results due to methodological differences and the differences in the definition of the Mediterranean diet adherence (17).…”

Section: Discussionsupporting

confidence: 70%

“…However, it is not possible to make any in-depth comparisons between these studies and our results due to methodological differences and the differences in the definition of the Mediterranean diet adherence (17). However, the majority of the studies do report a rather low percentage of people whose dietary pattern resembles the Mediterranean diet, especially in the youngest generations (30-33). …”

Section: Discussionmentioning

confidence: 99%

Mediterranean diet in the southern Croatia – does it still exist?

et al. 2016

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AimTo assess the adherence to the Mediterranean diet in the population of Dalmatia in southern Croatia.MethodsA cross-sectional study was performed within the 10 001 Dalmatians cohort, encompassing 2768 participants from Korčula and Vis islands and the City of Split, who were recruited during 2011-2014. Using the data obtained from food frequency questionnaire we calculated the Mediterranean Diet Serving Score (MDSS). Multivariate logistic regression was used to identify the characteristics associated with the adherence to the Mediterranean diet, with age, sex, place of residence, education attainment, smoking, and physical activity as covariates.ResultsThe median MDSS score was 11 out of 24 points (interquartile range 8-13), with the highest score recorded on the island of Vis. Participants reported a dietary pattern that had high compliance with the Mediterranean diet guidelines for consumption of cereals (87% met the criteria), potatoes (73%), olive oil (69%), and fish (61%), moderate for consumption of fruit (54%) and vegetables (31%), and low for consumption of nuts (6%). Overall, only 23% of the participants were classified as being adherent to the Mediterranean diet, with a particularly low percentage among younger participants (12%) compared to the older ones (34%). Men were less likely to show good adherence (odds ratio 0.52, 95% confidence interval 0.42-0.65).ConclusionThis study revealed rather poor compliance with the current recommendations on the Mediterranean diet composition in the population of Dalmatia. Public health intervention is especially needed in younger age groups and in men, who show the greatest departure from traditional Mediterranean diet and lifestyle.

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“…But, despite these well-documented health benefits and the low environmental impact of the MD, current surveys show a decline in its adherence in Northern, Southern, and Eastern Mediterranean countries, because of multifactorial influences – lifestyle changes, globalization of food markets, and economic and sociocultural factors (26, 31–39). …”

Section: Introductionmentioning

confidence: 98%

A Consensus Proposal for Nutritional Indicators to Assess the Sustainability of a Healthy Diet: The Mediterranean Diet as a Case Study

et al. 2016

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BackgroundThere is increasing evidence of the multiple effects of diets on public health nutrition, society, and environment. Sustainability and food security are closely interrelated. The traditional Mediterranean Diet (MD) is recognized as a healthier dietary pattern with a lower environmental impact. As a case study, the MD may guide innovative inter-sectorial efforts to counteract the degradation of ecosystems, loss of biodiversity, and homogeneity of diets due to globalization through the improvement of sustainable healthy dietary patterns. This consensus position paper defines a suite of the most appropriate nutrition and health indicators for assessing the sustainability of diets based on the MD.MethodsIn 2011, an informal International Working Group from different national and international institutions was convened. Through online and face-to-face brainstorming meetings over 4 years, a set of nutrition and health indicators for sustainability was identified and refined.ResultsThirteen nutrition indicators of sustainability relating were identified in five areas. Biochemical characteristics of food (A1. Vegetable/animal protein consumption ratios; A2. Average dietary energy adequacy; A3. Dietary Energy Density Score; A4. Nutrient density of diet), Food Quality (A5. Fruit and vegetable consumption/intakes; A6. Dietary Diversity Score), Environment (A7. Food biodiversity composition and consumption; A8. Rate of Local/regional foods and seasonality; A9. Rate of eco-friendly food production and/or consumption), Lifestyle (A10. Physical activity/physical inactivity prevalence; A11. Adherence to the Mediterranean dietary pattern), Clinical Aspects (A12. Diet-related morbidity/mortality statistics; A13. Nutritional Anthropometry). A standardized set of information was provided for each indicator: definition, methodology, background, data sources, limitations of the indicator, and references.ConclusionThe selection and analysis of these indicators has been performed (where possible) with specific reference to the MD. Sustainability of food systems is an urgent priority for governments and international organizations to address the serious socioeconomic and environmental implications of short-sighted and short-term practices for agricultural land and rural communities. These proposed nutrition indicators will be a useful methodological framework for designing health, education, and agricultural policies in order, not only to conserve the traditional diets of the Mediterranean area as a common cultural heritage and lifestyle but also to enhance the sustainability of diets in general.

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Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study

Cited by 132 publications

References 20 publications

Mediterranean diet adherence among Catalonian adolescents: socio-economic and lifestyle factors

Mediterranean diet adherence among Catalonian adolescents: socio-economic and lifestyle factors

Mediterranean diet in the southern Croatia – does it still exist?

A Consensus Proposal for Nutritional Indicators to Assess the Sustainability of a Healthy Diet: The Mediterranean Diet as a Case Study

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