Mediterranean diet assessment challenges: Validation of the Croatian Version of the 14-item Mediterranean Diet Serving Score (MDSS) Questionnaire

Marendić, Mario; Polić, Nikolina; Matek, Helena; Oršulić, Lucija; Polašek, Ozren; Kolčić, Ivana

doi:10.1371/journal.pone.0247269

Cited by 25 publications

(24 citation statements)

References 56 publications

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“…The second part of the survey was the Mediterranean Diet Serving Score (MDSS), a reliable, validated 14-item questionnaire with a verified Croatian version [30,31]. The MDSS is used to assess the adherence to the MD, and it is updated by the latest guidelines of the Mediterranean Diet Pyramid based on the frequency of consuming certain food and food groups and scoring them by one (1), two (2) or three (3) points depending on the recommendation on intake.…”

Section: Questionnairesmentioning

confidence: 99%

Adherence to the Mediterranean Diet and Its Association with the Level of Physical Activity in Fitness Center Users: Croatian-Based Study

et al. 2021

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The Mediterranean diet (MD) is based on the traditional cuisine of south European countries, and it is considered one of the healthiest dietary patterns worldwide. The promotion of combined MD and physical activity has shown major benefits. However, the association between physical activity and the MD in regular fitness center users is still insufficiently investigated. This cross-sectional survey-based study was conducted on 1220 fitness center users in Croatia. The survey consisted of three parts: general information, the Mediterranean Diet Serving Score (MDSS) and the International Physical Activity Questionnaire Short Form (IPAQ-SF). The results showed that 18.6% of fitness center users were adherent to the MD, and there was a significant positive correlation between the level of physical activity and the MDSS score (r = 0.302, p < 0.001). Moreover, after dividing the sample into tertiles based on the IPAQ-SF score, the third tertile (MET > 3150 min/wk) had the most fitness center users (34.4%) adherent to the MD, while the first tertile (MET < 1750 min/wk) had the least (6.1%). These outcomes emphasize the importance of physical activity as they imply that, with higher levels of physical activity, people are also possibly more aware of the importance that a healthy and balanced diet has on their well-being.

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Section: Questionnairesmentioning

confidence: 99%

Adherence to the Mediterranean Diet and Its Association with the Level of Physical Activity in Fitness Center Users: Croatian-Based Study

et al. 2021

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“…The second part of the questionnaire was MDSS, a useful instrument often used to measure overall diet quality according to the principles of the MD[ 20 ]. MDSS is based on the recommended intake of 14 food groups in the Mediterranean food pyramid[ 18 ]. While scoring the questionnaire, three points were awarded to those participants who met the appropriate recommended frequency of consumption of the following food groups: Fruits, vegetables, cereals (bread, pasta, rice), and olive oil.…”

Section: Methodsmentioning

confidence: 99%

“…A score of over 13.5 points is considered as good adherence to MD principles. The reliability and validity of the Croatian version of the 14-item MDSS questionnaire in assessment of adherence to MD was evaluated by Marendić et al [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Although MD and AGEs levels have already been investigated in patients with DM, there is scarce information regarding their mutual interconnections. Hence, the main aim of this study was to examine the association between adherence to the MD and CV risk/AGEs skin levels, in patients with DM type II[ 18 , 19 ]. In addition, we examined the association of anthropometric characteristics, glycaemic control, and physical activity with AGEs levels in the same group of patients.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to Mediterranean diet and advanced glycation endproducts in patients with diabetes

Grahovac¹,

Kumrić²,

Vilović³

et al. 2021

WJD

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BACKGROUND In recent years, American Diabetes Association started to strongly advocate the Mediterranean diet (MD) over other diets in patients with diabetes mellitus (DM) because of its beneficial effects on glycemic control and cardiovascular (CV) risk factors. Tissue levels of advanced glycation endproducts (AGEs) emerged as an indicator of CV risk in DM. Skin biopsy being invasive, the use of AGE Reader has been shown to reflect tissue AGEs reliably. AIM To examine the association between adherence to MD and AGEs in patients with DM type II. METHODS This cross-sectional study was conducted on 273 patients with DM type II. A survey questionnaire was composed of 3 separate sections. The first part of the questionnaire included general data and the habits of the participants. The second part aimed to assess the basic parameters of participants’ diseases and associated conditions. The third part of the questionnaire was the Croatian version of the 14-item MD service score (MDSS). AGEs levels and associated CV risk were measured using AGE Reader (DiagnOptics Technologies BV, Groningen, The Netherlands). RESULTS A total of 27 (9.9%) patients fulfilled criteria for adherence to MD, with a median score of 8.0 (6.0-10.0). Patients with none/limited CV risk had significantly higher percentage of MD adherence in comparison to patients with increased/definite CV risk (15.2% vs 6.9%, P = 0.028), as well as better adherence to guidelines for nuts (23.2% vs 12.6%, P = 0.023) and legumes (40.4% vs 25.9%, P = 0.013) consumption. Higher number of patients with glycated hemoglobin (HbA1c) < 7% adhered to MD when compared to patients with HbA1c > 7% (14.9% vs 7.3%, P = 0.045). Moreover, those patients followed the MDSS guidelines for eggs (33.0% vs 46.8%, P = 0.025) and wine (15.6% vs 29.8%, P = 0.006) consumption more frequently. MDSS score had significant positive correlation with disease duration ( r = 0.179, P = 0.003) and negative correlation with body mass index (BMI) values ( r = -0.159, P = 0.008). In the multiple linear regression model, BMI (β ± SE, -0.09 ± 0.04, P = 0.037) and disease duration (β ± SE, 0.07 ± 0.02, P < 0.001) remained significant independent correlates of the MDSS score. Patients with HbA1c > 7% think that educational programs on nutrition would be useful for patients in significantly more cases than patients with HbA1c < 7% (98.9% vs 92.6%, P = 0.009). ...

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“…The results of the IPAQ-SF were used to calculate MET (metabolic equivalent of task) minutes per week (min/week) scores according to the following formulas [33] The third part of the survey was the Mediterranean Diet Serving Score (MDSS). The MDSS is a reliable 14-item questionnaire which was validated in the Croatian language [34,35]. The MDSS is used to assess adherence to the MD, and it is updated by the latest guidelines of the Mediterranean Diet Pyramid, based on the frequency of consuming certain foods and food groups and scoring them by one (1), two (2) or three (3) points, depending on the recommendation of intake.…”

Section: Questionnairesmentioning

confidence: 99%

Adherence to Mediterranean Diet and Tendency to Orthorexia Nervosa in Professional Athletes

et al. 2022

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Among many lifestyle components that professional athletes have to follow, nutrition is gradually growing to be one of the key factors for achieving and maintaining optimal sport performance. The Mediterranean diet (MD) is recognized as one of the healthiest dietary patterns worldwide; however, data regarding adherence to the MD among professional athletes are still scarce. Moreover, with the imposed need for a healthy diet among professional athletes, orthorexia nervosa (ON) could become a rising issue. This cross-sectional study included 150 professional athletes and 150 matched recreational athletes from Croatia. Four questionnaires were used for the assessment: general information, a test for the diagnosis of ON (ORTO-15), the International Physical Activity Questionnaire (IPAQ) and the Mediterranean Diet Serving Score (MDSS). Significantly more professional athletes were adherent to the MD (p < 0.001) and had a tendency to ON (p < 0.001). Moreover, there was a significant negative correlation between the ORTO-15 score and the total MET min/week score (r = −0.524, p < 0.001) and a significant positive correlation between the MDSS score and the total MET min/week score in the professional athlete group (r = 0.478, p < 0.001). All of these results imply that professional athletes are more concentrated on their dietary patterns than recreational athletes, and that due to this dedication, they possibly have a higher adherence to the MD but also possibly a higher risk for developing ON. However, the association between ON and the MD should be further addressed in the future.

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Mediterranean diet assessment challenges: Validation of the Croatian Version of the 14-item Mediterranean Diet Serving Score (MDSS) Questionnaire

Cited by 25 publications

References 56 publications

Adherence to the Mediterranean Diet and Its Association with the Level of Physical Activity in Fitness Center Users: Croatian-Based Study

Adherence to the Mediterranean Diet and Its Association with the Level of Physical Activity in Fitness Center Users: Croatian-Based Study

Adherence to Mediterranean diet and advanced glycation endproducts in patients with diabetes

Adherence to Mediterranean Diet and Tendency to Orthorexia Nervosa in Professional Athletes

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