Modified Mediterranean diet score adapted to a southern Mediterranean population and its relation to overweight and obesity risk

Kinany, Khaoula El; Deoula, Meimouna Mint Sidi; Hatime, Z.; Boudouaya, Hanae Abir; Atassi, Mariam; Asri, Achraf El; Benslimane, Abdelilah; Nejjari, Chakib; Ibrahimi, Sidi Adil; Λάγιου, Παγώνα; Rhazi, K. El

doi:10.1017/s1368980020002062

Cited by 8 publications

(8 citation statements)

References 34 publications

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Section: Introductionmentioning

confidence: 99%

“…Its main contributions are reflected in two aspects. The first aspect concerns the product choice: canned tuna fish, besides the importance under market and consumption perspectives and the severity of the environmental-related issues, is relevant as a key component of the Mediterranean diet (Prato and Biandolino, 2015), most of all among the southern regions (El Kinany et al, 2021;Galati et al, 2015Galati et al, , 2020Forleo et al, 2017). Tuna consumers' behaviour towards sustainability is a prerequisite for producers along the chain on their market decisions as well as under sustainable management and policy perspectives (Cantillo et al, 2020a).…”

Section: Introductionmentioning

confidence: 99%

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Are Italian consumers of canned tuna fish sensitive to environmentally sustainable product attributes?

Forleo

Romagnoli

Palmieri

2022

BFJ

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PurposeThe study aims to provide important insights into environmental attributes that are relevant to consumer's choices in purchasing canned tuna fish, and how much these attributes and socio-demographic individual characteristics relate to the frequency of consumption.Design/methodology/approachAn online survey of 251 Italians was carried out. Socio-demographic variables and environmental attributes of the product that consumers pay attention to were considered in a two-step analysis: a cluster analysis used to create a segmentation of people's profiles that are further characterised; a binary logistic regression to assess the significance of attributes in relation to the frequency of canned tuna consumption.FindingsAmong attributes that respondents pay attention to when purchasing canned tuna, the country of origin is the aspect most considered, while other characteristics with a higher content of environmental sustainability received minimal attention. Three clusters emerged: the smallest one, insensitive to sustainability issues; an intermediate group which is mindful of sustainability attributes; and the biggest cluster which is “sustainability inconsistent.” Moreover, respondents who reported concerns about the environmental impacts of tuna production are less likely to consume the product than other consumers; attention paid to the method of farming, the presence of children and a young age show willingness to consume tuna.Originality/valueThis study contributes to the literature on canned tuna consumption by focusing on the attention that consumers pay to environmental product attributes in their purchasing choices. The relevance of this topic might be envisaged in relation to several environmental issues associated with tuna production and consumption, and to the economics and strategies of the tuna industry, being canned tuna among the most internationally traded seafood products.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are Italian consumers of canned tuna fish sensitive to environmentally sustainable product attributes?

Forleo

Romagnoli

Palmieri

2022

BFJ

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“…A scoring system was recently developed to represent the southern Mediterranean region using the MedD pyramid (6) . The Moroccan-modified MedD includes twelve components, with foods within the food groups specific to the Southern Mediterranean food culture as well as western-type foods (49) .…”

Section: Eastern and Southern Mediterranean Regionmentioning

confidence: 99%

Mediterranean diet scoring systems: understanding the evolution and applications for Mediterranean and non-Mediterranean countries

2021

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The Mediterranean diet (MedD) is a flexible dietary pattern which has such variability that has led to inconsistencies in definitions and assessment. The purpose of this narrative review is to evaluate scoring systems in a cultural and geographic context, from Mediterranean and non-Mediterranean countries, for comparison and application. The early MedD scoring systems (i.e. Trichopoulou’s MedD Scale (T-MDS) and alternative MedD Scale (aMed)) are widely applied throughout the world but use population-specific median cut-offs which limit interpretation and cross-study comparisons. The T-MDS and aMed also do not account for non-traditional MedD foods which are consumed in greater quantities than when the scoring systems were developed. Scoring systems developed after the MedD pyramid publication in 2011 have generally used these recommendations as a basis for food group intake cut-offs, incorporating more foods/food groups as negative components, and some have included dietary and lifestyle behaviours. The different approaches to MedD assessment have created much variability in the foods/food group components included in scoring systems. Assessments that include dietary and lifestyle behaviours may reflect the nutrition transition occurring in Mediterranean countries and better guide clinical intervention approaches. While the new scoring systems are theorised to better capture MedD adherence and behaviours, comparisons are sparse in the literature and none exists outside of Europe. Consensus on food and dietary behaviours to include as well as the methodology for assigning points in MedD scoring systems is needed to advance our understanding of MedD and health relationships to promote public health messaging and clinical application.

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“…Nonetheless, in our last-mentioned study [ 35 ], we used the Healthy Eating Index-2015 for diet quality assessment; this index focuses on the dietary recommendations for Americans, so it may not be adequate to characterize the diet of the European population. The Mediterranean diet (MD), on the other hand, is characteristic of the European southern area [ 36 ] and the aMED score may be a more adequate food model score to study the Portuguese dietary pattern. The MD is distinguished by consuming abundant quantities of vegetables, pulses, fruits, nuts, whole grain cereals, and unsaturated fatty acids, predominantly derived from olive oil.…”

Section: Introductionmentioning

confidence: 99%

Mediterranean Diet and Airway Inflammation in School-Aged Children

Rodrigues,

de Castro Mendes,

Padrão

et al. 2023

Children

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There seems to exist an intricate relationship between airway inflammation, body mass index (BMI), and diet. The intake of specific foods or food groups has been suggested to suppress the oxidative stress and inflammatory processes that characterize airway inflammation, but little is known about dietary patterns and their complex interplay with BMI and airway inflammation. Therefore, this cross-sectional study aimed to explore the association between adherence to the Mediterranean diet (MD), a characteristic European diet, and levels of airway inflammation in school-aged children, taking into account their BMI. This cross-sectional analysis comprised 660 children: 49.1% females, 7–12 years old. Adherence to the MD was assessed through the alternate Mediterranean score (aMED). Higher scores represent a healthier diet (0–8). Airway inflammation was assessed measuring exhaled fractional nitric oxide (eNO). Two categories of BMI were considered: non-overweight/non-obese (p < 85th) and overweight/obese (p ≥ 85th). The associations between diet and airway inflammation were estimated using logistic regression models. Higher scores of the aMED were associated with decreased odds of having eNO ≥ 35 ppb, but only in non-overweight/non-obese children (OR = 0.77; 95% CI, 0.61–0.97). For overweight/obese children, the previous association was not significant (OR = 1.57, 95% CI, 0.88–2.79). Our findings suggest that adherence to the MD is associated with lower levels of airway inflammation among non-overweight/non-obese children.

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Modified Mediterranean diet score adapted to a southern Mediterranean population and its relation to overweight and obesity risk

Cited by 8 publications

References 34 publications

Are Italian consumers of canned tuna fish sensitive to environmentally sustainable product attributes?

Are Italian consumers of canned tuna fish sensitive to environmentally sustainable product attributes?

Mediterranean diet scoring systems: understanding the evolution and applications for Mediterranean and non-Mediterranean countries

Mediterranean Diet and Airway Inflammation in School-Aged Children

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