To evaluate the level of adherence to the Mediterranean diet pattern overall and to specific dietary components, among Albanian adults. Design and Setting: This is a cross-sectional study carried out during June -July 2019 in Vlora and Fieri cities, Albania. The study population consisted of 209 adults, randomly selected. Participation rate was 73%. Adherence to the Mediterranean diet was assessed via an online questionnaire based on the previously validated and translated 14 item questionnaire PREDIMED (Prevención com Dieta Mediterránea). Results: Most of the participants enrolled in the study were women (63%) and between 18-35 years of age (76.1%) . The majority of the participants had moderate adherence to Mediterranean diet (57.4%) and only 14.4% of them had high adherence. Higher adherence was reported for the use of olive oil as the primary culinary fat (72.7%), whereas lowest adherence was achieved for wine consumption (12.4%). Mean Mediterranean diet score did not differ significatly between women and men. Conclusions: There is a worldwide trend to adopt unhealthy eating behaviour and the results of this study indicate that eating patterns and lifestyle habits in the population have to be improved. We recommend that there is a strong need for effective strategies to promote healthy behaviour and to implement Mediterranean diet by more individuals.
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