Geospatial analysis of Mediterranean diet adherence in the United States

Chen, Mei‐Fang; Creger, Thomas; Howard, Virginia J.; Judd, Suzanne E.; Harrington, Kathy; Fontaine, Kevin R.

doi:10.1017/s1368980020001135

Cited by 12 publications

(15 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In agreement with previous versions, the 2020–2025 version of the Dietary Guidelines for Americans [ 11 ] currently includes the Healthy Mediterranean-Style Dietary Pattern, which is considered a variation of the Healthy US-Style Dietary Pattern, based on the types and proportions of foods typically consumed by Americans, although in nutrient-dense forms and appropriate amounts. A very recent study conducted a geospatial analysis of Mediterranean diet adherence (assessed by the MD adherence score) in the US [ 54 ], collecting data across the US regions and exploring the predictive factors of such adherence among US adults (over 20,000 participants). High adherence was observed in 46.5% of the sample.…”

Section: Adherence To the Mediterranean Diet And Geographic Location ...mentioning

confidence: 99%

Adherence to the Mediterranean Diet: Impact of Geographical Location of the Observations

et al. 2022

View full text Add to dashboard Cite

The Mediterranean diet has emerged as a comprehensive lifestyle, including specific foods and meal composition and a set of behavioural and social features. Adherence to the Mediterranean diet has been shown to promote health and reduce the prevalence of chronic diseases. The actual implementation of the Mediterranean diet is affected by several sociocultural factors as well as geographical components. Indeed, the geographical location, such as a specific country or different areas in a country and specific latitude and climate, appears to be an important factor that may strongly affect the implementation of the Mediterranean diet or some of its principles as well as the adherence to it. Another dynamic component affecting personal nutritional choices, also regarding adherence to the Mediterranean diet and its principles, is the individual life-long trajectory of food preference and nutrition habits and awareness. In this review, we discuss the current evidence on the impact of geographical location on adherence to the Mediterranean diet.

show abstract

Section: Adherence To the Mediterranean Diet And Geographic Location ...mentioning

confidence: 99%

Adherence to the Mediterranean Diet: Impact of Geographical Location of the Observations

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The top 25% of scorers in the current study had a mean score of 16.45 (out of 100). Direct comparison to the Chen et al ( 11 ) study proves problematic given the significant differences in study methodologies. For example, data were assessed in the Chen et al ( 11 ) study using an MSDP scoring system that did not mention accounting for overconsumption of “detrimental” foods (i.e., added sugars).…”

Section: Discussionmentioning

confidence: 94%

“…Unlike the nationally representative sample used in the current study, the Framingham Heart Study is based in the northeastern region of the United States. Chen et al ( 11 ) found that 46.5% of their study participants had high adherence (scoring from 5–9 out of 9 points) using an FFQ among 20,897 Americans. The top 25% of scorers in the current study had a mean score of 16.45 (out of 100).…”

Section: Discussionmentioning

confidence: 95%

“…Willet and colleagues ( 10 ) were the first to recommend an MSDP to Americans, in 1995; however, research estimating adherence among Americans is especially limited when removing associations to disease risks ( 11 , 12 ). That is, MSDP adherence is more commonly the explanatory variable of interest with incidences of diseases or disease risks as the outcome.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Substitution Modeling Shows Simple Dietary Changes Increase Mediterranean-Style Diet Pattern Scores for US Adults

Overcash

Crusan

2022

Current Developments in Nutrition

View full text Add to dashboard Cite

Background The Mediterranean-style diet pattern (MSDP) is a recommended dietary pattern in the 2020–25 United States Dietary Guidelines. Few studies report wide-spread adherence to the diet which suggests Americans may benefit from strategies to help them improve alignment to a MSDP. Objectives The purpose of this study is to assess the impact of isocaloric food substitutions on adherence to the MSDP in U.S. adults. Methods Using data from National Health and Nutrition Examination Survey (2007–2018), alignment to a MSDP was determined by calculation of a Mediterranean diet scoring index appropriate for non-Mediterranean populations (0–100 points for the total score; higher scores = greater adherence). The sample was divided into two groups: high-adherence group (HA) vs. non-high adherence group (nHA) to determine differentiating food groups to be used for isocaloric food substitution modeling. Substitution modeling via multiple regression analyses determined food selections that have the greatest impact on MSDP score. Honey was added to the substitutions in recipe form and evaluated for impact on MSDP score. Results The study consisted of 19,978 adults, ages 25–66 with complete dietary data. The nHA had a lower mean total MSDP score (7.10 ± 0.04 points) compared to the HA (16.45 ± 0.09 points). Increasing olive oil from non-use to partial use had the greatest impact (∼ +2 points) for both groups. total MSDP over two points for both groups. Other isocaloric substitutions also improved adherence, albeit to a lesser degree: 1 oz. of whole grain for 1 oz. refined grain, 4 oz of fish for 4 oz of red meat, 4.9 cups of kale for 0.7 cups of starchy/root vegetables. Improved MSDP scores sustained when honey was added to the substitutions. Conclusions Simple dietary substitutions can help a diet more closely align with a Mediterranean-style dietary pattern. Honey added to the simple substitutions may increase palatability without sacrificing nutritional benefit.

show abstract

“…In a population aged ≥ 85, education played the most important role among many factors, such as sex, BMI, disease history, cognitive function, and marital status, with differences in DPs [ 31 ]. In addition, some individuals face challenges, including geographic information of residence, access to foods and locations to engage in PA, ethnic-specific cultural values and dietary habits, and commercial influences [ 30 , 31 , 32 , 33 ]. Nevertheless, the trend toward a healthier diet has been positively associated with PA in different countries and ages.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Dietary Patterns and Subjectively Measured Physical Activity in Japanese Individuals 85 Years and Older: A Cross-Sectional Study

Oguma

Asakura

et al. 2022

Nutrients

View full text Add to dashboard Cite

High-quality diets and regular physical activity (PA) are considered healthy behaviors (HBs). HBs are associated with many health outcomes and are expected to improve quality of life. Although implementing HBs is important, the relationship between dietary patterns (DPs) and PA has not been well investigated, especially among those aged ≥ 85. This study used data from the Tokyo Oldest Old survey on Total Health study to examine the relationship between DPs and PA in a cross-sectional study. The dietary survey used the brief self-administered diet history questionnaire to estimate the intake of 58 foods. After energy adjustment, principal component analysis was performed to identify major DPs. A validated questionnaire was used to evaluate PA, and linear regression analysis was used to investigate the association between DPs and PA, considering confounders. A total of 519 participants were included. Three major DPs (‘Various plant foods’, ‘Fish and mushrooms’, ‘Cooked rice and miso soup’) were identified. ‘Various plant foods’ was similar to DPs previously named ‘Healthy’ or ‘Prudent’, and its trend was positively associated with higher PA. This study observed the implementation of HBs even among those aged ≥ 85, suggesting that a trend toward a healthier diet is associated with higher PA.

show abstract

Geospatial analysis of Mediterranean diet adherence in the United States

Cited by 12 publications

References 18 publications

Adherence to the Mediterranean Diet: Impact of Geographical Location of the Observations

Adherence to the Mediterranean Diet: Impact of Geographical Location of the Observations

Substitution Modeling Shows Simple Dietary Changes Increase Mediterranean-Style Diet Pattern Scores for US Adults

Relationship between Dietary Patterns and Subjectively Measured Physical Activity in Japanese Individuals 85 Years and Older: A Cross-Sectional Study

Contact Info

Product

Resources

About