Mediterranean diet and health outcomes: a systematic meta-review

Martínez-Lacoba, Roberto; García, Isabel Pardo; Saus, Elisa Amo; Sotos, Francisco Escribano

doi:10.1093/eurpub/cky113

Cited by 125 publications

(98 citation statements)

References 24 publications

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“…In particular, a number of studies have shown that adoption of a Mediterranean-like dietary pattern [1] improves the health status [2], decreases morbidity and mortality [3] and reduces the total lifetime costs [2]. Benefits have been demonstrated in terms of decreased risk of cardiovascular diseases (CVD) [4][5][6], obesity [7], metabolic syndrome [8,9] and type-2 diabetes [10-13], as well as of certain types of neurodegenerative diseases and late-life cognitive disorders [14-17] and cancers [18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Nutrition behaviour and compliance with the Mediterranean diet pyramid recommendations: an Italian survey-based study

Bracale

Vaccaro²,

Coletta³

et al. 2019

Eat Weight Disord

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Purpose Adopting a Mediterranean-like dietary pattern may help in preventing several chronic diseases. We assessed the eating behaviour and compliance with the Mediterranean diet pyramid recommendations in Italy. Methods This is a cross-sectional study conducted in subjects aged ≥ 20 years. A 14-question survey based on the updated Mediterranean diet pyramid was launched online from April 2015 to November 2016. At test completion, a personalized pyramid displaying the possible deficiencies and/or excesses was generated, that could be the basis to plan diet and lifestyle modifications. Results Overall, 27,540 subjects completed the survey: the proportion of females (75.6%), younger subjects (20.7%) and people with a University degree (33.1%) resembled those of the Italian population of Internet users rather than of the general population. 37.8% of participants declared a sedentary lifestyle, including 29.6% of those aged 20-29 years. A lower-thanrecommended intake of all food categories included in the Mediterranean diet pyramid, along with excess of sweets, red and processed meats, emerged, that may affect health in the long term. Low adherence to recommendations was observed especially among females and older people. Notably, a discrepancy surfaced between the responders' perceived and actual behaviour toward the regular consumption of fruits and vegetables (81.8% vs 22.7-32.8%, respectively). Conclusions The nutritional habits and lifestyle of Italian participants are poorly adherent to the Mediterranean diet recommendations. The personalized pyramid tool may help in raising the awareness of individuals and their families on where to intervene, possibly with the support of healthcare professionals, to improve their behaviour. Level of evidence Level V, cross-sectional descriptive study.

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Section: Introductionmentioning

confidence: 99%

Nutrition behaviour and compliance with the Mediterranean diet pyramid recommendations: an Italian survey-based study

Bracale

Vaccaro²,

Coletta³

et al. 2019

Eat Weight Disord

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“…The protective role of MD on multiple health outcomes has been widely demonstrated (43). Moreover, the adoption of this pattern is associated with other healthy habits such as having an active lifestyle and not smoking (44).…”

Section: Discussionmentioning

confidence: 99%

Are health literacy and lifestyle of undergraduates related to the educational field? An Italian survey

Gallé

Calella

Napoli

et al. 2020

Preprint

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Background. Health literacy is a fundamental ability that allows individuals to manage their health. This study was aimed to assess health literacy and lifestyles among healthcare undergraduates in comparison to students attending other degree courses from two Italian universities. Methods. The Health Literacy Assessment Tool (HLAT-8) and the Newest Vital Sign (NVS) were used to assess health literacy. Demographic and anthropometric data, adherence to Mediterranean diet, physical activity levels and smoking habit were assessed in the enrolled sample to highlight possible associations. Results. Adequate health literacy scores were registered in the sample (27.4±4.4 HLAT-8; 4.2±1.8 NVS), with higher values among healthcare students (p<0.01). However, unhealthy behaviors were reported mainly be healthcare undergraduates. Significant associations were found between health literacy scores and adherence to the Mediterranean diet (p<0.01).Conclusions. Attending a healthcare related degree course was associated with higher health literacy scores but not with healthy behaviors. This issue should be addressed considering that the future healthcare professionals should represent a behavioral model for their patients.

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“…The combination of foods and the content of nutrient constituents made the Mediterranean diet a subject of many scientific studies, that investigated the potential health effect during the intervention by Mediterranean eating (reviewed by Sofi, Macchi, Abbate, Gensini & Casini, 2014;Martinez-Lacoba et al, 2018). An early systematic review by Serra-Majem, Roman and Estruch (2006) investigated 35 experimental studies referring to the Mediterranean diet as an intervention and showed favourable effects on lipoprotein levels, endothelium-dependent vasodilatation, insulin resistance, metabolic syndrome, antioxidant capacity, myocardial and cardiovascular mortality, and cancer incidence.…”

Section: Mediterranean Diet-induced Health Effectsmentioning

confidence: 99%

“…From their work, the foundation of the concept of Mediterranean diet and lifestyles were set (Keys et al, 1986). Unfortunately, in those countries, 60 years later, the traditional way of eating and the healthy lifestyles have been cancelled, to a great extent due to homogenization of dietary choices and living habits typical of the global economy (Bach-Faig et al, 2011;Martinez-Lacoba, Pardo-Garcia, Amo-Saus & Escribano-Sotos, 2018).…”

Section: Introductionmentioning

confidence: 99%

Health benefits induced by adherence to the Mediterranean lifestyle components diet and physical activity

Meulenberg¹

2019

Ann. Kin.

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The purpose of this overview is to present the evidence that adherence to Mediterranean lifestyle components is beneficial for functional and cognitive health. Although Mediterranean diet is the principal component of this lifestyle, other components, like physical activity and socializing, form complex interactions and together they complete into the Mediterranean lifestyle. Individual components and their interactions have not been studied thoroughly, however, there is an increasing attention for these matters through scientific literature in original research, reviews and meta-analysis. This paper considers the recent knowledge and trends related to defining the indicators concerning these lifestyle components, as well as summarizes the health benefits induced by adherence to them and explains why Mediterranean lifestyle components are important for health.

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Mediterranean diet and health outcomes: a systematic meta-review

Cited by 125 publications

References 24 publications

Nutrition behaviour and compliance with the Mediterranean diet pyramid recommendations: an Italian survey-based study

Nutrition behaviour and compliance with the Mediterranean diet pyramid recommendations: an Italian survey-based study

Are health literacy and lifestyle of undergraduates related to the educational field? An Italian survey

Health benefits induced by adherence to the Mediterranean lifestyle components diet and physical activity

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