The Portuguese mediterranean diet wheel: development considerations

Rodrigues, Sara; Franchini, Bela; Pinho, Inês L.; Graça, Pedro

doi:10.1017/s0007114521003743

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…Other sources of PAHs, e.g., diet (grilled/barbecued food, smoked meat), open burning, candle lighting, and house insecticides use ( 19 , 21 , 23 ) can influence the levels of biomarkers of exposure. Despite Portuguese people having a Mediterranean diet ( 110 ), the Northern region is known for increased smoked meat production and consumption. No differences were observed for OHPAHs according to diet choices, heating use, candle lighting, or pesticide use.…”

Section: Discussionmentioning

confidence: 99%

Baseline data and associations between urinary biomarkers of polycyclic aromatic hydrocarbons, blood pressure, hemogram, and lifestyle among wildland firefighters

Barros,

Paiva,

Oliveira

et al. 2024

Front. Public Health

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IntroductionAvailable literature has found an association between firefighting and pathologic pathways leading to cardiorespiratory diseases, which have been linked with exposure to polycyclic aromatic hydrocarbons (PAHs). PAHs are highlighted as priority pollutants by the European Human Biomonitoring Initiative in occupational and non-occupational contexts.MethodsThis cross-sectional study is the first to simultaneously characterize six creatinine-adjusted PAHs metabolites (OHPAHs) in urine, blood pressure, cardiac frequency, and hemogram parameters among wildland firefighters without occupational exposure to fire emissions (> 7 days), while exploring several variables retrieved via questionnaires.ResultsOverall, baseline levels for total OHPAHs levels were 2 to 23-times superior to the general population, whereas individual metabolites remained below the general population median range (except for 1-hydroxynaphthalene+1-hydroxyacenaphtene). Exposure to gaseous pollutants and/or particulate matter during work-shift was associated with a 3.5-fold increase in total OHPAHs levels. Firefighters who smoke presented 3-times higher total concentration of OHPAHs than non-smokers (p < 0.001); non-smoker females presented 2-fold lower total OHPAHs (p = 0.049) than males. 1-hydroxypyrene was below the recommended occupational biological exposure value (2.5 μg/L), and the metabolite of carcinogenic PAH (benzo(a)pyrene) was not detected. Blood pressure was above 120/80 mmHg in 71% of subjects. Firefighters from the permanent intervention team presented significantly increased systolic pressure than those who performed other functions (p = 0.034). Tobacco consumption was significantly associated with higher basophils (p = 0.01–0.02) and hematocrit (p = 0.03). No association between OHPAHs and blood pressure was found. OHPAHs concentrations were positively correlated with monocyte, basophils, large immune cells, atypical lymphocytes, and mean corpuscular volume, which were stronger among smokers. Nevertheless, inverse associations were observed between fluorene and pyrene metabolites with neutrophils and eosinophils, respectively, in non-smokers. Hemogram was negatively affected by overworking and lower physical activity.ConclusionThis study suggests possible associations between urinary PAHs metabolites and health parameters in firefighters, that should be further assessed in larger groups.

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Section: Discussionmentioning

confidence: 99%

Baseline data and associations between urinary biomarkers of polycyclic aromatic hydrocarbons, blood pressure, hemogram, and lifestyle among wildland firefighters

Barros,

Paiva,

Oliveira

et al. 2024

Front. Public Health

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“…Rodrigues and colleagues (36) sought to develop a Portuguese Mediterranean diet wheel. Three main steps were followed: (1) establishment of the most relevant Mediterranean diet and lifestyle principles to improve this pattern among the Portuguese population; (2) converting those principles into a captivating and easy to understand tool and (3) obtaining experts' opinion.…”

Section: Mdp Adoption Approachesmentioning

confidence: 99%

“…This edition has provided insights into the additive/ synergistic effects of a MDP with PA (3,20,35) and also the association between various lifestyle/behaviour factors and MDP adherence particularly in adolescents (29)(30)(31) . Knowledge of such interdependence is hugely important for the design and delivery of future public health (36) and clinic practice (22) guidelines.…”

Section: Mdp Adoption Approachesmentioning

confidence: 99%

The health benefits and practical considerations for the adoption of a Mediterranean-style dietary pattern

Minihane

Murphy

2022

Br J Nutr

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The term Mediterranean diet first appeared in the late 1940s (1) . It is described by UNESCO as 'a set of skills, knowledge, practices and traditions ranging from the landscape to the table, including the crops, harvesting, fishing, conservation, processing, preparation and, particularly, consumption of food'. A Mediterranean dietary pattern (MDP) varies in composition between the 21 countries which make up the Mediterranean region but is typically characterised by high intakes of minimally processed plant-based foods such as fruits, vegetables, nuts, seeds, legumes and wholegrains. Extra virgin olive oil is the main culinary fat, with a moderate intake of dairy products, and a variety of herbs and spices used as condiments, rather than salt. Fish/seafood is typically consumed two-three times per week.Red and processed meat, and discretionary foods including sugar or honey sweetened food and drink are consumed in low amounts. Wine, and in particular red wine, is consumed in moderation and with meals. Although in many ways analogous to other global healthy plantbased dietary patterns, it is the high intakes of olive oil, nuts and red wine, which makes the MDP unique. The MDP has been used as a benchmark for comparison with other dietary

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“…The Mediterranean diet (MD) presents a lower ecological footprint compared to the Western dietary pattern [ 6 , 7 , 8 ] due to the predominance of plant-based foods, local and seasonal crops, and a sustainable food culture that embraces important physical, sociocultural, economic, and environmental benefits [ 9 ]; this is the reason why the adoption of the MD triggers local food production. In 2010, the Food and Agriculture Organization of the United Nations (FAO) considered the MD as a sustainable model [ 10 ] and, in the same year, the Organization of the United Nations for Education, Science and Culture (UNESCO) considered the MD as Intangible Heritage of Humanity [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Adherence to the Mediterranean Food Pattern and Carbon Footprint of Food Intake by Employees of a University Setting in Portugal

Figueiredo,

Lima,

Rocha

2024

Nutrients

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Background: The Mediterranean diet is characterized by the predominance of the consumption of fruit, vegetables, cereals, nuts, and pulses; consumption of olive oil as the main source of fat; regular but moderate consumption of win; moderate consumption of fish, dairy products, eggs, and white meats; and low consumption of red meat as well as sugar and sugary products. In addition to the reported health benefits, the Mediterranean diet has also been widely recognized as a sustainable food pattern. The objective of this study was to understand the relationship between the degree of adherence to the Mediterranean diet of employees of the University of Porto and the relationship with the carbon footprint of their food consumption. Methods: An observational, analytical study was carried out, through the analysis of food consumption data collected in the form of a survey in the previous 24 h inserted in the eAT24 software, as well as the analysis of sociodemographic, lifestyle, and health data collected in the questionnaire. The carbon footprint was calculated from the previous 24 h surveys using data available on a website, obtained in carbon dioxide equivalent per kilogram of food. Sociodemographic, eating habit, and lifestyle questions were selected to understand the relationship between these and adherence to the Mediterranean diet and the carbon footprint of food consumption. Results: In total, 13.2% of the participants had a Mediterranean diet score equal to or greater than six, and the sample had an average food intake carbon footprint of 8146 ± 3081 CO2eq/Kg of food. A weak, statistically significant positive correlation (r = 0.142, p = 0.006) was observed between Mediterranean diet adherence and the carbon footprint of food intake. Conclusions: Most of the participants had a low adherence to the Mediterranean diet, as well as a high carbon footprint of food intake when compared to other countries. People with higher scores for Mediterranean diet adherence have, on average, a higher carbon footprint from food consumption intake.

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The Portuguese mediterranean diet wheel: development considerations

Cited by 8 publications

References 24 publications

Baseline data and associations between urinary biomarkers of polycyclic aromatic hydrocarbons, blood pressure, hemogram, and lifestyle among wildland firefighters

Baseline data and associations between urinary biomarkers of polycyclic aromatic hydrocarbons, blood pressure, hemogram, and lifestyle among wildland firefighters

The health benefits and practical considerations for the adoption of a Mediterranean-style dietary pattern

Adherence to the Mediterranean Food Pattern and Carbon Footprint of Food Intake by Employees of a University Setting in Portugal

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