Trends in adherence to the Mediterranean diet in South Italy: A cross sectional study

Veronese, Nicola; Notarnicola, Maria; Cisternino, Anna Maria; Inguaggiato, Rosa; Guerra, Vito; Reddavide, Rosa; Donghia, Rossella; Rotolo, Ornella; Zinzi, Iris; Leandro, Gioacchino; Tutino, Valeria; Misciagna, Giovanni; Caruso, Maria Gabriella; Correale, M.; Giampiero, De Michele; Anna, M. R. V. Sant; Palma, Iacovazzi; Marisa, Noviello; Chiloiro, Marisa; Osvaldo, Burattini; Pugliese, V.; D’Attoma, Benedetta

doi:10.1016/j.numecd.2019.11.003

Cited by 47 publications

(49 citation statements)

References 23 publications

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“…The decreased intake of red meat is in line with the regional trends of consumption, using data from the National Food Consumption Survey from 2005–2006 [ 21 ]. Our study could confirm the finding by Veronese et al [ 6 ] that over time, adherence to the Mediterranean diet in general is slightly decreasing. However, in terms of dietary change it should be borne in mind that in Southern Italy, adherence to the Mediterranean Diet also depends on the general economic situation, as exemplified by the 2007/2010 crisis [ 22 ].…”

Section: Discussionsupporting

confidence: 92%

“…Recently, it was stated that the intake of cereals (including pasta, bread and similar), whole grain bread, vegetables, legumes and fish significantly increased between 1985–1986 and 2005–2006 in this study population, whilst the consumption of fruits, meat, poultry, dairy, olive oil and alcohol significantly decreased [ 6 ]. The most dramatic decrease was observed for olive oil, that declined by 2.35 points in younger people and by 0.89 in older age groups [ 6 ]. These findings between 1985 and 2005/2006 are based on a broader type of dietary assessment [ 7 ].…”

Section: Discussionmentioning

confidence: 97%

“…In the beginning of the 1980s, the IRCCS de Bellis participated in the Multicenter Italian study on Cholelithiasis (MICOL) [ 9 ] and established, in 1985 for this purpose, a cohort study in Castellana Grotte, Apulia, with the aim of prospectively investigating the role of lifestyle and nutrition in gastrointestinal and other chronic diseases, among them cholelithiasis and other gallbladder diseases. Methodological details of this population-based study have previously been published [ 6 , 10 ]. In brief, in 1985 a random sample of 3500 subjects (2000 men and 1500 women) aged ≥30 years was drawn from the electoral roll of Castellana Grotte (17,334 residents at the 1981 Census) and invited to take part in the study.…”

Section: Methodsmentioning

confidence: 99%

“…During the early 1990s, a better assessment of diet was needed because the 1985 29 ad hoc questions provided by the MICOL group on 4 categories of frequency of intake of specific foods and the use of olive oil and wine [ 6 ] were considered too broad. Therefore, the semi-quantitative approach of that time was followed, and a new questionnaire was developed based on foods eaten by the population.…”

Section: Methodsmentioning

confidence: 99%

“…In this spirit, the publicly funded research hospital IRCCS “S. de Bellis”, located in Castellana Grotte (Apulia, Italy) started in the 1980s a population-based cohort study, and has been measuring dietary intake in this Mediterranean population since that period [ 5 , 6 , 7 ]. This interest has recently promoted the recruitment of a new cohort in order to gain a better understanding of the aging process, particularly related to neurodegeneration and functional decline [ 8 ], with overlaps with the previous study populations.…”

Section: Introductionmentioning

confidence: 99%

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Traditional Old Dietary Pattern of Castellana Grotte (Apulia) Is Associated with Healthy Outcomes

et al. 2020

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Background: There is still room for further studies aimed at investigating the most widespread diets in the Mediterranean area. The objective of the study is to analyze the relation of food group intake to clinical chemical indicators of health, and also to compare the food group intake with healthy well-known diet indices. Methods: Lifestyle, dietary, and clinical data collected in 2005/2006 and 2012/2018 from Castellana Grotte, located in the rural area of Apulia, were analyzed. The study populations included newly recruited subjects at each time period (n = 1870) as well as subjects examined twice and compared over time regarding health indicators (n = 734). Diet was assessed through a validated food frequency questionnaire. Three healthy diet indices were calculated and related to 29 food groups. We also performed prospective regression of food group consumption with health indicators. Results: The diet over the time period of observation was very stable and consisted of a high proportion of vegetables, fruit and grains. No major changes in body mass index (BMI) and blood pressure were observed. Consumption of low-fat dairy, juices, olive oil, and water were related to reductions in weight gain, systolic blood pressure, high-density lipoprotein (HDL)-cholesterol and cholesterol (total and HDL) levels, in that order. Over the time periods we observed only a slight decrease of adherence to the Meddietscore. The correlations of the healthy diet indices with food groups revealed some differences among the indices, mostly regarding the intake of fruit and vegetables. Conclusions: The dietary pattern of Apulia is in line with many principles of a healthy diet and the cohort population seems to be less liable to undergo a transition to a westernized diet.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traditional Old Dietary Pattern of Castellana Grotte (Apulia) Is Associated with Healthy Outcomes

et al. 2020

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Trends in the adherence to the Mediterranean diet in Israeli adolescents: results from two national health and nutrition surveys, 2003 and 2016

et al. 2021

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Adherence to the Mediterranean diet among adults in Mediterranean countries: a systematic literature review

et al. 2022

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Background and aim While the Mediterranean diet (MD) is promoted in non-Mediterranean countries, inhabitants of Mediterranean countries seem to be shifting away from this healthy diet. The aim of this study is to provide an overview of MD adherence in the general adult population of Mediterranean countries. Methods A systematic review was conducted following the PRISMA 2020 (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines and registered in the Prospero database (CRD42020189337). Literature was searched in PubMed, Web of Science and PsycINFO databases for studies published from 2010 up to and including 2021. The following inclusion criteria were used: age 18 years and older, sample size > 1000 participants, and using a validated MD adherence score. Studies that only included participants with nutrition-related or other severe chronic disorders, as well as studies that only included specific subpopulations (e.g., pregnant women), were excluded in order to focus on the general adult population. A quality analysis of the included studies was done using the NCCMT scale. Results A total of 50 studies were included. The number of participants in the included studies ranged between 1013 and 94,113. Most of the included studies pertained to the European Mediterranean countries, with fewer studies from the Middle Eastern and North African Mediterranean countries. The vast majority of the included studies reported low or moderate MD adherence, both based on the mean adherence as well as the low or moderate adherence category often being the most prevalent. There were no clear differences noted between sex and age groups. The quality assessment generally showed weak or moderate scores. Conclusions Mediterranean populations have been showing moderate adherence to MD in the past 10 years, indicating room for improving adherence to the MD in countries of its origin.

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Trends in adherence to the Mediterranean diet in South Italy: A cross sectional study

Cited by 47 publications

References 23 publications

Traditional Old Dietary Pattern of Castellana Grotte (Apulia) Is Associated with Healthy Outcomes

Traditional Old Dietary Pattern of Castellana Grotte (Apulia) Is Associated with Healthy Outcomes

Trends in the adherence to the Mediterranean diet in Israeli adolescents: results from two national health and nutrition surveys, 2003 and 2016

Adherence to the Mediterranean diet among adults in Mediterranean countries: a systematic literature review

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