ArticleEuropean journal of clinical nutrition2019
Worldwide adherence to Mediterranean Diet between 1960 and 2011.
Article in European journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 5 of them syntheses that pooled it.
What it found
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Who cites it
96 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Mediterranean diet and gut microbiota: impact on memory and other cognitive functions: a systematic review.Frontiers in molecular neuroscience · 2026Pooled it
- Mediterranean Diet, Obesity-Related Metabolic Cardiovascular Disorders, and Environmental Sustainability: A Systematic Review.Nutrients · 2025Pooled it
- Pooled it
- Healthy and Sustainable Dietary Patterns in Children and Adolescents: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Adherence to the Mediterranean Diet during the COVID-19 national lockdowns: a systematic review of observational studies.Acta bio-medica : Atenei Parmensis · 2021Pooled it
- Body-Shape Concerns, Eating Regulation, and Mediterranean Diet Adherence in a Romanian Convenience Sample: A Cross-Sectional Self-Determination Theory Perspective.Behavioral sciences (Basel, Switzerland) · 2026Article
- Six Decades of Methodological Evolution in Portuguese Food Balance Sheets: Implications for Nutrition Surveillance and Food System Monitoring.Nutrients · 2026Article
- Review
- Planetary health diet adherence, nutritional adequacy, and environmental footprints: a cross-sectional study in Turkish adults.Frontiers in nutrition · 2026Article
- Unraveling the connection between the Mediterranean diet and sleep health: from biological mechanisms to clinical implications.Sleep & breathing = Schlaf & Atmung · 2025Review
- The Role of Diet in Women of Childbearing Age: Current Evidence Supporting Nutritional Recommendations.Nutrients · 2025Review
- Adherence to the Mediterranean Diet Across the League of Arab States: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Maternal BMI and Diet Quality Modulate Pregnancy Oxidative and Inflammatory Homeostasis.Nutrients · 2025Observational
- Adherence to the EAT-Lancet Planetary Health Diet in Portugal and its associations with socioeconomic and lifestyle factors.European journal of nutrition · 2025Article
- Proposing a unified Mediterranean diet score to address the current conceptual and methodological challenges in examining adherence to the Mediterranean diet.Frontiers in nutrition · 2025Review
- The 15-year trend in adherence to dietary recommendations and ultra-processed food consumption in Italy.Frontiers in nutrition · 2025Article
- Regional variations in Mediterranean diet adherence: a sociodemographic and lifestyle analysis across Mediterranean and non-Mediterranean regions within the MEDIET4ALL project.Frontiers in public health · 2025Article
- Ecological impact and metabolic food waste of overweight and obese adults in Northern European and Mediterranean countries.Frontiers in nutrition · 2025Article
- Development of a tool to assess the compliance of cafeteria menus with the Mediterranean Diet.BMC nutrition · 2024Article
- Eating habits and carotenoid skin content among children based on their attendance at the school meals: A cross-sectional pilot study.Journal of clinical & translational endocrinology · 2024Article
36 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrom the 1960s to the early 21st-century adherence to the Mediterranean diet (MD) declined around the world. This was partly due to the westernization of eating habits. However, in the last decade a new variable came into play, the economic crisis, which may have affected dietary patterns.
objectiveWe analyzed worldwide trends of adherence to the MD between the periods 1961-1965, 2000-2003 and 2004-2011.
methodsData was obtained from the Food and Agriculture Organization Food Balance Sheets in three study periods: 1961-1965, 2000-2003 and 2004-2011. The Mediterranean Adequacy Index (MAI) was calculated for 41 selected countries using the averages of available energy intake for different food groups. Changes in MAI indicated the trends in adherence in the different periods.
resultsIn many countries, MAI deteriorated from 1961 to 1965 and 2004 to 2011, yet an increase was observed in 16 countries. Between the last two observation periods, MAI values stabilized in 16 of the 41 selected countries. Regional rankings for the three study periods based on descending MAI scores were: Southern Mediterranean, Mediterranean Europe, Central Europe and Northern Europe. DISCUSSION AND
conclusionsAdherence to the MD significantly decreased between 1961-65 and 2000-03, whereas from 2004-2011 there was a stabilization of MAI values and even an increase among 16 countries. Efforts are needed to preserve the dietary traditions and lifestyle habits within the Mediterranean region in order to counteract increasing rates of chronic disease.
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