Evidence map›Paper›PMID 31705447›Full record

ArticleEating and weight disorders : EWD2020

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

Renata Bracale, Concetta M Vaccaro, Vittoria Coletta, Claudio Cricelli, Francesco Carlo Gamaleri, Fabio Parazzini, Michele Carruba

Erratum issuedAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Role of Portion Size in the Context of a Healthy, Balanced Diet: A Case Study of European Countries.International journal of environmental research and public health · 2023
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  17. Changes in food choice following restrictive measures due to Covid-19.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Renata BracaleDepartment of Medicine and Sciences for Health, Molise University, Campobasso, Italy.
Concetta M VaccaroFondazione Censis, Rome, Italy.
Vittoria ColettaFondazione Censis, Rome, Italy.
Claudio CricelliSocietà Italiana di Medicina Generale e delle Cure Primarie Firenze, Florence, Italy.
Francesco Carlo GamaleriOrdine dei Farmacisti delle Province di Milano, Lodi e Monza Brianza, Milan, Italy.
Fabio ParazziniDipartimento di scienze Cliniche e di Comunità, Università di Milano, Milan, Italy.
Michele CarrubaDepartment of Medical Biotechnology and Translational Medicine, Center for the Study and Research on Obesity, University of Milan, Milan, Italy. michele.carruba@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdopting 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.

methodsThis 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.

resultsOverall, 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-than-recommended 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).

conclusionsThe 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.

Indexed as

Diet, MediterraneanAgedCross-Sectional StudiesDietFeeding BehaviorFemaleHealth BehaviorHumansItalyPatient ComplianceComplianceFood pyramidItalyLifestyleMediterranean dietNutrition

Identifiers

PMID31705447
PMCPMC7581569

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.