Evidence map›Paper›PMID 33106201›Full record

ArticlePublic health nutrition2021

Adherence to the Mediterranean diet in Cyprus and its relationship to multi-morbidity: an epidemiological study.

Maria Kyprianidou, Demosthenes Panagiotakos, Antigoni Faka, Maria Kambanaros, Konstantinos C Makris, Costas A Christophi

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Socio-Demographic Determinants of Mediterranean Diet Adherence: Results of the EU-National Health Interview Survey (EHIS-3).Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Small-Area Geographic and Socioeconomic Inequalities in Colorectal Cancer in Cyprus.International journal of environmental research and public health · 2022
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Maria KyprianidouCyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Eirinis 95 Street, Limassol3041, Cyprus.
Demosthenes PanagiotakosDepartment of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University, Athens, Greece.ORCID 0000-0001-8583-153X
Antigoni FakaDepartment of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece.
Maria KambanarosDepartment of Rehabilitation Sciences, Cyprus University of Technology, Limassol, Cyprus.
Konstantinos C MakrisCyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Eirinis 95 Street, Limassol3041, Cyprus.
Costas A ChristophiCyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Eirinis 95 Street, Limassol3041, Cyprus.
Cyprus University of Technology · CYHarokopio University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the adherence to the Mediterranean diet in the adult general population of Cyprus and assess its relationship with multi-morbidity.

designA representative sample of the adult population of Cyprus was selected in 2018-2019 using stratified sampling. Demographics, Mediterranean diet, smoking and physical activity, as well as the presence of chronic, clinical and mental conditions, were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision.

settingThe five government-controlled municipalities of the Republic of Cyprus.

participantsA total of 1140 Cypriot men and women over 18 years.

resultsThe average Mediterranean diet score was 15·5 ± 4·0 with males and residents of rural regions being more adherent to the Mediterranean diet compared with females and residents of urban regions (P < 0·05). Being in the higher tertile of adherence to the Mediterranean diet was associated with lower odds of multi-morbidity compared with the lower tertile, and this result was statistically significant even after adjusting for age, gender, smoking habits and physical activity (OR = 0·68, 95 % CI 0·46, 0·99).

conclusionsThe study provides evidence of the adherence to the Mediterranean diet in Cypriot population and its association with multi-morbidity. Adherence to the Mediterranean diet was associated with lower risk of multi-morbidity. Future research would attempt to replicate such results that could add solid pieces of evidence towards meeting some criteria of causality and severity tests; hence, prevention programmes and practice guidelines in Cyprus and elsewhere should take into account those beneficial effects.

Indexed as

Diet, MediterraneanAdultCross-Sectional StudiesCyprusEpidemiologic StudiesFemaleHumansMaleMultimorbidityChronic diseasesEpidemiologyMediterranean dietMultimorbidityNutrition

Identifiers

PMID33106201
PMCPMC10195377
OpenAlexW3094425493

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.