Evidence map›Paper›PMID 33255721›Full record

ArticleInternational journal of environmental research and public health2020

Updating the Mediterranean Diet Pyramid towards Sustainability: Focus on Environmental Concerns.

Lluís Serra-Majem, Laura Tomaino, Sandro Dernini, Elliot M Berry, Denis Lairon, Joy Ngo de la Cruz, Anna Bach-Faig, Lorenzo M Donini, Francesc-Xavier Medina, Rekia Belahsen and 5 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05738343 (Adesione Alla Dieta Mediterranea Dei Pazienti Pediatrici Affetti Dalla Sindrome Dell'Intestino Irritabile), which is not on this map. Cited by 190 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 10 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.

NCT05738343 unknown statusnot on this mapstarted 2023, after this paper: background citation

Adesione Alla Dieta Mediterranea Dei Pazienti Pediatrici Affetti Dalla Sindrome Dell'Intestino Irritabile (IBS): Studio Pilota

TypeobservationalSponsorUniversity of Roma La SapienzaRan2023 to 2024Enrolled50ConditionsIrritable Bowel SyndromeArmsdieta mediterranea
3 · Its place in the literature

Who cites it

190 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Sustainable dietary recommendations for the Spanish population.European journal of clinical nutrition · 2026
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  9. Ultra-Processed Food Availability and Noncommunicable Diseases: A Systematic Review.International journal of environmental research and public health · 2021
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130 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Lluís Serra-MajemResearch Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, and Complejo Hospitalario Universitario Insular-Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-9658-9061
Laura TomainoResearch Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, and Complejo Hospitalario Universitario Insular-Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain.
Sandro DerniniInternational Foundation of Mediterranean Diet, Nutrition Research Foundation, Barcelona Science Park, 08028 Barcelona, Spain.ORCID 0000-0002-0225-4683
Elliot M BerryInternational Foundation of Mediterranean Diet, Nutrition Research Foundation, Barcelona Science Park, 08028 Barcelona, Spain.ORCID 0000-0002-6633-4367
Denis LaironHuman Nutrition, Aix Marseille University, INSERM, INRA, C2VN, 13005 Marseille, France.
Joy Ngo de la CruzInternational Foundation of Mediterranean Diet, Nutrition Research Foundation, Barcelona Science Park, 08028 Barcelona, Spain.
Anna Bach-FaigFoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain.
Lorenzo M DoniniDepartment of Experimental Medicine, Sapienza University, 00136 Rome, Italy.ORCID 0000-0003-4692-4754
Francesc-Xavier MedinaFoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain.ORCID 0000-0002-8067-355X
Rekia BelahsenTraining and Research Unit on Nutrition & Food Sciences, Biotechnology, Biochemistry & Nutrition Laboratory, Chouaib Doukkali University, El Jadida 24000, Morocco.ORCID 0000-0002-5641-5809
Suzanne PiscopoDepartment of Health, Physical Education and Consumer Studies, Faculty of Education, University of Malta, MSD2080 Msida, Malta.
Roberto CaponeInternational Center for Advanced Mediterranean Agronomic Studies (CIHEAM), 70010 Valenzano (Bari), Italy.
Javier Aranceta-BartrinaResearch Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, and Complejo Hospitalario Universitario Insular-Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-5666-7328
Carlo La VecchiaDepartment of Clinical Medicine and Community Health (DISCCO), Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0003-1441-897X
Antonia TrichopoulouHellenic Health Foundation, 11527 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNowadays the food production, supply and consumption chain represent a major cause of ecological pressure on the natural environment, and diet links worldwide human health with environmental sustainability. Food policy, dietary guidelines and food security strategies need to evolve from the limited historical approach, mainly focused on nutrients and health, to a new one considering the environmental, socio-economic and cultural impact-and thus the sustainability-of diets.

objectiveTo present an updated version of the Mediterranean Diet Pyramid (MDP) to reflect multiple environmental concerns.

methodsWe performed a revision and restructuring of the MDP to incorporate more recent findings on the sustainability and environmental impact of the Mediterranean Diet pattern, as well as its associations with nutrition and health. For each level of the MDP we provided a third dimension featuring the corresponding environmental aspects related to it.

conclusionsThe new environmental dimension of the MDP enhances food intake recommendations addressing both health and environmental issues. Compared to the previous 2011 version, it emphasizes more strongly a lower consumption of red meat and bovine dairy products, and a higher consumption of legumes and locally grown eco-friendly plant foods as much as possible.

Indexed as

Diet, MediterraneanEnvironmentFood SupplyAnimalsCattleFeeding BehaviorHumansNutrition PolicyProgram Evaluationenvironmental concernsfood-based dietary guidelinesMediterranean dietMediterranean diet pyramidnutritionsustainabilitysustainable diets

Identifiers

PMID33255721
PMCPMC7728084

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.