ArticleFrontiers in public health2025
Regional variations in Mediterranean diet adherence: a sociodemographic and lifestyle analysis across Mediterranean and non-Mediterranean regions within the MEDIET4ALL project.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Lifestyle, Sleep, and Psychological Correlates of Social Participation Across Mediterranean and Neighbouring Countries: Findings from the MEDIET4ALL Survey.Healthcare (Basel, Switzerland) · 2026Article
- Ultra-Processed Foods and Metabolic Dysfunction: Mechanisms, Clinical Implications, and Public Health Perspectives. Position Paper of the Italian Association of Dietetics and Clinical Nutrition (ADI).Current nutrition reports · 2026Review
- Article
- Observational
- Sleep Characteristics and Insomnia Severity in Relation to Mediterranean Lifestyle Adherence and Psychosocial Wellbeing: Findings from the MEDIET4ALL International Survey.European journal of investigation in health, psychology and education · 2026Article
- Review
- Article
- Association Between Food Security Status and Adherence to Mediterranean Diet Among Adults in Saudi Arabia: A Cross-Sectional Study.Foods (Basel, Switzerland) · 2026Article
- Physical Activity and Sedentary Behaviour in the MEDIET4ALL Study: Associations with Mediterranean Lifestyle, Sleep, and Psychosocial Well-Being, with Mediation Analyses.Sports (Basel, Switzerland) · 2026Article
- Loneliness, Aloneness, and Adherence to the Mediterranean Diet in Southern Italian Individuals.Nutrients · 2026Article
- Observational
- Self-efficacy in lifestyle management among young Arab adults: a cross-cultural study in the EMRO region.Frontiers in public health · 2026Article
- Nutrition knowledge and healthy-eating attitudes: the role of physical activity and lifestyle factors in adults.Frontiers in nutrition · 2026Article
- Cross-country variability in Mediterranean lifestyle adherence and its psychosocial and behavioural correlates: insights from the MEDIET4ALL project across 10 Mediterranean and neighboring countries.Frontiers in nutrition · 2026Article
- Multifactorial determinants of health status: insights from the MEDIET4ALL large-scale survey on eco-sociodemographic, psychological, and lifestyle (diet, physical activity, and sleep) factors.Frontiers in public health · 2026Article
- Ten-Year Atherosclerotic Cardiovascular Disease Risk in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): Separate Analyses from Romanian and Italian Cohorts Integrating Metabolic, Hepatic, and Gut-Liver Axis Markers.Journal of clinical medicine · 2025Article
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- Article
- Article
- The need for tailoring school-based physical activity interventions: preliminary insights into body weight and cross-country differences from the DELICIOUS project.Frontiers in public health · 2025Article
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45 authors.
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Abstract
Introduction: The Mediterranean diet (MedDiet) is acknowledged for its health advantages; however, compliance with its principles differs by region and is influenced by geographical, cultural, economic, and life-style factors. This research examines regional differences in sociodemographic and lifestyle factors between Mediterranean (MC) and non-Mediterranean (NMC) countries, with a particular focus on adherence to the Mediterranean diet and lifestyle, as well as the associated barriers in each region. Methods: The MEDIET4ALL international survey was conducted across 10 countries, and data were collected from 4,010 participants. Dietary adherence was assessed via the MedLife Index, and additional lifestyle measures included physical activity (IPAQ-SF), sleep patterns (PSQI), mental health (DASS-21), and social participation (SSPQL). Statistical analyses included chi-square tests, Mann-Whitney U tests, and standardized residual analyses to identify significant regional variations. Results: The study revealed distinct dietary patterns, with MC participants showing stronger adherence to traditional MedDiet components (legumes, fish) while NMC participants favored modern adaptations (whole grains). Both regions exhibited low physical activities dominance (60%-62%), although MC participants engaged more (21.1% vs. 18.5%) in moderate physical activity. MC maintained higher proportions of "sometimes socially active" individuals, NMC showed greater representation in the "always socially active" category. Sleep quality was poorer in MC (45% below recommended duration vs. 40% in NMC), while NMC reported higher insomnia rates. Mental health symptoms were comparable (33%-35% moderate depression/anxiety in both), reflecting post-pandemic global trends. Barriers differed regionally with MC faced economic/access constraints while NMC struggled with knowledge gaps and time limitations. Conclusion: Our findings highlight that while Mediterranean regions maintain traditional dietary patterns, globalization and modern lifestyle shifts are narrowing regional health behaviors. Public health strategies should address region-specific barriers, including economic constraints in MC regions and knowledge gaps in NMC regions, while promoting MedDiet adherence. Future research should explore the impact of cultural, socio-economic, and digital factors on dietary behaviors and mental health to develop tailored, effective interventions for improving overall well-being.
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