Evidence map›Paper›PMID 40799519›Full record

ArticleFrontiers in nutrition2025

Gender-specific insights into adherence to Mediterranean diet and lifestyle: analysis of 4,000 responses from the MEDIET4ALL project.

Mohamed Ali Boujelbane, Achraf Ammar, Atef Salem, Mohamed Kerkeni, Khaled Trabelsi, Bassem Bouaziz, Liwa Masmoudi, Juliane Heydenreich, Christiana Schallhorn, Gabriel Müller and 31 more

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in nutrition, 2025. 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors.

Mohamed Ali Boujelbane *Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Achraf Ammar *Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Atef SalemDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Mohamed KerkeniHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Khaled TrabelsiDepartment of Movement Sciences and Sports Training, School of Sport Science, The University of Jordan, Amman, Jordan.
Bassem BouazizMultimedia InfoRmation systems and Advanced Computing Laboratory (MIRACL), University of Sfax, Sfax, Tunisia.
Liwa MasmoudiHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Juliane HeydenreichFaculty of Sports Sciences, Department of Experimental Sports Nutrition, Leipzig University, Leipzig, Germany.
Christiana SchallhornDepartment of Sports Economics, Sociology and History, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Gabriel MüllerDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Ayse Merve UyarDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Hadeel Ali GhazzawiDepartment of Nutrition and Food Technology, School of Agriculture, The University of Jordan, Amman, Jordan.
Adam Tawfiq AmawiDepartment of Movement Sciences and Sports Training, School of Sport Science, The University of Jordan, Amman, Jordan.
Bekir Erhan OrhanFaculty of Sports Sciences, Istanbul Aydın University, Istanbul, Türkiye.
Giuseppe GrossoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Osama AbdelkarimFaculty of Sport Sciences, Assiut University, Assiut, Egypt.
Tarak DrissInterdisciplinary Laboratory in Neurosciences, Physiology and Psychology Physical Activity, Health and Learning (LINP2), UFR STAPS, Paris Nanterre University, Nanterre, France.
Kais El AbedHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Piotr ZmijewskiDepartment of Biomedical Sciences, Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland.
Nasreddine BenbettaiebDepartment BioEngineering, Institut Universitaire de Technologie IUT-Dijon-Auexrre-Nevers, University Burgundy Europe, Dijon, France.
Clément PoulainJoint Research Unit UMR PAM-PCAV (Physical-Chemistry of Food and Wine Laboratory), Université Bourgogne Europe/Institut AgroDijon/INRAE, Dijon, France.
Laura ReyesVitagora Innovation Cluster, Dijon, France.
Amparo GameroDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy & Food Sciences, University of Valencia, Valencia, Spain.
Marta Cuenca-OrtoláDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy & Food Sciences, University of Valencia, Valencia, Spain.
Nicola FrancescaDepartment of Agricultural Food and Forest Sciences, University of Palermo, Palermo, Italy.
Concetta Maria MessinaLaboratory of Marine Biochemistry and Ecotoxicology, Department of Earth and Marine Sciences DiSTeM, University of Palermo, Trapani, Italy.
Björn LorenzenMicrotarians Academy, Luxembourg, Luxembourg.
Stefania FiliceMicrotarians Academy, Luxembourg, Luxembourg.
Aadil BajoubLaboratory of Food and Food By-Products Chemistry and Processing Technology, National School of Agriculture in Meknès, Meknès, Morocco.
El-Mehdi AjalLaboratory of Food and Food By-Products Chemistry and Processing Technology, National School of Agriculture in Meknès, Meknès, Morocco.
El Amine AjalUPR of Pharmacognosy, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Majdouline ObtelLaboratory of Social Medicine, Faculty of Medicine and Pharmacy of Rabat, Department of Epidemiology and Public Health, Mohammed V University, Rabat, Morocco.
Sadjia LahianiVALCORE Laboratory, Faculty of Science, Department of Biology, University of M'hamed Bougara Boumerdes, Boumerdes, Algeria.
Taha KhaldiBiotechnology Research Center (C.R.Bt), Constantine, Algeria.
Nafaa SouissiHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Omar BoukhrisSIESTA Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia.
Haitham JahramiGovernment Hospitals, Manama, Bahrain.
Waqar HusainDepartment of Humanities, COMSATS University Islamabad, Islamabad, Pakistan.
Walid MahdiMultimedia InfoRmation systems and Advanced Computing Laboratory (MIRACL), University of Sfax, Sfax, Tunisia.
Hamdi ChtourouHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Wolfgang I SchöllhornDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Mediterranean Diet (MedDiet) is widely recognized for its health benefits, though adherence varies across populations and is influenced by multiple lifestyle and demographic factors. This study examined MedDiet adherence patterns and their associations with lifestyle behaviors, with particular attention to gender differences in a large, multinational cohort. Methods: Data were obtained via the MEDIET4ALL survey, an international cross-sectional study that included 4,010 participants (mean age: 36.04 ± 15.06 years; 59.5% female) across 10 countries. The evaluation of adherence to the MedDiet was conducted using the MedLife Index, a validated tool that assesses adherence to MedDiet patterns and lifestyle behaviors through three blocks: Mediterranean food consumption, MedDiet habits, and lifestyle behaviors. Additionally, validated instruments were used to measure associated factors, including perceived barriers to adherence, physical activity, sleep quality and disturbances, mental health, life satisfaction, social participation, and technology use behaviors. Results: While total Mediterranean lifestyle (MedLife) scores showed no significant gender differences, women demonstrated better adherence to food consumption components ( Conclusion: Our findings reveal distinct gender-specific patterns in MedDiet adherence and associated lifestyle factors. These results underscore the need for differentiated public health approaches that address the unique behavioral and psychosocial needs of men and women to promote MedLife adoption.

Indexed as

gender differencesMediterranean dietMedLife indexmental healthphysical activity

Identifiers

PMID40799519
PMCPMC12339444

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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.