Evidence map›Paper›PMID 42063956›Full record

ArticleFrontiers in nutrition2026

Cross-country variability in Mediterranean lifestyle adherence and its psychosocial and behavioural correlates: insights from the MEDIET4ALL project across 10 Mediterranean and neighboring countries.

Achraf Ammar, Atef Salem, Slim Zarzissi, Tania Abril-Mera, Khaled Trabelsi, Bassem Bouaziz, Mohamed Ali Boujelbane, Mohamed Kerkeni, Liwa Masmoudi, Juliane Heydenreich and 35 more

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Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

45 authors.

Achraf AmmarDepartment 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.
Slim ZarzissiHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Tania Abril-MeraSchool of Medicine, Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador.
Khaled TrabelsiResearch Laboratory, Education, Motricity, Sport and Health, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Bassem BouazizMultimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), University of Sfax, Sfax, Tunisia.
Mohamed Ali BoujelbaneDepartment 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.
Liwa MasmoudiResearch Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Juliane HeydenreichDepartment of Experimental Sports Nutrition, Faculty of Sports Sciences, 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 AbdelkarimDepartment of Sports Management, School of Business, ESLSCA University, Giza, Egypt.
Tarak DrissInterdisciplinary Laboratory in Neurosciences, Physiology, and Psychology, Physical Activity, Health, and Learning (LINP2), UFR STAPS, Paris Nanterre University, Nanterre, France.
Kais El AbedResearch Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Wassim MoallaResearch Laboratory, Education, Motricity, Sport and Health, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Piotr ZmijewskiDepartment of Biochemistry, Gdansk University of Physical Education and Sport, Gdansk, Poland.
Frédéric DebeaufortDepartment BioEngineering, Institut Universitaire de Technologie IUT-Dijon-Auxerre-Nevers, University Burgundy Europe, Dijon, France.
Nasreddine BenbettaiebDepartment BioEngineering, Institut Universitaire de Technologie IUT-Dijon-Auxerre-Nevers, University Burgundy Europe, Dijon, France.
Clément PoulainJoint Research Unit UMR PAM-Food Processing and Microbiology, Université Bourgogne Europe, INRAE, Institut AgroDijon, 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 and 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 and Food Sciences, University of Valencia, Valencia, Spain.
Antonio CillaDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy and Food Sciences, University of Valencia, Valencia, Spain.
Nicola FrancescaDepartment of Agricultural Food and Forest Sciences SAAF, 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.
Enrico ViolaDepartment of Agricultural Food and Forest Sciences SAAF, University of Palermo, Palermo, Italy.
Björn LorenzenMicrotarians SIS, Société d'Impact Sociétal, Luxembourg, Luxembourg.
Stefania FiliceMicrotarians SIS, Société d'Impact Sociétal, Luxembourg, Luxembourg.
Sadjia LahianiVALCORE Laboratory, Department of Biology, Faculty of Science, University of M'hamed Bougara Boumerdes, Boumerdes, Algeria.
Taha KhaldiBiotechnology Research Center C.R.Bt Constantine ALGERIA, 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.
Evelyn Frias-ToralEscuela de Medicina, Universidad Espíritu Santo, Samborondón, Ecuador.
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.
Nizar SouissiResearch Unit, Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, 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 lifestyle is increasingly recognized as a multidimensional determinant of health. However, cross-country comparisons using harmonized instruments remain limited. This study aimed to provide a comprehensive country-by-country comparison of Mediterranean lifestyle adherence and associated psychosocial and lifestyle correlates across 10 Mediterranean and neighboring countries participating in the MEDIET4ALL project. Methods: Cross-sectional data were collected from 4,010 participants (age: 37.2 ± 15.4 years; 59.5% female) using the multinational MEDIET4ALL e-survey. Mediterranean lifestyle adherence was assessed using the MedLife Index and its three domains. Psychosocial status, sleep characteristics, physical activity, sedentary behaviour, social participation, and technology use were evaluated using validated instruments. Results: Significant cross-country differences were observed in global MedLife adherence and across all domains ( Conclusion: Mediterranean lifestyle adherence and its psychosocial and behavioural correlates vary substantially across countries, reflecting distinct constellations of sociocultural, socioeconomic, and lifestyle factors rather than dietary patterns alone. These findings highlight the importance of multidimensional, context-sensitive approaches to Mediterranean lifestyle promotion and provide a descriptive framework to inform tailored public-health strategies and future longitudinal and intervention research.

Indexed as

behavioural epidemiologyhealth behavioursmental healthmultidimensional lifestylephysical activity patternspopulation-based surveysleep healthsocial participation

Identifiers

PMID42063956
PMCPMC13127259

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