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The Mediterranean diet as a nutrition education, health promotion and disease prevention tool

  • Suzanne Piscopo (a1)
  • DOI:
  • Published online: 01 September 2009

While epidemiological research on the protective role of the Mediterranean diet (MD) is highly publicised, little is known about MD education interventions. This exploratory study aimed to provide insight into methodology and effectiveness of the MD as a nutrition education and health promotion tool.

Design and setting

Two searches were conducted within PubMed using the terms ‘Mediterranean diet’ and ‘Education’ or ‘Intervention’. Abstracts yielded were screened for distinct studies in which participants were instructed on the application of MD principles in their diet. Four studies met this criterion. These were further analysed for sample/target population, and intervention design, duration, tools, evaluative measures/tests and outcomes.


Interventions targeted both healthy and at-risk populations and lasted between 12 weeks to 1 year, including follow-up. They used individual counselling, tailored computer-based counselling, group education, internet-based education, cookery classes and printed materials. Outcomes were measured using food diaries, FFQ, questionnaires on psychosocial factors and on usage of the educational tools, as well as anthropometrics and biomarkers. Interventions showed statistically significant increases in participants’ intake of vegetables, legumes, nuts, fruit, whole grains, seeds, olive oil and dietary PUFA and MUFA, and statistically significant decreases in total cholesterol, ox-LDL-cholesterol, total:HDL-cholesterol ratio, insulin resistance, BMI, body weight and waist circumference.


MD education interventions may be cost-effective strategies for helping to protect against and treat a variety of health problems in different populations. Details of such interventions need to be publicised internationally. This introductory review could help inform the design of future targeted MD nutrition education.

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9.JA Tur , D Romaguera & A Pons (2004) Food consumption patterns in a Mediterranean region: does the Mediterranean diet still exist? Ann Nutr Metab 48, 193201.

10.A Trichopoulou , T Costacou , C Barnia & D Trichopoulos (2003) Adherence to a Mediterranean diet and survival in a Greek population. New Eng Jour Med 348, 25992608.

11.LA Moreno , A Sarria & BM Popkin (2002) The nutrition transition in Spain: a European Mediterranean country. Eur Journal of Clin Nutr 56, 9921003.

13.A Kafatos , H Verhagen , J Moschandreas , I Apostolaki & JJM van Westerop (2000) Mediterranean diet of Crete: foods and nutrient content. J Am Diet Assoc 100, 14871493.

14.L Greco , F Musmarra , C Franzese & S Auricchio (1998) Early childhood feeding practices in southern Italy: is the Mediterranean diet becoming obsolete? Study of 450 children aged 6–32 months in Campania, Italy. Acta Paediatr 87, 250256.

16.J Goulet , A Lapointe , B Lamarche & S Lemieux (2007) Effect of a nutritional intervention promoting the Mediterranean food pattern on anthropometric profile in healthy women from the Québec city metropolitan area. Eur J Clin Nutr 61, 12931300.

17.J Goulet , B Lamarche & S Lemieux (2007) Factors influencing the dietary response to a nutritional intervention promoting the Mediterranean food pattern in healthy women from the Québec City metropolitan area. Health Educ Res 22, 718726.

19.FW Siero , J Broer , WJ Bemelmans & BM Meyboom-de Jong (2000) Impact of group nutrition education and surplus value of Prochaska-based stage-matched information on health-related cognitions and on Mediterranean nutrition behavior. Health Educ Res 15, 635647.

21.A Papadaki & JA Scott (2006) Process evaluation of an innovative healthy eating website promoting the Mediterranean diet. Health Educ Res 21, 206218.

23.DJ Toobert , RE Glasgow , LA Strycker , M Barrera Jr, JL Radcliffe , RC Wander & JD Bagdade (2003) Biologic and quality-of-life outcomes from the Mediterranean Lifestyle Program: a randomized clinical trial. Diabetes Care 26, 22882293.

24.DJ Toobert , LA Strycker , RE Glasgow , M Barrera & JD Bagdade (2002) Enhancing support for health behavior change among women at risk for heart disease: the Mediterranean Lifestyle Trial. Health Educ Res 17, 574585.

25.K Dalziel & L Segal (2007) Time to give nutrition interventions a higher profile: cost-effectiveness of 10 nutrition interventions. Health Promot Int 22, 271283.

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