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The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review

  • Anna Bach (a1) (a2), Lluís Serra-Majem (a1) (a3), Josep L Carrasco (a2), Blanca Roman (a1), Joy Ngo (a1), Isabel Bertomeu (a1) and Biel Obrador (a4)
  • DOI: http://dx.doi.org/10.1079/PHN2005936
  • Published online: 01 January 2007
Abstract
Abstract

The purpose of this paper is to review some of the methods that several epidemiological studies use to evaluate the adherence of a population to the Mediterranean diet pattern. Among these methods, diet indexes attempt to make a global evaluation of the quality of the diet based on a traditional Mediterranean reference pattern, described as a priori, general and qualitative. The Mediterranean diet indexes, hence, summarise the diet by means of a single score that results from a function of different components, such as food, food groups or a combination of foods and nutrients. The reviewed evaluation methods can be classified into three categories depending on the way they are calculated: (1) those based on a positive or negative scoring of the components, (2) those that add or substract standardised components, and (3) those that are based on a ratio between components.

Dietary scores have been used to explore the multiple associations between the Mediterranean diet, as an integral entity, and health parameters such as life expectancy or the incidence of obesity, cardiovascular diseases and some types of cancers. Moreover, these indexes are also useful tools to measure food consumption trends and to identify the involved factors, as well as to develop comprehensive public health nutrition recommendations.

A more precise and quantitative definition of the Mediterranean diet is required if the adherence to such a dietary pattern is intended to be more accurately measured. Other aspects of the Mediterranean diet indexes should also be taken into account, like the inclusion of typical Mediterranean foods such as nuts and fish and the validation of the dietary pattern approach by using biomarkers.

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*Corresponding author: Email abach@dietamediterranea.com
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3M De Lorgeril , P Salen , J Martin , I Monjaud , J Delaye , N Mamelle . Mediterranean diet, traditional risk factors and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation 1999; 99: 779–85.

4M Ryan , D McInerney , D Owens , P Collins , A Johnson , G Tomkin . Diabetes and the Mediterranean diet: beneficial effects of oleic acid. Quarterly Journal of Medicine 2000; 93: 8591.

5L Ferrara , S Raimondi , L D'Episcopo , L Guilda , A Dello Russo , T Marotta . Olive oil and reduced need for antihypertensive medications. Archives of Internal Medicine 2000; 160: 837–42.

6KJ Joshipura , A Ascherio , JE Manson , MJ Stampfer , EB Rimm , FE Speizer , Fruit and vegetable intake in relation to risk of ischemic stroke. Journal of the American Medical Association 1999; 282: 1233–9.

7A Trichopoulou , E Georgiou , Y Bassiakos , L Lipworth , P Lagiou , C Proukakis , Energy intake and monounsaturated fat in relation to bone mineral density among women and men in Greece. Preventive Medicine 1997; 26: 395400.

16F Hu . Dietary pattern analysis: a new direction in nutritional epidemiology. Current Opinion in Lipidology 2002; 13: 39.

17A Trichopoulou , A Kouris-Blazos , M Wahlquivist , D Gnardellis , P Lagiou , E Polychronopoulos , Diet and overall survival in elderly people. British Medical Journal 1995; 311: 1457–60.

18T Costacou , C Bamia , P Ferrari , E Riboli , D Trichopoulos , A Trichopoulou . Tracing the Mediterranean diet through principal components and cluster analyses in the Greek population. European Journal of Clinical Nutrition 2003; 57: 1378–85.

19M Osler , M Schrool . Diet and mortality in a cohort of elderly people in a north European community. International Journal of Epidemiology 1997; 26: 155–9.

20A Trichopoulou , T Costacou , C Bamia , D Trichopoulos . Adherence to a Mediterranean diet and survival in a Greek population. New England Journal of Medicine 2003; 348: 2599–608.

22A Trichopoulou , C Bamia , D Trichopoulos . Mediterranean diet and survival among patients with coronary heart disease in Greece. Archives of Internal Medicine 2005; 165: 929–35.

24J Woo , K Woo , S Leung . The Mediterranean score of dietary habits in Chinese populations in four different geographical areas. European Journal of Clinical Nutrition 2001; 55: 215–20.

26C González , S Argílaga , A Agudo , P Amiano , A Barricarte , JM Beguiristain , Sociodemographic differences in adherence to the Mediterranean dietary pattern in Spanish populations. Gaceta Sanitaria 2002; 16: 214–21.

28K Knoops , L De Groot , D Kromhout , A Perrin , O Moreiras-Varela , A Menotti , Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women. Journal of the American Medical Association 2004; 292: 1433–9.

30A Trichopoulou , P Orfanos , T Norat , B Bueno-de-Mesquita , MC Ooke , PH Peeters . Modified Mediterranean diet and survival: EPIC-elderly prospective cohort study. British Medical Journal 2005; 330: 991–7.

32N Bilenko , D Fraser , H Vardi , I Shai , D Shahar . Mediterranean diet and cardiovascular diseases in an Israeli population. Preventive Medicine 2005; 40: 299305.

33M Martínez-González , E Fernández-Jarne , M Serrano-Martínez , A Marti , J Martínez , J Martín-Moreno . Mediterranean diet and reduction in the risk of a first acute myocardial infarction: an operational healthy dietary score. European Journal of Nutrition 2002; 41: 153–60.

35J Goulet , B Lamarche , G Nadeau , S Lemieux . Effect of a nutritional intervention promoting the Mediterranean food pattern on plasma lipids, lipoproteins and body weight in healthy French-Canadian women. Atherosclerosis 2003; 170: 115–24.

37RE Patterson , PS Haines , BM Popkin . Diet quality index: capturing a multidimensional behaviour. Journal of the American Dietetic Association 1994; 94: 5764.

39E Ciccarone , A Di Castelnuovo , M Salcuni , A Siani , A Giacco , M Donati , A high-score Mediterranean dietary pattern is associated with a reduced risk of peripheral arterial disease in Italian patients with type 2 diabetes. Journal of Thrombosis and Haemostasis 2003; 1: 1744–52.

40A Sanchez-Villegas , J Martinez , J de Irala , M Martínez-González . Determinants of the adherence to an ‘a priori’ defined Mediterranean dietary pattern. European Journal of Nutrition 2002; 41: 249–57.

42A Alberti-Fidanza , F Fidanza , M Chiuchiu , G Verducci , D Fruttini . Dietary studies on two rural Italian population groups of the Seven Countries Study. 3. Trend of food and nutrient intake from 1960 to 1991. European Journal of Clinical Nutrition 1999; 53: 854–60.

44A Kant . Dietary patterns and health outcomes. Journal of the American Dietetic Association 2004; 104: 615–36.

45F Hu . The Mediterranean diet and mortality–olive oil and beyond. New England Journal of Medicine 2003; 348: 2595–6.

46L Serra-Majem , B Roman , R Estruch . Scientific evidence of interventions using the Mediterranean diet: a systematic review. Nutrition Reviews 2006; 64: 531–52.

48A Trichopoulou , A Naska , A Antoniou , S Friel , K Trygg , A Turrini . Vegetable and fruit: the evidence in their favour and the public health perspective. International Journal for Vitamin and Nutrition Research 2003; 73: 63–9.

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