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Article
Publication date: 4 March 2019

Mediterranean Diet adherence in emerging adults in Izmir

Mahmut Genc and Seda Genc

The purpose of this paper is to evaluate the adherence and abandonment of the Turkish emerging adults in an Izmir University located at western Mediterranean coast of…

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Abstract

Purpose

The purpose of this paper is to evaluate the adherence and abandonment of the Turkish emerging adults in an Izmir University located at western Mediterranean coast of Turkey and to assess potential associations with anthropometric characteristics.

Design/methodology/approach

A cross-sectional survey (n=494, 18–27 years) carried out in 2017 among emerging adults in University. KIDMED Index was used to assess the degree of adherence Mediterranean Diet (MedDiet). The associations of KIDMED scores with demographic, residency and anthropometric were separately reported. The data were collected through standardized questionnaires directly from participants.

Findings

The average KIDMED score was calculated 4.86±2.5. Optimum adherence to the MedDiet was found only in 13.0 percent of participants, whereas 32.6 percent had poor adherence levels. Considering self-reported anthropometric data, the BMI values of the population was calculated as 22.3±3.9 kg/m2. In population, 13.9 percent of the subjects were underweight, while 16.0 percent were overweight and 3.9 percent obese. A significant association was found between BMI and KIDMED scores both in genders and residency.

Originality/value

This is the first study reporting the level of adherence to the MedDiet among Turkish emerging adults in terms of residency during education and the first KIDMED study conducted in Izmir located at Aegean Sea. The results support previously proposed transition concept by several scholar from different Mediterranean countries: it was found that only 13 percent of young adults having desired dietary habits in an Aegean city with local traditional cuisine highly affected by Cretan cuisine. These results are significant for University managements and health authorities in order to take actions for returning this transition contrariwise beginning with these groups.

Details

British Food Journal, vol. 121 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/BFJ-07-2018-0470
ISSN: 0007-070X

Keywords

  • Emerging adults
  • The adherence to Mediterranean Diet
  • KIDMED

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Article
Publication date: 28 October 2013

Mediterranean diet and socio-economic status in Greek adolescents

Vassiliki Costarelli, Despina Sdrali and Aggeliki Konstantopoulou

– The study aims to explore the effect of socio-economic status (SES) on energy balance behaviours and adherence to the Mediterranean diet (MD), in Greek adolescents.

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Abstract

Purpose

The study aims to explore the effect of socio-economic status (SES) on energy balance behaviours and adherence to the Mediterranean diet (MD), in Greek adolescents.

Design/methodology/approach

391 students, 14-16 years old, have been recruited from two public high schools located in low SES areas of Athens and two private high schools from higher SES areas. Students completed a specifically designed energy balance behaviours questionnaire together with the Physical Activity Questionnaire for Adolescents and the KIDMED index.

Findings

Adolescents of low SES reported lower adherence to the MD (p<0.05), higher consumption of soft drinks (p<0.001), lower breakfast consumption (p<0.001), fewer meals per day consumed with parents (p<0.05), lower physical activity levels (p<0.01) and more TV viewing hours (p<0.01) compared to adolescents of higher SES.

Research limitations/implications

Family annual income, an indicator of family SES, has not been recorded, since this was considered a sensitive and difficult information to be obtained by the adolescents.

Originality/value

This study was conducted during a period of Greek economic recession and was designed to investigate the effect of lower SES on diet quality and unhealthy behaviours in the youth. Understanding and limiting possible health inequalities in Greece, due to the economic crisis, is of paramount importance.

Details

Nutrition & Food Science, vol. 43 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/NFS-04-2012-0037
ISSN: 0034-6659

Keywords

  • Adolescents
  • Diet

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Article
Publication date: 10 July 2017

Diet quality, disordered eating and health-related quality of life in Greek adolescents

Katerina Zervaki, Nikolaos Yiannakouris, Despina Sdrali and Vassiliki Costarelli

Health-related quality of life (HRQOL) is a subjective multi-dimensional concept referring to an individual’s perception of health and well-being in domains related to…

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Abstract

Purpose

Health-related quality of life (HRQOL) is a subjective multi-dimensional concept referring to an individual’s perception of health and well-being in domains related to physical, mental, emotional and social functioning. The current study aims at investigating possible associations between dietary quality, disordered eating attitudes and HRQOL in Greek adolescents.

Design/methodology/approach

A total of 400 students (198 boys; 202 girls), 14-17 years old, were recruited from five high schools in the area of Kallithea in Athens, Greece. Standard anthropometric measurements were taken, and obesity classification was conducted using the International Obesity Task Force (IOTF) cut-off points. Students completed the KIDMED index, which evaluates the degree of adherence to the Mediterranean diet (MedDiet) as a diet quality index, the EAT-26 questionnaire, which assesses disordered eating attitudes and the KIDSCREEN-27 questionnaire for children and adolescents assessing perceived HRQOL.

Findings

Disordered eating attitudes are significantly negatively correlated with the total score of HRQOL (p < 0.01) and with the subcategories: psychological well-being (p < 0.01), parents and autonomy (p < 0.01) and school environment (p < 0.001), whereas adherence to the MedDiet was positively correlated with all the components and total score of HRQOL. Linear regression analysis revealed that adherence to the MedDiet (p < 0.05), total number of meals/day (p < 0.01) and number of meals with the family (p < 0.05) were significant predictors of HRQOL in adolescents.

Research limitations/implications

The convenient sampling of 400 students was conducted from five schools, from one municipality of Athens, Greece.

Originality/value

Adherence to the MedDiet positively affects important components of HRQOL in adolescents, whereas disordered eating attitudes has a negative effect. Identifying adolescents with low HRQOL is highly important because it could result in an early detection of individualised healthcare needs and possible non-diagnosed ill-health problems.

Details

Nutrition & Food Science, vol. 47 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/NFS-12-2016-0189
ISSN: 0034-6659

Keywords

  • Adolescents
  • Disordered eating
  • Mediterranean diet
  • Quality of life

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Article
Publication date: 13 November 2017

Evolution of human diet and effect of globalization on regional diet with emphasis to the Mediterranean diet

Belay Haile, Kumera Neme and Tefera Belachew

The Mediterranean Diet (MD) is an expression of different Mediterranean food cultures and lifestyles. It is characterized by high consumption of olive oil, vegetables…

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Abstract

Purpose

The Mediterranean Diet (MD) is an expression of different Mediterranean food cultures and lifestyles. It is characterized by high consumption of olive oil, vegetables, legumes, whole grain products, fruits and nuts. This paper aims to emphasize on the evolution of human diet from earliest human ancestors to current civilization, the effect of MD on human health and the role of globalization to shift traditional diet, particularly MD to processed foods.

Design/methodology/approach

Different published papers were collected from the internet by using the following phrases: evolution of human diet, human ancestors, the effect of globalization on a regional diet, Mediterranean diet, healthy food, food pyramid, evolution of human diet and effect of globalization on diet. Finally, the papers were read and summarized as a review paper.

Findings

MD has been accepted worldwide owing to its health impact such as prevention and control of type 2 diabetes, anti-inflammatory effects and decrease in the risk of cardiovascular diseases and incidence of Parkinson’s disease and Alzheimer’s disease. However, in conjunction with this discordance between our ancient, genetically determined biology and the nutritional, cultural and activity patterns of contemporary Western populations, many of the so-called diseases of civilization have emerged. Particularly, the food staples and food-processing procedures introduced during the Neolithic and Industrial periods have fundamentally altered nutritional characteristics of ancestral hominin diets. MD is currently under the risk of extinction for a result of the effects of globalization.

Originality/value

The review paper focuses on the evolution of human diet as an effect of globalization on the regional diet with emphasis on the MD. It specifically focuses on the link between diet and earliest human ancestors, about MD and its health benefit, diet pyramid and effect of globalization on regional diet.

Details

Nutrition & Food Science, vol. 47 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/NFS-02-2017-0017
ISSN: 0034-6659

Keywords

  • Globalization
  • Mediterranean diet
  • Diet pyramids
  • Human evolution

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Article
Publication date: 8 February 2011

The role of Mediterranean diet in health and disease: an updated mini review

Maria Karampola, Dimitrios Papandreou and Kelly Makedou

The purpose of this paper is to review the Mediterranean diet and its association to disease and health benefits derived from the adherence to it.

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Abstract

Purpose

The purpose of this paper is to review the Mediterranean diet and its association to disease and health benefits derived from the adherence to it.

Design/methodology/approach

The review includes the most updated studies found in PubMed all in relation to the adaptation of the Mediterranean diet.

Findings

The cardioprotection of Mediterranean diet has been established. A number of cancer types could be prevented by following the Mediterranean type diet and the specific ingredients of it are also investigated to find their impact on health. Longevity is also favored by the adoption of this dietary pattern as is the population group diagnosed with metabolic syndrome and mental health disorders. The results about its consumption and obesity need further investigation. Patients with HIV, being on specific treatment, are advised not to follow the Mediterranean diet.

Originality/value

This paper gives a concise, up‐to‐date overview to nutritionists and dietitians on the Mediterranean diet and its relation to health and disease.

Details

Nutrition & Food Science, vol. 41 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/00346651111102900
ISSN: 0034-6659

Keywords

  • Diet
  • Cardiovascular disease
  • Cancer
  • Obesity
  • HIV

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