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The purpose of this paper is to develop and validate the Greek version of the Mediterranean Diet Adherence Screener (MEDAS).

The MEDAS was translated to the Greek language forward and backward, twice and subsequently was administered to 50 healthy adult participants living in Attica, Greece. The participants had to complete the tool twice, within a period of 15 days. Participants also completed the well-recognized Mediterranean Diet Score (MedDietScore), for comparison purposes with the tested tool. Socioeconomic and anthropometric characteristics were also assessed.

There was a moderate association between the Greek MEDAS (MEDAS-Gr) and the MedDietScore [(Pearson r = 0.50, p < 0.001; Intraclass Correlation Coefficient (ICC)=0.46, p = 0.015)]. The concordance between these two questionnaires varied between the items (Intraclass correlation coefficient of 0.62 for fruit at the highest and −0.09 for alcohol consumption). The Cronbach’s a coefficient of reliability for the Greek MEDAS was good (a = 0.62). The two administrations of the MEDAS-Gr produced similar mean total scores (7.6 vs 7.9, p = 0.090), which were correlated (r = 0.71, p < 0.001; ICC = 0.85, p < 0.001) and agreed substantially [k statistic (k)=0.72, 95% CI 0.54–0.89, p < 0.001)].

The MEDAS-Gr seems to be a valid tool for assessing adherence to the Mediterranean diet in the Greek population.

Many studies revealed positive health impacts of the Mediterranean diet (MedDiet), especially on metabolic disorders. Conversely, in Lebanon, recent information about determinants of adherence to the MedDiet are limited. This study aimed to examine the individual determinants of MedDiet adherence among adults in Lebanon.

A cross-sectional study was carried out during July 2021 among a convenient sample of 326 Lebanese adults. Data from participants were collected via an online survey developed by study researchers, composed of two well-structured questionnaires: a background questionnaire and a 14-item Mediterranean Diet Adherence Screener (14-MEDAS).

The mean MedDiet score in the total sample was 7.59 ± 2.22, reflecting moderate/fair MedDiet adherence. Consumption of fruits, vegetables, legumes and olive oil met the recommended MedDiet intake among most participants. Older age and having a regular routine of physical activity emerged as significant independent determinants of better MedDiet adherence.

Future public health interventions aiming at promoting MedDiet adherence shall target predominantly younger age groups of the Lebanese population and incorporate strategies to boost physical activity among target groups.

This study aims to identify the dietary patterns of two groups of subjects (with and without COVID-19), and to assess the relationship of findings with the prognosis of COVID-19 and metabolic risk parameters.

This study included 100 individuals in the age range of 19–65 years. The medical history, and data on biochemical, hematological and inflammatory indicators were retrieved from the files. A questionnaire for the 24-h food record and the food intake frequency was administered in face-to-face interviews, and dietary patterns of subjects were assessed.

In individuals with COVID-19, the hip circumference, the waist-hip ratio and the body fat percentage were significantly higher (p < 0.05), and the muscle mass percentage was significantly lower (p < 0.05). Mediterranean diet adherence screener (MEDAS), dietary approaches to stop hypertension (DASH) and healthy eating ındex-2015 (HEI-2015) scores were low in the two groups. A linear correlation of DASH scores was found with the muscle mass percentage (p = 0.046) and a significant inverse correlation of with the body fat percentage (p = 0.006). HEI-2015 scores were significantly and negatively correlated with body weight, body mass index, waist circumference, hip circumference and neck circumference (p < 0.05). Every one-unit increase in MEDAS, DASH and HEI-2015 scores caused reductions in C-reactive protein levels at different magnitudes. Troponin-I was significantly and negatively correlated with fruit intake (p = 0.044), a component of a Mediterranean diet and with HEI-2015 total scores (p = 0.032).

The limitation of this study includes the small sample size and the lack of dietary interventions. Another limitation is the use of the food recall method for the assessment of dietary patterns. This way assessments were performed based on participants’ memory and statements.

Following a healthy diet pattern can help reduce the metabolic risks of COVİD-19 disease.

Despite these limitations, this study is valuable because, to the best of the authors’ knowledge, it is the first study demonstrating the association of dietary patterns with disease prognosis and metabolic risks concerning COVID-19. This study suggests that dietary patterns during the COVID-19 process may be associated with several metabolic risks and inflammatory biomarkers.

During the Coronavirus Disease 2019 (COVID-19) pandemic, some changes in dietary intake were observed. However, the determinants of food choice and adherence to the Mediterranean diet (MD) in this period were not studied so far for Iranian adults. This study aimed to assess the food choice determinants changes and Adherence to the MD of Iranian adults.

This study was a cross-sectional study that was conducted from April 2019 to May 2020, based on the snowball sampling, and a total number of 2,540 adults from all the regions of Iran participated. The Food Choice Questionnaire was used to analyze food choice determinants, and the validated ten-item MD adherence screener was used to assess the adherence to the MD.

Before the COVID-19 quarantine, sensory appeal and price were the most important factors in Iranian food choice (with the highest scores), but during the COVID-19 pandemic the important food choice determinants were health and weight control. Consumption of vegetables (71.85% vs 40.07%), fruits (60.70% vs 38.74%), legumes (24.72% vs 12.38%) and nuts (14.33%) increased significantly after the outbreak of quarantine.

The inflammatory potential of diet may play a role in the regulation of low-grade chronic inflammation derived from obesity. This study aims to investigate the relationship between the dietary inflammatory index (DII) and anthropometric indicators of adiposity among Turkish adults.

The study sample consisted of 833 young adults (mean age = 23 ± 5.2 years). The inflammatory potential of the diet was evaluated with a DII. Data on dietary intake were collected by a single 24-h dietary recall, and DII was estimated from 25 dietary components. Also, the Mediterranean diet (Med-Diet) adherence screener was applied using the 14-item assessment tool.

The proinflammatory diet was statistically associated with young (p < 0.001), singles (p < 0.001), high school degree (p = 0.011), students (p < 0.001), not working or unemployed (p < 0.001), eating outside (p = 0.016) and lower adherence to a Med-Diet (p = 0.027). There was a statistically significant positive relationship between the DII score and body weight (BW), waist circumference and waist-to-height ratio (WHtR) (r = 0.107; p = 0.002, r = 0.092; p = 0.008, r = 0.115; p = 0.001, respectively). Besides, there was a statistically significant negative relationship between MED score and BW, WHtR and neck circumference (r = −0.101; p = 0.004, r = −0.084; p = 0.016, r = −0.175; p = 0.000, respectively).

To the best of the authors’ knowledge, this was the first Turkish study to assess the association between the anthropometric indicators of obesity and DII or adherence to Med-Diet in young adults. Lower DII scores and higher adherence to Med-Diet are related to the better status of anthropometric indicators of adiposity.

The pandemic of COVID-19 led to considerable challenges with respect to people's health, dietary behavior and satisfaction with life. This study aims to investigate perceived stress levels, in relation to diet quality and life satisfaction in Greek adults, during the COVID-19 lockdown.

This is a cross-sectional study which took place in Greece in the course of the strict lockdown period, in the third COVID-19 wave. A sample of 2,029 adults aged 18 years and above participated in an online survey. The questionnaire consisted of questions on sociodemographic and anthropometric characteristics. The Perceived Stress Scale, the Satisfaction with Life Scale and the Mediterranean Diet Assessment Tool were also used.

Linear regression has shown that women (p < 0.0001), younger individuals (p < 0.0001), obese individuals (p = 0.047), those with lower levels of satisfaction with life (p < 0.0001) and lower adherence to Mediterranean diet (p = 0.0001) were positively associated with higher levels of stress.

To the best of the authors’ knowledge, this is the first study conducted in Greece aiming at investigating concurrently, levels of perceived stress, with respect to levels of satisfaction with life and diet quality in adults, during the lockdown period of the COVID-19 pandemic.

The purpose of this study is to assess the adherence to MedDiet among adults during the COVID-19 pandemic and the economic crisis, using the validated 14-item MedDiet assessment tool.

A quantitative research approach, based on the distribution of an online survey throughout the social media platforms, via networking, was the applied method. The structure of the survey included the socio-economic and demographic data along with the weekly adherence to physical activity; and the validated MedDiet assessment tool. The target population included 1,030 Lebanese adults from all provinces. Descriptive statistics were used to explore the characteristics of the sample population. Adherence to the MedDiet was determined by the Med-Diet score ≥ 9. Significant differences among the variables and the adherence to the MedDiet were examined using the chi-square test.

Mean adherence to the MedDiet was found to be lower than an adequate score among 60.8% of participants [mean adherence 8/14 < 9 (S.D. 2.2)]. Participants from North Province, those aged 45 years and above, university graduates, participants with an average income and those who exercised for a minimum of 30 min for three times/week had a higher mean of adherence compared to other groups. Higher percentage of those who exercised had adequate adherence compared to those who exercised less or did not. More than 50% of the participants consumed olive oil, vegetables, red meat, butter/margarine, sugary drinks, commercial sweets and sofrito according to recommendations. Less than 50% of the participants consumed fruits, nuts, fish and wine according to the MedDiet standards. More men consumed fruits (55.1%), wine (21%), fish (29%) and nuts (48.5%) than women according to the MedDiet recommendations; however, more women consumed legumes (69.7%) and Sofrito (88.4%) than men, in addition more women preferred consuming chicken over meat (72.3%).

The findings call for an urgent need of spreading national awareness among adult population in Lebanon to increase the adherence to MedDiet. To add, information gained from this study serve to help understanding nutritional behavior during the COVID-19 pandemic and the economic crisis, so public health authorities can start planning to save the threatened health-care system and preserve the wellness of the population.

The paper aims to investigate food security research in Southern Europe and selected Eastern Mediterranean countries.

An electronic literature search was conducted using Medline/PubMed and Scopus, to identify articles and reviews that were published in the English language, between January 2014 and December 2019. Thirty-three publications met the criteria for review.

Depending on the population sample and the measurement tool, reported food insecurity differed significantly between and within countries. In Portugal, food insecurity ranged from 11 to 70%; in France, from 6.3 to 77.7%; and in Greece, from 17.3 to 82%.

Research investigating food insecurity issues and its true prevalence across southern European and Eastern Mediterranean countries are relatively limited.

Food insecurity levels in the above countries vary significantly, and the different methodologies often used render the results difficult to compare.