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Exploring the Validity of the 14-Item Mediterranean Diet Adherence Screener (MEDAS): A Cross-National Study in Seven European Countries around the Mediterranean Region
| Content Provider | MDPI |
|---|---|
| Author | Mar, ía-Teresa García-Conesa Philippou, Elena Pafilas, Christos Massaro, Marika Quarta, Stefano Andrade, Vanda Jorge, Rui Chervenkov, Mihail Ivanova, Teodora Dimitrova, Dessislava Maksimova, Viktorija Smilkov, Katarina Ackova, Darinka Gjorgieva Miloseva, Lence Ruskovska, Tatjana Deligiannidou, Georgia Eirini Kontogiorgis, Christos A. Pinto, Paula |
| Copyright Year | 2020 |
| Description | This study provides comprehensive validation of the 14-item Mediterranean Diet Adherence Screener (14-MEDAS) in an adult population from Greece (GR), Portugal (PT), Italy (IT), Spain (SP), Cyprus (CY), Republic of North Macedonia (NMK), and Bulgaria (BG). A moderate association between the 14-MEDAS and the reference food diary was estimated for the entire population (Pearson r = 0.573, p-value < 0.001; Intraclass Correlation Coefficient (ICC) = 0.692, p-value < 0.001) with the strongest correlation found in GR, followed by PT, IT, SP, and CY. These results were supported by kappa statistics in GR, PT, IT, and SP with ≥50% of food items exhibiting a fair or better agreement. Bland–Altman analyses showed an overestimation of the 14-MEDAS score in the whole population (0.79 ± 1.81, 95%Confidence Interval (CI) 0.61, 0.96), but this value was variable across countries, with GR, NMK, and BG exhibiting the lowest bias. Taking all analyses together, the validation achieved slightly better results in the Mediterranean countries but a definitive validation ranking order was not evident. Considering growing evidence of the shift from Mediterranean Diet (MD) adherence and of the importance of culture in making food choices it is crucial that we further improve validation protocols with specific applications to compare MD adherence across countries. |
| Starting Page | 2960 |
| e-ISSN | 20726643 |
| DOI | 10.3390/nu12102960 |
| Journal | Nutrients |
| Issue Number | 10 |
| Volume Number | 12 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2020-09-27 |
| Access Restriction | Open |
| Subject Keyword | Nutrients Mathematical Psychology Social Sciences, Interdisciplinary Mediterranean Diet Validation Dietary Health Benefits Dietary Assessment Food Frequency Questionnaire Body Mass Index Diet Quality Diet Adherence Survey Instruments Southern Europe |
| Content Type | Text |
| Resource Type | Article |
