Worldwide adherence to Mediterranean Diet between 1960 and 2011
Worldwide adherence to Mediterranean Diet between 1960 and 2011
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DOI：
10.1038/s41430-018-0313-9
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发表时间：
2019-01-01
影响因子：
4.7
通讯作者：
Bach-Faig, Anna
中科院分区：
文献类型：
--
作者：
Vilarnau, Cristina;Marie Stracker, Denine;Bach-Faig, Anna
从20世纪60年代到21世纪初，世界各地对地中海饮食（MD）的坚持程度有所下降。部分原因是饮食习惯的西化。然而，在过去的十年中，一个新的变量开始发挥作用，经济危机，这可能影响了饮食模式。目的我们分析了1961-1965年，2000-2003年和2004- 2011年期间世界范围内对MD的遵守趋势。1961-1965年、2000-2003年和2004-2011年。使用不同食物组的可用能量摄入平均值计算了41个选定国家的地中海可持续性指数。结果1961 ~ 1965年和2004 ~ 2011年，许多国家的MAI呈恶化趋势，但有16个国家的MAI呈上升趋势。在过去两个观察期之间，在41个选定国家中，有16个国家的多边投资指数稳定下来。区域排名的三个研究期间下降的MAI分数的基础上：地中海南部，地中海欧洲，中欧和北方European.Discussion和结论坚持MD显着下降1961-65和2000-03年之间，而从2004-2011年有一个稳定的MAI值，甚至增加了16个国家。需要努力保护地中海区域的饮食传统和生活习惯，以遏制慢性病发病率的上升。
Background From the 1960s to the early 21st-century adherence to the Mediterranean diet (MD) declined around the world. This was partly due to the westernization of eating habits. However, in the last decade a new variable came into play, the economic crisis, which may have affected dietary patterns.Objective We analyzed worldwide trends of adherence to the MD between the periods 1961-1965, 2000-2003 and 2004-2011.Methods Data was obtained from the Food and Agriculture Organization Food Balance Sheets in three study periods: 1961-1965, 2000-2003 and 2004-2011. The Mediterranean Adequacy Index (MAI) was calculated for 41 selected countries using the averages of available energy intake for different food groups. Changes in MAI indicated the trends in adherence in the different periods.Results In many countries, MAI deteriorated from 1961 to 1965 and 2004 to 2011, yet an increase was observed in 16 countries. Between the last two observation periods, MAI values stabilized in 16 of the 41 selected countries. Regional rankings for the three study periods based on descending MAI scores were: Southern Mediterranean, Mediterranean Europe, Central Europe and Northern Europe.Discussion and Conclusions Adherence to the MD significantly decreased between 1961-65 and 2000-03, whereas from 2004-2011 there was a stabilization of MAI values and even an increase among 16 countries. Efforts are needed to preserve the dietary traditions and lifestyle habits within the Mediterranean region in order to counteract increasing rates of chronic disease.