Garcia Conesa, Maria-Teresa and Philippou, Elena and Pafilas, Christos and Massaro, Marika and Quarta, Stefano and Andrade, Vanda and Jorge, Rui and Chervenkov, Mihail and Ivanova, Teodora and Dimitrova, Dessislava and Maksimova, Viktorija and Smilkov, Katarina and Gjorgieva Ackova, Darinka and Miloseva, Lence and Ruskovska, Tatjana and Deligiannidou, Georgia-Eirini and Kontogiorgis, Christos A. and Pinto, Paula (2020) Exploring the validity of the 14-item Mediterranean diet adherence screener (MEDAS): a cross-national study in seven European countries around the Mediterranean region. Nutrients, 12 (10). p. 2960. ISSN 2072-6643
Full text not available from this repository.Abstract
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 measure and compare MD adherence across countries and to relate it to the health status of a specific population.
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Health sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Tatjana Ruskovska |
| Date Deposited: | 18 Dec 2020 15:48 |
| Last Modified: | 18 Dec 2020 15:48 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/26896 |
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