Adherence to the Mediterranean diet among employees in South West England: Formative research to inform a web-based, work-place nutrition intervention

Preventive Medicine Reports

Volumn 2, Issue , 2015, Pages 223-228

  Papadaki, Angeliki ^a   Wood, Lesley ^a   Sebire, Simon J ^a   Jago, Russell ^a  

^a UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

Dietary adherence; Dietary behavior; Internet; Mediterranean diet; Mediterranean diet score; Nutrition intervention; Work place setting

Indexed keywords

ALCOHOL;

ADULT; ARTICLE; CEREAL; CROSS-SECTIONAL STUDY; DIETARY COMPLIANCE; EDUCATIONAL STATUS; EMPLOYEE; FEMALE; FOOD FREQUENCY QUESTIONNAIRE; FOOD INDUSTRY; FOOD PROCESSING; FRUIT; HUMAN; INDIVIDUALITY; INTERNET; MALE; MARRIAGE; MEDITERRANEAN DIET; NUTRITIONAL ASSESSMENT; SCORING SYSTEM; SEX DIFFERENCE; UNITED KINGDOM; VEGETABLE; WEB BROWSER; WORK ENVIRONMENT;

EID: 84927154847     PISSN: None     EISSN: 22113355     Source Type: Journal    
DOI: 10.1016/j.pmedr.2015.03.009     Document Type: Article

References (47)

1. Bates B., Lennox A., Prentice A., Bates C., Swan G. National Diet and Nutrition Survey: Headline Results from Years 1, 2 and 3 (combined) of the Rolling Programme 2008/09 - 2010/11 Available:, (Accessed: 6th July 2014). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/207708/NDNS-Y3-report_All-TEXT-docs-combined.pdf.
2. Block G., Block T., Wakimoto P., Block C. Demonstration of an e-mailed worksite nutrition intervention program. Prev. Chronic Dis. 2004, 1:A06.
3. Brug J. Dutch research into the development and impact of computer tailored nutrition education. Eur. J. Clin. Nutr. 1999, 53:78-82.
4. Council of the European Union Council conclusions on nutrition and physical activity Available:, (Accessed: 22nd November 2014). http://www.consilium.europa.eu/uedocs/cms_data/docs/pressdata/en/lsa/143285.pdf.
5. Craig P., Dieppe P., Macintyre S., Michie S., Nazareth I., Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ 2008, 337:a1655.
6. Darmon N., Drewnowski A. Does social class predict diet quality?. Am. J. Clin. Nutr. 2008, 87:1107-1117.
7. Djuric Z., Ren J., Blythe J., van Loon G., Sen A. A Mediterranean dietary intervention in healthy American women changes plasma carotenoids and fatty acids in distinct clusters. Nutr. Res. 2009, 29:156-163.
8. Ebbeling C., Pawlak D., Ludwig D. Childhood obesity: public-health crisis, common sense cure. Lancet 2002, 360:473-482.
9. Fletcher D.J., Rogers D.A. Diet and coronary heart disease: helping patients reduce serum cholesterol level. Postgrad. Med. 1985, 77:319-328.
10. Goulet J., Lamarche B., Nadeau G., Lemieux S. Effect of a nutritional intervention promoting the Mediterranean food pattern on plasma lipids, lipoproteins and body weight in healthy French-Canadian women. Atherosclerosis 2003, 170:115-124.
11. Grundy S., Jamieson L. UK sociodemographic profile of 18-24year olds. Workpackage No 4, Socio Demographic Profile Scotland and England, UK 2002.
12. Harland J., Buttriss J., Gibson S. Achieving eatwell plate recommendations: is this a route to improving both sustainability and healthy eating?. Nutr. Bull. 2012, 37:324-343.
13. Health England Public Your guide to the eatwell plate: helping you eat a healthy diet Available:, (Accessed: 22nd November 2014). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/237282/Eatwell_plate_booklet.pdf.
14. Horgan A., Sweeney J. University students' online habits and their use of the Internet for health information. Comput. Inform. Nurs. 2012, 30:402-408.
15. Hu F. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr. Opin. Lipidol. 2002, 13:3-9.
16. Irvine A., Ary D., Grove D., Gilfillan-Morton L. The effectiveness of an interactive multimedia program to influence eating habits. Health Educ. Res. 2004, 19:290-305.
17. Kok G., Schaalma H., Ruiter R., van Empelen P., Brug J. Intervention mapping: a protocol for applying health psychology theory to prevention programmes. J. Health Psychol. 2004, 9.
18. Leighton F., Polic G., Strobel P., Pérez D., Martínez C., Vásquez L., Castillo O., Villarroel L., Echeverría G., Urquiaga I., Mezzano D., Rozowski J. Health impact of Mediterranean diets in food at work. Public Health Nutr. 2009, 12:1635-1643.
19. Levy L. Dietary strategies, policy and cardiovascular disease risk reduction in England. Proc. Nutr. Soc. 2013, 72:386-389.
20. Maes L., Van Cauwenberghe E., Van Lippevelde W., Spittaels H., De Pauw E., Oppert J., Van Lenthe F., Brug J., De Bourdeaudhuij I. Effectiveness of workplace interventions in Europe promoting healthy eating: a systematic review. Eur. J. Pub. Health 2011, 22:677-682.
21. McManus K., Antinoro L., Sacks F. A randomized controlled trial of a moderate-fat, low-energy diet compared with a low fat, low-energy diet for weight loss in overweight adults. Int. J. Obes. 2001, 25:1503-1511.
22. Mhurchu C., Aston L., Jebb S. Effects of worksite health promotion interventions on employee diets: a systematic review. BMC Public Health 2010, 10:62.
23. Mills P., Kessler R., Cooper J., Sullivan S. Impact of a health promotion program on employee health risks and work productivity. Am. J. Health Promot. 2007, 22:45-53.
24. National Institute for Health and Care Excellence Maintaining a healthy weight and preventing excess weight gain among children and adults: draft guideline Available at:, (Accessed: 24th October 2014). http://www.nice.org.uk/guidance/gid-phg78/resources/maintaining-a-healthy-weight-and-preventing-excess-weight-gain-among-children-and-adults-draft-guideline2.
25. National Institute for Health Clinical Excellence Behaviour change at population, community and individual levels. NICE Public Health Guidance 2007, NICE, London.
26. Oenema A., Brug J., Lechner L. Web-based tailored nutrition education: results of a randomized trial. Health Educ. Res. 2001, 16:647-660.
27. Oenema A., Tan F., Brug J. Short-term efficacy of a web-based computer-tailored nutrition intervention: main effects and mediators. Ann. Behav. Med. 2005, 29:54-63.
28. Ofcom Adults media use and attitudes report Available at, (Accessed: 16th June 2014). http://stakeholders.ofcom.org.uk/binaries/research/media-literacy/media-use-attitudes/adults-media-use-2012.pdf.
29. Office for National Statistics Ethnicity and national identity in England and Wales 2011 Available:, (Accessed: 16th June 2014). http://www.ons.gov.uk/ons/dcp171776_290558.pdf.
30. Office for National Statistics Internet Access Quarterly Update Available:, (Accessed: 16th June 2014). http://www.ons.gov.uk/ons/rel/rdit2/internet-access-quarterly-update/q1-2014/index.html.
31. Office for National Statistics ONS Standard Occupational Classification (SOC) hierarchy Available:, (Accessed: 16th June 2014). http://www.neighbourhood.statistics.gov.uk/HTMLDocs/dev3/ONS_SOC_hierarchy_view.html.
32. Panagiotakos D., Pitsavos C., Polychronopoulos E., Chrysohoou C., Zampelas A., Trichopoulou A. Can a Mediterranean diet moderate the development and clinical progression of coronary heart disease? A systematic review. Med. Sci. Monit. 2004, 10:193-198.
33. Panagiotakos D., Miliasa G., Pitsavos C., Stefanadis C. MedDietScore: a computer program that evaluates the adherence to the Mediterranean dietary pattern and its relation to cardiovascular disease risk. Comput. Methods Prog. Biomed. 2006, 83:73-77.
34. Panagiotakos D.B., Chrysohoou C., Pitsavos C., Stefanadis C. Association between the prevalence of obesity and adherence to the Mediterranean diet: the ATTICA study. Nutrition 2006, 22:449-456.
35. Panagiotakos D.B., Pitsavos C., Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr. Metab. Cardiovasc. Dis. 2006, 16:559-568.
36. Papadaki A., Scott J. The Mediterranean Eating in Scotland Experience (MESE) project: evaluation of an Internet-based intervention promoting the Mediterranean diet. Br. J. Nutr. 2005, 94:290-298.
37. Papadaki A., Scott J.A. Process evaluation of an innovative healthy eating website promoting the Mediterranean diet. Health Educ. Res. 2005, 21:206-218.
38. Papadaki A., Scott J. Follow-up of a web-based tailored intervention promoting the Mediterranean diet in Scotland. Patient Educ. Couns. 2008, 73:256-263.
39. Renaud S., de Lorgeril M., Delaye J., Guidollet J., Jacquard F., Mamelle N., Martin J.L., Monjaud I., Salen P., Toubol P. Cretan Mediterranean diet for prevention of coronary heart disease. Am. J. Clin. Nutr. 1995, 61:1360S-1367S.
40. Robroek S., Bredt F., Burdorf A. The (cost-)effectiveness of an individually tailored long-term worksite health promotion programme on physical activity and nutrition: design of a pragmatic cluster randomised controlled trial. BMC Public Health 2007, 7:259.
41. Schneider S. Measuring educational attainment. Survey Question Bank: Topic Overview 2011, 6.
42. Sexton P., Black P., Metcalf P., Wall C.R., Ley S., Wu L., Sommerville F., Brodie S., Kolbe J. Influence of Mediterranean diet on asthma symptoms, lung function, and systemic inflammation: a randomized controlled trial. J. Asthma 2013, 50:75-81.
43. Sofi F., Macchi C., Abbate R., Gensini G., Casini A. Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutr. 2014, 17:2769-2782.
44. Spronk I., Kullen C., Burdon C., O'Connor H. Relationship between nutrition knowledge and dietary intake. Br. J. Nutr. 2014, 111:1713-1726.
45. Steyn N., Parker W., Lambert E., Mchiza Z. Nutrition interventions in the workplace: evidence of best practice. S. Afr. J. Clin. Nutr. 2009, 22:111-117.
46. Willett W. The Mediterranean diet: science and practice. Public Health Nutr. 2006, 9:105-110.
47. World Health Organisation Interventions on diet and physical activity: what works: summary report 2009, WHO, Geneva.