Challenges to the Mediterranean diet at a time of economic crisis

Nutrition, Metabolism and Cardiovascular Diseases

Volumn 26, Issue 12, 2016, Pages 1057-1063

  Bonaccio, M ^a   Bes Rastrollo, M ^b,c,d   de Gaetano, G ^a   Iacoviello, L ^a  

^a IRCCS NEUROMED   (Italy)

^b UNIVERSITY OF NAVARRA   (Spain)

^c INSTITUTO DE SALUD CARLOS III   (Spain)

^d Recinto de Complejo Hospitalario de Navarra   (Spain)

Author keywords

Cardiovascular and cerebrovascular diseases; Dietary diversity; Economic crisis; Food cost; Health disparities; Mediterranean diet; Organic foods; Socioeconomic status

Indexed keywords

CARDIOVASCULAR DISEASE; COST EFFECTIVENESS ANALYSIS; COST UTILITY ANALYSIS; FOOD INTAKE; FOOD QUALITY; HOUSEHOLD INCOME; HUMAN; LIFE EXPECTANCY; MARRIAGE; MEDITERRANEAN DIET; ORGANIC FOOD; PRIORITY JOURNAL; REVIEW; SOCIAL STATUS; SOCIOECONOMICS; AGED; DIETARY REFERENCE INTAKE; EATING; ECONOMIC ASPECT; ECONOMIC RECESSION; ECONOMICS; FEEDING BEHAVIOR; FEMALE; FOOD; HEALTH DISPARITY; HEALTHY DIET; MALE; MIDDLE AGED; PATIENT COMPLIANCE; TIME FACTOR; TRENDS;

AGED; DIET, MEDITERRANEAN; EATING; ECONOMIC RECESSION; FEEDING BEHAVIOR; FEMALE; FOOD; FOOD, ORGANIC; HEALTH STATUS DISPARITIES; HEALTHY DIET; HUMANS; INFLATION, ECONOMIC; MALE; MIDDLE AGED; PATIENT COMPLIANCE; RECOMMENDED DIETARY ALLOWANCES; SOCIOECONOMIC FACTORS; TIME FACTORS;

EID: 84981730988     PISSN: 09394753     EISSN: 15903729     Source Type: Journal    
DOI: 10.1016/j.numecd.2016.07.005     Document Type: Review

References (63)

1. [1] http://www.unesco.org/culture/ich/en/decisions/5.COM/6.41 Accessed on January 2016.
2. [2] Willett, W.C., Sacks, F., Trichopoulou, A., Drescher, G., Ferro-Luzzi, A., Helsing, E., et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr 61:6 Suppl. (1995), 1402S–1406S.
3. [3] Trichopoulou, A., Costacou, T., Bamia, C., Trichopoulos, D., Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348 (2003), 2599–2608.
4. [4] Keys, A., Seven countries. A multivariate analysis of death, coronary heart disease. 1980, Harvard University Press, Cambridge, MA.
5. [5] Stamler, J., Toward a modern Mediterranean diet for the 21st century. Nutr Metab Cardiovasc Dis 23 (2013), 1159–1162.
6. [6] León-Muñoz, L.M., Guallar-Castillón, P., Graciani, A., López-García, E., Mesas, A.E., Aguilera, M.T., et al. Adherence to the Mediterranean diet pattern has declined in Spanish adults. J Nutr 142 (2012), 1843–1850.
7. [7] Bonaccio, M., Iacoviello, L., de Gaetano, G., On behalf of the Moli-Sani Investigators. The Mediterranean diet: the reasons for a success. Thromb Res 129 (2012), 401–404.
8. [8] Vareiro, D., Bach-Faig, A., Raidó Quintana, B., Bertomeu, I., Buckland, G., Vaz de Almeida, M.D., et al. Availability of Mediterranean and non-Mediterranean foods during the last four decades: comparison of several geographical areas. Public Health Nutr 12 (2009), 1667–1675.
9. [9] Lopez, C.N., Martinez-Gonzalez, M.A., Sanchez-Villegas, A., Alonso, A., Pimenta, A.M., Bes-Rastrollo, M., Costs of Mediterranean and western dietary patterns in a Spanish cohort and their relationship with prospective weight change. J Epidemiol Community Health 63 (2009), 920–927.
10. [10] Drewnowski, A., Obesity, diets, and social inequalities. Nutr Rev 67:Suppl. 1 (2009), S36–S39.
11. [11] Bonaccio, M., Di Castelnuovo, A., Bonanni, A., Costanzo, S., De Lucia, F., Persichillo, M., et al. Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study. Nutr Metab Cardiovas Dis 24 (2014), 853–860.
12. [12] Fidanza, F., Alberti, A., Fruttini, D., The Nicotera diet: the reference Italian Mediterranean diet. World Rev Nutr Diet 95 (2005), 115–121.
13. [13] da Silva, R., Bach-Faig, A., Raidó Quintana, B., Buckland, G., Vaz de Almeida, M.D., Serra-Majem, L., Worldwide variation of adherence to the Mediterranean diet, in 1961-1965 and 2000-2003. Public Health Nutr 12 (2009), 1676–1684.
14. [14] Tognon, G., Moreno, L.A., Mouratidou, T., Veidebaum, T., Molnár, D., Russo, P., et al. Adherence to a Mediterranean-like dietary pattern in children from eight European countries. The IDEFICS study. Int J Obes (Lond) 38:Suppl. 2 (2014), S108–S114.
15. [15] Katsarou, A., Tyrovolas, S., Psaltopoulou, T., Zeimbekis, A., Tsakountakis, N., Bountziouka, V., et al. Socio-economic status, place of residence and dietary habits among the elderly: the Mediterranean islands study. Public Health Nutr 13 (2010), 1614–1621.
16. [16] Panagiotakos, D.B., Pitsavos, C., Chrysohoou, C., Vlismas, K., Skoumas, Y., Palliou, K., et al. Dietary habits mediate the relationship between socio-economic status and CVD factors among healthy adults: the ATTICA study. Public Health Nutr 11 (2008), 1342–1349.
17. [17] Panagiotakos, D.B., Pitsavos, C., Chrysohoou, C., Vlismas, K., Skoumas, Y., Palliou, K., et al. The effect of clinical characteristics and dietary habits on the relationship between education status and 5-year incidence of cardiovascular disease: the ATTICA study. Eur J Nutr 47 (2008), 258–265.
18. [18] Bonaccio, M., Bonanni, A.E., Di Castelnuovo, A., De Lucia, F., Donati, M.B., de Gaetano, G., et al. Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: cross-sectional results from the Moli-sani study. BMJ Open, 2, 2012, e001685.
19. [19] Grosso, G., Marventano, S., Buscemi, S., Scuderi, A., Matalone, M., Platania, A., et al. Factors associated with adherence to the Mediterranean diet among adolescents living in Sicily, Southern Italy. Nutrients 5 (2013), 4908–4923.
20. [20] Osler, M., Schroll, M., Diet and mortality in a cohort of elderly people in a north European community. Int J Epidemiol 26 (1997), 155–159.
21. [21] Stefler, D., Malyutina, S., Kubinova, R., Pajak, A., Peasey, A., Pikhart, H., et al. Mediterranean diet score and total and cardiovascular mortality in Eastern Europe: the HAPIEE study. Eur J Nutr, 2015 Nov 17.
22. [22] Tektonidis, T.G., Åkesson, A., Gigante, B., Wolk, A., Larsson, S.C., Mediterranean diet and risk of myocardial infarction, heart failure and stroke: a population-based cohort study. Atherosclerosis 243 (2015), 93–98.
23. [23] Brunner, E.J., Mosdøl, A., Witte, D.R., Martikainen, P., Stafford, M., Shipley, M.J., et al. Dietary patterns and 15-y risks of major coronary events, diabetes, and mortality. Am J Clin Nutr 87 (2008), 1414–1421.
24. [24] Lennernäs, M., Fjellström, C., Becker, W., Giachetti, I., Schmitt, A., Remaut de Winter, A., et al. Influences on food choice perceived to be important by nationally-representative samples of adults in the European Union. Eur J Clin Nutr 51:Suppl. 2 (1997), S8–S15.
25. [25] Saulle, R., Semyonov, L., La Torre, G., Cost and cost-effectiveness of the Mediterranean diet: results of a systematic review. Nutrients 5 (2013), 4566–4586.
26. [26] Aggarwal, A., Monsivais, P., Drewnowski, A., Nutrient intakes linked to better health outcomes are associated with higher diet costs in the US. PLoS One, 2012, e37533.
27. [27] Monsivais, P., Aggarwal, A., Drewnowski, A., Are socio-economic disparities in diet quality explained by diet cost?. J Epidemiol Communtiy Health 66 (2012), 530–535.
28. [28] Aggarwal, A., Monsivais, P., Cook, A.J., Drewnowski, A., Does diet cost mediate the relation between socioeconomic position and diet quality?. Eur J Clin Nutr 65 (2011), 1059–1066.
29. [29] Drewnowski, A., The cost of US foods as related to their nutritive value. Am J Clin Nutr 92 (2010), 1181–1188.
30. [30] Germani, A., Vitiello, V., Giusti, A.M., Pinto, A., Donini, L.M., del Balzo, V., Environmental and economic sustainability of the Mediterranean diet. Int J Food Sci Nutr 65 (2014), 1008–1012.
31. [31] Bernstein, A.M., Bloom, D.E., Rosner, B.A., Franz, M., Willett, W.C., Relation of food cost to healthfulness of diet among US women. Am J Clin Nutr 92 (2010), 1197–1203.
32. [32] Drewnowski, A., Eichelsdoerfer, P., The Mediterraenan diet: does it have to cost more?. Public Health Nutr 12 (2009), 1621–1628.
33. [33] Vlismas, K., Panagiotakos, D.B., Pitsavos, C., Chrysohoou, C., Skoumas, Y., Sitara, M., et al. Quality, but not cost, of diet is associated with 5-year incidence of CVD: the ATTICA study. Public Health Nutr 13 (2010), 1890–1897.
34. [34] Goulet, J., Lamarche, B., Lemieux, S., A nutritional intervention promoting a Mediterranean Food Pattern does not affect total daily dietary cost in North American women in free-living conditions. J Nutr 138 (2008), 54–59.
35. [35] Schröder, H., Marrugat, J., Covas, M.I., High monetary costs of dietary patterns associated with lower body mass index: a population-based study. Int J Obes 30 (2006), 1574–1579.
36. [36] Dalziel, K., Segal, L., de Lorgeril, M.A., Mediterranean diet is cost-effective in patients with previous myocardial infarction. J Nutr 136 (2006), 1879–1885.
37. [37] Dalziel, K., Segal, L., Time to give nutrition interventions a higher profile: cost-effectiveness of 10 nutrition interventions. Health Promot Int 22 (2007), 271–283.
38. [38] Abdullah, M.M., Jones, J.P., Jones, P.J., Economic benefits of the Mediterranean-style diet consumption in Canada and the United States. Food Nutr Res, 59, 2015, 27541.
39. [39] Middleton, G., Keegan, R., Smith, M.F., Alkhatib, A., Klonizakis, M., Brief report: implementing a Mediterranean diet intervention into a RCT: lessons learned from a Non-Mediterranean based country. J Nutr Health Aging 19 (2015), 1019–1022.
40. [40] Turrell, G., Kavanagh, A.M., Socio-economic pathways to diet: modelling the association between socio-economic position and food purchasing behaviour. Public Health Nutr 9 (2006), 375–383.
41. [41] Bach, A., Serra-Majem, L., Carrasco, J.L., Roman, B., Ngo, J., Bertomeu, I., et al. The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review. Public Health Nutr 9 (2006), 132–146.
42. [42] Ruel, M.T., Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 133:11 Suppl. 2 (2003), 3911S–3926S.
43. [43] Masset, G., Scarborough, P., Rayner, M., Mishra, G., Brunner, E.J., Can nutrient profiling help to identify foods which diet variety should be encouraged? Results from the Whitehall II cohort. Br J Nutr 113 (2015), 1800–1809.
44. [44] Cooper, A.J., Sharp, S.J., Lentjes, M.A., Luben, R.N., Khaw, K.T., Wareham, N.J., et al. A prospective study of the association between quantity and variety of fruit and vegetable intake and incident type 2 diabetes. Diabetes Care 35 (2012), 1293–1300.
45. [45] Salehi-Abargouei, A., Akbari, F., Bellissimo, N., Azadbakht, L., Dietary diversity score and obesity: a systematic review and meta-analysis of observational studies. Eur J Clin Nutr 70 (2016), 1–9.
46. [46] Ahn, B.C., Engelhardt, K., Joung, H., Diet variety is associated with socio-economic factors. Ecol Food Nutr 45 (2006), 417–430.
47. [47] Conklin, A.I., Forouhi, N.G., Suhrcke, M., Surtees, P., Wareham, N.J., Monsivais, P., Variety more than quantity of fruit and vegetable intake varies by socioeconomic status and financial hardship. Findings from older adults in the EPIC cohort. Appetite 83 (2014), 248–255.
48. [48] Mayén, A.L., Marques-Vidal, P., Paccaud, F., Bovet, P., Stringhini, S., Socioeconomic determinants of dietary patterns in low- and middle-income countries: a systematic review. Am J Clin Nutr 100 (2014), 1520–1531.
49. [49] Barański, M., Srednicka-Tober, D., Volakakis, N., Seal, C., Sanderson, R., Stewart, G.B., et al. Higher antioxidant and lower cadmium concentrations and lower incidence of pesticide residues in organically grown crops: a systematic literature review and meta-analyses. Br J Nutr 112 (2014), 794–811.
50. [50] Dangour, A.D., Lock, K., Hayter, A., Aikenhead, A., Allen, E., Uauy, R., Nutrition-related health effects of organic foods: a systematic review. Am J Clin Nutr 92 (2010), 203–210.
51. [51] Dangour, A.D., Dodhia, S.K., Hayter, A., Allen, E., Lock, K., Uauy, R., Nutritional quality of organic foods: a systematic review. Am J Clin Nutr 90 (2009), 680–685.
52. [52] Food and Agriculture Organization of the United Nations (FAO). Organic Agriculture. http://www.fao.org/organicag/oa-faq/oa-faq5/en/(Accessed on February 2016).
53. [53] Curl, C.L., Beresford, S.A., Hajat, A., Kaufman, J.D., Moore, K., Nettleton, J.A., et al. Associations of organic produce consumption with socioeconomic status and the local food environment: multi-Ethnic Study of Atherosclerosis (MESA). PLoS One, 8, 2013, e69778.
54. [54] Kesse-Guyot, E., Péneau, S., Méjean, C., Szabo de Edelenyi, F., Galan, P., Hercberg, S., et al. Profiles of organic food consumers in a large sample of French adults: results from the Nutrinet-Santé cohort study. PLoS One, 8(10), 2013, e76998.
55. [55] Torjusen, H., Brantsæter, A.L., Haugen, M., Lieblein, G., Stigum, H., Roos, G., et al. Characteristics associated with organic food consumption during pregnancy; data from a large cohort of pregnant women in Norway. BMC Public Health, 10, 2010, 775.
56. [56] The American Heart Association's Diet and Lifestyle Recommendations. http://www.heart.org/HEARTORG/HealthyLiving/HealthyEating/Nutrition/The-American-Heart-Associations-Diet-and-Lifestyle-Recommendations_UCM_305855_Article.jsp#.VtAlZvnhDIU (Accessed on February 2016).
57. [57] Turrell, G., Hewitt, B., Patterson, C., Oldenburg, B., Gould, T., Socioeconomic differences in food purchasing behaviour and suggested implications for diet-related health promotion. J Hum Nutr Diet 15 (2002), 355–364.
58. [58] Nakamura, R., Suhrcke, M., Jebb, S.A., Pechey, R., Almiron-Roig, E., Marteau, T.M., Price promotions on healthier compared with less healthy foods: a hierarchical regression analysis of the impact on sales and social patterning of responses to promotions in Great Britain. Am J Clin Nutr 10 (2015), 808–816.
59. [59] Pechey, R., Jebb, S.A., Kelly, M.P., Almiron-Roig, E., Conde, S., Nakamura, R., et al. Socioeconomic differences in purchases of more vs. less healthy foods and beverages: analysis of over 25,000 British households in 2010. Soc Sci Med 92 (2013), 22–26.
60. [60] Giskes, K., Van Lenthe, F.J., Brug, J., Mackenbach, J.P., Turrell, G., Socioeconomic inequalities in food purchasing: the contribution of respondent-perceived and actual (objectively measured) price and availability of foods. Prev Med 45 (2007), 41–48.
61. [61] CIHEAM/FAO, Mediterranean food consumption patterns: diet, environment, society, economy and health. A White Paper Priority 5 of Feeding Knowledge Programme, Expo Milan 2015, 2015, CIHEAM-IAMB, Bari/FAO, Rome.
62. [62] Bonaccio, M., Donati, M.B., Iacoviello, L., de Gaetano, G., Socioeconomic determinants of the adherence to the Mediterranean diet at a time of economic crisis: the experience of the MOLI-SANI study. Agric Agric Sci Procedia 8 (2016), 741–747.
63. [63] Jørgensen, T., Capewell, S., Prescott, E., Allender, S., Sans, S., Zdrojewski, T., et al. Population-level changes to promote cardiovascular health. Eur J Prev Cardiol 20 (2012), 409–421.