Agreement among Mediterranean Diet Pattern Adherence Indexes: MCC-Spain Study

Nutrients
Rocío Olmedo-RequenaVicente Martín

Abstract

There are many different methods used to measure the degree of adherence to a Mediterranean diet (MD), limiting comparison and interpretation of their results. The concordance between different methodologies has been questioned and their evaluation recommended. The aim of this study was to evaluate the agreement among five indexes that measure adherence to a Mediterranean dietary pattern. The study population included healthy adults selected in the Multi-Case Control Spain (MCC-Spain) study recruited in 12 provinces. A total of 3640 controls were matched to cases by age and sex. To reach the aim, the following scores of adherence to a Mediterranean dietary pattern were calculated: Mediterranean diet score (MDS), alternative Mediterranean diet (aMED), relative Mediterranean diet (rMED), dietary score (DS) and literature-based adherence score (LBAS). The relative frequency of subjects with a high level of adherence to a MD varied from 22% (aMED index) to 37.2% (DS index). Similarly, a high variability was observed for the prevalence of a low level of MD: from 24% (rMED) to 38.4% (aMED). The correlation among MDS, aMED and rMED indexes was moderate, except for MDS and aMED with a high coefficient of correlation 0.75 (95% CI 0.74⁻0...Continue Reading

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Citations

Dec 19, 2019·Nature Reviews. Cancer·Susan E Steck, E Angela Murphy
Sep 19, 2019·Nutrición hospitalaria·Nadia San Onofre BernatJoan Quiles I Izquierdo
Feb 13, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Miguel A ZapataUNKNOWN On behalf Optretina reading group
Feb 23, 2021·Public Health Nutrition·Canaan Negash SeifuEvan Atlantis
May 1, 2021·Nutrients·Clara Suárez-MartínezThe Nela Study Group
Jul 3, 2021·International Journal of Environmental Research and Public Health·Débora Godoy-IzquierdoFélix Arbinaga
Jul 23, 2021·The British Journal of Nutrition·Heather L Hutchins-WieseKathryn N Porter Starr
Jun 23, 2021·Public Health Nutrition·Nerea Telleria-AramburuMarta Arroyo-Izaga

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Methods Mentioned

BETA
MDS

Software Mentioned

rMED
MDS
Stata
aMED

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