title: Factors determining the nutrition transition in two Mediterranean islands: Sardinia and Malta.
abstract: OBJECTIVE
  To examine and analyse consumption changes over time of 24 food items between Sardinia and Malta.
  
  
  METHODS
  The data were collected in 2001 in Sardinia and 2002 in Malta.
  
  
  METHODS
  A structured qualitative questionnaire, articulated around four main themes: food supply, transformation, preparation and consumption habits, was administered by face-to-face interviews with the help of a local person. It encompassed mainly open-ended questions, which allowed us to measure factors contributing to change.
  
  
  METHODS
  Thirty mother-daughter pairs were interviewed in each insular territory.
  
  
  RESULTS
  Despite a common trend revealing a shift away from cereals, pulses and potatoes to the benefit of meat products, fats and sugar, our results showed contrasting evolutions in food consumption between both insular societies. Fruit and vegetables, olive oil and fish, which are part of the main features of the Mediterranean diet, were among the top foods for which consumption frequency has increased in Sardinia. In Malta, besides an increase in olive oil and vegetable consumption, cheeses and desserts showed the highest increase. Along with modernity and improved living conditions, enhanced commercial availability and increased diversity of food preparation were also identified as factors contributing to food consumption changes.
  
  
  CONCLUSIONS
  Although the Sardo-Mediterranean model is evolving under the impact of modernisation, it is not disappearing. In Malta, however, modernity has led to a more sudden shift from a state of food shortage to one of affluence, but in a cultural context where the identity is no longer Mediterranean but Anglo-Saxon.
authors.affiliation: Groupe d'Epidémiologie Métabolique, Centre de Recherche en Cancérologie, INSERM-CRLC, F-34298 Montpellier Cedex 5, France. sotessier@yahoo.fr
authors.forename: Sophie
authors.initials: S
authors.lastname: Tessier
authors.forename: Mariette
authors.initials: M
authors.lastname: Gerber
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003296:Cooking / Q000379:methods; D004032:Diet / Q000639:trends*; D004034:Diet Surveys; D038441:Diet, Mediterranean; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007558:Italy; D008319:Malta; D008875:Middle Aged; D009034:Mother-Child Relations; D012924:Social Conditions; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires