title: Worldwide variation of adherence to the Mediterranean diet, in 1961-1965 and 2000-2003.
abstract: OBJECTIVE
  The present study aimed to analyse the worldwide trends of adherence to the Mediterranean diet (MD), in 1961-1965 and 2000-2003.
  
  
  METHODS
  Data were obtained from the FAO food balance sheets in two periods: 1961-1965 and 2000-2003. In order to have a sample from across the world, forty-one countries were selected. The average of available energy for different food groups was calculated for all selected countries. These values were used to evaluate the adherence to the MD through a variation of Mediterranean Adequacy Index (MAI).
  
  
  RESULTS
  The majority of the forty-one countries in this study have tended to drift away from a Mediterranean-like dietary pattern. Mediterranean Europe and the Other Mediterranean country groups suffered a significant decrease in their MAI values. The Mediterranean European group, especially Greece, experienced the greatest decrease in MAI value. In both periods, the Other Mediterranean countries showed the highest MAI values. In an analysis by countries, Iran had the highest increase in MAI across the time periods, and Egypt occupied the first place in the ranking in 2000-2003. The Northern European group was the only one that registered an increase in MAI, although this was not statistically significant.
  
  
  CONCLUSIONS
  Many countries in the Mediterranean basin are drifting away from the Mediterranean dietary pattern (MDP). However, countries in Northern Europe and some other countries around the world are taking on a Mediterranean-like dietary pattern. The Other Mediterranean countries have the closest adherence to the MDP, currently and in the 1960s. Nutrition policy actions to tackle dietary westernisation and preserve the healthy prudent MDP are required.
authors.affiliation: Mediterranean Diet Foundation, Barcelona, Spain.
authors.forename: Rui
authors.initials: R
authors.lastname: da Silva
authors.forename: Anna
authors.initials: A
authors.lastname: Bach-Faig
authors.forename: Blanca
authors.initials: B
authors.lastname: Raidó Quintana
authors.forename: Genevieve
authors.initials: G
authors.lastname: Buckland
authors.forename: Maria Daniel
authors.initials: MD
authors.lastname: Vaz de Almeida
authors.forename: Lluís
authors.initials: L
authors.lastname: Serra-Majem
mesh_terms: D001294:Attitude to Health; D004032:Diet / Q000706:statistics & numerical data / Q000639:trends*; D004034:Diet Surveys; D038441:Diet, Mediterranean / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D002523:Edible Grain; D005060:Europe; D005247:Feeding Behavior / Q000208:ethnology; D005523:Food Supply / Q000592:standards / Q000706:statistics & numerical data*; D005638:Fruit; D019983:Guideline Adherence; D006801:Humans; D008460:Meat; D019083:Mediterranean Region; D018673:Nutrition Policy; D000069463:Olive Oil; D010938:Plant Oils; D017747:Seafood; D014675:Vegetables
chemical_list: D000069463:Olive Oil; D010938:Plant Oils