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Assessment of adherence to MD and lifestyle

GA Giuseppina Augimeri
MS Manuel Soto
FC Fabrizio Ceraudo
GC Giovanna Caparello
MF Melisa Villegas Figueroa
MC Mirko Cesario
LC Lorenzo S. Caputi
BC Berniza Calderón
DB Daniela Bonofiglio
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The adherence to the MD and lifestyle was assessed with the Mediterranean Diet Adherence Screener (MEDAS) (Table ​(Table6)6) and the Mediterranean Lifestyle Index (MEDLIFE) (Table ​(Table7)7) questionnaires respectively. The Italian and Spanish versions of each of these questionnaires were used for each respective population.

Mediterranean Diet Adherence Screener (MEDAS) questionnaire

Mediterranean Lifestyle index (MEDLIFE) questionnaire. Block 3

The MEDAS is a validated questionnaire that comprises 14 items that evaluate the intake of main group foods consumed in the MD. Responses that are inside the MD recommendations are given a score of 1, while responses outside the recommendations are given a score of 0. Scores for each item are added together and a total score that ranges from 0 to 14 is obtained. Total scores ranged 0–5 are considered low adherence, scores ranged 6–9 are medium adherence and scores ≥ 10 are good adherence to the MD [14, 17].

The MEDLIFE is a validated questionnaire that comprises 28 items, divided into 3 blocks, that evaluates the adherence to both Mediterranean food consumption and lifestyle habits. Block 3 consists of 6 items that specifically evaluate lifestyle habits, this was the part of the questionnaire that was used to assess the adherence of participants to the Mediterranean lifestyle. Responses that are consistent with the Mediterranean lifestyle are given a score of 1, while others are given a score of 0. Items’ scores are added together for a range of total score from 0 to 6, with higher scores representing a higher adherence to the Mediterranean lifestyle [15].

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