Sommario:
  • Exploring Determinants of Mediterranean Lifestyle Adherence: Findings from the Multinational MEDIET4ALL e-Survey Across Ten Mediterranean and Neighboring Countries. Ammar, Achraf Boujelbane, Mohamed Ali Salem, Atef Trabelsi, Khaled Bouaziz, Bassem Kerkeni, Mohamed Masmoudi, Liwa Heydenreich, Juliane Schallhorn, Christiana Müller, Gabriel Uyar, Ayse Merve Ghazzawi, Hadeel Ali Amawi, Adam Tawfiq Orhan, Bekir Erhan Grosso, Giuseppe Abdelkarim, Osama Aly, Mohamed Driss, Tarak El Abed, Kais Moalla, Wassim Zmijewski, Piotr Debeaufort, Frédéric Benbettaieb, Nasreddine Poulain, Clément Reyes, Laura Gamero, Amparo Cuenca-Ortolá, Marta Cilla, Antonio Francesca, Nicola Messina, Concetta Maria Viola, Enrico Lorenzen, Björn Filice, Stefania Bajoub, Aadil Ajal, El-Mehdi Ajal, El Amine Obtel, Majdouline Lahiani, Sadjia Khaldi, Taha Souissi, Nafaa Boukhris, Omar Husain, Waqar Frias-Toral, Evelyn Mahdi, Walid Chtourou, Hamdi Jahrami, Haitham Schöllhorn, Wolfgang I Humans Female Male Middle Aged Adult Cross-Sectional Studies Diet, Mediterranean Aged Young Adult Mediterranean Region Surveys and Questionnaires Healthy Lifestyle Adolescent Socioeconomic Factors Life Style Exercise Patient Compliance Despite its well-established health benefits, adherence to the Mediterranean lifestyle (MedLife) has declined globally, including in its region of origin, alongside a significant shift toward ultra-processed food consumption. Understanding the factors associated with MedLife adherence is essential for developing targeted interventions and tailored policy recommendations. As part of the MEDIET4ALL PRIMA project, this cross-sectional study aimed to comprehensively examine geo-demographic, socio-economic, psychological, behavioral, and barrier-related factors associated with and potentially contributing to MedLife adherence. Data were collected from 4010 participants aged 18 years and above across ten Mediterranean and neighboring countries using the multinational MEDIET4ALL e-survey, which included the validated MedLife index, along with various other questionnaires. Results indicate that only 22% of respondents demonstrated high adherence to the Mediterranean lifestyle (MedLife), with significant variability observed across countries, age groups, education levels, and health statuses. Spain had the highest proportion of participants with high adherence (38%). Factors associated with significantly higher adherence rates include older age, living in the Mediterranean region, higher education levels, a greater awareness of MedLife principles, lower perceived barriers, normal BMI, better health status, and stable economic and marital conditions (-values ranging from 0.04 to