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author Boujelbane, Mohamed Ali
Ammar, Achraf
Salem, Atef
Kerkeni, Mohamed
Trabelsi, Khaled
Bouaziz, Bassem
Masmoudi, Liwa
Heydenreich, Juliane
Schallhorn, Christiana
Müller, Gabriel
Uyar, Ayse Merve
Ghazzawi, Hadeel Ali
Amawi, Adam Tawfiq
Orhan, Bekir Erhan
Grosso, Giuseppe
Abdelkarim, Osama
Driss, Tarak
El Abed, Kais
Zmijewski, Piotr
Benbettaieb, Nasreddine
Poulain, Clément
Reyes, Laura
Gamero, Amparo
Cuenca-Ortolá, Marta
Francesca, Nicola
Messina, Concetta Maria
Lorenzen, Björn
Filice, Stefania
Bajoub, Aadil
Ajal, El-Mehdi
Ajal, El Amine
Obtel, Majdouline
Lahiani, Sadjia
Khaldi, Taha
Souissi, Nafaa
Boukhris, Omar
Jahrami, Haitham
Husain, Waqar
Mahdi, Walid
Chtourou, Hamdi
Schöllhorn, Wolfgang I
author_facet Boujelbane, Mohamed Ali
Ammar, Achraf
Salem, Atef
Kerkeni, Mohamed
Trabelsi, Khaled
Bouaziz, Bassem
Masmoudi, Liwa
Heydenreich, Juliane
Schallhorn, Christiana
Müller, Gabriel
Uyar, Ayse Merve
Ghazzawi, Hadeel Ali
Amawi, Adam Tawfiq
Orhan, Bekir Erhan
Grosso, Giuseppe
Abdelkarim, Osama
Driss, Tarak
El Abed, Kais
Zmijewski, Piotr
Benbettaieb, Nasreddine
Poulain, Clément
Reyes, Laura
Gamero, Amparo
Cuenca-Ortolá, Marta
Francesca, Nicola
Messina, Concetta Maria
Lorenzen, Björn
Filice, Stefania
Bajoub, Aadil
Ajal, El-Mehdi
Ajal, El Amine
Obtel, Majdouline
Lahiani, Sadjia
Khaldi, Taha
Souissi, Nafaa
Boukhris, Omar
Jahrami, Haitham
Husain, Waqar
Mahdi, Walid
Chtourou, Hamdi
Schöllhorn, Wolfgang I
Boujelbane, Mohamed Ali
Ammar, Achraf
Salem, Atef
Kerkeni, Mohamed
Trabelsi, Khaled
Bouaziz, Bassem
Masmoudi, Liwa
Heydenreich, Juliane
Schallhorn, Christiana
Müller, Gabriel
Uyar, Ayse Merve
Ghazzawi, Hadeel Ali
Amawi, Adam Tawfiq
Orhan, Bekir Erhan
Grosso, Giuseppe
Abdelkarim, Osama
Driss, Tarak
El Abed, Kais
Zmijewski, Piotr
Benbettaieb, Nasreddine
Poulain, Clément
Reyes, Laura
Gamero, Amparo
Cuenca-Ortolá, Marta
Francesca, Nicola
Messina, Concetta Maria
Lorenzen, Björn
Filice, Stefania
Bajoub, Aadil
Ajal, El-Mehdi
Ajal, El Amine
Obtel, Majdouline
Lahiani, Sadjia
Khaldi, Taha
Souissi, Nafaa
Boukhris, Omar
Jahrami, Haitham
Husain, Waqar
Mahdi, Walid
Chtourou, Hamdi
Schöllhorn, Wolfgang I
collection PubMed - marine biology
contents Gender-specific insights into adherence to Mediterranean diet and lifestyle: analysis of 4,000 responses from the MEDIET4ALL project. Boujelbane, Mohamed Ali Ammar, Achraf Salem, Atef Kerkeni, Mohamed Trabelsi, Khaled Bouaziz, Bassem Masmoudi, Liwa Heydenreich, Juliane Schallhorn, Christiana Müller, Gabriel Uyar, Ayse Merve Ghazzawi, Hadeel Ali Amawi, Adam Tawfiq Orhan, Bekir Erhan Grosso, Giuseppe Abdelkarim, Osama Driss, Tarak El Abed, Kais Zmijewski, Piotr Benbettaieb, Nasreddine Poulain, Clément Reyes, Laura Gamero, Amparo Cuenca-Ortolá, Marta Francesca, Nicola Messina, Concetta Maria Lorenzen, Björn Filice, Stefania Bajoub, Aadil Ajal, El-Mehdi Ajal, El Amine Obtel, Majdouline Lahiani, Sadjia Khaldi, Taha Souissi, Nafaa Boukhris, Omar Jahrami, Haitham Husain, Waqar Mahdi, Walid Chtourou, Hamdi Schöllhorn, Wolfgang I The Mediterranean Diet (MedDiet) is widely recognized for its health benefits, though adherence varies across populations and is influenced by multiple lifestyle and demographic factors. This study examined MedDiet adherence patterns and their associations with lifestyle behaviors, with particular attention to gender differences in a large, multinational cohort. Data were obtained via the MEDIET4ALL survey, an international cross-sectional study that included 4,010 participants (mean age: 36.04 ± 15.06 years; 59.5% female) across 10 countries. The evaluation of adherence to the MedDiet was conducted using the MedLife Index, a validated tool that assesses adherence to MedDiet patterns and lifestyle behaviors through three blocks: Mediterranean food consumption, MedDiet habits, and lifestyle behaviors. Additionally, validated instruments were used to measure associated factors, including perceived barriers to adherence, physical activity, sleep quality and disturbances, mental health, life satisfaction, social participation, and technology use behaviors. While total Mediterranean lifestyle (MedLife) scores showed no significant gender differences, women demonstrated better adherence to food consumption components ( < 0.001), while men showed greater physical activity and social participation. Women reported poorer sleep metrics (efficiency, latency, duration) and higher insomnia severity (all < 0.05). Psychological distress was more prevalent among women, who also expressed greater needs for psychosocial and nutritional support ( < 0.001). The MedLifeMEDLIFE Index showed significant positive correlations with physical activity ( = 0.298), social participation ( = 0.227), and sleep satisfaction ( = 0.181), and negative correlations with mental health measures (insomnia: = -0.137; depression: = -0.115; stress: = -0.089; anxiety: = -0.076; all < 0.001). Our findings reveal distinct gender-specific patterns in MedDiet adherence and associated lifestyle factors. These results underscore the need for differentiated public health approaches that address the unique behavioral and psychosocial needs of men and women to promote MedLife adoption.
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publishDate 2025
publisher Frontiers in nutrition
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spellingShingle Gender-specific insights into adherence to Mediterranean diet and lifestyle: analysis of 4,000 responses from the MEDIET4ALL project.
Boujelbane, Mohamed Ali
Ammar, Achraf
Salem, Atef
Kerkeni, Mohamed
Trabelsi, Khaled
Bouaziz, Bassem
Masmoudi, Liwa
Heydenreich, Juliane
Schallhorn, Christiana
Müller, Gabriel
Uyar, Ayse Merve
Ghazzawi, Hadeel Ali
Amawi, Adam Tawfiq
Orhan, Bekir Erhan
Grosso, Giuseppe
Abdelkarim, Osama
Driss, Tarak
El Abed, Kais
Zmijewski, Piotr
Benbettaieb, Nasreddine
Poulain, Clément
Reyes, Laura
Gamero, Amparo
Cuenca-Ortolá, Marta
Francesca, Nicola
Messina, Concetta Maria
Lorenzen, Björn
Filice, Stefania
Bajoub, Aadil
Ajal, El-Mehdi
Ajal, El Amine
Obtel, Majdouline
Lahiani, Sadjia
Khaldi, Taha
Souissi, Nafaa
Boukhris, Omar
Jahrami, Haitham
Husain, Waqar
Mahdi, Walid
Chtourou, Hamdi
Schöllhorn, Wolfgang I
Gender-specific insights into adherence to Mediterranean diet and lifestyle: analysis of 4,000 responses from the MEDIET4ALL project. Boujelbane, Mohamed Ali Ammar, Achraf Salem, Atef Kerkeni, Mohamed Trabelsi, Khaled Bouaziz, Bassem Masmoudi, Liwa Heydenreich, Juliane Schallhorn, Christiana Müller, Gabriel Uyar, Ayse Merve Ghazzawi, Hadeel Ali Amawi, Adam Tawfiq Orhan, Bekir Erhan Grosso, Giuseppe Abdelkarim, Osama Driss, Tarak El Abed, Kais Zmijewski, Piotr Benbettaieb, Nasreddine Poulain, Clément Reyes, Laura Gamero, Amparo Cuenca-Ortolá, Marta Francesca, Nicola Messina, Concetta Maria Lorenzen, Björn Filice, Stefania Bajoub, Aadil Ajal, El-Mehdi Ajal, El Amine Obtel, Majdouline Lahiani, Sadjia Khaldi, Taha Souissi, Nafaa Boukhris, Omar Jahrami, Haitham Husain, Waqar Mahdi, Walid Chtourou, Hamdi Schöllhorn, Wolfgang I The Mediterranean Diet (MedDiet) is widely recognized for its health benefits, though adherence varies across populations and is influenced by multiple lifestyle and demographic factors. This study examined MedDiet adherence patterns and their associations with lifestyle behaviors, with particular attention to gender differences in a large, multinational cohort. Data were obtained via the MEDIET4ALL survey, an international cross-sectional study that included 4,010 participants (mean age: 36.04 ± 15.06 years; 59.5% female) across 10 countries. The evaluation of adherence to the MedDiet was conducted using the MedLife Index, a validated tool that assesses adherence to MedDiet patterns and lifestyle behaviors through three blocks: Mediterranean food consumption, MedDiet habits, and lifestyle behaviors. Additionally, validated instruments were used to measure associated factors, including perceived barriers to adherence, physical activity, sleep quality and disturbances, mental health, life satisfaction, social participation, and technology use behaviors. While total Mediterranean lifestyle (MedLife) scores showed no significant gender differences, women demonstrated better adherence to food consumption components ( < 0.001), while men showed greater physical activity and social participation. Women reported poorer sleep metrics (efficiency, latency, duration) and higher insomnia severity (all < 0.05). Psychological distress was more prevalent among women, who also expressed greater needs for psychosocial and nutritional support ( < 0.001). The MedLifeMEDLIFE Index showed significant positive correlations with physical activity ( = 0.298), social participation ( = 0.227), and sleep satisfaction ( = 0.181), and negative correlations with mental health measures (insomnia: = -0.137; depression: = -0.115; stress: = -0.089; anxiety: = -0.076; all < 0.001). Our findings reveal distinct gender-specific patterns in MedDiet adherence and associated lifestyle factors. These results underscore the need for differentiated public health approaches that address the unique behavioral and psychosocial needs of men and women to promote MedLife adoption.
title Gender-specific insights into adherence to Mediterranean diet and lifestyle: analysis of 4,000 responses from the MEDIET4ALL project.
url https://pubmed.ncbi.nlm.nih.gov/40799519/