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Main Authors: Ammar, Achraf, Salem, Atef, Zarzissi, Slim, Abril-Mera, Tania, Trabelsi, Khaled, Bouaziz, Bassem, Boujelbane, Mohamed Ali, 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, 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, Lahiani, Sadjia, Khaldi, Taha, Souissi, Nafaa, Boukhris, Omar, Frias-Toral, Evelyn, Jahrami, Haitham, Husain, Waqar, Mahdi, Walid, Souissi, Nizar, Chtourou, Hamdi, Schöllhorn, Wolfgang I
Format: Artículo científico
Language:en
Published: Frontiers in nutrition 2026
Online Access:https://pubmed.ncbi.nlm.nih.gov/42063956/
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Table of Contents:
  • Cross-country variability in Mediterranean lifestyle adherence and its psychosocial and behavioural correlates: insights from the MEDIET4ALL project across 10 Mediterranean and neighboring countries. Ammar, Achraf Salem, Atef Zarzissi, Slim Abril-Mera, Tania Trabelsi, Khaled Bouaziz, Bassem Boujelbane, Mohamed Ali 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 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 Lahiani, Sadjia Khaldi, Taha Souissi, Nafaa Boukhris, Omar Frias-Toral, Evelyn Jahrami, Haitham Husain, Waqar Mahdi, Walid Souissi, Nizar Chtourou, Hamdi Schöllhorn, Wolfgang I The Mediterranean lifestyle is increasingly recognized as a multidimensional determinant of health. However, cross-country comparisons using harmonized instruments remain limited. This study aimed to provide a comprehensive country-by-country comparison of Mediterranean lifestyle adherence and associated psychosocial and lifestyle correlates across 10 Mediterranean and neighboring countries participating in the MEDIET4ALL project. Cross-sectional data were collected from 4,010 participants (age: 37.2 ± 15.4 years; 59.5% female) using the multinational MEDIET4ALL e-survey. Mediterranean lifestyle adherence was assessed using the MedLife Index and its three domains. Psychosocial status, sleep characteristics, physical activity, sedentary behaviour, social participation, and technology use were evaluated using validated instruments. Significant cross-country differences were observed in global MedLife adherence and across all domains ( Mediterranean lifestyle adherence and its psychosocial and behavioural correlates vary substantially across countries, reflecting distinct constellations of sociocultural, socioeconomic, and lifestyle factors rather than dietary patterns alone. These findings highlight the importance of multidimensional, context-sensitive approaches to Mediterranean lifestyle promotion and provide a descriptive framework to inform tailored public-health strategies and future longitudinal and intervention research.

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