Assessment of Mediterranean Diet Adherence According to Demographic Variables in Adults

Ağaçdiken A., Parlak L., Göktaş Z., Rakıcıoğlu N., Dikmen D.

10.Uluslararası Beslenme ve Diyetetik Kongresi, Ankara, Turkey, 31 March - 04 April 2021, pp.315-316

  • Publication Type: Conference Paper / Summary Text
  • City: Ankara
  • Country: Turkey
  • Page Numbers: pp.315-316
  • Hacettepe University Affiliated: Yes


Objectives:The Mediterranean diet(MD) is a nutritional model, reducing the risk of many chronic

diseases(1). Diet Quality Index-International(DQI-I) is an index created to examine the population's diet

quality(2). It consists of diversity, adequacy, moderation, and general balance categories(2). This study

was carried out to evaluate the relationship between diet quality and some demographic variables like

age, marital status in healthy adult individuals.Method:This cross-sectional descriptive study included

926 healthy individuals aged 19-64 between February-June 2020. The questionnaire, consisting of

general information, Mediterranean Diet Assessment Tool(PREDIMED), and a 24-hour dietary recall,

was applied to some individuals face-to-face and others by phone due to quarantine. DQI-I calculated

according to 24-hour dietary recall. The ages of the participants were categorized according to World

Health Organization(WHO) age categories as young adults(19-40 years old,n=558) and middle-aged

adults(41-65 years old,n=368).Results:The age of the participants was 35.1±13.40, and 50.4% of them

were women. 51.2% of the participants were single, and 48.8% were married. PREDIMED and DQI-I

scores of married individuals(6.3±2.14 and 54.8±9.81, respectively) were higher than those of single

individuals(5.5±2.22 and 52.2±9.68,respectively)(p<0.001). When the age groups were evaluated,

PREDIMED and DQI-I scores of middle-aged adults(6.4±2.13 and 55.0±9.88, respectively) were found

higher than those of young adults(5.5±2.21 and 52.4±9.64, respectively)(p<0.001). PREDIMED and

DQI-I scores of married young adults were higher than single young adults(p=0.003).Conclusions:This

study showed that as the age increases in adult individuals, the DQI-I and PREDIMED scores increase.

That could be due to increased awareness of healthy nutrition with age or a healthier diet to manage

chronic diseases. In addition, higher DQI-I and PREDIMED scores have determined in married

individuals compared to single individuals. This finding suggests that lifestyle changes affect diet

quality. The fact that young adults' nutritional habits are closer to fast-food predominant and westernstyle

diet decreases diet quality and adherence to MD. Also, most young adults were single in this study,

which could be the reason for to decrease diet quality and adherence to MD. The results of our study are

consistent with other studies in the literature(3,4). Studies should be conducted to improve the nutritional

habits and diet quality of society, especially young people.