Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study

M. Bonaccio, A. Di Castelnuovo, A. Bonanni, S. Costanzo, F. De Lucia, M. Persichillo, F. Zito, M. B. Donati, G. de Gaetano, L. Iacoviello

Research output: Contribution to journalArticlepeer-review


Background and aims: Adherence to Mediterranean diet (MD) is reportedly declining in the last decades. We aimed to investigate the adherence to MD over the period 2005-2010 and exploring the possible role of the global economic crisis in accounting for the changing in the dietary habits in Italy. Methods and results: Cross-sectional analysis in a population-based cohort study which randomly recruited 21,001 southern Italian citizens enrolled within the Moli-sani study. Food intake was determined by the Italian EPIC food frequency questionnaire. Adherence to MD was appraised by the Italian Mediterranean Index (IMI). A wealth score was derived to evaluate the economic position and used together with other socioeconomic indicators. Highest prevalence of adherence to MD was observed during the years 2005-2006 (31.3%) while the prevalence dramatically fell down in the years 2007-2010 (18.3%; P

Original languageEnglish
Pages (from-to)853-860
Number of pages8
JournalNutrition, Metabolism and Cardiovascular Diseases
Issue number8
Publication statusPublished - 2014


  • Cerebrovascular risk
  • Economic crisis
  • Mediterranean diet
  • Obesity
  • Socioeconomic status

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)


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