Cost and Cost-Effectiveness of the Mediterranean Diet: Results of a Systematic Review
Open accessAbstract
The growing impact of chronic degenerative pathologies (such as cardiovascular disease, type 2 diabetes and Alzheimer’s disease) requires and pushes towards the development of new preventive strategies to reduce the incidence and prevalence of these diseases. Lifestyle changes, especially related to the Mediterranean diet, have the potential to modify disease outcomes and ultimately costs related to their management. The objective of the study was to perform a systematic review of the scientific literature, to gauge the economic performance and the cost-effectiveness of the adherence to the Mediterranean diet as a prevention strategy against degenerative pathologies. We investigated the monetary costs of adopting Mediterranean dietary patterns by determining cost differences between low and high adherence. Research was conducted using the PubMed and Scopus databases. Eight articles met the pre-determined inclusion criteria and were reviewed. Quality assessment and data extraction was performed. The adherence to the Mediterranean diet has been extensively reported to be associated with a favorable health outcome and a better quality of life. The implementation of a Mediterranean dietary pattern may lead to the prevention of degenerative pathologies and to an improvement in life expectancy, a net gain in health and a reduction in total lifetime costs.
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Reduced red meat, refined grains, and sweets and reduced health care costs due to a healthier diet can make these patterns more cost-effective.
“However, reduced red meat, refined grains, and sweets and reduced health care costs due to a healthier diet can make these patterns more cost-effective.72”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [72]
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References 42 · Cited by 74
- Authors
- Saulle, R., Semyonov, L., & La Torre, G.
- Affiliations
- Sapienza University of Rome (IT)
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy
- ORCID
- Saulle, Rosella
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2013-11-18
- Volume
- 5
- Issue
- 11
- Pages
- 4566-4586
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC3847749
- OpenAlex
- W1968508432
- Cited by
- 74
- References
- 42
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 2 · 2023: 4 · 2022: 13 · 2021: 3 · 2020: 7 · 2019: 9 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 5 · 2014: 7
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- Mediterranean diet, cost-effectiveness, dietary adherence, degenerative diseases, disease prevention, lifestyle intervention, cardiovascular disease, type 2 diabetes, Alzheimer's disease, lifetime costs, quality of life
- MeSH terms
- Chronic Disease, Cost-Benefit Analysis, Health, Humans, Life Style, Quality of Life, Health Behavior, Diet, Mediterranean
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