Older Australians Can Achieve High Adherence to the Mediterranean Diet during a 6 Month Randomised Intervention; Results from the Medley Study
Open accessAbstract
Adherence to a Mediterranean diet (MedDiet) is thought to be achievable in non-Mediterranean regions, but this has yet to be investigated. We aimed to determine if an older Australian population could adhere to a MedDiet for six months. We conducted a randomised, parallel dietary intervention trial with two dietary arms: the Mediterranean diet (MedDiet) group and the habitual diet (HabDiet) control group. A 15-point Mediterranean diet adherence score and food and nutrient intakes were estimated from three-day weighed food records collected at baseline, two and four months. Erythrocyte fatty acids, serum carotenoids and urinary metabolites were assessed at baseline, three and six months. We enrolled 166 participants; 152 commenced and 137 completed the study (70 in the MedDiet group, 67 in the HabDiet group). Adherence scores were significantly higher in the MedDiet group at two months (between group difference 2.2, 95% CI 1.3, 2.9) and four months (between group difference 2.6, 95% CI 1.9, 3.3). Consumption of vegetables, fruits, fish, legumes, nuts and olive oil significantly increased in the MedDiet group compared to the control, and discretionary food intake decreased (p < 0.01). Measures of compliance including serum β-carotene, lycopene and erythrocyte monounsaturated fatty acids were significantly higher in the MedDiet group at three and six months (p < 0.05). Our results indicate that a population of older Australians can adopt a Mediterranean diet over a six month period.
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The degree of behavior change achieved was approximately in line with that reported in previous studies using intensive one-on-one dietary counseling.
“The degree of behavior change achieved was approximately in line with that reported in previous studies using intensive one-on-one dietary counseling [26,42].”
From A Physical Activity and Diet Program Delivered by Artificially Intelligent Virtual Health Coach: Proof-of-Concept Study (2020) · cites this paper as [42]
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- Authors
- Davis, C., Hodgson, J., Bryan, J., Garg, M., Woodman, R., & Murphy, K.
- Affiliations
- University of South Australia (AU)
- Edith Cowan University (AU)
- University of Newcastle Australia (AU)
- Flinders University (AU)
- Corresponding author
- Davis, Courtney
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2017-05-24
- Volume
- 9
- Issue
- 6
- Pages
- 534
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5490513
- OpenAlex
- W2617609091
- Cited by
- 38
- References
- 44
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 1
- FWCI
- 4.36
- 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)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- Australasian Journal of Paramedicine (submittedVersion, cc-by)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Keywords
- Mediterranean diet, dietary adherence, older adults, dietary intervention, serum carotenoids, erythrocyte fatty acids, monounsaturated fatty acids, beta-carotene, lycopene, fruit and vegetable intake
- MeSH terms
- Olive Oil, Lycopene, Aged, Australia, Carotenoids, Erythrocytes, Fatty Acids, Monounsaturated, Feasibility Studies, Female, Fruit, Humans, Fabaceae, Male, Nuts, Patient Compliance, Vegetables, Fatty Acids, Omega-3, Nutrition Assessment, Diet Records, Body Mass Index, beta Carotene, Diet, Mediterranean, Fatty Acids, Omega-6
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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