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Eastern Michigan University

Comparison of Mediterranean diet adherence across scoring systems in U.S. adults

Abstract

dc:description.abstract

<p>The Mediterranean diet is characterized by high intake of fruits, vegetables, legumes, olive oil, and seafood; moderate intake of dairy, lean proteins, and alcohol; and low intake of red meat and sweets. This pattern consistently correlates with health benefits in epidemiological research, which uses numerous scoring systems to measure diet adherence. No withinpopulation system comparisons have been conducted in the U.S. to understand how differences in system constructs may impact adherence measurement. This study used food intake data from a U.S. sample of 72 older adults to calculate scores with the Alternative Mediterranean Diet Scale, Mediterranean Diet Scale, Pyramid-Based Mediterranean Diet Score, Mediterranean Eating Pattern for Americans, Literature-Based Adherence Score, and Mediterranean Diet Adherence Score. All systems correlated at least moderately, with differences amongst food group scorings. Total scores were categorized into adherence levels based on previous literature. Differences in scoring methods affected comparability of systems for a U.S. population.</p>

Degree

thesis:*
Name thesis:degree_name
Master of Science (MS)
Level thesis:degree_level
Open Access Thesis
Discipline thesis:degree_discipline
Health Sciences
Year dc:date.available
2023

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Pendleton, Meghan
Contributors dc:contributor
  • Heather Hutchins-Wiese, PhD, RD, Chair
  • Olivia Ford, PhD, RD
  • John Carbone, PhD, RD

Subjects

dc:subject × 1

Identifiers

dc:identifier.*
Repository record dc:identifier
https://commons.emich.edu/theses/1203
OAI identifier oai:identifier
oai:commons.emich.edu:theses-2567

Chain of custody

source
Harvested from
Eastern Michigan University
Base URL
commons.emich.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Pendleton, Meghan. Comparison of Mediterranean diet adherence across scoring systems in U.S. adults. Open Access Thesis thesis, 2023. https://commons.emich.edu/theses/1203