Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL 36849, USA.
Boshell Diabetes and Metabolic Diseases Research Program, Auburn University, Auburn, AL 36849, USA.
Nutrients. 2019 Aug 9;11(8):1847. doi: 10.3390/nu11081847.
The Mediterranean diet (MedDiet) is recommended by the current Dietary Guidelines for Americans, yet little is known about the perceived barriers and benefits to the diet in the U.S., particularly in the Stroke Belt (SB). Thus, the purpose of this study was to examine MedDiet adherence and perceived knowledge, benefits, and barriers to the MedDiet in the U.S. A cross-sectional study was conducted on 1447 participants in the U.S., and responses were sorted into geographic groups: the SB, California (CA), and all other US states (OtherUS). Linear models and multivariable linear regression analysis was used for data analysis. Convenience, sensory factors, and health were greater barriers to the MedDiet in the SB group, but not the OtherUS group ( < 0.05). Weight loss was considered a benefit of the MedDiet in the SB ( < 0.05), while price and familiarity were found to be less of a benefit ( < 0.05). Respondents with a bachelor's degree or greater education had greater total MEDAS scores ( < 0.05) and obese participants had a lower MedDiet adherence score ( < 0.05). Our results identify key barriers and benefits of the MedDiet in the SB which can inform targeted MedDiet intervention studies.
地中海饮食（MedDiet）被当前的美国膳食指南推荐，但人们对美国，特别是中风带（SB）的人对这种饮食的看法的障碍和益处知之甚少。因此，本研究旨在调查美国对 MedDiet 的遵守情况以及对其的认知、益处和障碍。本研究在美国进行了一项横断面研究，共有 1447 名参与者，其反应分为地理组：SB、加利福尼亚州（CA）和美国其他州（OtherUS）。使用线性模型和多变量线性回归分析进行数据分析。便利性、感官因素和健康是 SB 组对 MedDiet 的更大障碍，但在 OtherUS 组中并非如此（<0.05）。在 SB 组中，体重减轻被认为是 MedDiet 的益处（<0.05），而价格和熟悉度则被认为益处较小（<0.05）。拥有学士或以上学位的受访者的总 MEDAS 评分更高（<0.05），而肥胖参与者的 MedDiet 遵守评分较低（<0.05）。我们的研究结果确定了 SB 地区 MedDiet 的关键障碍和益处，可以为有针对性的 MedDiet 干预研究提供信息。
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