Faris MoezAlIslam E, Benajiba Nada, Aboul-Enein Basil H, Abu Shihab Katia, Alshaalan Rasha, Aldahash Rehab, Almoayad Fatmah
Department of Clinical Nutrition and Dietetics, Faculty of Allied Medical Sciences, Applied Science Private University, Amman 11931, Jordan.
Joint Research Unit in Nutrition and Food RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Kenitra 14000, Morocco.
Healthcare (Basel). 2025 Sep 4;13(17):2217. doi: 10.3390/healthcare13172217.
The Mediterranean diet (MD) is associated with significant health benefits. However, adherence varies considerably, influenced by sociocultural and geographical factors. This review was designed to synthesize existing evidence on the prevalence of MD adherence in different Arab countries and identify sociodemographic, cultural, and behavioral factors associated with adherence. Sixteen databases were searched to identify relevant articles, using MeSH search terms related to MD and its applicable terms, adherence, and the names of the 22 Arab countries. Out of approximately 2400 articles searched, nine articles were selected, investigating adherence to the MD across Arab League countries and exploring the impact of geographic location on dietary practices. Examined Arab populations showed generally moderate adherence to the MD. Wide variability was observed in adherence levels among the different Arab countries. This variability arises from a complex interplay of factors, including access to specific foods, economic considerations, cultural traditions, and the influence of globalization on dietary habits. Our review highlights the role of these factors in contributing to the observed heterogeneity in MD adherence across the Arab League, examining the prevalence of various MD assessment tools and their respective strengths and limitations within this specific context. The findings underscore the need for culturally sensitive and geographically tailored strategies that enhance adherence to the MD's protective effects across all countries in the Arab League.
地中海饮食（MD）对健康有显著益处。然而，受社会文化和地理因素影响，其依从性差异很大。本综述旨在综合现有证据，了解不同阿拉伯国家地中海饮食依从性的流行情况，并确定与依从性相关的社会人口学、文化和行为因素。通过检索16个数据库来识别相关文章，使用与地中海饮食及其适用术语、依从性以及22个阿拉伯国家名称相关的医学主题词（MeSH）进行检索。在检索的约2400篇文章中，选出了9篇文章，这些文章调查了阿拉伯联盟国家对地中海饮食的依从性，并探讨了地理位置对饮食习惯的影响。所研究的阿拉伯人群对地中海饮食的依从性总体上处于中等水平。不同阿拉伯国家之间的依从性水平存在很大差异。这种差异源于多种因素的复杂相互作用，包括获取特定食物的机会、经济因素、文化传统以及全球化对饮食习惯的影响。我们的综述强调了这些因素在导致阿拉伯联盟各地观察到的地中海饮食依从性异质性方面所起的作用，考察了各种地中海饮食评估工具在此特定背景下的流行情况及其各自的优缺点。研究结果强调了需要制定具有文化敏感性和地域针对性的策略，以提高阿拉伯联盟所有国家对地中海饮食保护作用的依从性。
