Topical Area: Methods and Protocols
Objectives : The primary aim of this study is to compare adherence levels between several Mediterranean Diet scoring (MDS) systems.
Methods : Fifty weeks’ worth of participants diets were analyzed and scored for adherence ( >70%) with four MDS methods. The MDS method 1 had 11 total available points. This method based adherence on a met or not-met scale and awarded points per category if the participant met the noted requirements. MDS method 2 had 17 available points with increased value and partial points given in certain categories (vegetables, fish, beans, grains) based on serving thresholds. MDS method 3 also had 17 available points, but partial points were given in the select categories based on percentage. MDS method 4 only had 11 points total but awarded partial points to the same selective categories based on a percentage met.
Results : In the 50 diets analyzed, the number of diets that met the 70% adherence threshold differed based on MDS system. We found that 15 of the diets scored our 70% threshold for adherence with MDS method 1, 18 scored with MDS method 2, 24 scored with MDS method 3, and 26 scored with MDS method 4 met adherence.
Adherence levels may differ based on MDS system used. In future HEART lab studies, we will use MDS system 2 to score our diets. We feel that it sufficiently scores participants adherence while emphasizing the important aspects of the diet.
Funding Sources :
Support by the FUTURE summer Fellowship program.