Abstract :
Today, Mediterranean Diet (MD) is a globally recognized dietary pattern and public health model. In this review, traditional Mediterranean Diet (MD) is revisited: multiple aspects and facets of the diet including its history, cultural roots, food categories, lifestyle, religious traditions, physical activity and health benefits are presented through pyramids. Mindful eating of mainly plant-based and whole foods, seasonal and locally-sourced, along with the enjoyment in every step of production, preparation and consumption of the food, are the main characteristics of the traditional MD, which is presented for the first time as a 5F-diet based on 5F-pillars. MD is also described as a holistic diet – it is a diet that nourishes the body, the mind, and the soul through balanced and sustainable approach to food choices. The food choices and lifestyle practices provide holistic health not only for the whole body, but also yield healthy communities – the people are part of the community, have “sense of belonging”, and their interactions are in harmony with the environment, respecting the planetary resources and boundaries. The diet’s health benefits, including reduced risks of non-communicable diseases (NCD), such as cardio-vascular diseases, metabolic syndrome, and cancers, prevention from neuro-cognitive disorders, and increased longevity, are a result not only of the food consumed, but also the presence of commensality and conviviality, and the lifestyle leading to daily stress relief. Overall, MD is a concept that embraces biodiversity, sustainability, quality, palatability, health, cultural aspects and heritage.
Keywords :
health benefits, holistic diet, Lifestyle, Mediterranean diet, plant-based diet, sustainability.References :
- Territorial markets for nutrition – Unleashing the potential of territorial markets for food security, healthier diets, and better nutrition, FAO, 2022, Healthy diets & sustainable food systems.
- FAO, IFAD, UNICEF, WFP and WHO. 2025. The State of Food Security and Nutrition in the World 2025 – Addressing high food price inflation for food security and nutrition. Rome. https://doi.org/10.4060/cd6008en
- United Nations Children’s Fund (UNICEF), Feeding Profit. How food environments are failing children. Child Nutrition Report 2025, UNICEF, New York, September 2025.
- Trajkovska Petkoska, A.; Ognenoska,V.; Trajkovska-Broach, A. Mediterranean Diet: From Ancient Traditions to Modern Science—A Sustainable Way Towards Better Health, Wellness, Longevity, and Personalized Nutrition. Sustainability 2025, 17, 4187. https://doi.org/ 10.3390/su17094187.
- Shuang Rong, Yuxiao Liao, Jin Zhou, Wei Yang, Yuexin Yang, Comparison of dietary guidelines among 96 countries worldwide, Trends in Food Science & Technology 109 (2021) 219–229
- Domínguez, L. J., Veronese, N., Barbagallo, M., & Lauretani, F. (2024). Mediterranean diet and spirituality: Religion, eating with meaning. Nutrients, 13(2028), 1–15.
- Donald Craig Willcox, Giovanni Scapagnini, Bradley J. Willcox . Healthy aging diets other than the Mediterranean: A focus on the Okinawan diet. Mechanisms of Ageing and Development 136-137 (2014) 148–162. http://dx.doi.org/10.1016/j.mad.2014.01.002.
- Alexandra Livarda, Hector A. Orengo, Nuria Canellas-Bolta, Santiago Riera-Mora Llorenç Picornell-Gelabert, Vasiliki Tzevelekidi, Rena Veropoulidou, Ricard Marlasca Martín, Athanasia Krahtopoulou. Mediterranean polyculture revisited: Olive, grape and subsistence strategies at Palaikastro, East Crete, between the Late Neolithic and Late Bronze Age. Journal of Anthropological Archaeology 61 (2021) 101271. https://doi.org/10.1016/j.jaa.2021.101271.
- Godos et al. Underrated aspects of a true Mediterranean diet: understanding traditional features for worldwide application of a “Planeterranean” diet. Journal of Translational Medicine (2024) 22:294. https://doi.org/10.1186/s12967-024-05095-w.
- Ghosh, S.; Meyer-Rochow, V.B.; Jung, C. Embracing Tradition: The Vital Role of Traditional Foods in Achieving Nutrition Security. Foods 2023, 12, 4220. https://doi.org/ 10.3390/foods12234220
- Felici, F.B.; Mazzocchi, G. Territory Matters: A Methodology for Understanding the Role of Territorial Factors in Transforming Local Food Systems. Land 2022, 11, 1046. https://doi.org/10.3390/ land11071046
- Fatima Hachem, Davy Vanham, Luis A. Moreno, Territorial and Sustainable Healthy Diets, Food and Nutrition Bulletin 2020, Vol. 41(2S) S87-S103
- Medina, F.-X. Looking for Commensality: On Culture, Health, Heritage, and the Mediterranean Diet. Int. J. Environ. Res. Public Health 2021, 18, 2605. https://doi.org/10.3390/ ijerph18052605.
- Davinelli S. et al., Dietary polyphenols as geroprotective compounds: From Blue Zones to hallmarks of ageing. A g e i n g R e s e a r c h R e v i e w s 108 (2025) 102733.
- Maria M. Ulaszewska, Gloria Luzzani, Sonia Pignatelli, Ettore Capri. Assessment of diet-related GHG emissions using the environmental hourglass approach for the Mediterranean and new Nordic diets. Science of the Total Environment 574 (2017) 829–836.
- Sikalidis, A.K.; Kelleher, A.H.; Kristo, A.S. Mediterranean Diet. Encyclopedia 2021, 1, 371–387. https:// doi.org/10.3390/encyclopedia1020031.
- Trajkovska Petkoska, A. Can We Solve the Problem of Global Syndemic? Mediterranean Diet as a Potential Solution, Acta Scientific Nutritional Health, 2 (2021): 137-145.
- Trajkovska Petkoska and A.T. Broach. Mediterranean Way of Living as an Optimal Lifestyle and a Dietary Pattern for Healthy Gut and Strong Immunity, EC Nutrition1 (2021): 141-171.
- Frank B Hu, Greg Drescher, Antonia Trichopoulou, Walter C Willett, Miguel A Martínez-Gonzalez. Three decades of the Mediterranean diet pyramid: A narrative review of its history, evolution, and advances. The American Journal of Clinical Nutrition 122 (2025) 17–28. https://doi.org/10.1016/j.ajcnut.2025.04.036.
- Willett, W.C., Sacks, F., Trichopoulou, A., Drescher, G., Ferro-Luzzi, A., Helsing, E., & Trichopoulos, D. (1995). Mediterranean diet pyramid: A cultural model for healthy eating. American Journal of Clinical Nutrition, 61(6 Suppl), 1402S–1406S.
- Francesco Sofi, Daniela Martini, Donato Angelino, Giulia Cairella, Angelo Campanozzi, Francesca Danesi, Monica Dinu, Daniela Erba, Licia Iacoviello, Nicoletta Pellegrini, Laura Rossi, Salvatore Vaccaro, Anna Tagliabue, Pasquale Strazzullo. Mediterranean diet: Why a new pyramid? An updated representation of the traditional Mediterranean diet by the Italian Society of Human Nutrition (SINU). Nutrition, Metabolism and Cardiovascular Diseases 35 (2025) 103919. https://doi.org/10.1016/j.numecd.2025.103919.
- Rosa Casas, Ana María Ruiz-Le_on, Jesús Argente, Cesarettin Alasalvar, Aadil Bajoub, Isabel Bertomeu, Margherita Caroli, Sara Castro-Barquero, Fatima Crispi, Jacques Delarue et al., A New Mediterranean Lifestyle Pyramid for Children and Youth: A Critical Lifestyle Tool for Preventing Obesity and Associated Cardiometabolic Diseases in a Sustainable Context. Advances in Nutrition 16 (2025) 100381. https://doi.org/10.1016/j.advnut.2025.100381.
- Antonia Trichopoulou. Mediterranean diet as intangible heritage of humanity: 10 years on. Nutrition, Metabolism & Cardiovascular Diseases (2021) 31, 1943e1948.
- Carlotta Franchi, Francesca Orsini, Federica Cantelli, Ilaria Ardoino, Prisco Piscitelli, Shana Shaji, Tao Ran, Nicholas Ainslie, Chiara Graziadio, Claudia Vetrani, Annamaria Colao. “Planeterranean” diet: the new proposal for the Mediterranean‑based food pyramid for Asia. Journal of Translational Medicine (2024) 22:806. https://doi.org/10.1186/s12967-024-05491-2.
- Vetrani C, Piscitelli P, Muscogiuri G, Barrea L, Laudisio D, Graziadio C, Marino F and Colao A (2022) “Planeterranea”: An attempt to broaden the beneficial effects of the Mediterranean diet worldwide. Nutr. 9:973757. doi: 10.3389/fnut.2022.973757
- Lluís Serra-Majem, Laura Tomaino, et al., Updating the Mediterranean Diet Pyramid towards Sustainability: Focus on Environmental Concerns. J. Environ. Res. Public Health 2020, 17, 8758; doi:10.3390/ijerph17238758.
- (2012). The Mediterranean diet for sustainable regional development. In Mediterra 2012 (pp. 29–483). Presses de Sciences Po.
- Jordi Salas-Salvadó, Christopher Papandreou. The Mediterranean diet: History, concepts and elements. In: The Mediterranean Diet. https://doi.org/10.1016/B978-0-12-818649-7.00001-1. 2020 Elsevier.
- Julian M. Saad, James O. Prochaska. A philosophy of health: life as reality, health as a universal value. PALGRAVE COMMUNICATIONS | (2020) 6:45 | https://doi.org/10.1057/s41599-020-0420-9
- The Mediterranean diet: a historical perspective. Antonio Capurso. Aging Clinical and Experimental Research (2024) 36:78 https://doi.org/10.1007/s40520-023-02686-3.
- Elisabetta Moro, The Mediterranean Diet from Ancel Keys to the UNESCO Cultural Heritage. A Pattern of Sustainable Development between Myth and Reality. Procedia – Social and Behavioral Sciences 223 ( 2016 ) 655 – 661. doi: 10.1016/j.sbspro.2016.05.380.
- Keys, A., Menotti, A., Karvonen, M.J., Aravanis, C., Blackburn, H., Buzina, R.,&Taylor, H.L. (1986). The diet and 15-year death rate in the Seven Countries Study. American Journal of Epidemiology, 124(6), 903–915.
- Menotti, A., & Puddu, P.E. (2019). How the Seven Countries Study contributed to the launch and development of cardiovascular disease epidemiology. Nutrition, Metabolism and Cardiovascular Diseases, 29(11), 1105–1112.
- Menotti, A., & Puddu, P.E. (2025). Ancel Keys, the Mediterranean Diet, and the Seven Countries Study: A Review. Journal of Cardiovascular Development and Disease, 12(141). https://doi.org/10.3390/jcdd12040141
- Menotti, A., Kromhout, D., Blackburn, H., Fidanza, F., & Buzina, R. (1999). Food intake patterns and 25-year mortality from coronary heart disease: Cross-cultural correlations in the Seven Countries Study. European Journal of Epidemiology, 15(6), 507–515.
- Blackburn, H. (2002). Objectives and history of the Seven Countries Study. In D. Kromhout et al. (Eds.), Prevention of Coronary Heart Disease: Diet, Lifestyle and Risk Factors in the Seven Countries Study (pp. 1–18). Kluwer Academic Publishers.
- Dumitrescu, I.-B.; Drăgoi, C.M.; Nicolae, A.C. From Soil to Brain: Olive Oil Attributes, Consumer Choices, Intermittent Fasting, and Their Impact on Health. Nutrients 2025, 17, 1905. https://doi.org/10.3390/ nu17111905.
- Infante, R.; Infante, M.; Pastore, D.; Pacifici, F.; Chiereghin, F.; Malatesta, G.; Donadel, G.; Tesauro, M.; Della-Morte, D. An Appraisal of the Oleocanthal-Rich Extra Virgin Olive Oil (EVOO) and Its Potential Anticancer and Neuroprotective Properties. Int. J. Mol. Sci. 2023, 24, 17323. https://doi.org/10.3390/ ijms242417323.
- Munteanu, C.; Kotova, P.; Schwartz, B. Impact of Olive Oil Components on the Expression of Genes Related to Type 2 Diabetes Mellitus. Nutrients 2025, 17, 570. https://doi.org/10.3390/ nu17030570.
- Gabriele Serreli and Monica Deiana. Extra Virgin Olive Oil Polyphenols: Modulation of Cellular Pathways Related to Oxidant Species and Inflammation in Aging. Cells 2020, 9, 478; doi:10.3390/cells9020478.
- Fidanza, F., Alberti, A., Lanti, M., & Menotti, A. (2004). Mediterranean Adequacy Index: Correlation with 25-year mortality from coronary heart disease in the Seven Countries Study. Nutrition, Metabolism and Cardiovascular Diseases, 14(5), 254–258.
- Klapp A-L (2025). Towards more balanced dietary guidelines: connecting climate, culture, and nutrition. Proceedings of the Nutrition Society, page 1 of 11. doi: 10.1017/S0029665125100670.
- Couto et al., The impact of intermittent fasting and Mediterranean diet on older adults’ physical health and quality of life: A randomized clinical trial. Nutrition, Metabolism and Cardiovascular Diseases, https://doi.org/10.1016/j.numecd.2025.104132.
- Surugiu, R.; Iancu, M.A.; Vintilescu,S, .B.; Stepan, M.D.; Burdusel, D.; Genunche-Dumitrescu, A.V.; Dogaru, C.-A.; Dumitra, G.G. Molecular Mechanisms of Healthy Aging: The Role of Caloric Restriction, Intermittent Fasting, Mediterranean Diet, and Ketogenic Diet—A Scoping Review. Nutrients 2024, 16, 2878. https://doi.org/10.3390/nu16172878.
- James H. O’Keefe, Noel Torres-Acosta, Evan L. O’Keefe, Ibrahim M. Saeed, Carl J. Lavie, Sarah E. Smith, Emilio Ros. A. Pesco-Mediterranean Diet With Intermittent Fasting, JOU RNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. vol. 7 6(1 2), 2020. https://doi.org/10.1016/j.jacc.2020.07.049.
- Ponti, L., Gutierrez, A. P., & Altieri, M. A. (2016). Preserving the Mediterranean diet through holistic strategies for the conservation of traditional farming systems. In M. Agnoletti & F. Emanueli (Eds.), Biocultural diversity in Europe (pp. 453–469). Springer International Publishing. https://doi.org/10.1007/978-3-319-26315-1_24.
- Daniele Nucci, Lorenzo Stacchini, Maria Villa, Chiara Passeri, Nicoletta Romano, Roberta Ferranti, Alisha Morsella, Nicola Veronese, Stefania Maggi & Vincenza Gianfredi (2025) The role of Mediterranean diet in reducing household food waste: the UniFoodWaste study among italian students, International Journal of Food Sciences and Nutrition, 76:4, 443-455, DOI: 10.1080/09637486.2025.2495719.
- De Luca, I.; Di Cristo, F.; Valentino, A.; Peluso, G.; Di Salle, A.; Calarco, A. Food-Derived Bioactive Molecules from Mediterranean Diet: Nanotechnological Approaches and Waste Valorization as Strategies to Improve Human Wellness. Polymers 2022, 14, 1726. https://doi.org/ 10.3390/polym14091726.
- Sidossis, L. S., Lawson, R., Aprilakis, E., Barata, B. C., Baska, A., Beneka, A., … & Itsiopoulos, C. (2024). Defining the traditional Mediterranean lifestyle: Joint international consensus statement. Lifestyle Medicine, 5(4), e115. https://doi.org/10.1002/lim2.115.
- Mousaab Alrhmoun, Naji Sulaiman, Giulia Mattalia, Hiwa M. Ahmed, Chadi Khatib, Yeter Yes¸il Cantürk, Giovanni Zucca, Abdelkader Ammam, Mushtaq Ahmad, Andrea Pieroni. Ethnoecology of desert truffles hunting: A cross-cultural comparative study on practices and perceptions in the Mediterranean and the Near East. Journal of Arid Environments 229 (2025) 105367.
- María Martínez-Jauregui a,b , A. Casimiro Herruzo c , Pablo Campos d , Mario Soliño. Shedding light on the self-consumption value of recreational hunting in European Mediterranean forests. Forest Policy and Economics 69 (2016) 83–89.
- Damalas D, Maravelias CD, Osio GC, Maynou F, Sbrana M, Sartor P (2015) “Once upon a Time in the Mediterranean” Long Term Trends of Mediterranean Fisheries Resources Based on Fishers’ Traditional Ecological Knowledge. PLoS ONE 10(3): e0119330. doi:10.1371/journal. pone.0119330.
- Marguin A, Bussotti S, Guidetti P, Rossi F (2025) A systematic review of fishing impacts on the trophic level of fish populations and assemblages in the Mediterranean Sea. Front. Mar. Sci. 12:1489965. doi: 10.3389/fmars.2025.1489965.
- Trajkovska-Petkoska and A. Trajkovska-Broach, Health benefits of extra virgin olive oil. In the book: Olive oil – New perspectives and applications, (Ed: M. Akrami), ISBN 978-1-83968-415-9, IntechOpen, 2021.
- Trajkovska-Broach A. and Trajkovska Petkoska A. Mediterranean Diet Ingredients: Their Antioxidant and Anti-Inflammatory Potential. Austin J Biotechnol Bioeng. 2021; 8(2): 1114.
- Trajkovska Petkoska A., Trajkovska-Broach A. (2021) Mediterranean Diet – A Healthy Dietary Pattern and Lifestyle for Strong Immunity, in the book: Agarwal P., Nieto J.J., Ruzhansky M., Torres D.F.M. (eds) Analysis of Infectious Disease Problems (Covid-19) and Their Global Impact. Infosys Science Foundation Series. Springer, Singapore. ISBN 978-981-16-2450-6.
- ZAKIRA NAUREEN, GABRIELE BONETTI, MARIA CHIARA MEDORI, BARBARA AQUILANTI, VALERIA VELLUTI, GIUSEPPINA MATERA, AMERIGO IACONELLI, MATTEO BERTELLI. Foods of the Mediterranean diet: garlic and Mediterranean legumes. J PREV MED HYG 2022; 63(SUPPL. 3): E12-E20. https://doi.org/10.15167/2421-4248/jpmh2022.63.2S3.2741.
- Santos-Buelga, C.; González-Manzano, S.; González-Paramás, A.M. Wine, Polyphenols, and Mediterranean Diets. What Else Is There to Say? Molecules 2021, 26, 5537. https:// doi.org/10.3390/molecules26185537.
- Kreouzi, M., Theodorakis, N., & Constantinou, C. (2022). Lessons learned from Blue Zones, lifestyle medicine pillars and beyond. American Journal of Lifestyle Medicine, 18(6), 750–765. https://doi.org/10.1177/15598276221118494.
- D’Angelo, S. Diet and Aging: The Role of Polyphenol-Rich Diets in Slow Down the Shortening of Telomeres: A Review. Antioxidants 2023, 12, 2086. https://doi.org/ 10.3390/antiox12122086.
- Guasch-Ferre, W. C. Willett. The Mediterranean diet and health: a comprehensive overview. Journal of Internal Medicine, 2021, 290; 549–566.
- Trajkovska-Broach A. and Trajkovska Petkoska A. Mediterranean Herbs, Spices and Medicinal Plants – Natural Therapeutics and Rich Sources of Bioactive Compounds, JSFA Reports, 3; 4-12, 2023.
- Laoutari, S., Christodoulou, E., & Koutelidakis, A. E. (2025). A narrative review of the Mediterranean lifestyle and its role on obesity prevention and management. org. https://doi.org/10.20944/preprints202504.2243.v1
- Sawan Alì, Sergio Davinelli, Giulia Accardi, Anna Aiello, Calogero Caruso, Giovanni Duro, Mattia Emanuela Ligotti, Fanny Pojero, Giovanni Scapagnini, Giuseppina Candore. Healthy ageing and Mediterranean diet: A focus on hormetic phytochemicals. Mechanisms of Ageing and Development 200 (2021) 111592. https://doi.org/10.1016/j.mad.2021.111592.
- ZHang, F. Wang, L. Wang, J. Du, Y. Li, Plant polyphenols delay aging: A review of their anti-aging mechanisms and bioavailability. F o o d R e s e a r c h I n t e r n a t i o n a l 218 (2025) 116900.
- Mazza, Y. Ferro, R. Pujia, R. Mare, S. Maurotti, T. Montalcini, A. Pujia. Mediterranean Diet In Healthy Aging. J Nutr Health Aging. 2021;25(9):1076-1083 . http://dx.doi.org/10.1007/s12603-021-1675-6.
- Lillian Liu. Adherence to the Mediterranean Diet and Depression: A Systematic Review of Recent Studies. SHS Web of Conferences 157. 04003 (2023). https://doi.org/10.1051/shsconf/202315704003.
- Harej Hrkac, A.; Pelcic, A.; Caljkušic-Mance, T.;Mršic-Pelcic, J.; Pilipovic, K. The Preventive Power of the Mediterranean Diet Against Blue-Light-Induced Retinal Degeneration: Is the Secret in the Herbs and Spices? Curr. Issues Mol. Biol. 2025, 47, 418. https://doi.org/10.3390/cimb47060418
- Marina Antonopoulou, Maria Mantzorou, Aspasia Serdari, Konstantinos Bonotis, Giorgos Vasios, Eleni Pavlidou, Christina Trifonos, Konstantinos Vadikolias, Dimitris Petridis, Constantinos Giaginis. Evaluating Mediterranean diet adherence in university student populations: Does this dietary pattern affect students’ academic performance and mental health? Int J Health Plann Mgmt. 2020;35:5–21.
- Flor-Alemany, M.; Sandborg, J.; Migueles, J.H.; Söderström, E.; Henström, M.; Marín-Jiménez, N.; Baena-García, L.; Aparicio, V.A.; Löf, M. Mediterranean Diet Adherence and Health-Related Quality of Life during Pregnancy: Is the Mediterranean Diet Beneficial in Non-Mediterranean Countries? Nutrients 2024, 16, 718. https://doi.org/10.3390/nu16050718.
- Dobroslavska, P.; Silva, M.L.; Vicente, F.; Pereira, P. Mediterranean Dietary Pattern for Healthy and Active Aging: A Narrative Review ofan Integrative and Sustainable Approach. Nutrients 2024, 16, 1725. https://doi.org/10.3390/nu16111725
- Zalaquett, N.; Lidoriki, I.; Lampou, M.; Saab, J.; Hadkhale, K.; Christophi, C.; Kales, S.N. Adherence to the Mediterranean Diet and the Risk of Head and Neck Cancer: A Systematic Review and Meta-Analysis of Case–Control Studies. Nutrients 2025, 17, 287. https://doi.org/10.3390/nu17020287.
- Oliveira, L.; Raposo, A.; Alslamah, T.; Alfheeaid, H.A.; Alqarawi, N.; Esgalhado, M. Mediterranean Diet Adherence and Sleep Quality Among Primary and Secondary School Teachers in Portugal: An Exploratory Cross-Sectional Study. Nutrients 2025, 17, 2948. https://doi.org/10.3390/
- A.Munhoz, D.P. Baptista, Fermented dairy products as sources of bioactive peptides with potential benefits to older adults’ health. F o o d R e s e a r c h I n t e r n a t i o n a l 2 18 (2025) 116921.
- Bernacka, K.; Sozanski, T.; Kucharska, A.Z. Fermented Fruits, Vegetables, and Legumes in Metabolic Syndrome: From Traditional Use to Functional Foods and Medical Applications. Nutrients 2025, 17, 1989. https://doi.org/10.3390/nu17121989.
- Fitsum S., et al., Bioactive compounds in fermented foods: Health benefits, safety, and future perspectives. Applied Food Research 5 (2025) 101097.
- Tan, X.; Cui, F.; Wang, D.; Lv, X.; Li, X.; Li, J. Fermented Vegetables: Health Benefits, Defects, and Current Technological Solutions. Foods 2024, 13, 38. https://doi.org/10.3390/foods13010038.
- Gangakhedkar, P.S.; Deshpande, H.W.; Tor˝os, G.; El-Ramady, H.; Elsakhawy, T.; Abdalla, N.; Shaikh, A.; Kovacs, B.; Mane, R.; Prokisch, J. Fermentation of Fruits and Vegetables: Bridging Traditional Wisdom and Modern Science for Food Preservation and Nutritional Value Improvements. Foods 2025, 14, 2155. https://doi.org/10.3390/foods14132155.
- Miguel A. Martinez-Gonzalez, Nerea Martín-Calvo. Mediterranean diet and life expectancy; beyond olive oil, fruits and vegetables. Curr Opin Clin Nutr Metab Care. 2016 November ; 19(6): 401–407. doi:10.1097/MCO.
- Sui Kiat Chang, Cesarettin Alasalvar, Fereidoon Shahidi . Review of dried fruits: Phytochemicals, antioxidant efficacies, and health benefits. Journal of Functional Foods 21 (2016) 113–132.
- Rilla Tammi, Satu Männistö, Mirkka Maukonen, Niina E. Kaartinen. Whole grain intake, diet quality and risk factors of chronic diseases: results from a population‑based study in Finnish adults. European Journal of Nutrition (2024) 63:397–408. https://doi.org/10.1007/s00394-023-03272-z.
- Ligia J. Dominguez, Mario Barbagallo. Dietary fiber intake and the Mediterranean population. The Mediterranean Diet. https://doi.org/10.1016/B978-0-12-818649-7.00023-0. 2020 Elsevier.
- Trajkovska-Broach A. and Trajkovska Petkoska A. Nutritional Values and Therapeutical Effects of Mediterranean Herbs, Spices and Medicinal Plants, in the book: Herbs and Spices – New Advances, (Ed: E. Ivanisova), ISBN 978-1-83768-475-5, IntechOpen, 2022.
- Ivan Luzardo-Ocampo, Elvira Gonzalez de Mejia. Plant proteins and peptides as key contributors to good health: A focus on pulses. Food Research International 211 (2025) 116346.
- Ravneet Kaur, Kamlesh Prasad. Technological, processing and nutritional aspects of chickpea (Cicer arietinum) – A review. Trends in Food Science & Technology 109 (2021) 448–463.
- Emilio Ros. Contribution of nuts to the Mediterranean diet. The Mediterranean Diet. https://doi.org/10.1016/B978-0-12-818649-7.00015-1. 2020 Elsevier.
- Rajiv Balakrishna, Tonje Bjørnerud, Mitra Bemanian, Dagfinn Aune, Lars T Fadnes. Consumption of Nuts and Seeds and Health Outcomes Including Cardiovascular Disease, Diabetes and Metabolic Disease, Cancer, and Mortality: An Umbrella Review. Adv Nutr 2022;13:2136–2148; https://doi.org/10.1093/advances/nmac077.
- Hafza Madiha Jafar, Irfana Akhtar, Mah Zaib Saleem, Tabarak Malik, Arusha Ayub. A Comprehensive Review of the Health Benefits, Nutritional Composition, and Agricultural Aspects of Sesame Seeds. Journal of Food BiochemistryVolume 2025, Article ID 8713698, 18 pageshttps://doi.org/10.1155/jfbc/8713698.
- Naveed Rasheed, Aftab Ahmed, Farhana Nosheen, Ali Imran, Fakhar Islam, Rabia Noreen, Anamika Chauhan, Mohd Asif Shah, Yuosra Amer Ali. Effectiveness of combined seeds (pumpkin, sunflower, sesame, flaxseed): As adjacent therapy to treat polycystic ovary syndrome in females. Food Sci Nutr. 2023;11:3385–3393. DOI: 10.1002/fsn3.3328.
- Cesarettin Alasalvar, Sui Kiat Chang, Bradley Bolling, Won Young Oh. Fereidoon Shahidi. Specialty seeds: Nutrients, bioactives, bioavailability, andhealth benefits: A comprehensive review. Compr Rev Food Sci Food Saf. 2021;20:2382–2427.
- María Molina-Vega, Ana María Gómez-Pérez, Francisco J. Tinahones. Fish in the Mediterranean diet. In: The Mediterranean Diet. https://doi.org/10.1016/B978-0-12-818649-7.00025-4. 2020 Elsevier.
- Sarıta S.; Portocarrero, A.C.M.; Miranda López, J.M.; Lombardo, M.; Koch,W.; Raposo, A.; El-Seedi, H.R.; de Brito Alves, J.L.; Esatbeyoglu, T.; Karav, S.; et al. The Impact of Fermentation on the Antioxidant Activity of Food Products. Molecules 2024, 29, 3941.https://doi.org/10.3390/molecules29163941.
- ZAKIRA NAUREEN, GABRIELE BONETTI, MARIA CHIARA MEDORI, BARBARA AQUILANTI, VALERIA VELLUTI, GIUSEPPINA MATERA, AMERIGO IACONELLI, MATTEO BERTELLI. Foods of the Mediterranean diet: lacto-fermented food, the food pyramid and food combinations. J PREV MED HYG 2022; 63(SUPPL. 3): E28-E35.
- Francesca Felice, Sandra Mancini, Rossella Di Stefano, The importance of Mediterranean diet and hydration habitus in patients with lower limb ulcers: A pilot study. Journal of Vascular Nursing 39 (2021) 76–83.
- Armando Platania, Dora Castiglione, Dario Sinatra, Maurizio D’ Urso, Marina Marranzano. Fluid Intake and Beverage Consumption Description and Their Association with Dietary Vitamins and Antioxidant Compounds in Italian Adults from the Mediterranean Healthy Eating, Aging and Lifestyles (MEAL) Study. Antioxidants 2018, 7, 56; doi:10.3390/antiox7040056.
- Marcello Iriti, Elena Maria Varoni, Sara Vitalini. Light, regular red wine consumption at main meals: A key cardioprotective element of traditional Mediterranean diet. In: The Mediterranean Diet. https://doi.org/10.1016/B978-0-12-818649-7.00018-7. 2020 Elsevier.
- Rondinella, D.; Raoul, P.C.; Valeriani, E.; Venturini, I.; Cintoni, M.; Severino, A.; Galli, F.S.; Mora, V.; Mele, M.C.; Cammarota, G.; et al. The Detrimental Impact of Ultra-Processed Foods on the Human Gut Microbiome and Gut Barrier. Nutrients 2025, 17, 859. https://doi.org/10.3390/nu17050859.
- Vallianou, N.G.; Evangelopoulos, A.; Tzivaki, I.; Daskalopoulou, S.; Adamou, A.; Michalaki Zafeiri, G.C.; Karampela, I.; Dalamaga, M.; Kounatidis, D. Ultra-Processed Foods and Type 2 Diabetes Mellitus: What Is the Evidence So Far? Biomolecules 2025, 15, 307. https://doi.org/10.3390/biom15020307.
- Boumezough K., et al., Potential health benefits of olive oil polyphenols in metabolic disorders management. PharmaNutrition 31 (2025) 100428.
- Mazzocchi, A., Leone, L., Agostoni, C., & Pali-Schöll, I. (2019). The secrets of the Mediterranean diet: Does [only] olive oil matter? Nutrients, 11(12), 2941. https://doi.org/10.3390/nu11122941
- Garrido-Romero, M.; Diez-Municio, M.; Moreno, F.J. Exploring the Impact of Olive-Derived Bioactive Components on Gut Microbiota: Implications for Digestive Health. Foods 2025, 14, 2413. https://doi.org/10.3390/foods14142413.
- Ussia, S.; Ritorto, G.; Mollace, R.; Serra, M.; Tavernese, A.; Altomare, C.; Muscoli, C.; Fini, M.; Barillà, F.; Indolfi, C.; et al. Exploring the Benefits of Extra Virgin Olive Oil on Cardiovascular Health Enhancement and Disease Prevention: A Systematic Review. Nutrients 2025, 17, 1843. https://doi.org/10.3390/nu17111843.
- Yubero-Serrano, E. M., López-Moreno, J., Gómez-Delgado, F., & López-Miranda, J. (2019). Extra virgin olive oil: More than a healthy fat. European Journal of Clinical Nutrition, 73, 7–12. https://doi.org/10.1038/s41430-018-0304-x
- Basdeki, E., Salis, C., & Hagidimitriou, M. (2020). The effects of Mediterranean diet and EVOO consumption in relation to human health. Notulae Scientia Biologicae, 12(3), 466–485. https://doi.org/10.15835/nsb12310784
- Riolo, R., De Rosa, R., Simonetta, I., & Tuttolomondo, A. (2022). Olive oil in the Mediterranean diet and its biochemical and molecular effects on cardiovascular health through an analysis of genetics and epigenetics. International Journal of Molecular Sciences, 23(24), 16002. https://doi.org/10.3390/ijms232416002.
- Marcelino, G., Hiane, P. A., Freitas, K. C., Santana, L. F., Pott, A., Donadon, J. R., … & Guimarães, R. de C. A. (2019). Effects of olive oil and its minor components on cardiovascular diseases, inflammation, and gut microbiota. Nutrients, 11(8), 1826. https://doi.org/10.3390/nu11081826.
- Pintó, X., Fanlo-Maresma, M., Corbella, E., Plana, N., Muñoz-Aguayo, D., & Martínez-González, M. Á. (2019). A Mediterranean diet rich in extra-virgin olive oil is associated with a reduced prevalence of nonalcoholic fatty liver disease in older individuals at high cardiovascular risk. The Journal of Nutrition, 149(11), 1920–1929. https://doi.org/10.1093/jn/nxz147.
- Medina, F. X., & Macbeth, H. (Eds.). (2021). The Mediterranean diet: From health to lifestyle and a sustainable future. International Commission on the Anthropology of Food and Nutrition (ICAF).
- David R Jacobs Jr, Myron D Gross, Linda C Tapsell. Food synergy: an operational concept for understanding nutrition. Am J Clin Nutr 2009;89(suppl):1543S–8S. doi: 10.3945/ajcn.2009.26736B.
- Cinzia Franchini, Beatrice Biasini, Giovanni Sogari, Rungsaran Wongprawmas, Giulia Andreani, Irina Dolgopolova, Miguel I. Gómez, Jutta Roosen, Davide Menozzi, Cristina Mora, Francesca Scazzina, Alice Rosi. Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students. Nutrition Journal (2024) 23:56 https://doi.org/10.1186/s12937-024-00962-0.
- Ruggiero, E. (2021). Mediterranean diet and beyond: An Italian perspective [Doctoral dissertation, Maastricht University]. Maastricht University. https://doi.org/10.26481/dis.20210301er
- Woodside, J. V., & McKinley, M. C. (2022). Culturally adapting the Mediterranean Diet pattern: A way of promoting more sustainable dietary change. Proceedings of the Nutrition Society, 81(2), 191–200. https://doi.org/10.1017/S0029665121003649
- Alexander, L., Hritz, S. J., Gallagher, C., Sarwer, D. B., & Dietz, W. H. (2022). Nutrition and physical activity: An Obesity Medicine Association (OMA) perspective. Obesity Pillars, 1, 100005. https://doi.org/10.1016/j.obpill.2022.100005
- Ruffault, A., Bernier, M., Juge, N., & Fournier, J. F. (2016). Mindfulness may moderate the relationship between intrinsic motivation and physical activity. Journal of Health Psychology, 21(8), 1813–1824. https://doi.org/10.1177/1359105314567207.
- Baliou, S.; Ioannou, P.; Apetroaei, M.-M.; Vakonaki, E.; Fragkiadaki, P.; Kirithras, E.; Tzatzarakis, M.N.; Arsene, A.L.; Docea, A.O.; Tsatsakis, A. The Impact of the Mediterranean Diet on Telomere Biology: Implications for Disease Management—A Narrative Review. Nutrients 2024, 16, 2525. https://doi.org/10.3390/nu16152525.
- Vinci, G.; Davì, F.; Pellegrino, T.; Fusco, R.; Cordaro, M.; Di Paola, R. Main Dietary Patterns for Healthy Aging and Well-Being. Nutrients 2025, 17, 2009. https:// doi.org/10.3390/nu17122009.
- María Rodríguez-Martín et al., Siesta behavior and genetics interact to influence obesity risk. Obesity (Silver Spring). 2025;33:164–176.
- de la Torre-Moral, A.; Fàbregues, S.; Bach-Faig, A.;Fornieles-Deu, A.; Medina, F.X.;Aguilar-Martínez, A.; Sánchez-Carracedo, D. Family Meals, Conviviality, and the Mediterranean Diet among Families with Adolescents. J. Environ. Res.Public Health 2021, 18, 2499. https://doi.org/10.3390/ijerph18052499.
- S Radd-Vagenas, A Kouris-Blazos, M Fiatarone Singh and VM Flood. Evolution of Mediterranean diets and cuisine: concepts and definitions. Asia Pac J Clin Nutr 2017;26(5):749-763.
- Elisabetta Bernardi, Francesco Visioli. Fostering wellbeing and healthy lifestyles through conviviality and commensality: Underappreciated benefits of the Mediterranean Diet, Nutrition Research Volume 126, June 2024, Pages 46-57
- Le Moal, F.; Michaud, M.; Hartwick-Pflaum, C.A.; Middleton, G.; Mallon, I.; Coveney, J. Beyond the Normative Family Meal Promotion: A Narrative Review of Qualitative Results about Ordinary Domestic Commensality. Int. J. Environ. Res. Public Health 2021, 18, 3186. https://doi.org/10.3390/ijerph18063186.
- Dimitriou, A.; Aggeletopoulou, I.; Triantos, C. Optimizing Nutritional Balance: Integrating the Mediterranean Diet into Low-FODMAP Nutrition. Microorganisms 2025, 13, 2085. https://doi.org/10.3390/ microorganisms13092085.
- Ramón Chacón-Cuberos, Félix Zurita-Ortega, Asunción Martínez-Martínez, Eva María Olmedo-Moreno, Manuel Castro-Sánchez. Adherence to the Mediterranean Diet Is Related to Healthy Habits, Learning Processes, and Academic Achievement in Adolescents: A Cross-Sectional Study. Nutrients 2018, 10, 1566; doi:10.3390/nu10111566.
- Masini, A.; Dallolio, L.; Sanmarchi, F.; Lovecchio, F.; Falato, M.; Longobucco, Y.; Lanari, M.; Sacchetti, R. Adherence to the Mediterranean Diet in Children and Adolescents and Association with Multiple Outcomes: An Umbrella Review. Healthcare 2024, 12, 449. https://doi.org/10.3390/ healthcare12040449.
- Jennifer Utter et al., Family meals among parents: Associations with nutritional, social and emotional wellbeing. Prev Med. 2018 August ; 113: 7–12. doi:10.1016/j.ypmed.2018.05.006.
- Amber J. Hammons, Barbara H. Fiese,Is Frequency of Shared Family Meals Related to the Nutritional Health of Children and Adolescents? PEDIATRICS Volume 127, Number 6, June 2011.
- Silva, P. Enhancing Adolescent Food Literacy Through Mediterranean Diet Principles: From Evidence to Practice. Nutrients 2025, 17, 1371. https://doi.org/10.3390/nu17081371.
- Mantzorou, M.; Mentzelou, M.; Vasios, G.K.; Kontogiorgis, C.; Antasouras, G.; Vadikolias, K.; Psara, E.; Vorvolakos, T.; Poulios, E.; Serdari, A.; et al. Mediterranean Diet Adherence Is Associated with Favorable Health-Related Quality of Life, Physical Activity, and Sleep Quality in a Community-Dwelling Greek Older Population. Antioxidants 2023, 12, 983. https://doi.org/ 10.3390/antiox12050983.
- Maria Soledad Hershey, Miguel Ángel Martínez-González, Ismael Álvarez-Álvarez, José Alfredo Martínez Hernández, Miguel Ruiz-Canela. The Mediterranean diet and physical activity: better together than apart for the prevention of premature mortality. British Journal of Nutrition, doi:10.1017/S0007114521002877.
- Tsartsapakis, I.; Trigonis, I.; Zafeiroudi, A.; Kouli, O.; Papacharisis, V.; Stavrousis, D. The Role of Recreational Physical Activity in Adherence to the Mediterranean Diet in the Greek Population: Public Health and Sustainability Implications. Sports 2025, 13, 95. https://doi.org/10.3390/sports13040095.
- Hector Vazquez-Lorente, et al., Mediterranean Diet, Physical Activity, and Bone Health in Older Adults A Secondary Analysis of a Randomized Clinical Trial. JAMA Network Open. 2025;8(4):e253710. doi:10.1001/jamanetworkopen.2025.3710.
- Caprara, G. Mediterranean-Type Dietary Pattern and Physical Activity: The Winning Combination to Counteract the Rising Burden of Non-Communicable Diseases (NCDs). Nutrients 2021, 13, 429. https://doi.org/10.3390/nu13020429.
- Assaf, S.; Park, J.; Chowdhry, N.; Ganapuram, M.; Mattathil, S.; Alakeel, R.; Kelly, O.J. Unraveling the Evolutionary Diet Mismatch and Its Contribution to the Deterioration of Body Composition. Metabolites 2024,14, 379. https://doi.org/10.3390/metabo14070379.
- Trajkovska Petkoska and A. Trajkovska-Broach, Mediterranean Diet: A Nutrient-Packed Diet and a Healthy Lifestyle for a Sustainable World, Journal of the Science of Food and Agriculture, 2020. DOI: 10.1002/JSFA.10907
- Elliot M Berry. Sustainable Food Systems and the Mediterranean Diet. Nutrients 2019, 11, 2229; doi:10.3390/nu11092229.
- Christodoulou, E., Laoutari, S., & Koutelidakis, A. E. (2025). Navigating burnout: The mediating role of mindfulness in health professionals. Preprints, 202504. https://doi.org/10.20944/preprints202504.2281.v1.
- Anshum Patel, Joseph Cheung. The effect of mediterranean diet and chrononutrition on sleep quality: a scoping review. Nutrition Journal (2025) 24:31 https://doi.org/10.1186/s12937-025-01095-8.
- Carvalho, G.P.; Costa-Camilo, E.; Duarte, I. Advancing Health and Sustainability: A Holistic Approach to Food Production and Dietary Habits. Foods 2024, 13, 3829. https://doi.org/foods13233829.
- Victoria Lorca-Camara, Marina Bosque-Prous, Maira Bes-Rastrollo, Cristina O’Callaghan-Gordo, Anna Bach-Faig. Environmental and Health Sustainability of the Mediterranean Diet: A Systematic Review. Advances in Nutrition 15 (2024) 100322.
- Trajkovska Petkoska, A.T. Broach, Sustainable food systems and healthy diets: the case of Mediterranean Diet, Acta hort regiotec, 24, 2021(2): 110–118. 2021.
- Cristina Cambeses-Franco, Sara González-García, Gumersindo Feijoo, María Teresa Moreira, Driving commitment to sustainable food policies within the framework of American and European dietary guidelines, Science of the Total Environment 807 (2022) 150894.
- Capone, R., El Bilali, H., Debs, P., Cardone, G., & Driouech, N. (2015). Mediterranean food consumption patterns: Diet, environment, society, economy and health (White Paper Priority 5 of Feeding Knowledge Programme, Expo Milan 2015). CIHEAM/FAO.
- Dernini S. and Capone R. (eds), 2024. Sustainable food systems. Change of route in the Mediterranean. Valenzano: CIHEAM Bari.
- Mark Lawrence. Fundamentals of a healthy and sustainable diet. Nutrition Journal (2024) 23:150. https://doi.org/10.1186/s12937-024-01049-6.
- M.Bôto, A. Rocha, V. Miguéis, M. Meireles, B. Neto. Sustainability Dimensions of the Mediterranean Diet: A Systematic Review of the Indicators Used and Its Results. Adv Nutr 2022;13:2015–2038; doi: https://doi.org/10.1093/advances/nmac066.
- Cristina-Mihaela Lăcătus , Elena-Daniela Grigorescu, Alina Onofriescu, Bogdan-Mircea Mihai, The Mediterranean Diet: From an Environment-Driven Food Culture to an Emerging Medical Prescription, Int. J. Environ. Res. Public Health 2019, 16, 942; doi:10.3390/ijerph16060942.
- Godos, J.; Guglielmetti, M.; Ferraris, C.; Frias-Toral, E.; Domínguez Azpíroz, I.; Lipari, V.; Di Mauro, A.; Furnari, F.; Castellano, S.; Galvano, F.; et al. Mediterranean Diet and Quality of Life in Adults: A Systematic Review. Nutrients 2025, 17, 577. https://doi.org/10.3390/ nu17030577.
- Johan Rockströmet al., The EAT–Lancet Commission on healthy, sustainable, and just food systems. https://doi.org/10.1016/ S0140-6736(25)01201-2.

