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. 2019 Jun 7;11(6):1296.
doi: 10.3390/nu11061296.

Mediterranean Diet Pyramid: A Proposal for Italian People. A Systematic Review of Prospective Studies to Derive Serving Sizes

Annunziata D'Alessandro  1 , Luisa Lampignano  2 , Giovanni De Pergola  3
Affiliations

Mediterranean Diet Pyramid: A Proposal for Italian People. A Systematic Review of Prospective Studies to Derive Serving Sizes

Annunziata D'Alessandro et al. Nutrients. .

Abstract

In the last decade, a number of meta-analyses of mostly observational studies evaluated the relation between the intake of food groups and the risk of noncommunicable diseases (NCDs). In this study, we systematically reviewed dose-response meta-analyses of prospective studies with the aim to derive the quantities of food to consume to attain a protective (Mediterranean food) or a non-adverse (non-Mediterranean food) effect toward selected NCDs such as cardiovascular disease (CVD) including coronary heart disease (CHD) and stroke, type 2 diabetes (T2DM), colorectal (CRC) and breast cancer. These derived quantities, wherever possible, were suggested for a quantification of food servings of the Mediterranean Diet Pyramid proposed for Italian People (MDPPI). This pyramid came from the Modern Mediterranean Diet Pyramid developed in 2009 for Italian people. A weekly menu plan was built on the advice about frequency of intakes and serving sizes of such pyramid and the nutritional composition of this diet was compared with the Reference Italian Mediterranean Diet followed in 1960 in Nicotera. The diet built according the advice of MDPPI was very similar to that of Nicotera in the late 1950s that has been chosen as Italian Reference Mediterranean Diet with the exception of percentage of energy provided by cereals that was lower and of fruits and vegetables that was higher. Saturated fatty acids were only the 6% of daily energy intake. Also the Mediterranean Adequacy Index (MAI) was very similar to that of the aforementioned diet.

Keywords: Mediterranean diet; Mediterranean diet pyramid.

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Conflict of interest statement

The authors declare no conflict of interest.

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Figure 1
Proposal of Mediterranean Diet Pyramid for Italian People [9].
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References

    1. WHO Global Health Observatory Data. [(accessed on 13 December 2018)]; Available online: http: //www.who.int.
    1. WHO Noncommunicable Diseases (NCD) Country Profiles, Italy. [(accessed on 13 December 2018)];2018 Available online: http://www.who.int.
    1. Ezzati M., Riboli E. Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals. Science. 2012;337:1482–1487. doi: 10.1126/science.1227001. - DOI - PubMed
    1. Kimokoti R.W., Millen B.E. Nutrition for the Prevention of Chronic Diseases. Med. Clin. N. Am. 2016;100:1185–1198. doi: 10.1016/j.mcna.2016.06.003. - DOI - PubMed
    1. Scientific Report of the 2015 Dietary Guidelines Advisory Committee. [(accessed on 13 February 2018)]; Available online: http://health.gov/dietaryguidelines/2015-scientific-report/

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