{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:30:36Z","timestamp":1785252636770,"version":"3.55.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"13","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980020002062_as1\"><jats:title>Objectives:<\/jats:title><jats:p>The current study aimed to develop a modified Mediterranean diet (MMD) score adjusted to the southern Mediterranean countries\u2019 cultural specificities and to evaluate associations between adherence to this modified score and overweight\/obesity risk in Moroccan adults.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980020002062_as2\"><jats:title>Design:<\/jats:title><jats:p>Population-based cross-sectional study.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980020002062_as3\"><jats:title>Setting:<\/jats:title><jats:p>Rural and urban areas of the five greatest provinces of Morocco.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980020002062_as4\"><jats:title>Participants:<\/jats:title><jats:p>In total, 1516 participants were recruited between September 2009 and February 2017. Dietary assessment was obtained using a validated Moroccan FFQ. We constructed a MMD score focusing on twelve components. The MMD score ranged from 0 (no adherence to the traditional southern Mediterranean diet (MD)) to 12 (maximal adherence) and was categorised as low (scores 0\u20134), moderate (scores 5\u20137) and high (scores 8\u201312).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980020002062_as5\"><jats:title>Results:<\/jats:title><jats:p>Among the whole population, 754 (50\u00b75 %) were women and 738 (49\u00b75 %) were men, and the mean age was about 55\u00b760 \u00b1 13\u00b770. In total, 58 % of participants were moderately active. Regarding educational level, 50\u00b77 % were illiterate. The prevalence of overweight and obesity was 43\u00b73 and 8\u00b76 %, respectively. In multivariate analyses, close adherence to MMD (scores 8\u201312) was associated with reduced overweight\/obesity risk (OR 0\u00b761, 95 % CI 0\u00b744, 0\u00b784).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980020002062_as6\"><jats:title>Conclusion:<\/jats:title><jats:p>The prevalence of overweight and obesity was very high among Moroccan adults. Adherence to the traditional southern MD may help prevent overweight and obesity.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980020002062","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T03:55:48Z","timestamp":1595994948000},"page":"4064-4070","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Modified Mediterranean diet score adapted to a southern Mediterranean population and its relation to overweight and obesity risk"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2861-7224","authenticated-orcid":false,"given":"Khaoula","family":"El Kinany","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meimouna","family":"Mint Sidi Deoula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zineb","family":"Hatime","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanae Abir","family":"Boudouaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Atassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achraf","family":"El Asri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelilah","family":"Benslimane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chakib","family":"Nejjari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidi Adil","family":"Ibrahimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pagona","family":"Lagiou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karima","family":"El Rhazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,7,29]]},"reference":[{"key":"S1368980020002062_ref48","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2016-000339"},{"key":"S1368980020002062_ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jef.2018.02.004"},{"key":"S1368980020002062_ref23","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38415.644155.8F"},{"key":"S1368980020002062_ref19","doi-asserted-by":"publisher","DOI":"10.1080\/713604490"},{"key":"S1368980020002062_ref13","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2002402"},{"key":"S1368980020002062_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-345"},{"key":"S1368980020002062_ref39","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2001285"},{"key":"S1368980020002062_ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa025039"},{"key":"S1368980020002062_ref24","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1002\/ijc.32263","article-title":"Concordance with the World Cancer Research Fund\/American Institute for Cancer Research recommendations for cancer prevention and colorectal cancer risk in Morocco: a large, population-based case\u2013control study","volume":"145","author":"El Kinany","year":"2019","journal-title":"Int J Cancer"},{"key":"S1368980020002062_ref5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.035742"},{"key":"S1368980020002062_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2018.10.027"},{"key":"S1368980020002062_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.12.034"},{"key":"S1368980020002062_ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6723931"},{"key":"S1368980020002062_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s00394-019-01954-1"},{"key":"S1368980020002062_ref45","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/136.11.2934"},{"key":"S1368980020002062_ref20","unstructured":"20. 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