{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T04:24:50Z","timestamp":1773980690409,"version":"3.50.1"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T00:00:00Z","timestamp":1595376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,15]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>The aim of this study was to present a new model for the Mediterranean Diet definition and to identify the major trends for the use of the Mediterranean Diet concept by 2028, in Portugal. A Delphi panel was implemented with 28 experts with solid knowledge and understanding of the Mediterranean Diet concept. The first round evaluated the degree of expert self-knowledge, which also contributed to the final questionnaire building. It was answered in 2 successive rounds with 21 statements, divided into 2 dimensions: Mediterranean Diet concept and use. A Mediterranean Diet model definition was produced with 73.8% of agreement. Culture, education, environment, health, food industry\/distribution and tourism were identified as the future trends of Mediterranean Diet use areas. The model presented can be used as a pedagogical tool. For the first time, it was possible to explore the future trends of Mediterranean Diet use, which can help with the initiatives to safeguard the Mediterranean Diet concept.<\/jats:p>","DOI":"10.1093\/heapro\/daaa056","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T11:24:39Z","timestamp":1588764279000},"page":"548-560","source":"Crossref","is-referenced-by-count":9,"title":["Mediterranean Diet conceptual model and future trends of its use in Portugal"],"prefix":"10.1093","volume":"36","author":[{"given":"Helena","family":"Real","sequence":"first","affiliation":[{"name":"Associa\u00e7\u00e3o Portuguesa de Nutri\u00e7\u00e3o, Rua Jo\u00e3o das Regras, n.\u00b0 284 R\/3 e n.\u00b0 278, Porto 4000-291, Portugal"},{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o da Universidade do Porto, Rua Dr. Roberto Frias, Porto 4200-465, Portugal"}]},{"given":"Rui Rosa","family":"Dias","sequence":"additional","affiliation":[{"name":"IPAM, Instituto Portugu\u00eas de Marketing - Porto, Rua Manuel Pinto de Azevedo, 748, Porto 4100-320, Portugal"},{"name":"Universidade Europeia, Rua Laura Ayres, n.\u00b04, Lisboa 1600-510, Portugal"}]},{"given":"Pedro","family":"Gra\u00e7a","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o da Universidade do Porto, Rua Dr. Roberto Frias, Porto 4200-465, Portugal"}]}],"member":"286","published-online":{"date-parts":[[2020,7,22]]},"reference":[{"key":"2021041519144851600_daaa056-B1","doi-asserted-by":"crossref","first-page":"2127","DOI":"10.1017\/S1368980010000480","article-title":"Is the term \u2018Mediterranean diet\u2019 a misnomer?","volume":"13","author":"Bere","year":"2010","journal-title":"Public Health Nutrition"},{"key":"2021041519144851600_daaa056-B2","doi-asserted-by":"crossref","first-page":"3420","DOI":"10.1002\/jsfa.6284","article-title":"Traditional food and tourism: French tourist experience and food heritage in rural spaces","volume":"93","author":"Bessiere","year":"2013","journal-title":"Journal of the Science of Food and Agriculture"},{"key":"2021041519144851600_daaa056-B3","year":"2018"},{"key":"2021041519144851600_daaa056-B12","year":"2018"},{"key":"2021041519144851600_daaa056-B4","author":"Correia","year":"2016"},{"key":"2021041519144851600_daaa056-B6","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/0040-1625(79)90007-6","article-title":"Stability and agreement criteria for the termination of Delphi studies","volume":"13","author":"Dajani","year":"1979","journal-title":"Technological Forecasting and Social Change"},{"key":"2021041519144851600_daaa056-B7","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3389\/fnut.2015.00015","article-title":"Mediterranean diet: from a healthy diet to a sustainable dietary pattern","volume":"2","author":"Dernini","year":"2015","journal-title":"Frontiers in Nutrition"},{"key":"2021041519144851600_daaa056-B8","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1017\/S1368980016003177","article-title":"Med Diet 4.0: the Mediterranean diet with four sustainable benefits","volume":"20","author":"Dernini","year":"2017","journal-title":"Public Health Nutrition"},{"key":"2021041519144851600_daaa056-B9","first-page":"28","article-title":"Developing a methodological approach for assessing the sustainability of diets: the Mediterranean diet as a case study","volume":"12","author":"Dernini","year":"2013","journal-title":"New Medit"},{"key":"2021041519144851600_daaa056-B10","year":"1939"},{"key":"2021041519144851600_daaa056-B11","year":"2016"},{"key":"2021041519144851600_daaa056-B13","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3389\/fnut.2016.00037","article-title":"A consensus proposal for nutritional indicators to assess the sustainability of a healthy diet: the mediterranean diet as a case study","volume":"3","author":"Donini","year":"2016","journal-title":"Frontiers in Nutrition"},{"key":"2021041519144851600_daaa056-B14","first-page":"64","article-title":"The Delphi method: a description, review and criticism","volume":"4","author":"Fischer","year":"1978","journal-title":"The Journal of Academic Librarianship"},{"key":"2021041519144851600_daaa056-B22","author":"Fundaci\u00f3n Dieta"},{"key":"2021041519144851600_daaa056-B15","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.evalprogplan.2009.06.006","article-title":"Using the Delphi method to engage stakeholders: a comparison of two studies","volume":"33","author":"Geist","year":"2010","journal-title":"Evaluation and Program Planning"},{"key":"2021041519144851600_daaa056-B16","first-page":"10","article-title":"The Delphi technique: making sense of consensus practical assessment","volume":"12","author":"Hsu","year":"2007","journal-title":"Research & Evaluation"},{"key":"2021041519144851600_daaa056-B17","doi-asserted-by":"crossref","first-page":"35","DOI":"10.7748\/nr.22.3.35.e1297","article-title":"Research methods for formal consensus development","volume":"22","author":"James","year":"2015","journal-title":"Nurse Researcher"},{"key":"2021041519144851600_daaa056-B18","doi-asserted-by":"crossref","first-page":"1321s","DOI":"10.1093\/ajcn\/61.6.1321S","article-title":"Mediterranean diet and public health: personal reflections","volume":"61","author":"Keys","year":"1995","journal-title":"The American Journal of Clinical Nutrition"},{"key":"2021041519144851600_daaa056-B19","first-page":"3","volume-title":"The Delphi Method - 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