{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:07:18Z","timestamp":1788883638346,"version":"build-2803163510"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Mediterranean diet (MD) is one of the dietary patterns with the strongest evidence for preventing chronic diseases and promoting healthy aging. However, adherence to it is declining among the older population in Spain, in parallel with the rise in Westernized eating patterns. In this context, community-based interventions and the development of culinary skills are emerging as promising strategies for improving dietary quality and promoting healthy habits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effect of a multi-component intervention compared with a traditional group educational talk, on adherence to the MD and clinical parameters in people aged 60 and over.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An experimental, randomized, controlled study was conducted with two parallel groups, in adults aged 60\u202fyears and older in Salamanca. The main variable was adherence to the MD and clinical parameters and sociodemographic variables such as secondary variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample comprised 130 participants. Linear mixed-effects modeling demonstrated a significantly greater improvement in MEDAS score over time in the intervention group than in the control group (group \u00d7 time interaction:\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.027). Descriptively, the intervention group showed particularly favorable improvements in their consumption of extra virgin olive oil, fruit, vegetables and pulses, alongside a reduction in ultra-processed foods and sugary drinks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The multi-component intervention was more effective than a traditional educational talk in improving adherence to the Mediterranean diet among community-dwelling older adults. Improvements were maintained over the three-month follow-up period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1918299","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T04:16:22Z","timestamp":1787199382000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of a multicomponent intervention on adherence to the Mediterranean diet in older adults: a randomized controlled trial"],"prefix":"10.3389","volume":"13","author":[{"given":"Ana Mar\u00eda","family":"Murillo-Zald\u00edvar","sequence":"first","affiliation":[{"name":"Complejo Asistencial Universitario de Salamanca, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca (IBSAL)","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Alonso-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Gonz\u00e1lez-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Vicente-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Ignacio","family":"Recio-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto Jos\u00e9","family":"Barbero-Iglesias","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Luz","family":"S\u00e1nchez-Tocino","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda y Fisioterapia, Facultad de Enfermer\u00eda y Fisioterapia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Atenci\u00f3n de Enfermer\u00eda y Fisioterapia en promoci\u00f3n de la salud, estilos de vida y discapacidad, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Garc\u00eda-Barrueco","sequence":"additional","affiliation":[{"name":"Gerencia de Atenci\u00f3n Primaria de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Garc\u00eda-Oterino","sequence":"additional","affiliation":[{"name":"Gerencia de Atenci\u00f3n Primaria de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Gonz\u00e1lez-Manzano","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n en polifenoles, Departamento de Qu\u00edmica Anal\u00edtica, Nutrici\u00f3n y Bromatolog\u00eda, Facultad de Farmacia, Instituto de Investigaci\u00f3n Biom\u00e9dica de Salamanca, Universidad de Salamanca","place":["Salamanca, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"656","DOI":"10.3390\/nu17040656","article-title":"Association of Mediterranean diet with cardiovascular risk factors and with metabolic syndrome in 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