{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:25:34Z","timestamp":1791570334077,"version":"4.3.4"},"reference-count":53,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of P\u00e9cs Medical School","award":["FK142942"],"award-info":[{"award-number":["FK142942"]}]},{"name":"University of P\u00e9cs Medical School","award":["PTE-KITEP-2024-433"],"award-info":[{"award-number":["PTE-KITEP-2024-433"]}]},{"name":"University of P\u00e9cs Medical School","award":["EK\u00d6P-24-4-I-PTE-209"],"award-info":[{"award-number":["EK\u00d6P-24-4-I-PTE-209"]}]},{"name":"National Research, Development, and Innovation Office","award":["FK142942"],"award-info":[{"award-number":["FK142942"]}]},{"name":"National Research, Development, and Innovation Office","award":["PTE-KITEP-2024-433"],"award-info":[{"award-number":["PTE-KITEP-2024-433"]}]},{"name":"National Research, Development, and Innovation Office","award":["EK\u00d6P-24-4-I-PTE-209"],"award-info":[{"award-number":["EK\u00d6P-24-4-I-PTE-209"]}]},{"name":"University of P\u00e9cs Kriszbacher Ildik\u00f3 Talent Development Program","award":["FK142942"],"award-info":[{"award-number":["FK142942"]}]},{"name":"University of P\u00e9cs Kriszbacher Ildik\u00f3 Talent Development Program","award":["PTE-KITEP-2024-433"],"award-info":[{"award-number":["PTE-KITEP-2024-433"]}]},{"name":"University of P\u00e9cs Kriszbacher Ildik\u00f3 Talent Development Program","award":["EK\u00d6P-24-4-I-PTE-209"],"award-info":[{"award-number":["EK\u00d6P-24-4-I-PTE-209"]}]},{"name":"Ministry of Culture and Innovation, National Fund for Research, Development, and Innovation","award":["FK142942"],"award-info":[{"award-number":["FK142942"]}]},{"name":"Ministry of Culture and Innovation, National Fund for Research, Development, and Innovation","award":["PTE-KITEP-2024-433"],"award-info":[{"award-number":["PTE-KITEP-2024-433"]}]},{"name":"Ministry of Culture and Innovation, National Fund for Research, Development, and Innovation","award":["EK\u00d6P-24-4-I-PTE-209"],"award-info":[{"award-number":["EK\u00d6P-24-4-I-PTE-209"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: The Mediterranean diet (MD) reduces cardiovascular risk, which is higher in celiac disease (CD). We aimed to investigate adherence to the MD in newly diagnosed CD patients, CD patients on a gluten-free diet (GFD), and in a non-celiac control group. Additionally, we aimed to establish an association between GFD and MD adherence. Methods: In this nested, cross-sectional Hungarian study, MD adherence was assessed using the Mediterranean Diet Score (MDS), and GFD adherence was assessed using the Standardized Dietitian Evaluation (SDE). Results: A total of 215 subjects were enrolled, 128 of which were CD patients on a GFD for a minimum of 1 year, 24 were newly diagnosed CD patients, and 63 were non-CD healthy control subjects. Although the control subjects had a higher mean MDS, the groups did not differ statistically significantly from each other (CD on GFD: 5.55 \u00b1 1.57, newly diagnosed CD: 5.35 \u00b1 1.81, controls: 6.05 \u00b1 1.73; p &gt; 0.05)\u2014all groups had suboptimal scores. Both CD groups consumed fewer whole grains than the controls (p &lt; 0.001). Adequate GFD adherence was associated with higher MDS (5.62 \u00b1 1.54 vs. 4.71 \u00b1 1.21, respectively; p = 0.009). Conclusions: Our study highlights the low adherence to MD in celiac patients with insufficient consumption of whole grains. Adherence to GFD is associated with better MD adherence, which underlines the role of dietary education during follow-up. Targeted nutritional counseling could improve the quality of diet in CD patients to reduce cardiovascular risk.<\/jats:p>","DOI":"10.3390\/nu17050788","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T10:55:48Z","timestamp":1740480948000},"page":"788","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Mediterranean Diet Adherence in Celiac Patients: A Nested Cross-Sectional Study"],"prefix":"10.3390","volume":"17","author":[{"given":"M\u00edra Zs\u00f3fia","family":"Peresztegi","sequence":"first","affiliation":[{"name":"Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7035-941X","authenticated-orcid":false,"given":"Zsolt","family":"Szak\u00e1cs","sequence":"additional","affiliation":[{"name":"First Department of Medicine, Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8144-4628","authenticated-orcid":false,"given":"Zs\u00f3fia","family":"Vereczkei","sequence":"additional","affiliation":[{"name":"Institute for Translational Medicine, Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"},{"name":"Department of Sport Nutrition and Hydration, Institute of Nutritional Science and Dietetics, Faculty of Health Sciences, University of P\u00e9cs, 7621 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0000-1575","authenticated-orcid":false,"given":"Eszter","family":"Dak\u00f3","sequence":"additional","affiliation":[{"name":"Department of Surgery, Transplantation and Gastroenterology, Faculty of Medicine, Semmelweis University, 1082 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarolta","family":"Dak\u00f3","sequence":"additional","affiliation":[{"name":"Department of Surgery, Transplantation and Gastroenterology, Faculty of Medicine, Semmelweis University, 1082 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9556-4778","authenticated-orcid":false,"given":"Szilvia","family":"Lada","sequence":"additional","affiliation":[{"name":"Directorate of Nursing Management and Professional Education, Albert Szent-Gy\u00f6rgyi Health Center, University of Szeged, 6725 Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kl\u00e1ra","family":"Lemes","sequence":"additional","affiliation":[{"name":"Centre for Gastroenterology, Department of Medicine, Albert Szent-Gy\u00f6rgyi Health Center, University of Szeged, 6725 Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikl\u00f3s","family":"Holczer","sequence":"additional","affiliation":[{"name":"Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5349-6527","authenticated-orcid":false,"given":"Nelli","family":"Farkas","sequence":"additional","affiliation":[{"name":"Institute for Translational Medicine, Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"},{"name":"Institute of Bioanalysis, Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3941-4871","authenticated-orcid":false,"given":"Judit","family":"Bajor","sequence":"additional","affiliation":[{"name":"First Department of Medicine, Medical School, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.cgh.2017.06.037","article-title":"Global Prevalence of Celiac Disease: Systematic Review and Meta-analysis","volume":"16","author":"Singh","year":"2018","journal-title":"Clin. 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