{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:14:42Z","timestamp":1789996482478,"version":"4.0.1"},"reference-count":58,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","award":["UID\/04567\/2025"],"award-info":[{"award-number":["UID\/04567\/2025"]}],"id":[{"id":"https:\/\/ror.org\/00snfqn58","id-type":"ROR","asserted-by":"crossref"}]},{"award":["UID\/04567\/2025"],"award-info":[{"award-number":["UID\/04567\/2025"]}],"id":[{"id":"https:\/\/ror.org\/00snfqn58","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Parent\u2013child dietary resemblance is well documented, but concordance in Mediterranean Diet adherence and fast-food consumption within the same family dyads remains underexplored in Portugal. This exploratory study examined parent\u2013child associations across these complementary dietary dimensions. Methods: This cross-sectional study included 85 parent\/guardian\u2013child dyads recruited by convenience from two Portuguese basic education schools. Parents\/guardians completed an online questionnaire for themselves and their child. Mediterranean Diet adherence was assessed using MEDAS and KIDMED. Associations were examined using Spearman correlations with bootstrap 95% confidence intervals, and fast-food concordance using exact agreement and weighted Cohen\u2019s kappa. Multivariable linear and ordinal logistic regression models were also fitted. Results: Parental MEDAS was positively associated with child KIDMED (rho = 0.283, 95% CI 0.080\u20130.482, p = 0.009) and inversely with child fast-food consumption (rho = \u22120.304, 95% CI \u22120.491 to \u22120.094, p = 0.005). Parental fast-food consumption was inversely associated with child KIDMED (rho = \u22120.480, 95% CI \u22120.643 to \u22120.284, p &lt; 0.001) and positively with child fast-food consumption (rho = 0.724, 95% CI 0.571\u20130.845, p &lt; 0.001). Exact fast-food agreement was 76.5%, with quadratic-weighted kappa = 0.579 (95% CI 0.373\u20130.759). Adjusted analyses supported associations of parental MEDAS and child age with KIDMED, and parental fast-food frequency with child fast-food consumption. Conclusions: Parent\u2013child dietary behaviours showed concordance across both dimensions, although Mediterranean Diet score concordance was modest. Larger longitudinal studies with direct assessment of both generations are needed to clarify direction and mechanisms in Portugal.<\/jats:p>","DOI":"10.3390\/nu18183050","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:50:03Z","timestamp":1789995003000},"page":"3050","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parent\u2013Child Concordance in Mediterranean Diet Adherence and Fast-Food Consumption: An Exploratory Study of Portuguese Families"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1238-1798","authenticated-orcid":false,"given":"Leandro","family":"Oliveira","sequence":"first","affiliation":[{"name":"CBIOS (Research Center for Biosciences and Health Technologies), ECTS (School of Health Sciences and Technologies), Lus\u00f3fona University, Campo Grande 376, 1749-024 Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Marta","family":"Esgalhado","sequence":"additional","affiliation":[{"name":"CBIOS (Research Center for Biosciences and Health Technologies), ECTS (School of Health Sciences and Technologies), Lus\u00f3fona University, Campo Grande 376, 1749-024 Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1136\/jech.2009.095901","article-title":"Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: Systematic review and meta-analysis","volume":"65","author":"Wang","year":"2011","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102024","DOI":"10.1016\/j.eclinm.2023.102024","article-title":"The myth and reality of familial resemblance in dietary intake: A systematic review and meta-analysis on the resemblance of dietary intake among parent and offspring","volume":"60","author":"Pervin","year":"2023","journal-title":"eClinicalMedicine"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Oliveira, L., and Lucas, M.R. (2026). An Integrated Conceptual Framework for the Sustainable Adoption of the Mediterranean Diet: The Mediating Role of Plant-Based Foods. Sustainability, 18.","DOI":"10.3390\/su18125938"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1111\/joim.13333","article-title":"The Mediterranean diet and health: A comprehensive overview","volume":"290","author":"Willett","year":"2021","journal-title":"J. Intern. Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Tian, W., Yan, G., Ye, P., Pan, J., Zhao, W., Zhang, J., Zhang, X., Peng, J., Shui, D., and Zhang, Y. (2025). Association between adherence to healthy dietary patterns and life expectancy in US adults: A prospective cohort study. BMC Public Health, 26.","DOI":"10.1186\/s12889-025-25810-6"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e2421976","DOI":"10.1001\/jamanetworkopen.2024.21976","article-title":"Mediterranean Diet and Cardiometabolic Biomarkers in Children and Adolescents: A Systematic Review and Meta-Analysis","volume":"7","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1016\/j.advnut.2023.04.011","article-title":"Mediterranean Diet-Based Interventions to Improve Anthropometric and Obesity Indicators in Children and Adolescents: A Systematic Review with Meta-Analysis of Randomized Controlled Trials","volume":"14","author":"Kales","year":"2023","journal-title":"Adv. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Masini, A., Dallolio, L., Sanmarchi, F., Lovecchio, F., Falato, M., Longobucco, Y., Lanari, M., and Sacchetti, R. (2024). Adherence to the Mediterranean Diet in Children and Adolescents and Association with Multiple Outcomes: An Umbrella Review. Healthcare, 12.","DOI":"10.3390\/healthcare12040449"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e12944","DOI":"10.1111\/obr.12944","article-title":"Fast-food restaurant, unhealthy eating, and childhood obesity: A systematic review and meta-analysis","volume":"22","author":"Jia","year":"2021","journal-title":"Obes. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e13536","DOI":"10.1111\/obr.13536","article-title":"Association of fast-food restaurants with overweight and obesity in school-aged children and adolescents: A systematic review and meta-analysis","volume":"24","author":"Jiang","year":"2023","journal-title":"Obes. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1542\/peds.113.1.112","article-title":"Effects of fast-food consumption on energy intake and diet quality among children in a national household survey","volume":"113","author":"Bowman","year":"2004","journal-title":"Pediatrics"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1001\/jamapediatrics.2013.417","article-title":"Fast-food and full-service restaurant consumption among children and adolescents: Effect on energy, beverage, and nutrient intake","volume":"167","author":"Powell","year":"2013","journal-title":"JAMA Pediatr."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Hebestreit, A., Intemann, T., Siani, A., De Henauw, S., Eiben, G., Kourides, Y.A., Kovacs, E., Moreno, L.A., Veidebaum, T., and Krogh, V. (2017). Dietary Patterns of European Children and Their Parents in Association with Family Food Environment: Results from the I.Family Study. Nutrients, 9.","DOI":"10.3390\/nu9020126"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1089\/chi.2022.0200","article-title":"Associations Between Household Frequency of Cooking Dinner and Ultraprocessed Food Consumption and Dietary Quality Among US Children and Adolescents","volume":"20","author":"Tucker","year":"2024","journal-title":"Child. Obes."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s12966-017-0501-3","article-title":"The influence of parental practices on child promotive and preventive food consumption behaviors: A systematic review and meta-analysis","volume":"14","author":"Yee","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jneb.2013.07.012","article-title":"A review of associations between family or shared meal frequency and dietary and weight status outcomes across the lifespan","volume":"46","author":"Fulkerson","year":"2014","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.puhe.2024.11.005","article-title":"The effect of parents\u2019 lifestyle on Schoolchildren\u2019s consumption of ultra-processed food","volume":"237","author":"Oliveira","year":"2024","journal-title":"Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s12937-024-01023-2","article-title":"Associations between maternal diet, family eating habits and preschool children\u2019s dietary patterns: Insights from the UPBEAT trial","volume":"23","author":"Luque","year":"2024","journal-title":"Nutr. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e70143","DOI":"10.1111\/ijpo.70143","article-title":"Associations of Ultra-Processed Foods and Executive Function in Children With Obesity and Their Parents: A Cross-Sectional Study","volume":"21","author":"Strong","year":"2026","journal-title":"Pediatr. Obes."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.appet.2007.08.009","article-title":"Autonomy and control: The co-construction of adolescent food choice","volume":"50","author":"Bassett","year":"2008","journal-title":"Appetite"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S40","DOI":"10.1016\/S0002-8223(02)90421-9","article-title":"Individual and environmental influences on adolescent eating behaviors","volume":"102","author":"Story","year":"2002","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0140-6736(86)90837-8","article-title":"Statistical methods for assessing agreement between two methods of clinical measurement","volume":"1","author":"Bland","year":"1986","journal-title":"Lancet"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"de Andrade, V.L., Ferr\u00e3o, I., Figueiredo, M., Dias, I., Pinto, P., and Ruivo, P. (2025). Adherence to the Mediterranean Diet Among Primary School Children in the Tagus Lez\u00edria Region, Portugal: A Study on Eating Habits. Nutrients, 17.","DOI":"10.3390\/nu17172853"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e2019259","DOI":"10.1590\/1984-0462\/2021\/39\/2019259","article-title":"Adherence to the mediterranean diet in elementary school children (1st cycle)","volume":"39","author":"Marques","year":"2021","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1159\/000495803","article-title":"Mediterranean Diet Index (KIDMED) Adherence, Socioeconomic Determinants, and Nutritional Status of Portuguese Children: The Eat Mediterranean Program","volume":"36","author":"Rito","year":"2019","journal-title":"Port. J. Public Health"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Andrade, V., Jorge, R., Garc\u00eda-Conesa, M.-T., Philippou, E., Massaro, M., Chervenkov, M., Ivanova, T., Maksimova, V., Smilkov, K., and Ackova, D.G. (2020). Mediterranean Diet Adherence and Subjective Well-Being in a Sample of Portuguese Adults. Nutrients, 12.","DOI":"10.3390\/nu12123837"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Lopes de Andrade, V., and Pinto, P. (2024). Fluctuations in Mediterranean Diet Adherence Pre- and Post-Pandemic: A Study of Portuguese Cohorts 2019\u20132024. Nutrients, 16.","DOI":"10.3390\/nu16193372"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s44187-025-00645-7","article-title":"Exploring the relationship between functional food perceptions and Mediterranean diet adherence in a Portuguese adult sample","volume":"5","author":"Oliveira","year":"2025","journal-title":"Discov. Food"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Quarta, S., Massaro, M., Chervenkov, M., Ivanova, T., Dimitrova, D., Jorge, R., Andrade, V., Philippou, E., Zisimou, C., and Maksimova, V. (2021). Persistent Moderate-to-Weak Mediterranean Diet Adherence and Low Scoring for Plant-Based Foods across Several Southern European Countries: Are We Overlooking the Mediterranean Diet Recommendations?. Nutrients, 13.","DOI":"10.3390\/nu13051432"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1108\/NFS-11-2024-0353","article-title":"Adherence to the Mediterranean dietary pattern and its associated factors in Portuguese workers","volume":"55","author":"Rei","year":"2025","journal-title":"Nutr. Food Sci."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Chkoniya, V., Greg\u00f3rio, M.J., Filipe, S., and Gra\u00e7a, P. (2024). From Olive Oil Lovers to Mediterranean Diet Lifestyle Followers: Consumption Pattern Segmentation in the Portuguese Context. Nutrients, 16.","DOI":"10.3390\/nu16234235"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/NT.0000000000000092","article-title":"Body Mass Index: Obesity, BMI, and Health: A Critical Review","volume":"50","author":"Nuttall","year":"2015","journal-title":"Nutr. Today"},{"key":"ref_34","unstructured":"WHO (2000). Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ. Tech. Rep. Ser., 894, 1\u2013253."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Gonz\u00e1lez, M.A., Garc\u00eda-Arellano, A., Toledo, E., Salas-Salvad\u00f3, J., Buil-Cosiales, P., Corella, D., Covas, M.I., Schr\u00f6der, H., Ar\u00f3s, F., and G\u00f3mez-Gracia, E. (2012). A 14-Item Mediterranean Diet Assessment Tool and Obesity Indexes among High-Risk Subjects: The PREDIMED Trial. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0043134"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.3945\/jn.110.135566","article-title":"A Short Screener Is Valid for Assessing Mediterranean Diet Adherence among Older Spanish Men and Women123","volume":"141","author":"Estruch","year":"2011","journal-title":"J. Nutr."},{"key":"ref_37","first-page":"6","article-title":"Tradu\u00e7\u00e3o e adapta\u00e7\u00e3o transcultural do \u00cdndice KIDMED em adolescentes portugueses","volume":"28","author":"Rei","year":"2022","journal-title":"Acta Port. Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Frani\u0107, I., Boljat, P., Radi\u0107 Hozo, E., Burger, A., and Matana, A. (2022). Parental Traits Associated with Adherence to the Mediterranean Diet in Children and Adolescents in Croatia: A Cross-Sectional Study. Nutrients, 14.","DOI":"10.3390\/nu14132598"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.numecd.2017.01.002","article-title":"Adherence to the Mediterranean Diet in children and adolescents: A systematic review","volume":"27","author":"Scalfi","year":"2017","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1177\/1973798X241296440","article-title":"Adherence to the Mediterranean diet in 5 Mediterranean countries: A descriptive analysis of the DELICIOUS project","volume":"17","author":"Rosi","year":"2024","journal-title":"Mediterr. J. Nutr. Metab."},{"key":"ref_41","first-page":"3","article-title":"Dietary habits among 177,091 Greek schoolchildren by age, sex, weight status, region, and living area. A cross-sectional study","volume":"85","author":"Tambalis","year":"2025","journal-title":"Hell. J. Cardiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1007\/s00394-025-03769-9","article-title":"Correlates of adherence to the Mediterranean diet among preschool-age and school-age children living in Mediterranean countries: A systematic review","volume":"64","author":"Trezia","year":"2025","journal-title":"Eur. J. Nutr."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1017\/S0029665121003827","article-title":"Considerations for health and food choice in adolescents","volume":"81","author":"Daly","year":"2022","journal-title":"Proc. Nutr. Soc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s13668-025-00706-4","article-title":"Adolescent Nutrition and Health: A Critical Period for Nutritional Intervention to Prevent Long Term Health Consequences","volume":"14","author":"Parajuli","year":"2025","journal-title":"Curr. Nutr. Rep."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"107279","DOI":"10.1016\/j.appet.2024.107279","article-title":"Longitudinal tracking of diet quality from childhood to adolescence: The interplay of individual and sociodemographic factors","volume":"196","author":"Severo","year":"2024","journal-title":"Appetite"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Movassagh, E.Z., Baxter-Jones, A.D.G., Kontulainen, S., Whiting, S.J., and Vatanparast, H. (2017). Tracking Dietary Patterns over 20 Years from Childhood through Adolescence into Young Adulthood: The Saskatchewan Pediatric Bone Mineral Accrual Study. Nutrients, 9.","DOI":"10.20944\/preprints201706.0092.v1"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Peraki, S., Bouloukaki, I., Christodoulakis, A., Vavoulas, D., and Tsiligianni, I. (2026). Influence of Parental Lifestyle and Dietary Patterns on Mediterranean Diet Adherence in Children and Adolescents: A Cross-Sectional Study. Nutrients, 18.","DOI":"10.3390\/nu18101576"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"R\u00f3denas-Munar, M., Garc\u00eda, S., G\u00f3mez, S.F., Gonz\u00e1lez-Gross, M., W\u00e4rnberg, J., Gusi, N., Aznar, S., Mar\u00edn-Cascales, E., Gonz\u00e1lez-Valeiro, M., and Pulgar, S. (2026). Family Eating Habits and Dietary Quality of Spanish Children and Adolescents: The PASOS Study. Nutrients, 18.","DOI":"10.3390\/nu18071038"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., and Agostoni, C. (2018). Factors Influencing Children\u2019s Eating Behaviours. Nutrients, 10.","DOI":"10.3390\/nu10060706"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1007\/s43621-025-02466-1","article-title":"Habit and contextual influences on adolescent Fast-Food consumption with implications for sustainable diets","volume":"7","author":"Kokthi","year":"2025","journal-title":"Discov. Sustain."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Oliveira, L., and Raposo, A. (2024). Factors That Most Influence the Choice for Fast Food in a Sample of Higher Education Students in Portugal. Nutrients, 16.","DOI":"10.3390\/nu16071007"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1017\/S136898000721794X","article-title":"Fast food for family meals: Relationships with parent and adolescent food intake, home food availability and weight status","volume":"10","author":"Boutelle","year":"2007","journal-title":"Public Health Nutr."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"101724","DOI":"10.1016\/j.eatbeh.2023.101724","article-title":"Association between specific types of parent stressors and fast-food consumption among parents and children","volume":"49","author":"Bautista","year":"2023","journal-title":"Eat. Behav."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1177\/1559827620949215","article-title":"Association Between Family\/Neighborhood Cancer Risk Factors and Adolescent Dietary Behaviors: A Parent-Adolescent Dyadic Analysis","volume":"16","author":"Xu","year":"2022","journal-title":"Am. J. Lifestyle Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"687","DOI":"10.4162\/nrp.2024.18.5.687","article-title":"Food-related media use and eating behavior in different food-related lifestyle groups of Korean adolescents in metropolitan areas","volume":"18","author":"Lee","year":"2024","journal-title":"Nutr. Res. Pract."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Mekonen, S., and Abebe, Z. (2025). Gender-based analysis of adolescent nutrition: Diet, lifestyle factors, and socioeconomic influences. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-24792-9"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"3327","DOI":"10.1007\/s00394-022-02885-0","article-title":"Adherence to the Mediterranean diet among adults in Mediterranean countries: A systematic literature review","volume":"61","author":"Obeid","year":"2022","journal-title":"Eur. J. Nutr."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"e13824","DOI":"10.1111\/obr.13824","article-title":"Gender differences in adherence and retention in Mediterranean diet interventions with a weight-loss outcome: A systematic review and meta-analysis","volume":"25","author":"Rose","year":"2024","journal-title":"Obes. Rev."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/18\/3050\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:54:07Z","timestamp":1789995247000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/18\/3050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":58,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18183050"],"URL":"https:\/\/doi.org\/10.3390\/nu18183050","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]}}}