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Mediterranean Lifestyle Adherence Reflects Coherent Behavioural Patterns Based on the MEDLIFE Index.

Giorgio Bertolazzi1, Salvatore Gagliardo2, Francesco Saverio Ragusa3

  • 1Department of Medicina and Surgery, Kore University of Enna, 94100 Enna, Italy.

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|March 14, 2026
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Summary

Adherence to the Mediterranean diet and lifestyle is a unified strategy, not just isolated food choices. This holistic approach integrates healthy eating, self-regulation, and lifestyle habits for better health outcomes.

Keywords:
MEDLIFEMediterranean dietdietlifestylenetwork analysisphysical activity

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Area of Science:

  • Nutritional Science
  • Behavioral Science
  • Public Health

Background:

  • The Mediterranean diet (MeDiet) is linked to reduced chronic disease risk and increased longevity.
  • The Mediterranean lifestyle includes cultural behaviors beyond diet that may enhance health benefits.

Purpose of the Study:

  • To assess adherence to the Mediterranean diet and lifestyle using the MEDLIFE index.
  • To explore how dietary and lifestyle behaviors form coherent patterns.

Main Methods:

  • An observational study using anonymous questionnaires based on the MEDLIFE index.
  • Data analyzed via network analysis and score-based enrichment to characterize behavioral profiles.

Main Results:

  • Dietary restraint and healthy food choices co-occur, forming a unified behavioral framework.
  • High adherence integrates healthy food choices, moderation, and lifestyle practices.
  • Low adherence is characterized by absence of key MeDiet components and unhealthy habits.

Conclusions:

  • Mediterranean diet adherence represents a holistic lifestyle strategy.
  • Public health should target integrated behavioral patterns (diet, self-regulation, lifestyle) rather than isolated components.