Alteração da Pirâmide Alimentar Mediterrânea na perspectiva de uma Ilha
Palavras-chave:
Chipre, alimentos tradicionais, Pirâmide alimentar, Dieta mediterrâneaResumo
Objetivo
Este estudo teve como objetivo determinar o consumo alimentar tradicional e local, bem como a adesão à dieta mediterrânea no Chipre. Também teve como objetivo melhorar a adesão à dieta mediterrânea e ao consumo de alimentos tradicionais e locais. A partir desse ponto, este trabalho atual teve como objetivo revisar a Pirâmide da Dieta Mediterrânea do Chipre, que é baseada na Pirâmide da Dieta Mediterrânea Atual.
Métodos
O tamanho da amostra foi calculado com um mínimo de 386 de acordo com intervalo de confiança de 95,0% e erro de 5,0%. Este estudo foi realizado online entre novembro de 2020 e abril de 2021 em Chipre. Todos os voluntários foram convidados para esta análise nas plataformas públicas nacionais de internet. A adesão dos participantes à dieta mediterrânea foi avaliada pelo Medidor de Adesão à Dieta Mediterrânea. As frequências de consumo alimentar tradicional e local foram determinadas pelo Questionário de Frequência Alimentar. Foi desenvolvida uma nova Pirâmide da Dieta Mediterrânica de e para o Chipre, com alimentos tradicionais e locais. A modificação teve também como objetivo salvaguardar a saúde do planeta, aumentar o consumo de alimentos tradicionais e a adesão à dieta mediterrânea.
Resultados
No total de 1.007 adultos (78,0% naturais da ilha/cipriotas) participaram voluntariamente no estudo. A pontuação média obtida no Medidor de Adesão à Dieta Mediterrânea foi de 7,55±2,30 pontos, com apenas 34,4% aderindo fortemente à dieta mediterrânea. De acordo com as suas respostas, houve necessidade de aumentar a utilização de azeite, vegetais, frutas, peixe e vinho tinto, bem como de diminuir o consumo de carnes vermelhas e sobremesas. Com base nas suas respostas ao Medidor de Adesão à Dieta Mediterrânea e as suas frequências de consumo alimentar tradicional/local, foi feita uma pirâmide da Dieta Mediterrânea do Chipre atualizada, ou seja, uma pirâmide alimentar nacional para o Chipre. Alimentos locais e regionais comumente consumidos foram adicionados à pirâmide para aumentar a adesão à dieta mediterrânea. Alimentos consumidos de acordo com as recomendações foram adicionados para torná-los específico da região, e alimentos pouco consumidos foram adicionados para ajudar a aumentar o consumo.
Conclusão
Acredita-se que esta modificação seja determinante para aumentar a adaptação da dieta mediterrânea e o consumo de alimentos tradicionais e locais, além de diminuir o impacto da nutrição na saúde do planeta. Ainda, essa modificação pode lançar luz sobre o desenvolvimento das outras pirâmides alimentares tradicionais.
Referências
Moro E. The Mediterranean diet from Ancel Keys to the UNESCO cultural heritage: a pattern of sustainable development between myth and reality. Procedia Soc. 2016;223(2016):655-61. https://doi.org/10.1016/j.sbspro.2016.05.380
Trichopoulou A, Martínez-Gonzάlez MA, Tong TY, Forouhi NG, Khandelwal S, Prabhakaran D, et al. Definitions and potential health benefits of the Mediterranean diet: views from experts around the world. BMC Medicine. 2014;12:1-16. https://doi.org/10.1186/1741-7015-12-112
D’Innocenzo S, Biagi C, Lanari M. Obesity and the Mediterranean diet: a review of evidence of the role and sustainability of the Mediterranean diet. Nutrients. 2019;11(6):1-25. https://doi.org/10.3390/nu11061306
Schwingshackl L, Morze J, Hoffmann G. Mediterranean diet and health status: active ingredients and pharmacological mechanisms. Br J Pharmacol. 2020;177(6):1241-57. https://doi.org/10.1111/bph.14778
Romagnolo DF, Selmin OI. Mediterranean diet and prevention of chronic diseases. Nutr Today. 2017;52(5):208-22. https://doi.org/10.1097/NT.0000000000000228
Lᾰcᾰtuşu CM, Grigorescu ED, Floria M, Onofriescu A, Mihai BM. The Mediterranean diet: from an environment-driven food culture to an emerging medical prescription. J Environ Public Health. 2019;16(6):1-16. https://doi. org/10.3390/ijerph16060942
Bach-Faig, A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, et al. Mediterranean diet pyramid today: science and cultural updates. Public Health Nutr. 2011;14(12A):2274-84. https://doi.org/10.1017/S1368980011002515
De Lorgeril M, Salen P, Rabaues M. New and traditional foods in a modernized Mediterranean diet model. Eur J Clin Nutr. 2019;72(1):47-54. https://doi.org/10.1038/s41430-018-0308-6
Sidiq FF, Coles D, Hubbard C, B Clark, Frewer LJ. The role of traditional diets in promoting food security for indigenous peoples in low-and middle-income countries: a systematic review. Conf Ser Earth Environ Sci. 2022;978:1-21. https:// doi.org/10.1088/1755-1315/978/1/012001
Adhikari L, Tuladhar S, Hussain A, Aryal K. Are traditional food crops really ‘future smart foods?’ A sustainability perspective. Sustainability. 2019;11(19):1-16. https://doi.org/10.3390/su11195236
Albayrak M, Gunes E. Traditional foods: Interaction between local and global foods in Turkey. Afr J Bus Manag. 2010;4(4):555-61. https://doi.org/10.5897/AJBM.9000658
Berry EM. Sustainable food systems and the Mediterranean diet. Nutrients. 2019;11(9):1-9. https://doi.org/10.3390/ nu11092229
Galli A, Iha K, Halle M, Bilali HE, Grunewald N, Eaton D, et al. Mediterranean countries’ food consumption and sourcing patterns: an ecological footprint viewpoint. Sci Total Environ. 2017;578(2017):383-91. https://doi. org/10.1016/j.scitotenv.2016.10.191
Markou M, Stavri G. Agricultural situation report-Cyprus. Nicosia: Agricultural Research Institute; 2006 [cited 2022 Oct 5]. Available from: https://www.researchgate.net/publication/257680418_Agricultural_Situation_Report_Cyprus
Gokcebag M, Ozden O. Home Garden herbs and medicinal plants of Lefke, Cyprus. Indian J Pharm Educ. 2017;51(3):441-4. https://doi.org/10.5530/ijper.51.3s.64
Papademas P, Robinson RK. Halloumi cheese: the product and its characteristics. Int J Dairy Technol. 1998;51(3):98-103. https://doi.org/10.1111/j.1471-0307.1998.tb02646.x
Vrontis D, Thrassou A. The renaissance of Commandaria: a strategic branding prescriptive analysis. JGBA. 2011;4(4):302-16. https://doi.org/10.5848/APBJ.2012.00013
Ankut Z. A Study on the Comparison of Turkish and Greek Cypriot Cuisine [thesis]. Cyprus: Near East University; 2007.
Karousou R, Deirmentzoglou S. The herbal market of Cyprus: traditional links and cultural exchanges. J Ethnopharmacol. 2011;133(2011):191-203. https://doi.org/10.1016/j.jep.2010.09.034
Martίnez-Gonzάlez MA, Fernάndez-Jarne E, Serrano-Martίnez M, Wright M, Gomez-Gracia E. Development of a short dietary intake questionnaire for the quantitative estimation of adherence to a cardioprotective Mediterranean diet. Eur J Clin Nutr. 2004;58(11):1150-1552. https://doi.org/10.1038/sj.ejcn.1602004
Hernάndez-Galiot A, Goῆi I. Adherence to the Mediterranean diet pattern, cognitive status and depressive symptoms in an elderly non-institutionalized population. Nutr Hosp. 2017;34(2):338-44. https://doi.org/10.20960/nh.360
Hebestreit K, Yahiaoui-Doktor M, Engel C, Vetter W, Siniatchkin M, Erickson N, et al. Validation of the German version of the Mediterranean Diet Adherence Screener (MEDAS) questionnaire. BMC Cancer. 2017;17(1):1-10. https://doi.org/10.1186/s12885-017-3337-y
Garcίa-Conesa MT, Philippou E, Pafilas C, Massaro M, Quarta S, Andrade V, et al. Exploring the validity of the 14- item Mediterranean Diet Adherence Screener (MEDAS): a cross-national study in seven European countries around the Mediterranean region. Nutrients. 2020;12(10):1-17. https://doi.org/10.3390/nu12102960
Papadaki A, Johnson L, Toumpakari Z, England C, Rai M, Toms S, et al. Validation of the English version of the 14-Item Mediterranean Diet Adherence Screener of the PREDIMED study, in people at high cardiovascular risk in the UK. Nutrients. 2018;10(2):1-16. https://doi.org/10.3390/nu10020138
Pehlivanoglu EFO, Balcioglu H, Unluoglu I. Turkish validation and reliability of Mediterranean Diet Adherence Screener. OJM. 2020;42(2):160-4. https://doi.org/10.20515/504188
Suzal IG. Cyprus Foods. 1st ed. Cyprus: Our Books Publisher; 2009.
Andrade V, Jorge J, Garcίa-Conesa MT, Philippou E, Massaro M, Chervenkov M, et al. Mediterranean diet adherence and subjective well-being in a sample of Portuguese adults. Nutrients. 2020;12(12):1-15. https://doi.org/10.3390/ nu12123837
Muros JJ, Zabala M. Differences in Mediterranean diet adherence between cyclists and triathletes in a sample of Spanish athletes. Nutrients. 2018;10(10):1-11. https://doi.org/10.3390/nu10101480
Schwarzer R, Fleig L, Warner LM, Gholami M, Serra-Majem L, Ngo J, et al. Who benefits from a dietary online intervention? Evidence from Italy, Spain and Greece. Public Health Nutr. 2016; 20(5):938-47. https://doi.org/10.1017/ S1368980016002913
Gonder M, Akbulut G. Current Mediterranean diet and potential health effects: review. Turk Klin J Med Sci. 2017;2(2):110-20. https://doi.org/10.5336/healthsci.2016-51565
Phull S. The Mediterranean diet: scio-cultural relevance for contemporary health promotion. Open Public Health J. 2015;8:35-40. https://doi.org/10.2174/1874944520150601E001
Scott TL, Masser BM, Pachana NA. Exploring the health and wellbeing benefits of gardening for older adults. Aging Soc. 2014;35(10):2176-200. https://doi.org/10.1017/S0144686X14000865
Haynes E, Brown CR, Wou C, Vogliano C, Guell C, Unwin N. Health and other impacts of community food production in small island developing states: a systematic scopinf review. Rev Panam Salud Publica. 2018;42:1-9. https://doi. org/10.26633/RPSP.2018.176
Hartig T, Mitchell R, Vries S, Frumkin H. Nature and Health. Annu Rev Public Health. 2014;35(2014):207-28. https:// doi.org/10.1146/annurev-publhealth-032013-182443
Tapsell LC, Sullivan DR, Cobiac L, Fenech M. Health benefits of herbs and spices: the past, the present, the future. Med J Aust. 2006;185(4):1-24. https://doi.org/10.5694/j.1326-5377.2006.tb00548.x
Adebo HO, Ahoton LE, Quenum FJB, Adoukonou-Sagbadja H, Bello DO, Chrysostome CAAM. Ethnobotanical knowledge of jute (Corchorus olitorius L.) in Benin. European J Med Plants. 2018;26(1):1-11. https://doi.org/10.9734/ EJMP/2018/43897
Park HY, Oh MJ, Kim Y, Choi I. Immunomodulatory activities of Corchorus olitorius leaf extract: Beneficial effects in macrophage and NK cell activation immunosuppressed mice. J Funct Foods. 2018;46(2018):220-6. https://doi. org/10.1016/j.jff.2018.05.005
Ozdenefe MS, Muhammed A, Suer K, Guler E, Aysun H, Takci M. Determination of antimicrobial activity of Corchorus olitorius leaf extracts. Cyprus J Med Sci. 2018;3(3):159-63. https://doi.org/10.5152/cjms.2018.623
Benso B, Franchin M, Massarioli AP, Paschoal JAR, Alencar SM, Franco GCN, et al. Anti-inflammatory, anti-osteoclastogenic and antioxidant effects of Malva sylvestris extract and farctions: in vitro and in vivo studies. Plos One. 2016;11(9):1-19. https://doi.org/10.1371/journal.pone.0162728
Elsayed SM, Nazif NM, Hassan RA, Hassanein HD, Elkholy YM, Gomaa NS, et al. Chemical and biological constituents from the leaf extracts of the wild artichoke (Cynara cornigera). Int J of Pharm. 2012;4(5):396-400.
Muszyǹska E, Labudda M, Kral A. Ecotype-specific pathways of reactive oxygen species deactivation in facultative metallophyte Silene vulgaris (Moench) garcke treated with heavy metals. Antioxidants. 2020;9(2):1-30. https://doi. org/10.3390/antiox9020102
Erel SB, Demir S, Nalbantsoy A, Ballar P, Khan S, Yavasoglu NUK, et al. Bioactivity screening of five Centaurea species and in vivo anti-inflammatory activity of C. athoa. Pharm Biol. 2014;52(6):775-81. https://doi.org/10.3109/138802 09.2013.868493
Zayed A, Serag A, Farag MA. Cynara cardunculus L.: uutgoing and potential trends of phytochemical, industrial, nutritive and medicinal merits. J Funct Foods. 2020;69(2020):1-16. https://doi.org/10.1016/j.jff.2020.103937
Kaska A, Deniz N, Mammadov R. Biological activities of wild asparagus (Asaparagus acutifolius L.). Int J Second. 2018;5(3):243-51. https://doi.org/10.21448/ijsm.458827
Boscaro V, Boffa L, Binello A, Amisano G, Fornasero S, Cravotto G, et al. Antiproliferative, proapoptotic, antioxidant and antimicrobial effects of Sinapis nigra L. and Sinapis alba L. extracts. Molecules. 2018;23(11):1-18. https://doi. org/10.3390/molecules23113004
Azab A, Nassar A, Kaplanski J, Mahajneh R, Agam G, Azab AN. Effects of aqueous extract of Notobasis syriaca on lipopolysaccharide-induced inflammation in rats. Asian Pac J Trop Med. 2018;11(1):48-52. https://doi. org/10.4103/1995-7645.223533
Li Y, Zhang JJ, Xu DP, Zhou T, Zhou Y, Li S, et al. Bioactivities and health benefits of wild fruits. Int J Mol Sci. 2016;17(8):1-27. https://doi.org/10.3390/ijms17081258
Ministry of Agriculture, Natural Resources and Environment. Annual Report of the Ministry of Agriculture, Natural Resources and Environment for the year 2011. Nicosia: Ministry; 2012 [cited 2022 Oct 5]. Available from: https:// moa.gov.cy/mediastuff/uploads/2019/03/Annual-Rep-2011-english.pdf
Zorpas AA, Pociovᾰlışteanu DM, Inglezakis VJ, Voukalli I. Total quality management system (TQMS) in small winery and bakery in Cyprus: a case study. An Univ “Constantin Brâncuşi” Târgu Jiu Ser Whitehead. 2012;2:17-26. https:// www.researchgate.net/publication/261365725
Tsafrakidou P, Michaelidou AM, Biliaderis CG. Fermented cereal-based products: Nutritional aspects, possible impact on gut microbiota and health implications. Foods. 2020;9(6):1-25. https://doi.org/10.3390/foods9060734
Ozturk B, Celik F, Celik Y, Kabaran S, Ziver T. To determine the occurrence of Aflatoxin M1 (AFM1) in samples of Cyprus traditional cheese (Halloumi): a cross-sectional study. Kafkas Uni Vet Fak Derg. 2014;20(5):773-8. https://doi. org/10.9775/kvfd.2014.11108
Dahlan HA, Sani NA. The interaction effect of mixing starter cultures on homemade natural yoghurt’s pH and viscosity. Int J Food Sci. 2017;6(2):152-8. https://doi.org/10.7455/ijfs/6.2.2017.a3
Yavuz DO, Ozalp Y, Tuncay B, Altanlar N, Simsek D. Antimicrobial effect of essential oil of Thymus capitatus from Northern Cyprus and its gargle preformulation. J Pharm Res Int. 2020;32(5):60-6. https://doi.org/10.9734/JPRI/2020/ v32i530437
Syed QA, Akram M, Shukat R. Nutritional and therapeutic importance of the pumpkin seeds. Biomed J Sci Tech Res. 2019;21(2):15798-803. https://doi.org/10.26717/BJSTR.2019.21.003586
Pereira PR, Aquino Mattos ЀB, Fernandes Corrè ACNT, Vericimo MA, Flosi Paschoalin VM. Anticancer and immunomodulatory benefits of Taro (Colocasia esculanta) corms, an underexploited tuber crop. Int J Mol Sci. 2021;22(1):1-32. https://doi.org/10.3390/ijms22010265
Akbora HD. General status and growth potential of fishers sector in Northern Cyprus. Nat Eng Sciences. 2020;5(2):73-81. https://doi.org/10.28978/nesciences.756745
Oddo VM, Maehara M, Izwardy D, Sugihantono A, Ali PB, Rah JH. Risk factors for nutrition-related chronic disease among adults in Indonesia. Plos One. 2019;14(8):1-22. https://doi.org/10.1371/journal.pone.0221927
Snopek L, Mlcek J, Sochorova L, Baron M, Hlavacova I, Jurikova T, et al. Contribution of red wine consumption to human health problem. Molecules. 2018;23(7):1-16. https://doi.org/10.3390/molecules23071684
Petrakis P, Touris I, Liouni M, Zervou M, Kyrikou I, Kokkinofta R, et al. Authenticity of the traditional Cypriot spirit ‘Zivania’ on the basis of 1H NMR spectroscopy diagnostic parameters and statistical analysis. J Agric Food Chem. 2005;53(13):5293-303. https://doi.org/10.1021/jf0495800
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