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American Journal of Food and Nutrition
ISSN (Print): 2374-1155 ISSN (Online): 2374-1163 Website: https://www.sciepub.com/journal/ajfn Editor-in-chief: Mihalis Panagiotidis
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American Journal of Food and Nutrition. 2017, 5(1), 1-9
DOI: 10.12691/ajfn-5-1-1
Open AccessReview Article

Exploring Relationships between Biodiversity and Dietary Diversity in the Mediterranean Region: Preliminary Insights from a Literature Review

Hamid El Bilali1, , Gabrielle O’Kane2, Roberto Capone1, Elliot M. Berry3 and Sandro Dernini4, 5

1Sustainable Agriculture, Food and Rural Development department; International Centre for Advanced Mediterranean Agronomic Studies of Bari (CIHEAM-Bari), Valenzano (Bari), Italy

2Faculty of Health, University of Canberra, Australia

3Hadassah Medical School, Hebrew University, Jerusalem, Israel

4Food and Agriculture Organisation of the United Nations (FAO), Rome, Italy

5Forum on Mediterranean Food Cultures, Rome, Italy

Pub. Date: January 19, 2017
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Cite this paper:
Hamid El Bilali, Gabrielle O’Kane, Roberto Capone, Elliot M. Berry and Sandro Dernini. Exploring Relationships between Biodiversity and Dietary Diversity in the Mediterranean Region: Preliminary Insights from a Literature Review. American Journal of Food and Nutrition. 2017; 5(1):1-9. doi: 10.12691/ajfn-5-1-1

Abstract

Achieving sustainable food and nutrition security is dependent on enhancing dietary diversity to address micronutrient deficiency. Biodiversity, which includes diversity within and between species and of ecosystems, is crucial for dietary diversity, a qualitative measure of food variety available for individual and household consumption and a proxy for nutritional adequacy. This paper explores the poorly understood relationships between biodiversity (including agro-biodiversity) and dietary diversity in the Mediterranean area. It is based on an extensive yet targeted literature review carried out using Google search engine to capture important scholarly and grey literature mainly in the periods February-June 2015 and January-April 2016. FAO food supply data from 21 Mediterranean countries show that in the period between 1990-92 and 2007-2009, dietary diversity increased in most countries through a reduction in the contribution of starchy, staple foods to total energy and an increase in consumption of protein from animal origin. Meanwhile, reviewed literature shows that there was over the last decades a general decline of biodiversity and agricultural biodiversity in the Mediterranean region. These contradictory trends affecting Mediterranean dietary patterns may reflect rising affluence and trade liberalisation. The paper also highlights that the dietary polymorphism that has existed in the Mediterranean for millennia, which reflects biological and cultural diversity, is under threat with the erosion of food culture and biodiversity-related knowledge. Further studies, using dietary surveys rather than apparent consumption food supply data and valid dietary diversity scoring methods, are needed to enable a more accurate and evidence-based monitoring of dietary diversity in different Mediterranean countries. Nevertheless, safeguarding and promoting the Mediterranean diet and its inherent diversity is vital for conserving the extraordinary cultural, biological and dietary diversity in the region. Insights provided by the present paper should be taken into consideration in formulating effective policies to deal simultaneously with malnutrition (especially micronutrient deficiencies) and biodiversity loss in the Mediterranean area.

Keywords:
agro-biodiversity biodiversity dietary diversity mediterranean diet mediterranean region

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  UNEP/MAP (Mediterranean Action Plan), Mediterranean Strategy for Sustainable Development: a framework for environmental sustainability and shared prosperity. Tenth Meeting of the Mediterranean Commission on Sustainable Development (MCSD), Athens, 2005.
 
[2]  MEA (Millennium Ecosystem Assessment), Ecosystems and human well-being: Desertification Synthesis. Washington DC: Island Press, 2005.
 
[3]  UNEP (United Nations Environment Programme), Convention on biological diversity. Nairobi, 1992.
 
[4]  FAO, Agricultural biodiversity. In: The Multifunctional Character of Agriculture and Land. Maastricht, Netherlands. 12-17 September 1999. Conference. Background Paper 1. Rome: FAO, 1999a.
 
[5]  Toledo Ả, Burlingame B., Biodiversity and nutrition: a common path toward global food security and sustainable development. Journal of Food Composition and Analysis, 19/6-7:477-483. 2006.
 
[6]  Secretariat of the Convention on Biological Diversity, Biodiversity and Agriculture: Safeguarding Biodiversity and Securing Food for the World. Montreal, 2008.
 
[7]  Steinfeld H., Gerber P., Wassenaar T., Castel V., Rosales M., de Haan C., Livestock’s long shadow: environmental issues and options. Rome: Food and Agriculture Organization of the United Nations (FAO), 2006.
 
[8]  Millstone E., Lang T., The Atlas of Food. Second edition. London: Earthscan Publications, 2008.
 
[9]  FAO. Biodiversity and nutrition. A common path. Rome: FAO, 2010. Available: http://www.fao.org/fileadmin/templates/food_composition/documents/upload/Interodocumento.pdf [Accessed April 12, 2015].
 
[10]  Foresight, The Future of Food and Farming: Challenges and choices for global sustainability. Executive Summary. London: The Government Office for Science, 2011.
 
[11]  Burlingame B., Charrondière R., Mouille B., Food composition is fundamental to the cross-cutting initiative on biodiversity for food and nutrition. Journal of Food Composition and Analysis, 22(5):361-365. 2009.
 
[12]  Blasbalg T.L., Wispelwey B., Deckelbaum R.J., Econutrition and utilization of food-based approaches for nutritional health. Food and Nutrition Bulletin, 32(1 Suppl.):S4-S13. 2011.
 
[13]  Fanzo J., Hunter D., Borelli T., Mattei F. (eds), Diversifying Food and Diets: Using Agricultural Biodiversity to Improve Nutrition and Health. Issues in Agricultural Biodiversity, London: Earthscan, 2013.
 
[14]  FAO, Review of Key Issues on Biodiversity and Nutrition. Commission on Genetic Resources for Food and Agriculture, Report CGRFA-14/13/8, 2013.
 
[15]  Chappell M.J., LaValle L.A., Food security and biodiversity: can we have both? An agroecological analysis. Agriculture and Human Values, 28:3-26. 2011.
 
[16]  CEPF (Critical Ecosystem Partnership Fund), Ecosystem profile – Mediterranean Basin biodiversity hotspot. Arlington (USA), 2010.
 
[17]  Tubiello F.N., Rosenzweig C., Developing climate change impact metrics for agriculture. The Integrated Assessment Journal, 8/1:165-184. 2008.
 
[18]  Johns T., Eyzaguirre P.B., Nutrition and the Environment. In: Nutrition: A Foundation for Development; Brief 5, Geneva: ACC/SCN (Administrative Committee on Coordination/Subcommittee on Nutrition), 2002.
 
[19]  FAO, WFP (United Nations World Food Programme), IFAD (International Fund for Agricultural Development), The State of Food Insecurity in the World 2012. Economic growth is necessary but not sufficient to accelerate reduction of hunger and malnutrition. Rome: FAO, 2012.
 
[20]  WHO (World Health Organization), Non communicable diseases country profiles 2011. Global report, 2011. Available: http://www.who.int/nmh/publications/ncd_profiles2011/en/index.html [Accessed May 13, 2015].
 
[21]  FAO, Towards the Future We Want: End hunger and make the transition to sustainable agricultural and food systems. Rome: FAO, 2012b. Available: http://www.fao.org/docrep/015/an894e/an894e00.pdf [Accessed January 22, 2016].
 
[22]  UN (United Nations), Agriculture development and food security. Report of the Secretary-General (A/67/294), 2012a. Available: http://sustainabledevelopment.un.org/content/documents/SG Report on Agriculture Development and Food Security.pdf [Accessed March 16, 2016].
 
[23]  Mason J.B., Lofti M., Dalmiya N., Sethuraman K., Deitchler M., The Micronutrient Report: Current progress and trends in the control of Vitamin A, Iodine and Iron deficiencies. Ottawa (Canada): Micronutrient Initiative, 2001.
 
[24]  WHO/EM (WHO/Regional Committee for the Eastern Mediterranean), Regional strategy on nutrition 2010–2019. Fifty-seventh Session, Technical paper EM/RC57/4, September 2010, 2010.
 
[25]  Allen L., To what extent can food-based approaches improve micronutrient status? Asia Pacific Journal of Clinical Nutrition, 17(S1):103-105. 2008.
 
[26]  Kennedy G., Razes M., Ballard T., Dop M.C., Measurement of Dietary Diversity for monitoring the impact of food based approaches. 2010, Available: http://www.foodsec.org/fileadmin/user_upload/eufao-fsi4dm/docs/Dietary_Diversity_paper.pdf [Accessed on March 8, 2015].
 
[27]  Johns T., Eyzaguirre P.B., Linking biodiversity, diet and health in policy and practice. Proc Nutr Soc., 65(2):182-9. 2006.
 
[28]  FAO, Bioversity, Sustainable Diets and Biodiversity. Directions and Solutions for Policy, Research and Action. Rome, 2012. Available: http://www.fao.org/docrep/016/i3004e/i3004e00.htm [Accessed on February 14, 2016].
 
[29]  FAO, Bioversity, Report of the international symposium on Biodiversity and Sustainable Diets. Rome, 2010. Available: http://www.fao.org/ag/humannutrition/28506-0efe4aed57af34e2dbb8dc578d465df8b.pdf [Accessed March 15, 2014].
 
[30]  Ruel M.T., Operationalizing dietary diversity: A review of measurement issues and research priorities. Journal of Nutrition, 133: 3911S-3926S. 2003.
 
[31]  FAO, Guidelines for measuring household and individual dietary diversity. Rome: FAO, 2011.
 
[32]  WFP (United Nations World Food Programme), Comprehensive Food Security & Vulnerability Analysis Guidelines. Rome, 2009.
 
[33]  Hoddinott J., Yohannes Y., Dietary diversity as a food security indicator. Washington DC: FANTA; 2002. Available: http://www.aed.org/Health/upload/dietarydiversity.pdf [Accessed on February 10, 2015].
 
[34]  Mirmiran P., Azadbakht L., Esmaillzadeh A., Azizi F., Dietary diversity score in adolescents - a good indicator of the nutritional adequacy of diets: Tehran lipid and glucose study. Asia Pacific Journal of Clinical Nutrition, 13(1):56-60. 2004.
 
[35]  Mirmiran P., Azadbakht L., Azizi F., Dietary diversity among food groups: an indicator of specific nutrient adequacy in Tehranian women. Journal of the American College of Nutrition, 25: 354-361. 2006.
 
[36]  Steyn N., Nel J.H., Nantel G., Kennedy G., Labadarios D., Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutrition, 9(5): 644-650. 2006.
 
[37]  Hatloy A., Torheim L.E., Oshaug A., Food variety--a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. European Journal of Clinical Nutrition, 52(12): 891-8. 1998.
 
[38]  Swindale A., Bilinsky P., Household dietary diversity score (HDDS) for measurement of household food access: indicator guide. Version 2. Food and Nutrition Technical Assistance Project (FANTA). Washington, D.C: Academy for Educational Development (AED), 2006.
 
[39]  Mittermeier R.A., Gil P.R., Hoffmann M., Pilgrim J., Brooks Th., Mittermeier C.G., Lamoreux J., da Fonseca G.A.B., Hotspots Revisited: Earth’s Biologically Richest and Most Endangered Terrestrial Ecoregions. Chicago: University of Chicago Press for Conservation International, 2004.
 
[40]  Radford E.A., Catullo G., de Montmollin B. (eds), Important Plant Areas of the south and east Mediterranean region: priority sites for conservation. Gland / Malaga: International Union for Conservation of Nature and Natural Resources (IUCN), 2011.
 
[41]  Sundseth K., Natura 2000 species in the Mediterranean Region. Luxemburg: European Commission / Environment Directorate General, 2009.
 
[42]  Pergent Martini Ch., Marine ecosystem. In: UNEP/MAP-Plan Bleu: State of the Environment and Development in the Mediterranean. Athens: UNEP/MAP-Plan Bleu. 2009, 53-59.
 
[43]  Harlan J., Agricultural origins and crop domestication in the Mediterranean region. Diversity, 11: 14-16. 1995.
 
[44]  Vavilov N.I., Phytogeographic basis of plant breeding - The origin, variation, immunity and breeding of cultivated plants. Chronica Botanica, 13:1-366. 1951.
 
[45]  Heywood V., The Mediterranean region. A major centre of plant diversity. In: Heywood V, M Skoula eds. Wild food and non-food plants: information networking. Proceedings of the II MEDUSA Regional Workshop (1-3 May 1997, Port El-Kantaoui, Tunisia). Cahiers CIHEAM, Options Méditerranéennes 38, 1998, 5-15.
 
[46]  Jana S., Factors contributing to crop diversity in the Mediterranean. Diversity, 11(1): p. 15. 1995.
 
[47]  Elloumi M., Jouve A.M., Extraordinary farm diversity. In: Mediterra Atlas: Mediterranean agriculture, food, fisheries and the rural world. Paris: International Centre for Advanced Mediterranean Agronomic Studies (CIHEAM); Presses de Sciences Po, 2010.
 
[48]  Padilla M., Capone R., Palma G., Sustainability of the food chain from field to plate: The case of the Mediterranean diet. In: Burlingame B. and Dernini S. (eds.). Sustainable Diets and Biodiversity: Directions and Solutions for Policy, Research and Action. Proceedings of the International Scientific Symposium “Biodiversity and Sustainable Diets - United Against Hunger”, 3-5 November 2010, FAO Headquarters, Rome. Rome: FAO, 2012, 230-240.
 
[49]  Ingram J.S.I., From Food Production to Food Security: Developing interdisciplinary, regional-level research. PhD Thesis, Wageningen University, 2011.
 
[50]  Berry E.M., Arnoni Y., Aviram M., The Middle Eastern & Biblical origins of the Mediterranean diet. Public Health Nutrition, 14 (12A):2288-2295. 2011.
 
[51]  Kickbusch I., The food system: a prism of present and future challenges for health promotion and sustainable development. Triggering the debate – white paper. Bern: Promotion Santé Suisse, 2010.
 
[52]  Padilla M., Dietary patterns and trends in consumption. In: Mediterra 2008 - The future of agriculture and food in Mediterranean countries. International Centre for Advanced Mediterranean Agronomic Studies (CIHEAM) – Paris: Presses de Sciences Po, 2008, 149-170.
 
[53]  Nabhan G.P., Why some like it hot: food, genes, and cultural diversity. Washington DC: Island Press, 2004.
 
[54]  Bach-Faig A., Berry E.M., Lairon D., Reguant J., Trichopoulou A., Dernini S., Medina F.X., Battino M., Belahsen R., Miranda G., Serra-Majem Ll., the Mediterranean Diet Foundation Expert Group, Mediterranean Diet Pyramid Today. Science and Cultural Updates. Public Health Nutrition, 14(12A): 2274-2284. 2011.
 
[55]  Dernini S., Berry E.M., Bach-Faig A., Belahsen R., Donini L.M., Lairon D., Serra-Majem Ll., Cannella C., A dietary model constructed by scientists: The Mediterranean diet. In, Mediterra 2012. Paris: CIHEAM–Sciences Po Les Presses, 2012, 71-88.
 
[56]  Maffi L., On biocultural diversity: linking language, knowledge, and the environment. Washington: Smithsonian Institution Press, 2001.
 
[57]  Maffi L., Linguistic, Cultural and Biological Diversity. The Annual Review of Anthropology, 34:599-617. 2005.
 
[58]  Maffi L., Language: A Resource for Nature. Nature and Resources. The UNESCO Journal on the Environment and Natural Resources Research, 34:12-21. 2010.
 
[59]  Petrillo P.L., Biocultural diversity and the Mediterranean diet. In: Burlingame B. and Dernini S. (eds.), Sustainable Diets and Biodiversity: Directions and Solutions for Policy, Research and Action. Proceedings of the International Scientific Symposium “Biodiversity and Sustainable Diets - United Against Hunger”, 3–5 November 2010, FAO Headquarters, Rome. Rome: FAO, 2012, 224-229.
 
[60]  FMFC (Forum on Mediterranean Food Cultures), Biodiversity? Sustainable food for everybody. Mediterranean diet: an example of a sustainable diet. Mediterranean diet talk show; May 21, 2010, Rome, 2010. Available: http://www.plexusinternational.org/files/download/Allegati/2010_parco_della_musica_talk_show_ background_paper_inglese.pdf [Accessed March 21, 2015].
 
[61]  Capone R., Lamaddalena N., Lamberti L., Elferchichi A., El Bilali H., Food consumption patterns and sustainable natural resources management in the Mediterranean region. Journal of Food Science and Engineering, 2/8:437-451. 2012.
 
[62]  Amiot M.J., Dietary Prevention of Metabolic Perturbations and Vascular Diseases: Potential Benefits of n-3 Fatty acids and Antioxidant Micronutrients. EJN, 2011; Special issue.
 
[63]  Serra-Majem Ll., Bes-Rastrollo M., Roman-Vinas B., Pfrimer K., Sanchez-Villegas A., Martinez-Gonzalez M.A., Dietary patterns and nutritional adequacy in a Mediterranean country. Br J Nutr; 101(suppl 2):S21–8. 2009.
 
[64]  Maillot M., Issa C., Vieux F., Lairon D., Darmon N., The shortest way to reach nutritional goals is to adopt Mediterranean food choices: evidence from computer-generated personalized diets. Am J Clin Nutr, 94(4):1127-37. 2011.
 
[65]  Naska A., Mediterranean diet at present. In: Barnat S. (ed.), Abstracts Book, International Conference on Health Benefits of Mediterranean Diet: Highlights on Cancer & Cardiovascular Diseases; 5-6 June 2003. Aghia Pelagia, EGEA, 2003.
 
[66]  Ryan M.C., Itsiopoulos C., Thodis T., Ward G., Trost N., Hofferberth S., O’Dea K., Desmond P.V., Johnson N.A., Wilson A.M., The Mediterranean diet improves hepatic steatosis and insulin sensitivity in individuals with non-alcoholic fatty liver disease. J Hepatology, 59:138-143. 2013.
 
[67]  Itsiopoulos C., Brazionis L., Kaimakamis M., Cameron M., Best J.D., O’Dea K., Rowley K., Can the Mediterranean diet lower HbA1c in type 2 diabetes? Results from a randomized cross-over study. Nutr Metab Cardiovasc Dis., 21:740-747. 2011.
 
[68]  Burlingame B., Dernini S., Sustainable diets: the Mediterranean diet as an example. Public Health Nutrition, 14(12A): 2285-2287. 2011.
 
[69]  WHO, Global status report on noncommunicable diseases 2014. Geneva, 2014.
 
[70]  Garί J., Plant diversity, sustainable rural livelihoods and the HIV/AIDS crisis. Bangkok: UNDP / Rome: FAO, 2004. Available: http://www.fao.org/hivaids/publications/index_en.htm [Accessed May 9, 2013].
 
[71]  Heinrich M., Leonti M., Nebel S., Peschel W., Local food – nutraceuticals: an example of a multidisciplinary research project on local knowledge. J Pharmacol Physiol, 56 (suppl):5-22. 2005.
 
[72]  Heinrich M., Müller W.E., Galli C., Local Mediterranean food plants and nutraceuticals. Basel: Karger, 2006.
 
[73]  Bonet M.A., Vallès J., Use of non-crop food vascular plants in Montseny biosphere reserve (Catalonia, Iberian Peninsula). Int J Food Sci Nutr, 53:225-248. 2002.
 
[74]  Gast M., Moissons du desert. Utilisation des resources naturelles au Sahara central. Paris: Ibis Press, 2000.
 
[75]  Zurayk R., Can sustainable consumption protect the Mediterranean landscape? In: Mediterra 2012. Paris: CIHEAM–Sciences Po Les Presses, 2012, 155-193.
 
[76]  Plan Bleu, 20 Years of sustainable development in the Mediterranean: review and outlook. Blue Plan Notes 22; 2012. Available: http://www.planbleu.org/publications/8p22_20ans_dd_EN.pdf [Accessed June 11, 2015].
 
[77]  Harmon D., In Light of our Differences: How Diversity in Nature and Culture Makes us Human. Washington: Smithsonian Institution Press, 2002.
 
[78]  Dernini S., The erosion and the renaissance of the Mediterranean diet: A sustainable cultural resource. Quaderns de la Mediterrania, 16:75-82. 2011.
 
[79]  FMFC (Forum on Mediterranean Food Cultures), The 2005 Rome Call for a Common Action in the Year of the Mediterranean. To Acknowledge the Pivotal Role of “Food” in the Sustainable Future of the Euro-Mediterranean Partnership. 3° Euro-Mediterranean Forum “Dialogues Between Civilizations and People: The Food Cultures”; 30 September – 1 October 2005, Rome, 2005. Available: http://www.plexusinternational.org/files/download/Allegati/2005_rome_call_for_action.pdf [Accessed March 20, 2016].
 
[80]  Reguant-Aleix J., The Mediterranean Diet: designed for the future. In: Mediterra 2012: The Mediterranean Diet for Sustainable Regional Development. International Centre for Advanced Mediterranean Agronomic Studies (CIHEAM). Paris: Presses de Sciences Po, 2012, 29-50.
 
[81]  Reguant-Aleix J., Sensat F., The Mediterranean Diet, Intangible Cultural Heritage of Humanity. In: Mediterra 2012: The Mediterranean Diet for Sustainable Regional Development. International Centre for Advanced Mediterranean Agronomic Studies (CIHEAM). Paris: Presses de Sciences Po, 2012, 465-484.
 
[82]  Berry E.M., Dernini S., Burlingame B., Meybeck A., Conforti P., Food Security and Sustainability: can one exist without the other? Public Health Nutrition, 18(13): 2293-2302. 2015.
 
[83]  CIHEAM (International Centre for Advanced Mediterranean Agronomic Studies) and FAO (Food and Agriculture Organization of the United Nations), Mediterranean food consumption patterns: diet, environment, society, economy and health. A White Paper - Priority 5 of the Expo Milan 2015 Feeding Knowledge Programme. Bari: CIHEAM-IAMB / Rome: FAO, 2015.
 
[84]  Gjonca A., Bobak M., Albanian paradox, another example of protective effect of Mediterranean lifestyle? Lancet, 350: 1815-1817. 1997.
 
[85]  Trichopoulou A., Lagiou P., Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutr. Rev., 55: 383-389. 1997.
 
[86]  Manios Y., Detopoulou V., Visioli F., Galli C., Mediterranean Diet as a Nutrition Education and Dietary Guide: Misconceptions and the Neglected Role of Locally Consumed Foods and Wild Green Plants. In: Heinrich M., W. E. Müller, C. Galli eds. Local Mediterranean food plants and nutraceuticals. Basel: Karger; 2006:154-170.
 
[87]  Lupo A., Nutrition in general practice in Italy. Am J Clin Nutr, 65:1963S-1966S. 1997.
 
[88]  Giacosa A., Barale R., Bavaresco L., Gatenby P., Gerbi V., Janssens J., Johnston B., Kas K., La Vecchia C., Mainguet P., Morazzoni P., Negri E., Pelucchi C., Pezzotti M., Rondanelli M., Cancer prevention in Europe: the Mediterranean diet as a protective choice. European Journal of Cancer Prevention, 2012.
 
[89]  FAO, Food balance sheets. 2012. Available: http://faostat.fao.org/site/368/default.aspx#ancor [Accessed April 10, 2014].
 
[90]  Capone R., El Bilali H., Debs Ph., Cardone G., Driouech N., Mediterranean food consumption patterns sustainability: setting up a common ground for future research and action. American Journal of Nutrition and Food Science, 1:37-52. 2014.
 
[91]  Belghazi S., Scenarios for the Agricultural Sector in the Southern and Eastern Mediterranean. MEDPRO Report No. 4 / March 2013. MEDPRO (Mediterranean Prospects) project, 2013. Available: http://aei.pitt.edu/58471/1/MEDPRO_Report_No_4_Scenarios_for_Agriculture.pdf [Accessed March 5, 2016].
 
[92]  FAO (Food and Agriculture Organization of the United Nations), Nutrition Country Profile. Rome, 2001.
 
[93]  IOTF (International Association for the Study of Obesity), EU platform on diet, physical activity and health. Briefing paper. London: IOTF, 2005. Available: http://ec.europa.eu/health/ph_determinants/life_style/nutrition/documents/iotf_en.pdf [Accessed March 15, 2016].
 
[94]  Garcia-Closas R., Berenguer A., Gonzalez C.A., Changes in food supply in Mediterranean countries from 1961 to 2001. Public Health Nutrition, 9(1): 53-60. 2006.
 
[95]  Belahsen R., Rguibi M., Population health and Mediterranean diet in southern Mediterranean countries. Public Health Nutrition, 9(8A): 1130-5. 2006.
 
[96]  da Silva R., Bach-Faig A., Quintana B.R., Buckland G., de Almeida M.D.V., Serra-Majem Ll., Worldwide variation of adherence to the Mediterranean diet, in 1961-1965 and 2000-2003. Public Health Nutr., 12(9A): 1676-84. 2009.
 
[97]  Vareiro D., Bach-Faig A., Quintana B.R., Bertomeu I., Buckland G., de Almeida M.D.V., Serra-Majem Ll., Availability of Mediterranean and non-Mediterranean foods during the last four decades: comparison of several geographical areas. Public Health Nutrition, 12(9A): 1667-75. 2009.
 
[98]  Lairon D., Biodiversity and sustainable nutrition with a food-based approach. Proceedings of the international scientific symposium “Biodiversity and Sustainable Diets - United Against Hunger”, 3-5 November 2010, FAO headquarters, Rome, 2010.
 
[99]  Sofi F., Cesari F., Abbate R., Gensini G.F., Casini A., Adherence to Mediterranean diet and health status: meta-analysis. BMJ, 337:1136-1344. 2008.
 
[100]  Alexandratos N., The Mediterranean diet in a world context. Public Health Nutrition, 9(1A): 111-117. 2006.
 
[101]  Lacirignola C., Capone R., Mediterranean Diet: Territorial Identity and Food Safety. New Medit, 4(8): 2-3. 2009.
 
[102]  Rastoin J.L., Cheriet F., Food security in the Mediterranean: a major geostrategic issue. IPEMED (Institut de Prospective Economique du Monde Méditerranéen) n° 6, 2010. Available: http://www.ipemed.coop/adminIpemed/media/fich_article/1316526334_LesnotesIPEMED_6B_ FoodSecurity_ENG.pdf [Accessed March 12, 2016].
 
[103]  Bruinsma J., World agriculture: towards 2015/2030. An FAO perspective. Rome: Food and Agriculture Organization of the United Nations (FAO) / London: Earthscan, 2003.
 
[104]  Numa C., Troya A., The challenge for biodiversity conservation in the Mediterranean. European Institute of the Mediterranean (IEMED) - Mediterranean Year Book 2011, 2011, 255-260.
 
Manuscript template