Keywords

Mediterranean diet adherence; cardiovascular disease prevention; Turkish public health nutrition; socioeconomic determinants of diet; food access and health disparities; health literacy in Türkiye

Abstract

Cardiovascular disease (CVD) is the leading cause of death globally, including in Türkiye. One key factor influencing CVD prevention is dietary patterns, which directly impacts cardiovascular health. Türkiye traditionally follows the Mediterranean diet (MedDiet), which is acclaimed for its cardiovascular benefits. Despite this, Türkiye continues to experience high rates of CVD, with projections indicating that CVD mortality will double for both men and women by 2030. It is crucial to address diet-related factors, including potential nutritional deficiencies, to reduce cardiovascular health risks.

This research aims to analyze the Turkish community's adherence to the Mediterranean diet to understand why CVD prevalence remains high despite following a well-established, beneficial dietary pattern. A systematic review was conducted using EBSCO and the UCF Library as primary databases, resulting in the inclusion of twenty-three articles based on predefined inclusion and exclusion criteria. These studies highlighted moderate adherence to the MedDiet and identified several factors affecting adherence, including nutritional imbalances, varying eating habits across age groups, meal frequency, and the impact of the COVID-19 pandemic. Furthermore, social influences, food prices, nutritional literacy, government initiatives, and location were found to play significant roles in shaping dietary behaviors.

Future research could explore the deep-rooted factors behind adherence or non-adherence to the Mediterranean diet and apply to a broader population. Additionally, comparing dietary habits in Turkish migrants could indicate how migration, cultural adaptation, and access to diverse food environments influence dietary patterns and their potential link to CVD prevalence.

Thesis Completion Year

2025

Thesis Completion Semester

Spring

Thesis Chair

Ramirez, Bernardo

College

College of Community Innovation and Education

Department

School of Global Health Management and Informatics

Thesis Discipline

Global Health

Language

English

Access Status

Open Access

Length of Campus Access

None

Campus Location

Orlando (Main) Campus

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Rights Statement

In Copyright