02212nas a2200193   4500000000100000000000100001008004100002100001700043700001500060700001700075700001700092700001900109700001400128245004700142300001000189490000600199520179900205022001402004                                       d1 aH. El-Bilali1 aG. Cardone1 aF. Bottalico1 aG. Palmisano1 aA. Acquafredda1 aR. Capone00aMediterranean diet in the Western Balkans.  a77-890 v63 aThe Mediterranean diet is considered an example of sustainable diets and an intangible cultural heritage of the whole humanity. However, attention to the Mediterranean diet changes from a country to another even within the Euro-Mediterranean region. In this context, this paper analyses the state of research on the Mediterranean diet in the Western Balkans (viz. Albania, Bosnia and Herzegovina, Croatia, Kosovo, North Macedonia, Montenegro, and Serbia). In particular, it explores whether and how environmental, economic, sociocultural, and nutrition-health aspects related to the sustainability of the Mediterranean diet are addressed. A search performed in June 2021 on the Web of Science returned 68 documents, and 41 of them were included in the systematic review. Most of the selected documents deal with Croatia, especially island regions, and focus on health-nutrition aspects while other sustainability dimensions are generally overlooked. The scholarly literature shows that higher adherence to the Mediterranean diet is associated with reduced risk of obesity, different non-communicable diseases (e.g. diabetes, cardiovascular diseases, cancers, metabolic syndrome) as well as mental illnesses. However, it also highlights a decrease in the Mediterranean diet adherence even in Mediterranean/Adriatic territories. Interestingly, some recent studies showed a shift towards the Mediterranean diet during the COVID-19 lockdown even among adolescents. The analysis suggests the need to adopt a holistic approach in studies on the Mediterranean diet to better understand the relationships between the sustainability dimensions and operationalize its contribution to the transformation of food systems and the achievement of the Sustainable Development Goals in the Mediterranean region.  a2490-3434