03542nas a2200685   4500000000100000000000100001008004100002653001000043653001200053653000900065653000900074653001800083653002000101653001600121653001000137653001100147653002000158653002100178653001100199653001500210653001400225653002500239653002300264653002100287653001200308653001200320653002000332653001500352653002600367653000900393653002100402653001000423653002000433653002300453653002100476653001000497653001400507653001200521653001100533653001300544653001400557100001900571700001700590700001700607700001700624700002500641700001900666700002100685700002100706700001900727700001800746700002200764700002200786245006700808856015000875300001401025490000701039520179001046022002002836                                       d10aadult10aCulture10adiet10adiet10aMediterranean10aDietary pattern10aFood Habits10afruit10aHealth10ahealth behavior10aHealth Promotion10aHumans10aLife Style10alifestyle10aMediterranean Region10aMediterranean diet10aNutrition Policy10aobesity10aPyramid10aSouthern Europe10aVegetables10acultural anthropology10adiet10aFeeding Behavior10afruit10ahealth behavior10ahealth care policy10ahealth promotion10ahuman10alifestyle10aobesity10aReview10astandard10avegetable1 aAnna Bach-Faig1 aElliot Berry1 aDenis Lairon1 aJoan Reguant1 aAntonia Trichopoulou1 aSandro Dernini1 aF. Xavier Medina1 aMaurizio Battino1 aRekia Belahsen1 aGemma Miranda1 aLluis Serra-Majem1 aMediterranean Grp00aMediterranean diet pyramid today. Science and cultural updates  uhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84858780488&doi=10.1017%2fS1368980011002515&partnerID=40&md5=4d7e1fc98e80ac8c5b537d63cd97b4f8  a2274-22840 v143 aObjective: To present the Mediterranean diet (MD) pyramid: a lifestyle for today. Design: A new graphic representation has been conceived as a simplified main frame to be adapted to the different nutritional and socio-economic contexts of the Mediterranean region. This review gathers updated recommendations considering the lifestyle, dietary, sociocultural, environmental and health challenges that the current Mediterranean populations are facing. Setting and Subjects: Mediterranean region and its populations. Results: Many innovations have arisen since previous graphical representations of the MD. First, the concept of composition of the  main meals  is introduced to reinforce the plant-based core of the dietary pattern. Second, frugality and moderation is emphasised because of the major public health challenge of obesity. Third, qualitative cultural and lifestyle elements are taken into account, such as conviviality, culinary activities, physical activity and adequate rest, along with proportion and frequency recommendations of food consumption. These innovations are made without omitting other items associated with the production, selection, processing and consumption of foods, such as seasonality, biodiversity, and traditional, local and eco-friendly products. Conclusions: Adopting a healthy lifestyle and preserving cultural elements should be considered in order to acquire all the benefits from the MD and preserve this cultural heritage. Considering the acknowledgment of the MD as an Intangible Cultural Heritage of Humanity by UNESCO (2010), and taking into account its contribution to health and general well-being, we hope to contribute to a much better adherence to this healthy dietary pattern and its way of life with this new graphic representation.  a13689800 (ISSN)