TY - JOUR KW - adult KW - Culture KW - diet KW - diet KW - Mediterranean KW - Dietary pattern KW - Food Habits KW - fruit KW - Health KW - health behavior KW - Health Promotion KW - Humans KW - Life Style KW - lifestyle KW - Mediterranean Region KW - Mediterranean diet KW - Nutrition Policy KW - obesity KW - Pyramid KW - Southern Europe KW - Vegetables KW - cultural anthropology KW - diet KW - Feeding Behavior KW - fruit KW - health behavior KW - health care policy KW - health promotion KW - human KW - lifestyle KW - obesity KW - Review KW - standard KW - vegetable AU - Anna Bach-Faig AU - Elliot Berry AU - Denis Lairon AU - Joan Reguant AU - Antonia Trichopoulou AU - Sandro Dernini AU - F. Xavier Medina AU - Maurizio Battino AU - Rekia Belahsen AU - Gemma Miranda AU - Lluis Serra-Majem AU - Mediterranean Grp AB - Objective: 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. DO - 10.1017/S1368980011002515 M1 - 12 N1 - Publisher: Cambridge University Press N2 - Objective: 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. SP - 2274 EP - 2284 TI - Mediterranean diet pyramid today. Science and cultural updates UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858780488&doi=10.1017%2fS1368980011002515&partnerID=40&md5=4d7e1fc98e80ac8c5b537d63cd97b4f8 VL - 14 SN - 13689800 (ISSN) ER -