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Traditional Dairy and Olive Food Preferences Are Associated with Mediterranean Diet Adherence in Cyprus

Eleni Andreou, Panayiota Tsokkou, PANAYIOTA THEOPHILOU, Christina Kritikou and 7 more

Foods | Aug 27, 2026

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Overall, traditional food preferences were associated with Mediterranean diet adherence within this convenience sample; however, the olive-related findings should be interpreted cautiously because of potential construct and measurement overlap.

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The Mediterranean diet is recognised as one of the healthiest dietary patterns worldwide; however, adherence has declined even within Mediterranean populations. This study investigated Mediterranean diet adherence and examined its associations with preferences for traditional dairy products and olive-related products among adults participating in a study in Cyprus. A cross-sectional online survey was conducted among 273 adults using a structured questionnaire that included sociodemographic and lifestyle characteristics, the 14-item Mediterranean Diet Adherence Screener (MEDAS), and questions assessing preferences for and consumption of dairy products, olive oil, olive-derived products, and foods prepared with olive oil. Descriptive statistics, principal component analysis, and multiple linear regression were performed. The mean MEDAS score was 8.1 ± 2.6; using study-specific descriptive categories, 40.0% of participants had scores classified as good to excellent adherence. Olive oil was the most preferred and most frequently consumed olive-related product, with 75.1% of participants reporting that they “liked very much” olive oil and 49.8% consuming it daily. In the primary multivariable analysis, older age, greater traditional dairy preference, greater olive-related preference, and more frequent olive-related consumption were associated with higher MEDAS scores, whereas sex, body mass index, smoking status, and physical activity were not significantly associated with MEDAS score. However, in a sensitivity analysis excluding the two olive-oil-related MEDAS components, the olive-related preference and consumption associations were no longer statistically significant. Overall, traditional food preferences were associated with Mediterranean diet adherence within this convenience sample; however, the olive-related findings should be interpreted cautiously because of potential construct and measurement overlap. Given the cross-sectional design and demographic characteristics of the sample, these findings do not establish temporality or causality and should not be considered representative of the general adult population of Cyprus.

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Eleni Andreou

first | University of Nicosia | ORCID 0000-0002-0449-6782

Panayiota Tsokkou

middle | University of Nicosia | ORCID 0009-0001-5270-6473

PANAYIOTA THEOPHILOU

middle | University of Nicosia

Christina Kritikou

middle | University of Nicosia

Abdallah Kanaan

middle | University of Nicosia | ORCID 0009-0002-9480-4933

Stella A. Nicolaou

middle | University of Nicosia | ORCID 0000-0002-4216-4033

Evelina Charidemou

middle | University of Nicosia | ORCID 0000-0002-2299-9471

Yiannis Sarigiannis

middle | University of West Attica | ORCID 0000-0001-6822-4594

Christoforos D. Giannaki

middle | University of Nicosia | ORCID 0000-0003-0029-1189

Christoforos Christoforou

middle | University of Nicosia | ORCID 0000-0003-1864-5862

Christos Papaneophytou

last | University of Nicosia | ORCID 0000-0002-4045-8839

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BibTeX

@article{Andreou2026Traditional,
  title = {Traditional Dairy and Olive Food Preferences Are Associated with Mediterranean Diet Adherence in Cyprus},
  author = {Eleni Andreou and Panayiota Tsokkou and PANAYIOTA THEOPHILOU and Christina Kritikou and Abdallah Kanaan and Stella A. Nicolaou and Evelina Charidemou and Yiannis Sarigiannis and Christoforos D. Giannaki and Christoforos Christoforou and Christos Papaneophytou},
  journal = {Foods},
  year = {2026},
  doi = {10.3390/foods15173024},
  url = {https://doi.org/10.3390/foods15173024}
}

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