Changes in Calcareous Nannofossil Assemblages and Paleoenvironmental Interpretation of the Early Miocene Lice Formation, Kahramanmara? Basin, Turkey, East Mediterranean

This study investigated the calcareous nannofossil assemblages in detail from the early Miocene aged Lice Formation outcropping in the Kahramanmara? basin. The biostratigraphy of calcareous nannofossils was outlined and paleoenvironmental features determined. In 81 samples taken from three measured sections in the region, 17 calcareous nannofossil genus and 48 nannofossil species were identified. These calcareous nannofossil genus and species identified the Lice Formation as being in the CNM4 nannofossil biozone. The abundance and diversity of early Miocene calcareous nannofossil species varied in the measured sections, with the samples generally moderate-poor, apart from a few samples. The relative abundance of individuals of Cyclicargolithus floridanus, Coccolithus pelagicus, Reticulofenestra hagii and Sphenolithus moriformis species, with paleoecological importance identified in the study region, indicate that in early Miocene times, the basin in which the Lice Formation deposited was meso-eutrophic with excess nutrient input, temperate and generally stable shallow marine conditions.

Carbon sequestration in a bamboo plantation:a case study in a Mediterranean area

In the Mediterranean region,despite bamboo being an alien species that can seriously alter plant and ani-mal biocoenosis,the area occupied by bamboo plantations continues to increase,especially for the purpose to seques-ter carbon(C).However,the C dynamics in the soil-plant system when bamboo is grown outside its native area are poorly understood.Here we investigated the C mitigation potential of the fast-growing Moso bamboo(Phyllostachys edulis)introduced in Italy for climate-change mitigation.We analyzed aboveground(AGB)and belowground(as root/shoot ratio)biomass,litter and soil organic C(SOC)at O-15-and 15-30-cm depths in a 4-year-old bamboo plantation in comparison with the former annual cropland on which the bamboo was established.To have an idea of the maximum C stored at an ecosystem level,a natural forest adjacent the two sites was also considered.In the plantation,C accumulation as AGB was stimulated,with 14.8±3.1 Mg C ha^(-1) stored in 3 years;because thinning was done to remove culms from the first year,the mean sequestration rate was 4.9 Mg C ha^(-1) a^(-1).The sequestration rates were high but comparable to other fast-growing tree species in Italy(e.g.,Pinus nigra).SOC was significantly higher in the bamboo plantation than in the cropland only at the 0-15 cm depth,but SOC stock did not differ.Possibly 4 years were not enough time for a clear increase in SOC,or the high nutrient uptake by bamboos might have depleted the soil nutrients,thus inhibiting the soil organic matter formation by bacteria.In comparison,the natural forest had significantly higher C levels in all the pools.For C dynamics at an ecosystem level,the bamboo plantation on the former annual cropland led to substantial C removal from the atmosphere(about 12 Mg C ha^(-1) a^(-1)).However,despite the promising C sequestration rates by bamboo,its introduction should be carefully considered due to potential ecological problems caused by this species in overexploited environments such as the Mediterranean area.

Population Structure and Sexual Maturity of the Pufferfish Lagocephalus sceleratus （Osteichthyes, Tetraodontidae） in the Lebanese and Syrian Marine Waters （Eastern Mediterranean）

The pufferfish Lagocephalus sceleratus is an invasive Lessepsian species of Indo-Pacific origin that has established an increasing population over the past decade in the Levantine basin of the Mediterranean. Besides its toxicity due to the accumulation of tetrodotoxin in its body, it is causing damage to fishing gears and fishermen＇s catches. This study aims to provide data on the population structure and sexual maturity of this species in the eastern basin of the Mediterranean. A total of 214 individuals were collected in the coastal marine waters of Lebanon and Syria, between January 2012 and June 2013 by means of different types of nets and lines, on soft bottoms, at depths ranging from 10 m to 170 m. The TL （total length） of the samples varies between 10.8 cm and 71 cm. The most common size classes, represented by 125 individuals, are the ones between 30 cm and 50 cm TL, with a bulge at 40 cm, represented by 44 individuals. The average TL is 43.99 cm （standard deviation： SD = 17.65） for both males and females. The TW （total weight） of the specimens ranges between 14 g and 4,603 g with an average value of 1,458.52 g （SD = 1,329.49）. The sex ratio （M/F） is 1：1.35 with a total number of 87 males, 118 females and nine unidentified individuals. The weight-length relationship （TW = aTLb） shows a negative allometric growth with b = 2.9481 and R2 = 0.9806. The condition factor （K） is close to one for all samples. The average value of the GSI （gonadosomatic index） shows a substantial increase from winter to spring. The spawning takes place between April and June.

Cooperative Learning in Mediterranean European Cultural Settings:Taking Classroom Teaching in UMA as an Example

This paper provides an exploration of cooperative learning(CL) in a Mediterranean European cultural setting, taking classroom teaching in the University of Málaga(UMA) as an example. An important part of the paper is on the definitions of CL, second language acquisition(SLA) and relative literature by scholars or educators home and abroad, such as historical and contemporary views of CL, its development and application in a variety of classrooms, esp. in multi-lingual settings, in UMA. It also puts much emphasis on sociocultural aspects of CL. Besides, this paper compares the application of CL with that in SWUST,one public university in Southwest China. In views of current problems and awkward situations in the application of CL, the paper argues that the qualified teachers and quality monitoring systems are the two major decisive factors that affect the achievement of CL in Spanish institutions. This paper also analyzes the main characteristics of the classroom teaching in Mediterranean European Cultural Settings. Thus, the paper suggests that CL may be one of the most efficient approaches to improving the quality of education in UMA. Finally, the paper concludes with recommendations and suggestions that Spanish institutions train more wellqualified teachers to meet the increasing demand of CL approach in multi-contextual or multi-lingual settings.

Mediterranean diet and nonalcoholic fatty liver disease

Nonalcoholic fatty liver disease(NAFLD) is emerging as the most common chronic liver disease, and is characterized by a wide spectrum of fat-liver disorders that can result in severe liver disease and cirrhosis. Inflammation and oxidative stress are the major risk factors involved in the pathogenesis of NAFLD. Currently, there is no consensus concerning the pharmacological treatment of NAFLD. However, lifestyle interventions based on exercise and a balanced diet for quality and quantity, are considered the cornerstone of NAFLD management. Mediterranean diet(MD), rich in polyunsaturated fats, polyphenols, vitamins and carotenoids, with their anti-inflammatory and antioxidant effects, has been suggested to be effective in preventing cardiovascular risk factors. In adults, MD has also been demonstrated to be efficacious in reducing the risk of metabolic syndrome. However, few studies are available on the effects of the MD in both adult and pediatric subjects with NAFLD. Thus, the aims of the present narrative review are to analyze the current clinical evidence on the impact of MD in patients with NAFLD, and to summarize the main mechanisms of action of MD components on this condition.

Effect of a counseling-supported treatment with the Mediterranean diet and physical activity on the severity of the non-alcoholic fatty liver disease

AIM To determine the clinical effectiveness of nutritional counseling on reduction of non-alcoholic fatty liver disease(NAFLD) severity, weight loss, metabolic and anthropometric indexes and liver enzymes.METHODS Forty-six adults with NAFLD received a 6-mo clinical and a dietary intervention(based on Mediterranean diet) carried out respectively by a gastroenterologist and a nutritionist with counseling license. The counseling process consisted of monthly meeting(about 45 min each). The effect of the treatment was evaluated monitoring liver enzymes, metabolic parameters, cardiovascular risk indexes, NAFLD severity [assessed by ultrasound(US)] and related indexes. All parameters were assessed at baseline. Biochemistry was also assessed at mid-and end-interventions and US was repeated at end-intervention.RESULTS The percentage of patients with steatosis grade equal or higher than 2 was reduced from 93% to 48% and steatosis regressed in 9 patients(20%). At the end of the treatment the end-point concerning the weight(i.e., a 7% weight reduction or achievement/maintenance of normal weight) was accomplished by 25 out of 46 patients(i.e., 54.3%). As far as the liver enzymes is concerned, all three liver enzymes significantly decrease during the treatment the normalization was particularly evident for the ALT enzyme(altered values reduced from 67% down to 11%). Several parameters, i.e., BMI, waist circumference, waist-to-hip ratio, AST, ALT, GGT, HDL, serum glucose, Tot-Chol/HDL, LDL/HDL, TG/HDL, AIP, HOMA, FLI, Kotronen index, VAI, NAFLD liver fat score and LAP, showed a significant improvement(P < 0.01) between baseline and end-treatment.CONCLUSION Outcomes of this study further strengthen the hypothesis that Med Diet and more active lifestyle can be considered a safe therapeutic approach for reducing risk and severity of NAFLD and related disease states. The proposed approach may be proposed as a valid and recommended approach for improving the clinical profile of NAFLD patients.

Epidemiology of Helicobacter pylori infection among the healthy population in Iran and countries of the Eastern Mediterranean Region:A systematic review of prevalence and risk factors

AIM: To investigate the epidemiology of Helicobacter pylori (H. pylori) infection among the healthy asymptomatic population in Iran and countries of the Eastern Mediterranean Region.

Alimentary regimen in non-alcoholic fatty liver disease:Mediterranean diet

Non-alcoholic fatty liver disease(NAFLD)is the most common liver disease worldwide.The mechanisms of the underlying disease development and progression are awaiting clarification.Insulin resistance and obesity-related inflammation status,among other possible genetic,dietary,and lifestyle factors,are thought to play the key role.There is no consensus concerning the pharmacological treatment.However,the dietary nutritional management to achieve weight loss is an essential component of any treatment strategy.On the basis of its components,the literature reports on the effectiveness of the Mediterranean diet in reducing cardiovascular risk and in preventing major chronic diseases,including obesity and diabetes.New evidence supports the idea that the Mediterranean diet,associated with physical activity and cognitive behaviour therapy,may have an important role in the prevention and the treatment of NAFLD.

Biomass and dominance of conservative species drive above-ground biomass productivity in a mediterranean-type forest of Chile

Background: Forest productivity has a pivotal role in human well-being. Vegetation quantity, niche complementarity, mass-ratio, and soil resources are alternative/complementary ecological mechanisms driving productivity. One challenge in current forest management depends on identifying and manipulating these mechanisms to enhance productivity. This study assessed the extent to which these mechanisms control aboveground biomass productivity(AGBP) of a Chilean mediterranean-type matorral. AGBP measured as tree aboveground biomass changes over a 7-years period, was estimated for twelve 25 m × 25 m plots across a wide range of matorral compositions and structures. Variables related to canopy structure, species and functional diversity, species and functional dominance, soil texture, soil water and soil nitrogen content were measured as surrogates of the four mechanisms proposed. Linear regression models were used to test the hypotheses. A multimodel inference based on the Akaike’s information criterion was used to select the best models explaining AGBP and for identifying the relative importance of each mechanism.Results: Vegetation quantity(tree density) and mass-ratio(relative biomass of Cryptocarya alba, a conservative species) were the strongest drivers increasing AGBP, while niche complementarity(richness species) and soil resources(sand, %) had a smaller effect either decreasing or increasing AGBP, respectively. This study provides the first assessment of alternative mechanisms driving AGBP in mediterranean forests of Chile. There is strong evidence suggesting that the vegetation quantity and mass-ratio mechanisms are key drivers of AGBP, such as in other tropical and temperate forests. However, in contrast with other studies from mediterranean-type forests, our results show a negative effect of species diversity and a small effect of soil resources on AGBP.Conclusion: AGBP in the Chilean matorral depends mainly on the vegetation quantity and mass-ratio mechanisms.The findings of this study have implications for matorral restoration and management for the production of timber and non-timber products and carbon sequestration.

Mediterranean diet and non-alcoholic fatty liver disease:New therapeutic option around the corner?

Non-alcoholic fatty liver disease(NAFLD)represents the most common chronic liver disease in Western countries,being considered as the hepatic manifestation of metabolic syndrome.NAFLD has a common pathogenic background to that of metabolic syndrome,and shares many risk factors such as obesity,hypertension,insulin resistance and dyslipidemia.Although there is no currently available evidence-based established treatment for NAFLD,all the recommendations from the medical associations indicate that the most effective treatment is to reduce weight through lifestyle modifications.Diet,indeed,plays a key role in the management of NAFLD patients,as both the quantity and quality of the diet have been reported to have a beneficial role in the onset and severity of the liver disease.Among all the diets that have been proposed,a Mediterranean diet was the most effective dietary option for inducing weight loss together with beneficial effects on all the risk factors associated with metabolic syndrome and NAFLD.Over the last few years,research has demonstrated a beneficial effect of a Mediterranean diet in NAFLD.In this review,we will examine all the available data on the association between diet,nutrients and the Mediterranean diet in association with onset and severity of NAFLD.

Changes in foliar carbon isotope composition and seasonal stomatal conductance reveal adaptive traits in Mediterranean coppices affected by drought

We estimated water-use efficiency and potential photosyn- thetic assimilation of Holm oak （Quercus ilex L.） on slopes of NW and SW aspects in a replicated field test examining the effects of intensifying drought in two Mediterranean coppice forests. We used standard tech- niques for quantifying gas exchange and carbon isotopes in leaves and analyzed total chlorophyll, carotenoids and nitrogen in leaves collected from Mediterranean forests managed under the coppice system. We pos- tulated that responses to drought of coppiced trees would lead to differ- ential responses in physiological traits and that these traits could be used by foresters to adapt to predicted warming and drying in the Mediterra- nean area. We observed physiological responses of the eoppiced trees that suggested acclimation in photosynthetic potential and water-use effi- ciency： （1） a significant reduction in stomatal conductance （p〈0.01） wasrecorded as the drought increased at the SW site; （2） foliar 813C increased as drought increased at the SW site （p〈0.01）; （3） variations in levels of carotenoids and foliar nitrogen, and differences in foliar morphology were recorded, and were tentatively attributed to variation in photosyn- thetic assimilation between sites. These findings increase knowledge of the capacity for acclimation of managed forests in the Mediterranean region of Europe.

Decline and dieback of cork oak(Quercus suber L.)forests in the Mediterranean basin:a case study of Kroumirie,Northwest Tunisia

Assessing the vulnerability of forest ecosystems in the climate change context is a challenging task as the mechanisms that determine this vulnerability cannot be directly observed.Based on the ecological interrelationships between forests and climate,the present review focused on providing current information about vulnerability assessments of cork oak(Quercus suber L.)forests in the Mediterranean basin,especially,in the Kroumirie region(northwest Tunisia),currently under historic extreme drought conditions.From comparing recent findings in this region,we synthesized data on cork oak decline and mortality collected during the historic drought years 1988–1995 period.Climate change impacts cork forest decline,with special interest shown in elevated temperatures and drought;cork oak forest regeneration,and the adaptation of the Kroumirie forest to climate change,are reviewed herein.The studied region has been influenced largely by frequent prolonged drought periods,especially from 1988 to 1995.Droughts were found to consistently have a more detrimental impact on the growth and mortality rates of cork oak populations.Cork oak mortality was recorded for up to 63,622 trees.In the future,more research studies and observational data will be needed,which could represent an important key to understand ecosystem processes,and to facilitate the development of better models that project climate change impacts and vulnerability.The study is useful for researchers and forestry decision makers to develop the appropriate strategies to restore and protect ecosystems,and to help anticipate potential future droughts and climate change.

Physical Activity, Mediterranean Diet and Biomarkers-Assessed Risk of Alzheimer’s: A Multi-Modality Brain Imaging Study

Increased physical activity and higher adherence to a Mediterranean-type diet (MeDi) have been independently associated with reduced risk of Alzheimer’s disease (AD). Their association has not been investigated with the use of biomarkers. This study examines whether, among cognitively normal (NL) individuals, those who are less physically active and show lower MeDi adherence have brain biomarker abnormalities consistent with AD. Methods: Forty-five NL individuals (age 54 ± 11, 71% women) with complete leisure time physical activity (LTA), dietary information, and cross-sectional 3D T1-weigthed MRI, 11C-Pittsburgh Compound B (PiB) and 18F-fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) scans were examined. Voxel-wise multivariate partial least square (PLS) regression was used to examine the effects of LTA, MeDi and their interaction on brain biomarkers. Age, gender, ethnicity, education, caloric intake, BMI, family history of AD, Apolipoprotein E (APOE) genotype, presence of hypertension and insulin resistance were examined as confounds. Subjects were dichotomized into more and less physically active (LTA+ vs. LTA-;n = 21 vs. 24), and into higher vs. lower MeDi adherence groups (n = 18 vs. 27) using published scoring methods. Spatial patterns of brain biomarkers that represented the optimal association between the images and the groups were generated for all modalities using voxel-wise multivariate Partial Least Squares (PLS) regression. Results: Groups were comparable for clinical and neuropsychological measures. Independent effects of LTA and MeDi factors were observed in AD-vulnerable brain regions for all modalities (p β load and lower glucose metabolism) were observed in LTA- compared to LTA+ subjects, and in MeDi- as compared to MeDi+ subjects. A gradient effect was observed for all modalities so that LTA+/MeDi+ subjects had the highest and LTA+/MeDi+ subjects had the lowest AD-burden (p < 0.001), although the LTA × MeDi interaction was significant only for FDG measures (p < 0.03). Adjusting for covariates did not attenuate these relationships. Conclusion: Lower physical activity and MeDi adherence were associated with increased brain AD-burden among NL individuals, in-dicating that lifestyle factors may modulate AD risk. Studies with larger samples and longitudinal evaluations are needed to determine the predictive power of the observed associations.

Characterization of Mediterranean Magnetotactic Bacteria

Magnetotactic bacteria are a diverse group of motile prokaryotes that are ubiquitous in aquatic habitats and cosmopolitan in distribution. In this study, we collected magnetotactic bacteria from the Mediterranean Sea. A remarkable diversity of morphotypes was observed, including multicellular types that seemed to differ from those previously found in North and South America. Another interesting organism was one with magnetosomes arranged in a six-stranded bundle which occupied one third of the cell width. The magnetosome bundle was evident even under optic microscopy. These cells were connected together and swam as a linear entire unit. Magnetosomes did not always align up to form a straight linear chain. A chain composed of rectangle magnetosomes bent at a posi- tion with an oval crystal. High resolution transmission electron microscopy analysis of the crystal at the pivotal position suggested uncompleted formation of the crystal. This is the first report of Mediterranean magnetotactic bacteria, which should be useful for studies of biogeochemical cycling and geohistory of the Mediterranean Sea.

Contribution of the Sea Surface Temperature over the Mediterranean-Black Sea to the Decadal Shift of the Summer North Atlantic Oscillation

Recent observational study has shown that the southern center of the summer North Atlantic Oscillation （SNAO） was located farther eastward after the late 1970s compared to before. In this study, the cause for this phenomenon is explored. The result shows that the eastward shift of the SNAO southern center after the late 1970s is related to the variability of the Mediterranean-Black Sea （MBS） SST. A warm MBS SST can heat and moisten its overlying atmosphere, consequently producing a negative sea level pressure （SLP） departure over the MBS region. Because the MBS SST is negatively correlated with the SNAO, the negative SLP departure can enhance the eastern part of the negative-phase of the SNAO southern center, consequently producing an eastward SNAO southern center shift. Similarly, a cold MBS SST produces an eastward positive-phase SNAO southern center shift. The reason for why the MBS SST has an impact on the SNAO after the late 1970s but why it is not the case beforehand is also discussed. It is found that this instable relationship is likely to be attributed to the change of the variability of the MBS SST on the decadal time-scale. In 1951 1975, the variability of the MBS SST is quite weak, but in 1978 2002, it becomes more active. The active SST can enhance the interaction between the sea and its overlying atmosphere, thus strengthening the connection between the MBS SST and the SNAO after the late 1970s. The above observational analysis results are further confirmed by sensitivity experiments.

Burden of celiac disease in the Mediterranean area

AIM: To estimate the burden of undiagnosed celiac disease (CD) in the Mediterranean area in terms of morbidity, mortality and health cost. METHODS: For statistics regarding the population of each country in the Mediterranean area, we accessed authoritative international sources (World Bank, World Health Organization and United Nations). The prevalence of CD was obtained for most countries from published reports. An overall prevalence rate of 1% cases/total population was finally estimated to represent the frequency of the disease in the area, since none of the available conf idence intervals of the reported rates significantly excluded this rate. The distribution of symptoms and complications was obtained from reliable reports in the same cohort. A standardized mortality rate of 1.8 was obtained from recent reports. Crude health cost was estimated for the years between symptoms and diagnosis for adults and children, and was standardized for purchasing power parity to account for the different economic prof iles amongst Mediterranean countries. RESULTS: In the next 10 years, the Mediterranean area will have about half a billion inhabitants, of which 120 million will be children. The projected number of CD diagnoses in 2020 is 5 million cases (1 million celiac children), with a relative increase of 11% compared to 2010. Based on the 2010 rate, there will be about 550 000 symptomatic adults and about 240 000 sick children: 85% of the symptomatic patients will suffer from gastrointestinal complaints, 40% are likely to have anemia, 30% will likely have osteopenia, 20% of children will have short stature, and 10% will have abnormal liver enzymes. The estimated standardized medical costs for symptomatic celiac patients during the delay between symptom onset and diagnosis (mean 6 years for adults, 2 years for children) will be about €4 billion (€387 million for children) over the next 10 years. A delay in diagnosis is expected to increase mortality: about 600 000 celiac patients will die in the next 10 years, with an excess of 44.4% vs age-and sexmatched controls. CONCLUSION: In the near future, the burden of CD will increase tremendously. Few Mediterranean countries are able to face this expanding epidemic alone.

Impact of Drain Effluent on Surficial Sediments in the Mediterranean Coastal Wetland: Sedimentological Characteristics and Metal Pollution Status at Lake Manzala, Egypt

Surface sediments were collected from Lake Manzala, the Mediterranean coastal wetland located to the east of the Nile Delta, Egypt, to assess the effect of drain effluent on the spatial variations of sedimentary characteristics and heavy metal pollution. Grain-size compositions, textures, and heavy metal distribution patterns in sediments are presented using GIS technique. Results of the analysis of the sediment showed a clear effect of drain effluent, with an increase in fine fractions and homogeneous suspensions in transportation mode. Lake sediments were dominated by sandy mud textures, and mode of transportation was homogeneous sus- pension and rolling. Spatial distribution of heavy metals (Fe, Mn, Zn, Cu, Ni, Cr, and Pb) was studied in the lake’s surficial sediments, along with their relationship to drain effluent and their contamination status in the ecological system. Heavy metal pollution status was assessed by means of accepted sediment quality guidelines and contamination assessment methods (contamination factor, con- tamination degree, modified contamination degree, geo-accumulation, and enrichment factor). Among the determined heavy metals, Pb had the most ecological risk. Generally, the heavy metals in the surface sediments indicated pollution risk ranging from moderate to considerable, particularly, in those sites facing drains and inlets that had the highest toxic effluent. The results were interpreted by statistical means. A cluster analysis defined areas facing drain discharge and inlets as separated groups. ANOVA indicated that most of the sedimentation and studied metals directed this clustering.

Generation of Back-Arc Basins as Side Effect of Shortening Processes: Examples from the Central Mediterranean

The evolution of the Mediterranean area since the Oligocene-Lower Miocene has been driven by the convergence of the surrounding plates. This implies that the observed deformation pattern in that region must be the most convenient shortening pattern, i.e. the one controlled by the minimum action principle. To understand why the fulfilment of such condition has required a complex spatio-temporal distribution of major tectonic events, such as uplift, lateral displacement and bending of orogenic belts, consumption of large lithospheric domains and formation of back arc basins, it may be very useful to take into account a basic tectonic concept, which helps to identify the process that can minimize the resistance of tectonic forces. Such concept starts from the fact that the most convenient consumption process is the one that involves low buoyancy oceanic lithosphere (Tethyan domains). However, such process is highly favoured where the oceanic lithosphere is stressed by vertical forces, a situation that develops when orogenic wedges are forced to over thrust and load the oceanic domain to be consumed. This interpretation can provide plausible and coherent explanations for the complex pattern of the observed deformations. In this view, the generation of back arc basins is taken as a side effect of an extrusion process, as suggested by numerical and mechanical experiments.

Fluoride distribution and the effect of some ions along Alexandria coastal Mediterranean seawater of Egypt

The coastal seawater of Mediterranean of Alexandria receives large amount of discharged waters containing industrial wastes, sewage, and agricultural and domestic drainage. Fluoride and some parameters were(chemical and physical) determined. The data gave indication that the content and the amount of the discharged water largely affect the chemical composition of the coastal water. Stepwise regression analysis was highly significant and the model was very fruitful, where the observed and calculated values were mostly concordant. This may indicated that there was a relation between fluoride content in coastal seawater and its content in the discharged water.

Mediterranean diet and diabetes prevention:Myth or fact?

Type 2 diabetes is a major, non-communicable disease with increasing prevalence at a global level. Therefore, in order to prevent this condition action should be taken regarding the modifiable factors that influence its development - lifestyle and dietary habits. As the Mediterranean dietary pattern has beneficial effects on both human health and regarding the development and treatment of type 2 diabetes, promoting adherence to this pattern is of considerable public health importance.