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Title: Effect of tourism pressure on the mediterranean diet pattern
Authors: Rodríguez Mireles, Silvia 
González Lopez-Valcarcel, Beatriz 
Serra Majem, Luis 
Hernández-Yumar, Aránzazu
Barber Pérez, Patricia Lucía 
Pinilla Domínguez, Jaime 
Rodríguez Feijoó, Santiago 
Rodríguez Caro, Alejandro Manuel 
UNESCO Clasification: 530204 Estadística económica
Keywords: Mediterranean diet
Tourism pressure
Dietary pattern
Issue Date: 2018
Publisher: 2072-6643
Project: Encaje Público-Privado en Sanidad: Calidad, Sostenibilidad y Cambios Del Modelo Español 
Journal: Nutrients 
Abstract: Despite proposed conceptual frameworks of eating behaviors, little is known about environmental factors contributing to changes in food habits. Few studies have reported the external influence of tourism on the inhabitants' eating patterns. The present study aimed to investigate whether tourism pressure affects Canary Islands inhabitants' adherence to the Mediterranean diet pattern. Data were obtained from a health and lifestyle population-based survey conducted in 2009 and 2015. From the reported intake frequency, a Mediterranean diet score was defined (0 to 11 points). Tourist overnight stays, which were stratified by nationality and area of destination, were used as a proxy variable to measure tourism pressure. A multilevel linear regression analysis by restricted maximum likelihood estimation was performed to examine the relationship between tourism pressure and the Mediterranean diet score. A significant negative association between the Mediterranean diet score and British tourism pressure was observed (beta = -0.0064, p = 0.010), whereas German tourism pressure increased inhabitants' adherence (beta = 0.0092, p = 0.042). The socioeconomic level of tourists seems to play a role in differences in the tourism pressure effect by nationality. Further investigation of other highly touristic destinations is needed to confirm these findings that could contribute to a shift in tourism and public health nutrition policies.
ISSN: 2072-6643
DOI: 10.3390/nu10101338
Source: Nutrients [ISSN 2072-6643], v. 10 (10), 1338, (Octubre 2018)
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