Barriers and facilitators to adherence of the Mediterranean diet in the North East of England
1. The principle aim of the study is to understand perceptions of barriers and facilitators to adherence of MD amongst patients with NAFLD in the North East of England.
Non-alcoholic fatty liver disease (NAFLD) is an endemic threat to global public health that has escalated alongside the ‘obesity epidemic’, (Kontogianni et al., 2013). Ominously, the occurrence of NAFLD is 60-95% in obese patients, and the North East is one of England’s most overweight areas (68%) (Mazza et al., 2012; Health and Social Care Information Centre, 2013). Thus, there are growing demands for research into optimum lifestyle interventions that effect sustainable risk reduction (Anstee et al., 2011). Kontogianni et al., (2013) found higher adherence to the Mediterranean diet (MD) is associated with less insulin resistance and less severe liver disease among NAFLD patients in Greece.
There is limited evidence about the barriers and facilitators for adopting dietary patterns, which would be relevant for those seeking to develop scalable interventions for dietary behaviour change and adherence to the MD.