Table 3.

Description of the proposed framework for a unified Mediterranean diet score (UMEDS).

Components	Scoring	Reference for recommendation
Food intake
Whole grains	0 = < 115 g	Germani et al. (230 g/day) (39)
	1 = 115 through 229 g
	2 = ≥230 g
Fruits	0 = < 225 g	Germani et al. (450 g/day) (39)
	1 = 225 through 449 g
	2 = ≥450 g
Vegetables	0 = < 200 g	Germani et al. (400 g/day) (39)
	1 = 200 through 399 g
	2 = ≥400 g
Dairy products	0 = < 140 g	Germani et al. (280 g/day) (39)
	1 = 140 through 279 g
	2 = ≥280 g
Fish	0 = >100 g	Eat-Lancet (0–100 g/day) (15)
	1 = ≤ 100 g
Legumes	0 = < 50 g	Germani et al. (100 g/day) (39)
	1 = 50 through 99 g
	2 = ≥100 g
Olive oil	0 = < 15 g	Germani et al. (30 g/day) (39)
	1 = 15 through 29 g
	2 = ≥30 g
Nuts and seeds	0 = < 3.25 g	Germani et al. (6.5 g/day) (39)
	1 = 3.25 through 6.4 g
	2 = ≥6.5 g
Poultry	0 = >58 g	Eat-Lancet (0–58 g/day) (15)
	1 = ≤ 58 g
Red meat	0 = >14 g	Germani et al. (14 g/day) (39)
	1 = ≤ 14 g	Eat-Lancet (0–14 g/day) (15)
Lifestyle
Physical activity	0 = inactive (< 150 min/week)	WHO guidelines on physical activity and sedentary behavior (65)
	1 = moderately to highly active (≥150 min/week)
Sleep	0 = < 7 or >9 h/night	Healthy living guide 2020/2021 (7–9 h per night) (66)
	1 = 7–9 h/night
Conviviality (eating with family and friends)	0 = rarely/never (< 5 times per week)	de la Torre-Moral et al. (≥5 meals per week) (70)
	1 = regularly/frequently (≥5 times per week)
Culture
Intake of traditional/indigenous salad	0 = rarely/never (< 2 times per week)
Total interpretation	22	Bloom's criteria (72, 73)
	18–22 = good adherence
	13–17 = moderate adherence
	≤ 12 = poor adherence