Ophelia Study in Florence: Nutrition Literacy and Adherence to Med Diet in 45-70 year-old Women
Abstract
Background/Objectives: Nutrition literacy (NL) is an important determinant of healthy dietary behaviors, particularly among population groups at increased cardiovascular risk. This study aimed to describe NL and adherence to the Mediterranean diet (MD), and to describe their association, among women aged 45–70 years living in socioeconomically disadvantaged neighborhoods in Florence (Italy).
Methods: A cross-sectional study was conducted within the Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). This study represents the second step of Phase 1 of the Optimising Health Literacy and Access (Ophelia) process. Women were recruited in a primary health care setting using a convenience sample. NL was assessed using the Italian-adapted version of the Nutrition Literacy Assessment Instrument (NLit-IT) and the adherence to the MD using MEDI-LITE.
Results: Questionnaires filled in by 143 women were included in the analysis. Most participants (63.6%) had “possibility of poor NL”. Regarding the MD, 60.8% showed moderate and 9.1% low adherence. A positive correlation was observed between total NLit-IT and MEDI-LITE scores (rho = 0.214; p = 0.011). In logistic regression analysis, an increase in the NLit-IT total score was associated with a higher possibility of having a moderate/high adherence to the MD (OR 1.157). Only the subscale “Food Label and Numeracy” of NLit-IT emerged as an independent predictor of moderate/high adherence to the MD (OR 1.416).
Conclusions: These preliminary findings suggest a possible association between NL and adherence to the MD. Further longitudinal and interventional studies are needed to confirm these results and inform tailored nutrition education interventions.
Key messages: • NL is an individual skill that can help people to adopt healthy nutritional behaviors.
• women in pre, peri and post menopause period can benefit from education interventions aimed at increasing their NL.
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BibTeX
@article{bonaccorsi2026ophelia,
title = {{Ophelia Study in Florence: Nutrition Literacy and Adherence to Med Diet in 45-70 year-old Women}},
author = {G Bonaccorsi and C Lorini and D Buresta and C Cosma and C Biagi and C Milani and M Del Riccio and P Zanobini},
journal = {The European Journal of Public Health},
year = {2026},
month = oct,
doi = {10.1093/eurpub/ckag169.2052},
url = {https://doi.org/10.1093/eurpub/ckag169.2052},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Ophelia Study in Florence: Nutrition Literacy and Adherence to Med Diet in 45-70 year-old Women
AU - G Bonaccorsi
AU - C Lorini
AU - D Buresta
AU - C Cosma
AU - C Biagi
AU - C Milani
AU - M Del Riccio
AU - P Zanobini
PY - 2026
DA - 2026/10/01
JO - The European Journal of Public Health
DO - 10.1093/eurpub/ckag169.2052
UR - https://doi.org/10.1093/eurpub/ckag169.2052
AB - Background/Objectives: Nutrition literacy (NL) is an important determinant of healthy dietary behaviors, particularly among population groups at increased cardiovascular risk. This study aimed to describe NL and adherence to the Mediterranean diet (MD), and to describe their association, among women aged 45–70 years living in socioeconomically disadvantaged neighborhoods in Florence (Italy). Methods: A cross-sectional study was conducted within the Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). This study represents the second step of Phase 1 of the Optimising Health Literacy and Access (Ophelia) process. Women were recruited in a primary health care setting using a convenience sample. NL was assessed using the Italian-adapted version of the Nutrition Literacy Assessment Instrument (NLit-IT) and the adherence to the MD using MEDI-LITE. Results: Questionnaires filled in by 143 women were included in the analysis. Most participants (63.6%) had “possibility of poor NL”. Regarding the MD, 60.8% showed moderate and 9.1% low adherence. A positive correlation was observed between total NLit-IT and MEDI-LITE scores (rho = 0.214; p = 0.011). In logistic regression analysis, an increase in the NLit-IT total score was associated with a higher possibility of having a moderate/high adherence to the MD (OR 1.157). Only the subscale “Food Label and Numeracy” of NLit-IT emerged as an independent predictor of moderate/high adherence to the MD (OR 1.416). Conclusions: These preliminary findings suggest a possible association between NL and adherence to the MD. Further longitudinal and interventional studies are needed to confirm these results and inform tailored nutrition education interventions. Key messages: • NL is an individual skill that can help people to adopt healthy nutritional behaviors. • women in pre, peri and post menopause period can benefit from education interventions aimed at increasing their NL.
SN - 1101-1262
SN - 1464-360X
ER -