Comparison between Sardinia and Malta: the Mediterranean diet revisited.

The Mediterranean diet is often characterized in terms of food items only. In this paper, the comparison of meals, in-between meals snack consumption and total daily food intake is presented between Sardinia and Malta in terms of structure, social environment and hours, together with their changes. Data were collected in 2001 in Sardinia and 2002 in Malta. A structured qualitative questionnaire, articulated around four main themes: food supply, transformation, preparation and consumption habits, was administered by face-to-face interviews with the help of a local person. Inquiries were carried out over two generations with 30 'mother-daughter' couples in each island. We highlighted some Mediterranean characteristics in Sardinia by showing striking contrasts between Sardinian and Maltese food habits such as meal preparation times, both breakfast and main meal structures, total daily food intake profiles, mealtimes and commensality in the mothers' generation. Some of these characteristics were also maintained in the daughters' generation. This investigation has presented evidence that beyond foods, meal pattern, structure and commensal rituals appeared as fundamental aspects of Sardo-Mediterranean food habits, which are important to consider when trying to maintain or implement the Mediterranean dietary model.