Considerations concerning the Evolution of MD

1. Nutrient based vs. food based pyramid levels
2. Scientific evidence  & Health consequences- changes eg PUFA oils
3. Pyramids for consumer vs. National Dietary Guidelines
4. Quality “octane fuel” vs Quantity & meal frequencies (obesogenic)
5. Geographic variation: Country-specific MD pyramids. 
6. Cultural diversity – Country Cuisine & specific habits  – eg meat eating daily, Local, Traditional Products
7. Temporal variation: Seasonality, 
8. Socio-economic factors ; Food Security,  COST–  for the poor
9. Diversity – Bio, Cultural & Environmental 
10. Agricultural policies – cash crops vs food crops. Food Production & Sustainability 
11. Lifestyle factors - INDEX 
12. Fast Food, soft  drinks e.g. Hot dog, Hamburger Pizza kebab, French  Fries, Chinese foods
13. Commercial interests, Food Industry – Brand name
14. Applicability : “for the majority of Mediterranean peoples”
15. NO PATENT or COPYRIGHT by any organization!

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