TY - JOUR AU - Panza, Francesco AB - To the Editor: The use of diet‐scoring systems should ultimately prove to be an informative and powerful means to augment our understanding of the role of diet in chronic disease. Recently, these approaches have been used to describe adherence to a particular dietary pattern; these are necessary for the evaluation of epidemiological associations, although they require some operational definitions. In particular, Trichopoulou et al. constructed a scale indicating the degree of adherence to the traditional Mediterranean diet that was revised to include fish intake. A value of 0 or 1 was assigned to each of nine indicated components, with the use of the sex‐specific median as the cutoff. The total Mediterranean diet score ranged from 0 (minimal adherence to the traditional Mediterranean diet) to 9 (maximal adherence). Using this composite score, Trichopoulou et al. reported the results of a population‐based study involving 22,043 apparently healthy adults in Greece, in which adherence to a traditional Mediterranean diet was associated with significantly lower total mortality, mortality from coronary heart disease, and mortality from cancer. Recently, Scarmeas et al., using the same composite score (MeDi) of Trichopoulou et al., concluded that higher adherence to the MeDi is associated with a reduction TI - WHOLE‐DIET APPROACH AND RISK OF CHRONIC DISEASE: LIMITS AND ADVANTAGES JO - Journal of American Geriatrics Society DO - 10.1111/j.1532-5415.2006.00934.x DA - 2006-11-01 UR - https://www.deepdyve.com/lp/wiley/whole-diet-approach-and-risk-of-chronic-disease-limits-and-advantages-CvkPruMRlc SP - 1800 VL - 54 IS - 11 DP - DeepDyve ER -