Adherence to the Mediterranean diet and psychological wellbeing before and during the COVID-19 pandemic: a prospective analysis of the English Longitudinal Study of Ageing.

Publication date: Jun 16, 2026

Following a Mediterranean-like diet has been associated with lower depression levels but there has been limited study of links with positive states of psychological well-being. We tested whether adherence to a Mediterranean diet was cross-sectionally associated with positive well-being among older adults in England in 2018/2019 and prospectively through the COVID-19 pandemic. Prospective observational cohort analysis. Population study of older people ≥50 years in England. 3296 participants (46% men) in the English Longitudinal Study of Ageing (ELSA) aged 68. 18+/-7. 43 years, who completed a dietary module in 2018/2019 for the assessment of the Mediterranean diet (relative Mediterranean Diet Index (rMED)). Psychological well-being measured using the CASP12 at baseline (2018/2019) and again in the early months of the COVID-19 pandemic (2020). Cross-sectionally, higher rMED scores were associated with greater psychological well-being (β=0. 054, p

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Concepts Keywords
Diet Aged
Mediterranean Aging
Pandemic Betacoronavirus
Coronavirus Infections
COVID-19
COVID-19
Cross-Sectional Studies
Depression
Diet, Mediterranean
England
Female
Humans
Longitudinal Studies
Longitudinal studies
Male
Mental Health
MENTAL HEALTH
Middle Aged
NUTRITION & DIETETICS
Pandemics
Prospective Studies
Psychological Well-Being
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease MESH Long Covid
disease MESH Coronavirus Infections

Original Article

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