Farming practices and biodiversity: Evidence from a Mediterranean semi-extensive system on the island of Lemnos (North Aegean, Greece).

The management of agroecosystems affects biodiversity at all levels from genetic to food-web complexity. Low-input farming systems support higher levels of genetic, species and habitat diversity than high-input, industrial ones. In Greece, as in other Mediterranean countries, the role of traditional farming practices has been underlined in studies concerning conservation in agricultural landscapes. With this study, we aim to provide evidence for the potential of semi-extensive farming for biodiversity conservation at landscape-scale, focusing on Lemnos, a medium-sized island in the North Aegean. Evidence was gathered by species- and community-level local-scale surveys on various trophic levels (vascular plants, arthropods, birds). The surveys took place in 2018 and 2019 in 25 sampling areas comprising 106 plots of 100 m2 (vascular plants, arthropods) and 57 points where bird species were recorded. The plots were classified into three landscape types: mosaic agriculture, mixed rangelands and uniform rangelands. The relevés of Lemnos farmlands were assigned to plant communities of 18 phytosociological alliances, grouped into 12 classes. The most abundant arthropods were Coleoptera, Chilopoda, and Hymenoptera, followed by Opiliones and Isopoda, while 133 different bird species were recorded in total, including the recording for the first time on the island of five species. Farming on Lemnos is rather extensive compared to most agricultural landscapes of Europe. Our approach has demonstrated that, given the geographic characteristics of the area, the measured data reveal very high biodiversity. Our explorative findings suggest that moderate seasonal grazing, the mixed habitat mosaic with ecotones, fallow and stubble fields at the landscape scale, and the small size of fields, the kinds of crop, and farm-scale crop diversification, like mixed cultivation and crop rotation, are key practices supporting this diversity. These explorative findings are considered as a first step providing the baseline for future assessments. A wider effort, for systematic evaluation of the impacts of farming practices to biodiversity, is required, as part of a subsidized agri-environmental scheme and/or through a market-oriented product certification system for the area.

Investigating the associations between Mediterranean diet, physical activity and living environment with childhood asthma using path analysis.

OBJECTIVE: To investigate the role of the Mediterranean diet and physical activity with relation to living environment and childhood asthma. METHODS: 1125 children (529 boys), 10 to 12 years old were recruited either in an urban environment (Athens, n = 700) or rural environment (n = 425) in Greece. A path analytic model was developed to assess the causal relation between urban environment and asthma prevalence (standardized ISAAC questionnaire), through the mediation of the Mediterranean diet (evaluated by the KIDMED food frequency questionnaire) and physical activity (evaluated by the PALQ physical activity questionnaire). RESULTS: The proposed model had a very good fit (χ2/df ratio =1.05, RMSEA=0.007, 90% confidence interval: 0.01 to 0.046, p=0.97, CFI = 0.98). A significant total positive effect was found between urban environment and asthma symptoms (standardized beta= 0.09, p<0.001). Adherence to the Mediterranean diet was related negatively with asthma symptoms (standardized beta = -0.224, p<0.001). An inverse mediating effect of the Mediterranean diet was observed for the urban environment - asthma relation (standardized beta=-0.029, p<0.001) while physical activity had no significant contribution (p=0.62), adjusted for several confounders. CONCLUSIONS: The Mediterranean diet may protect against the harmful effect of urban environment on childhood asthma.

The mediating effect of parents' educational status on the association between adherence to the Mediterranean diet and childhood obesity: the PANACEA study.

OBJECTIVES: To investigate the potential mediating effect of parental education on the association between adherence to the Mediterranean diet and obesity, in 10-12 years old children. METHODS: A cross-sectional survey was performed among 1,125 (529 male) children in Greece. Children and their parents completed standardized questionnaires, which evaluated parents' educational level and dietary habits. Body mass index was calculated and children were classified as normal, overweight or obese (IOTF classification). Adherence to the Mediterranean diet was assessed using the KIDMED score. RESULTS: 27.7% of the children were overweight and 6.3% were obese; 12.3% of children reported high adherence to the Mediterranean diet. Multi-adjusted analysis, stratified by parental education, revealed that adherence to the Mediterranean diet was inversely associated with children's obesity status only in families in which at least one parent was of higher educational level (stratum-specific adjusted odds ratio: 0.41; 95% CI 0.17-0.98), but not those in which both parents were of low educational level. CONCLUSIONS: Parental education status seems to play a mediating role in the beneficial effect of Mediterranean diet on children's obesity status.

The association between leisure-time physical activities and asthma symptoms among 10- to 12-year-old children: the effect of living environment in the PANACEA study.

OBJECTIVE: This study evaluated the interrelationships of living environment, physical activity, lifestyle/dietary habits, and nutritional status on the prevalence of childhood asthma. METHODS: In a cross-sectional survey 1125 children (529 boys), 10 to 12 years old, were selected from 18 schools located in an urban environment (Athens, n = 700) and from 10 schools located in rural areas (n = 425) in Greece. RESULTS: Children living in Athens had higher likelihood of "ever had" asthma compared with children living in rural areas (odds ratio (OR) = 1.78, 95% confidence interval (CI) = 1.25-2.54), after adjusting for age and sex. After adjusting for age, sex, body mass index, and adherence to the Mediterranean diet (KIDMED score), leisure-time physical activity was inversely associated with "ever had" asthma. When stratifying by county of residence, a trend toward reduced asthma symptoms among children engaged in outdoor physical activities during their leisure time who reside in rural (but not urban) environment was observed (OR = 0.88, 95% CI = 0.77-1.01). CONCLUSIONS: The inverse relationship between asthma symptoms and leisure-time physical activity in the rural environment and the lack of an association between asthma symptoms and organized sports-related activities should draw the attention of public healthcare authorities. Their efforts should focus on the planning of a sustainable natural environment, which will promote the physical health of children and reduce the burden of childhood asthma.

Urban environment adherence to the Mediterranean diet and prevalence of asthma symptoms among 10- to 12-year-old children: The Physical Activity, Nutrition, and Allergies in Children Examined in Athens study.

Epidemiological studies have revealed several associations between asthma symptoms and environmental and dietary factors, but the potential environment- diet interactions on asthma incidence have rarely been investigated. The aim of this work was to evaluate the interrelationships between urban/rural environment, adherence to a healthy dietary pattern, the Mediterranean diet, and childhood asthma. A cross-sectional survey was performed and 1125 (529 boys), 10- to 12-year-old children were selected from 18 schools located in urban Athens area (n = 700) and from 10 schools located in rural areas of Ilia and Viotia (n = 425), Greece. Children and their parents completed standardized questionnaires, which evaluated, among others, environmental factors and dietary habits. Asthma was defined according to Phase II of the International Study on Allergies and Asthma in Childhood criteria. Adherence to the Mediterranean diet was assessed using the Mediterranean and Diet Quality Index for children and adolescents (KIDMED) score. Living in urban areas was associated with higher odds of ever had asthma symptoms by 1.78 times (95% confidence interval [CI], 1.25-2.54) when compared with rural areas. In contrast, 1-unit increase in the KIDMED score was associated with 16% lower likelihood of having asthma symptoms (95% CI, 0.77-0.91), after adjusting for various confounders. When stratifying the analysis by area of living it was observed that adherence to the Mediterranean diet was associated with lower likelihood of asthma in both urban and rural areas (urban, odds ratio [OR] = 0.81, 95% CI, 0.73-0.91; rural, OR = 0.87, 95% CI, 0.75-1.00). Urban environment seems to increase the likelihood of childhood asthma, whereas adherence to the healthy Mediterranean dietary pattern could mediate the aforementioned association and confers significant protection.