Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study
A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was...
Gespeichert in:
| Veröffentlicht in: | Nutrients 2022-02, Vol.14 (4), p.738 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 4 |
| container_start_page | 738 |
| container_title | Nutrients |
| container_volume | 14 |
| creator | Bibiloni, Maria Del Mar Gallardo-Alfaro, Laura Gómez, Santiago F Wärnberg, Julia Osés-Recalde, Maddi González-Gross, Marcela Gusi, Narcís Aznar, Susana Marín-Cascales, Elena González-Valeiro, Miguel A Serra-Majem, Lluís Terrados, Nicolás Segu, Marta Lassale, Camille Homs, Clara Benavente-Marín, Juan Carlos Labayen, Idoia Zapico, Augusto G Sánchez-Gómez, Jesús Jiménez-Zazo, Fabio Alcaraz, Pedro E Sevilla-Sánchez, Marta Herrera-Ramos, Estefanía Pulgar, Susana Sistac, Clara Schröder, Helmut Bouzas, Cristina Tur, Josep A |
| description | A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8-16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56-0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97-2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77-2.38) and weekends (OR: 1.76, 95%CI: 1.48-2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles. |
| doi_str_mv | 10.3390/nu14040738 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8874357</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2633951952</sourcerecordid><originalsourceid>FETCH-LOGICAL-c336t-8739696e905e4fbf461eec67d6d13ab46e271878103d7364d45891348b192b213</originalsourceid><addsrcrecordid>eNpdkV9LHTEQxUNpqaK-9AOUQF-KcGuyk02yPhQu1_4DReHqc8huZruRvck12S347Zur1trOSwbym8OZOYS84-wTQMNOwswFE0yBfkX2K6aqhZQCXr_o98hRzrdsV4opCW_JHtQVr0HrfTKc4YRp44MNU6axp0s3YMLQIZ0inQakF-h8QZINaAM98zhRH-h6a4PPA10NfnSFpza4MhtHzB0WqVN6XWavluvLNV1Ps7s_JG96O2Y8enoPyM3XL9er74vzy28_VsvzRQcgp4VW0MhGYsNqFH3bC8kRO6mcdBxsKyRWimulOQOnQAonat1wELrlTdVWHA7I50fd7dxu0O3MJDuabfIbm-5NtN78-xP8YH7GX0ZrJaBWReDjk0CKdzPmyWx82WkcywHinE0ly91r3tRVQT_8h97GOYWy3gPFQDRCFOr4kepSzDlh_2yGM7PL0PzNsMDvX9p_Rv8kBr8By2yVWg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2633034944</pqid></control><display><type>article</type><title>Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Bibiloni, Maria Del Mar ; Gallardo-Alfaro, Laura ; Gómez, Santiago F ; Wärnberg, Julia ; Osés-Recalde, Maddi ; González-Gross, Marcela ; Gusi, Narcís ; Aznar, Susana ; Marín-Cascales, Elena ; González-Valeiro, Miguel A ; Serra-Majem, Lluís ; Terrados, Nicolás ; Segu, Marta ; Lassale, Camille ; Homs, Clara ; Benavente-Marín, Juan Carlos ; Labayen, Idoia ; Zapico, Augusto G ; Sánchez-Gómez, Jesús ; Jiménez-Zazo, Fabio ; Alcaraz, Pedro E ; Sevilla-Sánchez, Marta ; Herrera-Ramos, Estefanía ; Pulgar, Susana ; Sistac, Clara ; Schröder, Helmut ; Bouzas, Cristina ; Tur, Josep A</creator><creatorcontrib>Bibiloni, Maria Del Mar ; Gallardo-Alfaro, Laura ; Gómez, Santiago F ; Wärnberg, Julia ; Osés-Recalde, Maddi ; González-Gross, Marcela ; Gusi, Narcís ; Aznar, Susana ; Marín-Cascales, Elena ; González-Valeiro, Miguel A ; Serra-Majem, Lluís ; Terrados, Nicolás ; Segu, Marta ; Lassale, Camille ; Homs, Clara ; Benavente-Marín, Juan Carlos ; Labayen, Idoia ; Zapico, Augusto G ; Sánchez-Gómez, Jesús ; Jiménez-Zazo, Fabio ; Alcaraz, Pedro E ; Sevilla-Sánchez, Marta ; Herrera-Ramos, Estefanía ; Pulgar, Susana ; Sistac, Clara ; Schröder, Helmut ; Bouzas, Cristina ; Tur, Josep A</creatorcontrib><description>A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8-16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56-0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97-2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77-2.38) and weekends (OR: 1.76, 95%CI: 1.48-2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14040738</identifier><identifier>PMID: 35215388</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adolescents ; Body mass index ; Child ; Children ; Children & youth ; Cross-Sectional Studies ; Diet ; Diet, Mediterranean ; Exercise ; Feeding Behavior ; Female ; Females ; Guardians ; Humans ; Lifestyles ; Mothers ; Obesity ; Overweight ; Physical activity ; Questionnaires ; Regression analysis ; Screen Time ; Sedentary behavior ; Socioeconomic factors ; Spain - epidemiology ; Students ; Teenagers ; Variables</subject><ispartof>Nutrients, 2022-02, Vol.14 (4), p.738</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-8739696e905e4fbf461eec67d6d13ab46e271878103d7364d45891348b192b213</citedby><cites>FETCH-LOGICAL-c336t-8739696e905e4fbf461eec67d6d13ab46e271878103d7364d45891348b192b213</cites><orcidid>0000-0003-3352-2510 ; 0000-0002-4037-0239 ; 0000-0002-7327-0963 ; 0000-0003-2004-9162 ; 0000-0002-5814-3931 ; 0000-0002-5769-706X ; 0000-0001-7054-436X ; 0000-0002-4334-3287 ; 0000-0001-7757-3235 ; 0000-0002-6378-4098 ; 0000-0002-9658-9061 ; 0000-0002-1001-8883 ; 0000-0001-7815-7583 ; 0000-0002-3993-8069 ; 0000-0002-8408-316X ; 0000-0002-6940-0761 ; 0000-0002-1407-8461 ; 0000-0002-9340-2708 ; 0000-0002-9792-6656</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874357/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874357/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53768,53770</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35215388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bibiloni, Maria Del Mar</creatorcontrib><creatorcontrib>Gallardo-Alfaro, Laura</creatorcontrib><creatorcontrib>Gómez, Santiago F</creatorcontrib><creatorcontrib>Wärnberg, Julia</creatorcontrib><creatorcontrib>Osés-Recalde, Maddi</creatorcontrib><creatorcontrib>González-Gross, Marcela</creatorcontrib><creatorcontrib>Gusi, Narcís</creatorcontrib><creatorcontrib>Aznar, Susana</creatorcontrib><creatorcontrib>Marín-Cascales, Elena</creatorcontrib><creatorcontrib>González-Valeiro, Miguel A</creatorcontrib><creatorcontrib>Serra-Majem, Lluís</creatorcontrib><creatorcontrib>Terrados, Nicolás</creatorcontrib><creatorcontrib>Segu, Marta</creatorcontrib><creatorcontrib>Lassale, Camille</creatorcontrib><creatorcontrib>Homs, Clara</creatorcontrib><creatorcontrib>Benavente-Marín, Juan Carlos</creatorcontrib><creatorcontrib>Labayen, Idoia</creatorcontrib><creatorcontrib>Zapico, Augusto G</creatorcontrib><creatorcontrib>Sánchez-Gómez, Jesús</creatorcontrib><creatorcontrib>Jiménez-Zazo, Fabio</creatorcontrib><creatorcontrib>Alcaraz, Pedro E</creatorcontrib><creatorcontrib>Sevilla-Sánchez, Marta</creatorcontrib><creatorcontrib>Herrera-Ramos, Estefanía</creatorcontrib><creatorcontrib>Pulgar, Susana</creatorcontrib><creatorcontrib>Sistac, Clara</creatorcontrib><creatorcontrib>Schröder, Helmut</creatorcontrib><creatorcontrib>Bouzas, Cristina</creatorcontrib><creatorcontrib>Tur, Josep A</creatorcontrib><title>Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8-16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56-0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97-2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77-2.38) and weekends (OR: 1.76, 95%CI: 1.48-2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Body mass index</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Exercise</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Females</subject><subject>Guardians</subject><subject>Humans</subject><subject>Lifestyles</subject><subject>Mothers</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Physical activity</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Screen Time</subject><subject>Sedentary behavior</subject><subject>Socioeconomic factors</subject><subject>Spain - epidemiology</subject><subject>Students</subject><subject>Teenagers</subject><subject>Variables</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkV9LHTEQxUNpqaK-9AOUQF-KcGuyk02yPhQu1_4DReHqc8huZruRvck12S347Zur1trOSwbym8OZOYS84-wTQMNOwswFE0yBfkX2K6aqhZQCXr_o98hRzrdsV4opCW_JHtQVr0HrfTKc4YRp44MNU6axp0s3YMLQIZ0inQakF-h8QZINaAM98zhRH-h6a4PPA10NfnSFpza4MhtHzB0WqVN6XWavluvLNV1Ps7s_JG96O2Y8enoPyM3XL9er74vzy28_VsvzRQcgp4VW0MhGYsNqFH3bC8kRO6mcdBxsKyRWimulOQOnQAonat1wELrlTdVWHA7I50fd7dxu0O3MJDuabfIbm-5NtN78-xP8YH7GX0ZrJaBWReDjk0CKdzPmyWx82WkcywHinE0ly91r3tRVQT_8h97GOYWy3gPFQDRCFOr4kepSzDlh_2yGM7PL0PzNsMDvX9p_Rv8kBr8By2yVWg</recordid><startdate>20220209</startdate><enddate>20220209</enddate><creator>Bibiloni, Maria Del Mar</creator><creator>Gallardo-Alfaro, Laura</creator><creator>Gómez, Santiago F</creator><creator>Wärnberg, Julia</creator><creator>Osés-Recalde, Maddi</creator><creator>González-Gross, Marcela</creator><creator>Gusi, Narcís</creator><creator>Aznar, Susana</creator><creator>Marín-Cascales, Elena</creator><creator>González-Valeiro, Miguel A</creator><creator>Serra-Majem, Lluís</creator><creator>Terrados, Nicolás</creator><creator>Segu, Marta</creator><creator>Lassale, Camille</creator><creator>Homs, Clara</creator><creator>Benavente-Marín, Juan Carlos</creator><creator>Labayen, Idoia</creator><creator>Zapico, Augusto G</creator><creator>Sánchez-Gómez, Jesús</creator><creator>Jiménez-Zazo, Fabio</creator><creator>Alcaraz, Pedro E</creator><creator>Sevilla-Sánchez, Marta</creator><creator>Herrera-Ramos, Estefanía</creator><creator>Pulgar, Susana</creator><creator>Sistac, Clara</creator><creator>Schröder, Helmut</creator><creator>Bouzas, Cristina</creator><creator>Tur, Josep A</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3352-2510</orcidid><orcidid>https://orcid.org/0000-0002-4037-0239</orcidid><orcidid>https://orcid.org/0000-0002-7327-0963</orcidid><orcidid>https://orcid.org/0000-0003-2004-9162</orcidid><orcidid>https://orcid.org/0000-0002-5814-3931</orcidid><orcidid>https://orcid.org/0000-0002-5769-706X</orcidid><orcidid>https://orcid.org/0000-0001-7054-436X</orcidid><orcidid>https://orcid.org/0000-0002-4334-3287</orcidid><orcidid>https://orcid.org/0000-0001-7757-3235</orcidid><orcidid>https://orcid.org/0000-0002-6378-4098</orcidid><orcidid>https://orcid.org/0000-0002-9658-9061</orcidid><orcidid>https://orcid.org/0000-0002-1001-8883</orcidid><orcidid>https://orcid.org/0000-0001-7815-7583</orcidid><orcidid>https://orcid.org/0000-0002-3993-8069</orcidid><orcidid>https://orcid.org/0000-0002-8408-316X</orcidid><orcidid>https://orcid.org/0000-0002-6940-0761</orcidid><orcidid>https://orcid.org/0000-0002-1407-8461</orcidid><orcidid>https://orcid.org/0000-0002-9340-2708</orcidid><orcidid>https://orcid.org/0000-0002-9792-6656</orcidid></search><sort><creationdate>20220209</creationdate><title>Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study</title><author>Bibiloni, Maria Del Mar ; Gallardo-Alfaro, Laura ; Gómez, Santiago F ; Wärnberg, Julia ; Osés-Recalde, Maddi ; González-Gross, Marcela ; Gusi, Narcís ; Aznar, Susana ; Marín-Cascales, Elena ; González-Valeiro, Miguel A ; Serra-Majem, Lluís ; Terrados, Nicolás ; Segu, Marta ; Lassale, Camille ; Homs, Clara ; Benavente-Marín, Juan Carlos ; Labayen, Idoia ; Zapico, Augusto G ; Sánchez-Gómez, Jesús ; Jiménez-Zazo, Fabio ; Alcaraz, Pedro E ; Sevilla-Sánchez, Marta ; Herrera-Ramos, Estefanía ; Pulgar, Susana ; Sistac, Clara ; Schröder, Helmut ; Bouzas, Cristina ; Tur, Josep A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-8739696e905e4fbf461eec67d6d13ab46e271878103d7364d45891348b192b213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Body mass index</topic><topic>Child</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, Mediterranean</topic><topic>Exercise</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Females</topic><topic>Guardians</topic><topic>Humans</topic><topic>Lifestyles</topic><topic>Mothers</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Physical activity</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Screen Time</topic><topic>Sedentary behavior</topic><topic>Socioeconomic factors</topic><topic>Spain - epidemiology</topic><topic>Students</topic><topic>Teenagers</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bibiloni, Maria Del Mar</creatorcontrib><creatorcontrib>Gallardo-Alfaro, Laura</creatorcontrib><creatorcontrib>Gómez, Santiago F</creatorcontrib><creatorcontrib>Wärnberg, Julia</creatorcontrib><creatorcontrib>Osés-Recalde, Maddi</creatorcontrib><creatorcontrib>González-Gross, Marcela</creatorcontrib><creatorcontrib>Gusi, Narcís</creatorcontrib><creatorcontrib>Aznar, Susana</creatorcontrib><creatorcontrib>Marín-Cascales, Elena</creatorcontrib><creatorcontrib>González-Valeiro, Miguel A</creatorcontrib><creatorcontrib>Serra-Majem, Lluís</creatorcontrib><creatorcontrib>Terrados, Nicolás</creatorcontrib><creatorcontrib>Segu, Marta</creatorcontrib><creatorcontrib>Lassale, Camille</creatorcontrib><creatorcontrib>Homs, Clara</creatorcontrib><creatorcontrib>Benavente-Marín, Juan Carlos</creatorcontrib><creatorcontrib>Labayen, Idoia</creatorcontrib><creatorcontrib>Zapico, Augusto G</creatorcontrib><creatorcontrib>Sánchez-Gómez, Jesús</creatorcontrib><creatorcontrib>Jiménez-Zazo, Fabio</creatorcontrib><creatorcontrib>Alcaraz, Pedro E</creatorcontrib><creatorcontrib>Sevilla-Sánchez, Marta</creatorcontrib><creatorcontrib>Herrera-Ramos, Estefanía</creatorcontrib><creatorcontrib>Pulgar, Susana</creatorcontrib><creatorcontrib>Sistac, Clara</creatorcontrib><creatorcontrib>Schröder, Helmut</creatorcontrib><creatorcontrib>Bouzas, Cristina</creatorcontrib><creatorcontrib>Tur, Josep A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bibiloni, Maria Del Mar</au><au>Gallardo-Alfaro, Laura</au><au>Gómez, Santiago F</au><au>Wärnberg, Julia</au><au>Osés-Recalde, Maddi</au><au>González-Gross, Marcela</au><au>Gusi, Narcís</au><au>Aznar, Susana</au><au>Marín-Cascales, Elena</au><au>González-Valeiro, Miguel A</au><au>Serra-Majem, Lluís</au><au>Terrados, Nicolás</au><au>Segu, Marta</au><au>Lassale, Camille</au><au>Homs, Clara</au><au>Benavente-Marín, Juan Carlos</au><au>Labayen, Idoia</au><au>Zapico, Augusto G</au><au>Sánchez-Gómez, Jesús</au><au>Jiménez-Zazo, Fabio</au><au>Alcaraz, Pedro E</au><au>Sevilla-Sánchez, Marta</au><au>Herrera-Ramos, Estefanía</au><au>Pulgar, Susana</au><au>Sistac, Clara</au><au>Schröder, Helmut</au><au>Bouzas, Cristina</au><au>Tur, Josep A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2022-02-09</date><risdate>2022</risdate><volume>14</volume><issue>4</issue><spage>738</spage><pages>738-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8-16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56-0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97-2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77-2.38) and weekends (OR: 1.76, 95%CI: 1.48-2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35215388</pmid><doi>10.3390/nu14040738</doi><orcidid>https://orcid.org/0000-0003-3352-2510</orcidid><orcidid>https://orcid.org/0000-0002-4037-0239</orcidid><orcidid>https://orcid.org/0000-0002-7327-0963</orcidid><orcidid>https://orcid.org/0000-0003-2004-9162</orcidid><orcidid>https://orcid.org/0000-0002-5814-3931</orcidid><orcidid>https://orcid.org/0000-0002-5769-706X</orcidid><orcidid>https://orcid.org/0000-0001-7054-436X</orcidid><orcidid>https://orcid.org/0000-0002-4334-3287</orcidid><orcidid>https://orcid.org/0000-0001-7757-3235</orcidid><orcidid>https://orcid.org/0000-0002-6378-4098</orcidid><orcidid>https://orcid.org/0000-0002-9658-9061</orcidid><orcidid>https://orcid.org/0000-0002-1001-8883</orcidid><orcidid>https://orcid.org/0000-0001-7815-7583</orcidid><orcidid>https://orcid.org/0000-0002-3993-8069</orcidid><orcidid>https://orcid.org/0000-0002-8408-316X</orcidid><orcidid>https://orcid.org/0000-0002-6940-0761</orcidid><orcidid>https://orcid.org/0000-0002-1407-8461</orcidid><orcidid>https://orcid.org/0000-0002-9340-2708</orcidid><orcidid>https://orcid.org/0000-0002-9792-6656</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2072-6643 |
| ispartof | Nutrients, 2022-02, Vol.14 (4), p.738 |
| issn | 2072-6643 2072-6643 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8874357 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adolescent Adolescents Body mass index Child Children Children & youth Cross-Sectional Studies Diet Diet, Mediterranean Exercise Feeding Behavior Female Females Guardians Humans Lifestyles Mothers Obesity Overweight Physical activity Questionnaires Regression analysis Screen Time Sedentary behavior Socioeconomic factors Spain - epidemiology Students Teenagers Variables |
| title | Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T09%3A19%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Determinants%20of%20Adherence%20to%20the%20Mediterranean%20Diet%20in%20Spanish%20Children%20and%20Adolescents:%20The%20PASOS%20Study&rft.jtitle=Nutrients&rft.au=Bibiloni,%20Maria%20Del%20Mar&rft.date=2022-02-09&rft.volume=14&rft.issue=4&rft.spage=738&rft.pages=738-&rft.issn=2072-6643&rft.eissn=2072-6643&rft_id=info:doi/10.3390/nu14040738&rft_dat=%3Cproquest_pubme%3E2633951952%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2633034944&rft_id=info:pmid/35215388&rfr_iscdi=true |