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dc.contributor.authorHerrera-Ramos, Estefanía
dc.contributor.authorTomaino, Laura
dc.contributor.authorSánchez-Villegas, Almudena
dc.contributor.authorRibas-Barba, Lourdes
dc.contributor.authorGómez, Santiago F.
dc.contributor.authorWarnberg, Julia 
dc.contributor.authorOsés-Recalde, Maddi
dc.contributor.authorGonzález-Gross, Marcela
dc.contributor.authorGusi, Narcís
dc.contributor.authorAznar, Susana
dc.contributor.authorMarín-Cascales, Elena
dc.contributor.authorGonzález-Valeiro, Miguel Ángel
dc.contributor.authorTerrados, Nicolás
dc.contributor.authorTur, Josep A.
dc.contributor.authorSegú, Marta
dc.contributor.authorFitó, Montserrat
dc.contributor.authorHoms, Clara
dc.contributor.authorBenavente Marín, Juan Carlos
dc.contributor.authorLabayen, Idoia
dc.contributor.authorZapico, Augusto G.
dc.contributor.authorSánchez-Gómez, Jesús
dc.contributor.authorJiménez-Zazo, Fabio
dc.contributor.authorAlcaraz-Ramón, Pedro Emilio
dc.contributor.authorSevilla-Sánchez, Marta
dc.contributor.authorPulgar-Muñoz, Susana
dc.contributor.authorBouzas, Cristina
dc.contributor.authorSistac-Sorigué, Clara
dc.contributor.authorSchröder, Helmut
dc.contributor.authorSerra-Majem, Lluís
dc.date.accessioned2023-07-21T09:58:39Z
dc.date.available2023-07-21T09:58:39Z
dc.date.created2023-07-05
dc.date.issued2023-05-17
dc.identifier.citationHerrera-Ramos E, Tomaino L, Sánchez-Villegas A, Ribas-Barba L, Gómez SF, Wärnberg J, Osés M, González-Gross M, Gusi N, Aznar S, et al. Trends in Adherence to the Mediterranean Diet in Spanish Children and Adolescents across Two Decades. Nutrients. 2023; 15(10):2348. https://doi.org/10.3390/nu15102348es_ES
dc.identifier.urihttps://hdl.handle.net/10630/27337
dc.description.abstractUnhealthy dietary habits determined during childhood may represent a risk factor to many of the chronic non-communicable diseases (NCDs) in adulthood. Mediterranean Diet (MD) adherence in children and adolescents (8–16 years) living in Spain was investigated using the KIDMED questionnaire in a comparative analysis of two cross-sectional nationwide representative studies: enKid (1998–2000, n = 1001) and PASOS (2019–2020, n = 3540). Taking into account the educational level of pupils, as well as the characteristics of the place of living, a significant association was found between a KIDMED score ≥ 8 (optimal MD adherence) and primary education as well as residency in an area of <50,000 inhabitants, while living in the southern regions was associated with non-optimal MD adherence (p < 0.001). Participants of the 2019–2020 study showed an increase in the consumption of dairy products (31.1% increase), pasta/rice (15.4% increase), olive oil (16.9% increase), and nuts (9.7% increase), as well as a decreased sweets and candies intake (12.6% reduction). In contrast, a significantly lower MD adherence was found when comparing the 2019–2020 (mean ± SE: 6.9 ± 0.04) and the 1998–2000 study (7.37 ± 0.08); p < 0.001), due to less consumption of fish (20.3% reduction), pulse (19.4% reduction), and fruits (14.9% reduction), and an increased intake of commercial goods/pastries or fast-food intake (both 19.4% increase). The lowest adherence was recorded for adolescents also in the most recent study, where 10.9% of them presented a KIDMED score ≤ 3. This study shows that eating habits are deteriorating among Spanish children and adolescents. Such findings point out the urgency of undertaking strong measures to promote the consumption of healthy, sustainable, and non-ultra-processed food, such as those available in an MD, not only at a scientific and academic level, but also at a governmental onees_ES
dc.description.sponsorshipPartial funding for open access charge: Universidad de Málagaes_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectDieta - Mediterráneo (Región)es_ES
dc.subjectNiños - Alimentación - Españaes_ES
dc.subjectAdolescentes - Alimentación - Españaes_ES
dc.subject.otherMediterranean dietes_ES
dc.subject.otherSpaines_ES
dc.subject.otherChildrenes_ES
dc.subject.otherAdolescentses_ES
dc.subject.otherNutritiones_ES
dc.titleTrends in Adherence to the Mediterranean Diet in Spanish Children and Adolescents across Two Decades.es_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.centroFacultad de Cienciases_ES
dc.identifier.doi10.3390/nu15102348
dc.rights.ccAtribución 4.0 Internacional*
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones_ES


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