Adherence to mediterranean diet and its associated factors in adolescents from Madrid

e202210076

Authors

  • Laura Sánchez-Rodríguez Hospital General Nuestra Señora del Prado. Talavera de la Reina. España.
  • Carlos Fernández-Escobar Escuela Nacional de Sanidad, Instituto de Salud Carlos III. Madrid. España.
  • Elena Ordaz-Castillo Escuela Nacional de Sanidad, Instituto de Salud Carlos III. Madrid. España.
  • Miguel Ángel Royo-Bordonada Escuela Nacional de Sanidad, Instituto de Salud Carlos III. Madrid. España.

Keywords:

Children, Mediterranean diet, Food habits, Nutrition, Kidmed

Abstract

BACKGROUND // Unhealthy diet is the main contributor to childhood obesity. The aim of this study was to assess adherence to the mediterranean diet in a sample of adolescents and analyse adherence-related factors.
METHODS // Cross-sectional descriptive study (June-October 2020), in a non-probabilistic sample of 473 patients with Substance Use Disorder, from the 8 Addiction Care Centers (CAD) of the Madrid City Council. Their demographic, habits and health characteristics, IgM and IgG for SARS-CoV-2, previous PCR, presence of symptoms, contact with COVID-19 cases were described, and multivariate analysis was performed using binary logistic regression.
RESULTS // A total of 64.3% of participants displayed a medium level and 21.3% a high level of adherence to the mediterranean diet. High adherence was less frequent among teenage girls (17% [PR=0.63; p=0.02]), those whose mothers had not gone beyond primary school (16.3% [PR=0.58; p=0.07]), those who slept less than 8.5 h/day (16.8% [PR=0.54; p<0.01]), and those who used a mobile telephone for more than 2.6 hours per day (12.2% [PR=0.56; p=0.02]).
CONCLUSIONS // Adherence to the mediterranean diet is less than optimum in four out of five adolescents, and is lower in teenage girls whose mothers had not gone beyond primary school or who devote more time to mobile telephones and less time to sleeping. Our results highlight the importance of paying attention to sleeping habits and reducing the use of screens when seeking to improve mediterranean diet adherence among adolescents.

Downloads

Download data is not yet available.

References

Organización Mundial de la Salud. Informe de la comisión para acabar con la obesidad infantil. Ginebra: Organización Mundial de la Salud, 2016 [consultado 26 agosto 2021];1-42.

The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377:13-27.

Inge TH, King WC, Jenkins TM, Courcoulas AP, Mitsnefes M, Flum DR et al. The effect of obesity in adolescence on adult health status. Pediatrics. 2013;132:1098-1104.

Jaacks LM, Vandevijvere S, Pan A, McGowan CJ, Wallace C, Imamura F et al. The obesity transition: stages of the global epidemic. Lancet Diabetes Endocrinol. 2019;7:1-40.

OECD. Heavy Burden of Obesity: The Economics of Prevention. OECD, 2019.

NCD Risk Factor Collaboration. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390:2627-2642.

Garrido-Miguel M, Cavero-Redondo I, Álvarez-Bueno C, Rodríguez-Artalejo F, Moreno LA, Ruiz JR et al. Prevalence and trends of overweight and obesity in European children from 1999 to 2016: A systematic review and meta-analysis: A systematic review and meta-analysis. JAMA Pediatr. 2019;173:e192430.

Ministerio de Sanidad, Consumo y Bienestar Social. Encuesta Nacional de Salud de España, 2017 [consultado 26 agosto 2021].

Aranceta-Bartrina J, Gianzo-Citores M, Pérez-Rodrigo C. Prevalence of overweight, obesity and abdominal obesity in the Spanish population aged 3 to 24 years. The ENPE study. Rev Esp Cardiol. 2019;73:290-299.

Basterra-Gortari FJ, Bes-Rastrollo M, Ruiz-Canela M, Gea A, Martinez-Gonzalez MÁ. Prevalencia de obesidad y diabetes en adultos españoles, 1987-2012. Med Clin (Barc). 2017;148:250-256.

Pettigrew S, Jongenelis M, Miller C, Chapman K. A path analysis model of factors influencing children’s requests for unhealthy foods. Eat Behav. 2017;24:95-101.

Royo-Bordonada MA, Rodríguez-Artalejo F, Bes-Rastrollo M, Fernández-Escobar C, González CA, Rivas F et al. Políticas alimentarias para prevenir la obesidad y las principales enfermedades no transmisibles en España: querer es poder. Gac Sanit. 2019;33:584-592.

Calatayud-Sáez F, Calatayud-Moscoso del Prado B, and Gallego Fernández-Pacheco JG. Efectos de una Dieta mediterránea tradicional en niños con sobrepeso y obesidad tras un año de intervención. Pediatr Aten Primaria. 2011;13:553-569.

Zalewska M, Maciorkowska E. Selected nutritional habits of teenagers associated with overweight and obesity. PeerJ. 2017;5:e3681.

Echeverría G, McGee E, Urquiaga I, Jiménez P, D’Acuña S, Villarroel L et al. Inverse associations between a locally validated Mediterranean diet index, overweight/obesity, and metabolic syndrome in Chilean adults. Nutrients. 2017;9:862.

Cabrera SG, Fernández NH, Hernández CR, Nissensohn M, Román-Viña B Serra-Majem L. Test KIDMED; prevalencia de la baja Adhesión a la Dieta mediterránea en niños y adolescentes; Revisión Sistemática. Nutr Hosp. 2015;32:2390-2399.

Partearroyo T, Samaniego-Vaesken ML, Ruiz E, Aranceta-Bartrina J, Gil Á, González-Gross M et al. Current food consumption amongst the Spanish ANIBES study population. Nutrients. 2019;11:1-15.

Puertas-Molero P, San Román-Mata S, González-Valero G, Ubago-Jiménez JL. Hábitos y estilos de vida saludable en escolares de Educación Primaria. Importancia de la adherencia a la Dieta mediterránea. Journal of Sport and Health Research. 2020;12 (Supl 3):295-302.

Tapia-López A. Diferencias en los niveles de actividad física, grado de adherencia a la Dieta mediterránea y autoconcepto físico en adolescentes en función del sexo. Retos: nuevas tendencias en educación física, deporte y recreación. Retos. 2019;36:185-192.

Gómez FS, Lorenzo L, Ribes C, Homs C. Informe estudio PASOS 2019. Barcelona: Gasol Foundation, 2019 [consultado 26 agosto 2021].

Castells-Valdivielso M. El reconocimiento internacional de la Dieta mediterránea como patrimonio inmaterial: oportunidades para el turismo gastronómico balear. Boletín Gestión Cultural. 2008;17:1-16.

Bibiloni M, Pons A, Tur JA. Compliance with the Mediterranean Diet Quality Index (KIDMED) among Balearic Islands’ adolescents and Its association with socioeconomic, anthropometric and lifestyle factors. Ann Nutr Metab. 2016;68:42-50.

Ramiro-González MD, Sanz-Barbero B, Royo-Bordonada MA. Exceso de peso infantil en España 2006-2012. Determinantes y error de percepción parental. Rev Esp Cardiol. 2017;70:656-663.

Wärnberg J, Pérez-Farinós N, Benavente-Marín JC, Gómez SF, Labayen I, G Zapico A et al. Screen time and parents’ education level are associated with poor adherence to the Mediterranean diet in Spanish children and adolescents: The PASOS study. J Clin Med. 2021;10:795.

Díaz T, Ficapal-Cusí P, and Aguilar-Martínez A. Hábitos de desayuno en estudiantes de primaria y secundaria: posibilidades para la educación nutricional en la escuela. Nutr Hosp. 2016;33:391.

Kelly B, Vandevijvere S, Ng S, Adams J, Allemandi L, Bahena-Espina L et al. Global benchmarking of children’s exposure to television advertising of unhealthy foods and beverages across 22 countries. Obes Rev. 2019;20 (Suppl 2):116-128.

Royo-Bordonada MA, León-Flández K, Damián J, Bosqued-Estefanía MJ, Moya-Geromini MA, López-Jurado L. The extent and nature of food advertising to children on Spanish television in 2012 using an international food-based coding system and the UK nutrient profiling model. Public Health. 2016;137:88-94.

Norman J, Kelly B, McMahon AT, Boyland E, Baur LA, Chapman K et al. Sustained impact of energy-dense TV and online food advertising on children’s dietary intake: a within-subject, randomised, crossover, counter-balanced trial. Int J Behav Nutr Phys Act. 2018;15:37.

Pérez-Farinós N, Villar-Villalba C, López-Sobaler AM, Dal Re-Saavedra MA, Aparicio A, Santos-Sanz S et al. The relationship between hours of sleep, screen time and frequency of food and drink consumption in Spain in the 2011 and 2013 ALADINO: a cross-sectional study. BMC Public Health. 2017;17:1-12.

Fung-Fallas M, Rojas-Mora EJ, Delgado-Castro LG. Impacto del tiempo de pantalla en la salud de niños y adolescentes. Rev Medica Sinerg. 2020;5:1-10.

Martínez-González MA, Gea A, Ruiz-Canela M. The Mediterranean diet and cardiovascular health: A critical review. Circ Res. 2019;124:779-798.

Miqueleiz E, Lostao L, Ortega P, Santos JM, Astasio P, Regidor E. Patrón socioeconómico en la alimentación no saludable en niños y adolescentes en España. Aten Primaria. 2014;46:433-439.

Lima-Serrano M, Guerra-Martín MD, Lima-Rodríguez JS. Lifestyles and factors associated to nutrition and physical activity among adolescents. Nutr Hosp. 2015;32:2838-2847.

Alfaro-González M, Vázquez-Fernández ME, Fierro-Urturi A, Rodríguez-Molinero L, Muñoz-Moreno MF, Herrero-Bregón B. Hábitos de alimentación y ejercicio físico en los adolescentes. Pediatr Aten Primaria. 2016;18:221-229.

Fernández-Escobar C, Monroy-Parada DX, Ordaz Castillo E, Lois D, Royo-Bordonada MA. Effect of health-promoting messages in television food commercials on adolescents’ attitudes and consumption: A randomized intervention study. Appetite. 2021;158:105014.

Bawaked RA, Gomez SF, Homs C, Casas Esteve R, Cardenas G, Fíto M et al. Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children. Appetite. 2018;130:279-85.

Arcila-Agudelo AM, Ferrer-Svoboda C, Torres-Fernàndez T, Farran-Codina A. Determinants of adherence to healthy eating patterns in a population of children and adolescents: Evidence on the Mediterranean diet in the city of Mataró (Catalonia, Spain). Nutrients. 2019;11(4):854.

Serra-Majem L, Ribas-Barba L, Ngo de la Cruz J, Ortega Anta R, Pérez Rodrigo C, Aranceta Bartrina J. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition. 2004;7(7): 931-935.

Moreno C, Ramos P, River F, Sánchez-Queija I, Jiménez-Iglesias A, García-Moya I et al. La adolescencia en España: salud, bienestar, familia, vida académica y social. Resultados del Estudio HBSC 2018. Ministerio de Sanidad, Consumo y Bienestar Social, 2019 [consultado 19 julio 2021].

Puhl RM, Latner JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull. 2007;133:557-580.

Tur JA, Puig MS, Benito E, Pons A. Associations between sociodemographic and lifestyle factors and dietary quality among adolescents in Palma de Mallorca. Nutrition 2004;20:502-508.

Arcila-Agudelo AM. Aportes metodológicos para el estudio de los entornos alimentarios en población escolar [tesis doctoral]. Barcelona: Universitat de Barcelona, 2020.

Serra-Majem L, Pérez-Rodrigo C. Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: The enKid study. Eur J Clin Nutr. 2003;57:40-44.

GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1923-1994.

Felso R, Lohner S, Hollody K, Erhardt E, Molnar D. Relationship between sleep duration and childhood obesity: Systematic review including the potential underlying mechanisms. Nutr Metab Cardiovasc Dis. 2017;27:751-761.

Córdova FV, Barja S, Brockmann PE. Consequences of short sleep duration on the dietary intake in children: A systematic review and metanalysis. Sleep Med Rev. 2018;42:68-84.

Puertas-Molero P, San Román-Mata S, González-Valero G, Ubago-Jiménez JL. Hábitos y estilos de vida saludable en escolares de educación primaria. Importancia de la adherencia a la Dieta mediterránea. Journal of Sport and Health Research. 2020;12:295-302.

García FR, López AM. Adherence to a mediterranean diet in secondary school population of Guadix. Journal of Negative and No Positive Results. 2018;3:392-397.

Iaccarino P, Scalfi L, Valerio G. Adherence to the mediterranean diet in children and adolescents: A systematic review. Nutr Metab Cardiovasc Dis. 2017;27:283-299.

Russell SJ, Croker H, Viner RM. The effect of screen advertising on children’s dietary intake: A systematic review and meta-analysis. Obes Rev. 2019;20:554-568.

Hobbs M, Pearson N, Foster PJ, Biddle SJH. Sedentary behaviour and diet across the lifespan: An updated systematic review. Br J Sports Med. 2015;49:1179-1188.

Santaliestra-Pasías AM, Mouratidou T, Huybrechts I, Beghin L, Cuenca-García M, Castillo MJ et al. Increased sedentary behaviour is associated with unhealthy dietary patterns in European adolescents participating in the HELENA study. Eur J Clin Nutr. 2014;68:300-308.

Published

2022-10-07

How to Cite

1.
Sánchez-Rodríguez L, Fernández-Escobar C, Ordaz-Castillo E, Royo-Bordonada M Ángel. Adherence to mediterranean diet and its associated factors in adolescents from Madrid: e202210076. Rev Esp Salud Pública [Internet]. 2022 Oct. 7 [cited 2024 Nov. 23];96:13 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/288

Most read articles by the same author(s)