RT Journal Article
T1 Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study.
A1 Bibiloni, Maria Del Mar
A1 Gallardo-Alfaro, Laura
A1 Gomez, Santiago F
A1 Wärnberg, Julia
A1 Oses-Recalde, Maddi
A1 Gonzalez-Gross, Marcela
A1 Gusi, Narcis
A1 Aznar, Susana
A1 Marin-Cascales, Elena
A1 Gonzalez-Valeiro, Miguel A
A1 Serra-Majem, Lluis
A1 Terrados, Nicolas
A1 Segu, Marta
A1 Lassale, Camille
A1 Homs, Clara
A1 Benavente-Marin, Juan Carlos
A1 Labayen, Idoia
A1 Zapico, Augusto G
A1 Sanchez-Gomez, Jesus
A1 Jimenez-Zazo, Fabio
A1 Alcaraz, Pedro E
A1 Sevilla-Sanchez, Marta
A1 Herrera-Ramos, Estefania
A1 Pulgar, Susana
A1 Sistac, Clara
A1 Schröder, Helmut
A1 Bouzas, Cristina
A1 Tur, Josep A
K1 Mediterranean diet
K1 PASOS
K1 adolescents
K1 children
K1 lifestyle
AB 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.
PB MDPI AG
YR 2022
FD 2022-02-09
LK http://hdl.handle.net/10668/21456
UL http://hdl.handle.net/10668/21456
LA en
NO Bibiloni MDM, Gallardo-Alfaro L, Gómez SF, Wärnberg J, Osés-Recalde M, González-Gross M, et al. Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Nutrients. 2022 Feb 9;14(4):738.
DS RISalud
RD Sep 27, 2025