Nutrients 2013, 5(12), 4908-4923; doi:10.3390/nu5124908
Article

Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy

1,2,* email, 1email, 3email, 4email, 5email, 1email, 1email, 1email, 1email, 2,†email and 1,†email
Received: 26 September 2013; in revised form: 8 November 2013 / Accepted: 18 November 2013 / Published: 4 December 2013
(This article belongs to the Special Issue Mediterranean Diet Pattern and Public Health)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: The present study aimed to examine the factors associated with increased Mediterranean diet (MD) adherence among a sample of Italian adolescents. A cross-sectional survey was conducted on 1135 students (13–16 years) attending 13 secondary schools of Sicily, southern Italy. Validated instruments were used for dietary assessment and the KIDMED score to assess adolescents’ adherence to the MD. A higher adherence to the MD was associated with high socioeconomic status (Odds Ratio [OR] 1.53, 95% Confidence Interval [CI]: 1.03–2.26) and high physical activity (OR 1.19, 95% CI: 1.02–1.70), whereas lower adherence was associated with living in an urban environment (OR 0.65, 95% CI: 0.44–0.97) and being obese (OR 0.59, 95% CI: 0.37–0.94). The adolescents’ KIDMED scores were inversely associated with adolescents’ intake of sweets, fast foods, fried foods, and sugary drinks, and directly with fruit, vegetables, pasta, fish, and cheese intakes. Urban-living adolescents were less likely to eat fruit and more prone to consume meat, sugary drinks, and fast food than rural-living adolescents. The latter were more likely to eat sweets and snacks. A general poor quality of food consumption in Italian adolescents away from the MD was reported, especially among those living in urban areas.
Keywords: adolescents; Mediterranean diet; food intake; obesity; environment; nutrition transition
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MDPI and ACS Style

Grosso, G.; Marventano, S.; Buscemi, S.; Scuderi, A.; Matalone, M.; Platania, A.; Giorgianni, G.; Rametta, S.; Nolfo, F.; Galvano, F.; Mistretta, A. Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy. Nutrients 2013, 5, 4908-4923.

AMA Style

Grosso G, Marventano S, Buscemi S, Scuderi A, Matalone M, Platania A, Giorgianni G, Rametta S, Nolfo F, Galvano F, Mistretta A. Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy. Nutrients. 2013; 5(12):4908-4923.

Chicago/Turabian Style

Grosso, Giuseppe; Marventano, Stefano; Buscemi, Silvio; Scuderi, Alessandro; Matalone, Margherita; Platania, Alessio; Giorgianni, Gabriele; Rametta, Stefania; Nolfo, Francesca; Galvano, Fabio; Mistretta, Antonio. 2013. "Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy." Nutrients 5, no. 12: 4908-4923.


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