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Nutrients 2019, 11(4), 854; https://doi.org/10.3390/nu11040854

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)

1
Department of Nutrition, Food Science, and Gastronomy, XaRTA – INSA, Faculty of Pharmacy, University of Barcelona, Campus de l’Alimentació de Torribera, Av. Prat de la Riba, 171, Santa Coloma de Gramenet, E-08921 Barcelona, Spain
2
Blanquerna Faculty of Health Science, University Ramon Llull Carrer Padilla, 326-332, 08025 Barcelona, Spain
3
Social Welfare, Health and Consumption of the Mataró Town Hall, Avinguda de Puig i Cadafalch 101-111, 1er pis, 08303 Mataró, Spain
*
Author to whom correspondence should be addressed.
Received: 17 March 2019 / Revised: 10 April 2019 / Accepted: 12 April 2019 / Published: 15 April 2019
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Abstract

Despite its benefits, the Mediterranean diet (MD) is being abandoned or not adopted by young generations in most Mediterranean countries. In Spain, up to 69% of the child and adolescent population has been found to have suboptimal adherence to the MD. The aim of this study was to analyze which factors are associated with an optimal adherence to the MD in school-age children and adolescents from Mataró, Spain. A cross-sectional study was performed on 1177 children and adolescents aged between 6 and 18 years from Mataró. The Mediterranean Diet Quality Index for Children and Adolescents (KIDMED index) was used to evaluate adherence to a MD. We found that over 59% of subjects showed suboptimal adherence to a MD, with this prevalence being higher for secondary school than for primary school children. The factors positively associated with following an optimal MD were the mother’s education level, children at the primary school level, the absence of distractions at breakfast, and regular physical activity. The availability of spending money was negatively associated with the likelihood of optimal adherence to a MD. Future research should study more in-depth the possible causality between the factors studied and adherence to a MD. View Full-Text
Keywords: healthy eating patterns; Mediterranean diet; children; adolescents; KIDMED healthy eating patterns; Mediterranean diet; children; adolescents; KIDMED
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Arcila-Agudelo, A.M.; 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, 854.

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