scholarly journals Health behaviours as predictors of the Mediterranean Diet adherence: a decision tree approach

2021 ◽  
pp. 1-30
Author(s):  
Joana Margarida Bôto ◽  
Ana Marreiros ◽  
Patrícia Diogo ◽  
Ezequiel Pinto ◽  
Maria Palma Mateus
Keyword(s):  
Decision Tree ◽  
Mediterranean Diet ◽  
Eating Habits ◽  
Daily Intake ◽  
Health Behaviours ◽  
Cross Sectional ◽  
Interaction Detection ◽  
High Adherence ◽  
The Mediterranean ◽  
Kidmed Index

Abstract Objective: This study aimed to identify health behaviours that determine adolescent’s adherence to the Mediterranean Diet through a decision tree statistical approach Design: Cross-sectional study, with data collected through a self-fulfilment questionnaire with five sections: 1) eating habits; 2) adherence to the Mediterranean Diet (KIDMED Index); 3) physical activity; 4) health habits; 5) sociodemographic characteristics. Anthropometric and blood pressure data were collected by a trained research team. The Automatic Chi-square Interaction Detection (CHAID) method was used to identify health behaviours that contribute to a better adherence to the Mediterranean Diet. Setting: Eight public secondary schools, in Algarve, Portugal. Participants: Adolescents with ages between 15 and 19 years old (n 325). Results: According to the KIDMED Index, we found a low adherence to MD in 9.0% of the participants, an intermediate adherence in 45.5% and a high adherence in 45.5%. Participants that regularly have breakfast, eat vegetable soup, have a second piece of fruit per day, eat fresh or cooked vegetables one or more times a day, eat oleaginous fruits at least 2 to 3 times a week, and practice sports and leisure physical activities outside school show higher adherence to the MD (P <0.001). Conclusions: The daily intake of two pieces of fruit and vegetables proved to be a determinant health behaviour for high adherence to MD. Strategies to promote the intake of these foods among adolescents must be developed and implemented.

scholarly journals Chronotype and Adherence to the Mediterranean Diet in Obesity: Results from the Opera Prevention Project

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1354
Author(s):  
Giovanna Muscogiuri ◽  
Luigi Barrea ◽  
Sara Aprano ◽  
Lydia Framondi ◽  
Rossana Di Matteo ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Mediterranean Diet ◽  
Eating Habits ◽  
Common Finding ◽  
Middle Aged ◽  
Unhealthy Lifestyle ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Prevention Project ◽  
The Mediterranean

Chronotype is the attitude of a subject in determining individual circadian preference in behavioral and biological rhythm relative to the external light–dark cycle. Obesity and unhealthy eating habits have been associated with evening chronotype. The Mediterranean diet (MD) is a healthy nutritional pattern that has been reported to be associated with better health and quality of sleep. Thus, the aim of the study was to investigate the association of chronotype categories with adherence to the MD in a population of middle-aged Italian adults. This cross-sectional study included 172 middle-aged adults (71.5% females; 51.8 ± 15.7 years) that were consecutively enrolled in a campaign to prevent obesity called the OPERA (obesity, programs of nutrition, education, research and assessment of the best treatment) Prevention Project that was held in Naples on 11–13 October 2019. Anthropometric parameters, adherence to the MD and chronotype were studied. Chronotype was classified as morning in 58.1% of subjects, evening in 12.8% and intermediate in 28.1%. Our results demonstrated that individuals with evening chronotype, when compared to intermediate (p < 0.001) and morning chronotype (p < 0.001), were more prone to follow unhealthy lifestyle, performing less regular activity and being more frequently smokers. In addition, they showed the lowest adherence to the MD compared to morning (p < 0.001) and intermediate chronotypes (p < 0.001). The lower the chronotype score, the higher body mass index (BMI) values in the whole population (r = −0.158; p = 0.038), thus suggesting that evening chronotype was a common finding in subjects with obesity. In addition, positive correlations of chronotype score with age (r = 0.159; p = 0.037) and PREDIMED score (r = 0.656; p < 0.001) were found. The adherence to the MD, more than the intake of the single food items, was found to predict morning and evening chronotypes. In conclusion, evening chronotype was associated with unhealthy lifestyle and low adherence to the MD. Chronotype score was inversely associated to BMI and positively associated to age and adherence to the MD. Thus, the assessment of chronotype should be taken into account in the management of obesity and in the development of nutritional strategies.

scholarly journals A Retrospective Cross-Sectional Population-Based Study on Prenatal Levels of Adherence to the Mediterranean Diet: Maternal Profile and Effects on the Newborn

2018 ◽  
Vol 15 (7) ◽  
pp. 1530 ◽  
Author(s):  
Isabel Peraita-Costa ◽  
Agustín Llopis-González ◽  
Alfredo Perales-Marín ◽  
Ferran Sanz ◽  
Agustín Llopis-Morales ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Mediterranean Diet ◽  
Daily Intake ◽  
Clinical History ◽  
Population Based ◽  
Multiple Gestation ◽  
Cross Sectional ◽  
Folic Acid Supplements ◽  
The Mediterranean

The Mediterranean diet (MD) is a dietary pattern with important benefits. The objectives of this study were to assess the adherence to the MD among pregnant women in Valencia (Spain) and characterize the pregnant women according to their level of adherence. Finally, we aimed to examine the role of MD adherence during pregnancy in the anthropometric development of the newborn. The study included 492 pregnant women who were followed at La Fe Hospital in 2017. The self-administered “Kidmed” questionnaire for data collection on dietary information evaluation was used and a clinical history review of mothers and newborns was performed. Two groups of mothers were identified: those with low adherence (LA) and optimal adherence (OA). The study revealed that 40.2% of the women showed LA to the MD. The newborns born to these women presented a higher risk of being small for gestational age (SGA) {adjusted odds ratio (aOR) = 1.68; 95% confidence interval (CI) 1.02–5.46} when adjusting for parental body mass index (BMI) and multiple gestation, but not when adjusting for all significant possible confounders (aOR = 2.32; 95% CI 0.69–7.78). The association between MD and SGA was not significantly affected by the use of iron and folic acid supplements (aOR = 2.65; 95% CI 0.66–10.65). The profile of the pregnant woman with LA is that of a young smoker, with a low level of education and a low daily intake of dairy products. These results suggest that LA to the MD is not associated with a higher risk of giving birth to a SGA newborn.

scholarly journals Evaluation of adherence to Mediterranean diet in medical students at Kocaeli University, Turkey

2018 ◽  
Vol 46 (4) ◽  
pp. 1585-1594 ◽  
Author(s):  
Canan Baydemir ◽  
Emrah Gokay Ozgur ◽  
Sibel Balci
Keyword(s):  
Medical Students ◽  
Mediterranean Diet ◽  
Eating Habits ◽  
Smoking Habit ◽  
First Year ◽  
School Students ◽  
Cross Sectional ◽  
First Year Students ◽  
Academic Knowledge ◽  
The Mediterranean

Introduction This study was conducted to evaluate the eating habits of medical students at Kocaeli University in northwest Turkey in terms of their ability to apply their academic knowledge regarding healthy lifestyles to their own lives using the Mediterranean Diet Quality Index (KIDMED). Methods In this cross-sectional study, a questionnaire including demographic information and the KIDMED index was administered to 354 medical school students (206 first-year and 148 third-year students). The students’ sex, body mass index, KIDMED score, place of residence, smoking habit, media screen time, and regular exercising variables were evaluated. Results The KIDMED score was −2 to 8 (3.8 ± 1.9) among all students, −1 to 8 (3.9 ± 2.0) among first-year students, and −1 to 8 (3.6 ± 1.9) among third-year students. In total, 59.1% of females and 40.9% of males among first-year students showed moderate adherence to the Mediterranean diet, and female students showed better adherence to the Mediterranean diet than males among third-year students. Conclusion Medical students at Kocaeli University in Turkey showed inadequate application of their academic knowledge about healthy living to their own lives.

Adherence to the pyramid of the mediterranean diet (2010), non-communicable diseases and lifestyle in online postgraduate Spanish students in the food area

2021 ◽  
pp. 1-15
Author(s):  
Elío Iñaki ◽  
Jarrín Sandra ◽  
Eléxpuru María ◽  
Crespo Jorge ◽  
Domínguez Irma ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Mediterranean Diet ◽  
Diet Quality ◽  
Eating Habits ◽  
Communicable Diseases ◽  
Alcoholic Beverages ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Postgraduate Students ◽  
The Mediterranean

BACKGROUND: In Spain, there are several studies published on the relationship between eating habits and lifestyle among university students; but only a few of them are focused on online postgraduate students. OBJECTIVE: Herein we aimed to evaluate the degree of adherence to the Mediterranean Diet Pyramid (2010 edition), non-communicable diseases (NCDs), and lifestyle in online postgraduate students aged 20–65 years belonging to the food area of the Fundación Universitaria Iberoamericana (FUNIBER). METHODS: We performed a descriptive cross-sectional study including 100 online post-graduate students aged 20–65 years who were recruited by an accidental non-probabilistic sampling method consisting of a questionnaire on their sociodemographic characteristics, NCDs, lifestyle, and a 3-day food intake record (3-d). RESULTS: The profile of the students was 74% women, with a mean age of 36.6 (±10.5) years and body mass index (BMI) of 22.6 kg / m2 (±3.3). 71% of the volunteers presented normal weight, while 20% were overweight. Indeed, only a low percentage of the volunteers presented hypertension (1%), cardiovascular disease (0%), diabetes mellitus 1 (2%), diabetes mellitus 2 (3%), hypercholesterolemia (9%), and hyperuricemia (2%). Concerning lifestyle, (77%) of students were non-smokers, (78%) consumed beverages with caffeine, (51%) did not consume alcoholic beverages, and nearly all of them (84%) frequently (3 times /week) practiced physical activity. (68%) of the recruited students exhibited adherence to “Medium diet quality diet (4–7)” followed by (26%) with a “Poor diet quality (<3) and “Optimal diet quality” (6%). CONCLUSION: Spanish postgraduate students of the nutritional area, have good health and a healthy lifestyle but are moving away from the MD model, should be established campaigns for the improvement of eating habits of the postgraduate university population.

scholarly journals COMPARATIVE ANALYSIS OF ADHERENCE TO THE MEDITERRANEAN DIET AMONG GIRLS AND ADOLESCENTS WHO PERFORM RHYTHMIC GYMNASTICS

2019 ◽  
Vol 25 (4) ◽  
pp. 280-284
Author(s):  
Mercedes Vernetta Santana ◽  
Isabel Montosa Mirón ◽  
Leopoldo Ariza Vargas ◽  
Jesús López Bedoya
Keyword(s):  
Waist Circumference ◽  
Mediterranean Diet ◽  
Eating Habits ◽  
Age Groups ◽  
Total Sample ◽  
Diagnostic Study ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Rhythmic Gymnastics ◽  
The Mediterranean

ABSTRACT Introduction: Eating habits are one of the underlying aspects in rhythmic gymnastics as a sport with an aesthetic component. Objective: To evaluate adherence to the Mediterranean diet (MD) in girls and adolescents who perform rhythmic gymnastics, and the relationship of this adherence with Body Mass Index (BMI) and waist circumference. Methods: A prospective, descriptive comparative cross-sectional study with the participation of 221 gymnasts aged between 7 and 17 years. Adherence to the Mediterranean diet was analyzed using the KIDMED test. The waist circumference, height and weight of each gymnast were measured and the BMI calculated. Results: 41.63%, 52.94% and 5.43% of the total sample exhibited high, medium and low adherence, respectively, to the Mediterranean diet. The Mann-Whitney U test indicated significant differences in the rate of adherence to the Mediterranean diet between the two age groups, U = 5007.0, p = .016, r = .162. The adolescent gymnasts had greater adherence than the younger gymnasts. The total sample showed a positive correlation of the rate of adherence with weight (Rho = .143, p = .034), BMI (Rho = .152, p = .024) and waist circumference (Rho = .180, p = .007). Conclusions: The eating habits of adolescent gymnasts with regard to the Mediterranean diet are healthier than those of the younger gymnasts. All participants had normal BMI values. The KIDMED values of the total sample were related to weight and BMI. The high percentages of younger gymnasts with mean adherence to the MD evidenced the need to approximate their eating habits with Mediterranean standards. Level of evidence II; Comparative diagnostic study.

scholarly journals Dietary flavonoids of Spanish youth: intakes, sources, and association with the Mediterranean diet

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3304 ◽  
Author(s):  
Rowaedh Ahmed Bawaked ◽  
Helmut Schröder ◽  
Lourdes Ribas Barba ◽  
Gabriela Cárdenas ◽  
Luis Peña-Quintana ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Daily Intake ◽  
Health Impact ◽  
National Sample ◽  
Food Sources ◽  
Total Flavonoids ◽  
Dietary Recommendations ◽  
The Mediterranean ◽  
Representative National Sample ◽  
Kidmed Index

BackgroundPlant-based diets have been linked to high diet quality and reduced risk of cardiovascular diseases. The health impact of plant-based diets might be partially explained by the concomitant intake of flavonoids. Estimation of flavonoids intake in adults has been important for the development of dietary recommendations and interventions for the prevention of weight gain and its consequences. However, estimation of flavonoids intake in children and adolescents is limited.MethodsAverage daily intake and sources of flavonoids were estimated for a representative national sample of 3,534 children and young people in Spain, aged 2–24 years. The data was collected between 1998 and 2000 by 24-h recalls. The Phenol-Explorer database and the USDA database on flavonoids content were used. Adherence to the Mediterranean diet was measured by the KIDMED index.ResultsThe mean and median intakes of total flavonoids were 70.7 and 48.1 mg/day, respectively. The most abundant flavonoid class was flavan-3-ols (35.7%), with fruit being the top food source of flavonoids intake (42.8%). Total flavonoids intake was positively associated with the KIDMED index (p < 0.001).ConclusionThe results of this study provide primary information about flavonoids intake and main food sources in Spanish children, adolescents and young adults. Participants with high daily mean intake of flavonoids have higher adherence to the Mediterranean diet.

scholarly journals Cooking at Home and Adherence to the Mediterranean Diet During the COVID-19 Confinement: The Experience From the Croatian COVIDiet Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Danijela Pfeifer ◽  
Josip Rešetar ◽  
Jasenka Gajdoš Kljusurić ◽  
Ines Panjkota Krbavčić ◽  
Darija Vranešić Bender ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mediterranean Diet ◽  
Eating Habits ◽  
Adult Population ◽  
Dietary Behavior ◽  
Dietary Quality ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
The Mediterranean ◽  
The Impact

Introduction: The primary aims of this study were to evaluate the changes in dietary behavior among the Croatian adult population during the COVID-19 outbreak and to explore the impact of confinement on cooking habits.Methods: The study was based on results from COVIDiet_Int cross-sectional study—a part of COVIDiet project (NCT04449731). A self-administered online questionnaire was used to assess the frequency of food consumption, eating habits, and sociodemographic information. A total number of 4,281 participants (80.5% females and 19.4% males) completed the questionnaire.Results: The Mediterranean Diet Adherence Screener (MEDAS) score before the confinement was 5.02 ± 1.97, while during the confinement, the MEDAS score increased to 5.85 ± 2.04. Participants who had higher adherence to the Mediterranean diet (MedDiet) during the confinement were mostly females (88.8%), aged between 20 and 50 years, with the highest level of education (66.3%) and normal BMI (70.6%). The majority of participants maintained their dietary behavior as it was before COVID-19 confinement, while 36.9% decreased their physical activity. Participants with higher MEDAS score were more eager to increase their physical activity. Additionally, higher median values of MEDAS score were noted for participants with body mass index values below 24.9 kg/m2 (6.0 vs. 5.0 for participants with BMI above 25 kg/m2). Participants in all residence places increased their cooking frequency during the confinement (53.8%), which was associated with an increase in vegetables, legumes, as well as fish and seafood consumption.Conclusions: According to our findings, Croatian adults exhibited medium adherence to the MedDiet during the COVID-19 confinement. The results suggest that cooking frequency could be positively associated with overall dietary quality, which is of utmost importance in these demanding times.

scholarly journals Mediterranean Diet and Motivation in Sport: A Comparative Study Between University Students from Spain and Romania

Nutrients ◽  
2018 ◽  
Vol 11 (1) ◽  
pp. 30 ◽  
Author(s):  
Ramón Chacón-Cuberos ◽  
Georgian Badicu ◽  
Félix Zurita-Ortega ◽  
Manuel Castro-Sánchez
Keyword(s):  
University Students ◽  
Comparative Study ◽  
Mediterranean Diet ◽  
Cross Sectional Study ◽  
Motivational Climate ◽  
Cross Sectional ◽  
High Adherence ◽  
The Mediterranean ◽  
Perceived Motivational Climate ◽  
Task Oriented

Background: The Mediterranean Diet (MD) is one of the healthiest dietary models worldwide, being an essential mean of preventing pathologies along with the practice of physical activity. Through a comparative study carried out across different countries, it has been demonstrated how this type of habits vary depending on the geographical context. The aim of this research was to evaluate the adherence to MD and its relationships with motivational climate in sport on a sample of university students from Spain and Romania; Methods: A cross-sectional study was conducted on a sample of university students [specialization: Physical Education (n = 605; 20.71 ± 2.42 years old)], using as main instruments the Mediterranean Diet Quality Index (KIDMED) for students and adolescents and the Perceived Motivational Climate in Sport Questionnaire-2 (PMCSQ-2); Results: It was shown that students from Spain had a high adherence to the MD (6.65 ± 2.63 vs. 5.06 ± 1.31). Spanish university students got higher scores in task-oriented motivational climate (4.03 ± 0.62 vs. 3.11 ± 0.55) while ego-oriented climate was higher in university students from Romania (3.24 ± 0.54 vs. 2.07 ± 0.75). Finally, it was observed that the task-oriented motivational climate was related to a lower adherence to MD in Spanish students (4.49 ± 0.37 vs. 3.98 ± 0.62). In contrast, in Romanian youth, a medium adherence to the MD was associated with higher scores for the ego-oriented motivational climate (3.27 ± 0.53 vs. 3.00 ± 0.54); Conclusions: As main conclusions, it was shown that the students from Spain had a high adherence to the MD. In addition, it has been demonstrated that ego-oriented climates are linked to a better adherence to MD, especially due to the importance of following a proper diet in sport contexts, as demonstrated by young Romanians.

scholarly journals Dietary cost associated with adherence to the Mediterranean diet, and its variation by socio-economic factors in the UK Fenland Study

2018 ◽  
Vol 119 (6) ◽  
pp. 685-694 ◽  
Author(s):  
Tammy Y. N. Tong ◽  
Fumiaki Imamura ◽  
Pablo Monsivais ◽  
Søren Brage ◽  
Simon J. Griffin ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Food Consumption ◽  
Processed Meat ◽  
Mediterranean Country ◽  
Economic Factors ◽  
Cross Sectional ◽  
High Adherence ◽  
The Mediterranean ◽  
The Uk ◽  
Socio Economic Factors

AbstractHigh cost of healthy foods could be a barrier to healthy eating. We aimed to examine the association between dietary cost and adherence to the Mediterranean diet in a non-Mediterranean country. We evaluated cross-sectional data from 12 417 adults in the UK Fenland Study. Responses to 130-item FFQ were used to calculate a Mediterranean diet score (MDS). Dietary cost was estimated by matching food consumption data with retail prices of five major supermarkets. Using multivariable-adjusted linear regression, we examined the association of MDS and individual foods with dietary cost in absolute and relative scales. Subsequently, we assessed how much the association was explained by education, income, marital status and occupation, by conducting mediation analysis and testing interaction by these variables. High compared with low MDS (top to bottom third) was associated with marginally higher cost by 5·4 % (95 % CI 4·4, 6·4) or £0·20/d (95 % CI 0·16, 0·25). Participants with high adherence had higher cost associated with the healthier components (e.g. vegetables, fruits and fish), and lower cost associated with the unhealthy components (e.g. red meat, processed meat and sweets) (Pfor trend<0·001 each). In total, 20·7 % (95 % CI 14·3, 27·0) of the MDS-cost association was explained by the selected socio-economic factors, and the MDS-cost association was of greater magnitude in lower socio-economic groups (Pinteraction<0·005). Overall, greater adherence to the Mediterranean diet was associated with marginally higher dietary cost, partly modified and explained by socio-economic status, but the potential economic barriers of high adherence might be offset by cost saving from reducing unhealthy food consumption.

Compliance with the Mediterranean Diet Quality Index (KIDMED) among Balearic Islands' Adolescents and Its Association with Socioeconomic, Anthropometric and Lifestyle Factors

2015 ◽  
Vol 68 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Maria del Mar Bibiloni ◽  
Antoni Pons ◽  
Josep A. Tur
Keyword(s):  
Mediterranean Diet ◽  
Diet Quality ◽  
Quality Index ◽  
Balearic Islands ◽  
Poor Adherence ◽  
Thin Body ◽  
Diet Quality Index ◽  
High Adherence ◽  
The Mediterranean ◽  
Kidmed Index

Background and Aims: To assess the compliance levels of adolescents in the Balearic Islands with the Mediterranean Diet Quality Index (KIDMED Index) and to assess its associations with socioeconomic, anthropometric and lifestyle characteristics. Methods: A cross-sectional survey (n = 1,231; 12-17 years) carried out in 2007-2008. The degree of adherence to the Mediterranean diet (MedDiet) was evaluated using the KIDMED Index. Body composition, body image, socioeconomic factors, and physical activity were also assessed. Results: Around 30% of adolescents showed high adherence to MedDiet and 15.7% showed poor adherence. More boys (32.0%) than girls (25.2%) showed high adherence to MedDiet. However, the proportion of adolescents who were reported to skip breakfast was higher among girls than boys (30.0 vs. 19.2%, respectively). The OR for poor adherence to MedDiet was higher in adolescents who usually attend mass media during mealtime, in boys eating ≤3 occasions/day, and in physically inactive girls. In boys, poor adherence to MedDiet was associated with lower OR in the age range 12-13 and in those who wished to have a thin body shape. In girls, high parental educational level, time spent on media <2 h/day and eating breakfast regularly were also associated with lower OR for poor adherence to MedDiet. Conclusions: A high percentage of adolescents in Balearic Islands showed poor adherence to MedDiet.

Sign in / Sign up

Export Citation Format

Share Document