Mediterranean diet, nutrition transition, and cardiovascular risk factor in children and adolescents

Ricotti, Roberta; Caputo, Marina; Prodam, Flavia

doi:10.1016/b978-0-12-818649-7.00009-6

Cited by 2 publications

(4 citation statements)

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“…However, with respect to the grade levels, elementary school students were found to consume fruit more frequently than middle or high school students when their food environment was perceived positively. Childhood is a period of social modeling, as individuals learn how to interact with their environments and behave appropriately [11,47,48]. Hence, the benefits of food environments on fruit intakes may apply more strongly to children than adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity has been explained with reduced intakes of healthy foods and unhealthy eating behaviors [8][9][10][11]. Especially fruit, which are rich in water and fiber, to enhance satiety, and low in energy density [12], have been known to prevent obesity, coronary heart disease, stroke, cardiovascular disease, total cancer, and all-cause mortality [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Is the Perceived Fruit Accessibility Related to Fruit Intakes and Prevalence of Overweight in Disadvantaged Youth: A Cross-Sectional Study

Yang

Kim

2020

Nutrients

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Background: Few investigations have studied the relationship between home and school food environments, fruit intakes, and prevalence of overweight in children and adolescents from disadvantaged backgrounds. This study aimed to determine whether food environments for fruit intake at household and school levels affect fruit intakes and risk of overweight among children and adolescents with low household income. Methods: Students (n = 3148) in Seoul, Korea completed questionnaires pertaining to select aspects of their food environments, frequency of fruit intakes, and weight status. Chi-square tests and logistic regressions evaluated associations between the aforementioned variables. Results: Participants consumed fruit an average of 0.77 times per day, though its frequency increased when fruit accessibility was perceived positively. The percentage of overweight participants was 23.5% for boys and 22.8% for girls. Generally, fruit intake frequency was linked to a lower prevalence of overweight. Regular provision of fruit in school lunches was associated with a reduced risk of overweight among elementary school girls (odds ratio (OR): 0.52, 95% confidence interval (CI): 0.30–0.92), and having someone at home to prepare fruit was associated with a reduced risk of overweight in elementary school boys (OR: 0.64, 95% CI: 0.43–0.94) and girls (OR: 0.63, 95% CI: 0.43–0.93). Conclusions: The frequency of fruit intake was low among disadvantaged youth. Increasing access to fruit in their food environments appears to enhance consumption and lower the risk of overweight, especially for elementary school girls.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is the Perceived Fruit Accessibility Related to Fruit Intakes and Prevalence of Overweight in Disadvantaged Youth: A Cross-Sectional Study

Yang

Kim

2020

Nutrients

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“…Apesar dos benefícios para a saúde, nos últimos anos observou-se um decréscimo na adesão aos princípios e recomendações deste padrão alimentar e uma transição para uma dieta ocidental nas crianças e adolescentes de países da região Mediterrânica. Este processo foi definido como transição nutricional e é um dos principais fatores associados à prevalência de doenças crónicas estabelecidas a partir da infância (Ricotti et al, 2020). Efetivamente, estudos realizados em Portugal também demonstraram uma diminuição da adesão à DM nas crianças e adolescentes (Lopes et al, 2017;Pereira-da-Silva et al, 2016;Rito et al, 2018;Rodrigues et al, 2008).…”

Section: Introductionunclassified

“…Despite the health benefits, in the last years, a declining adherence to this eating pattern and a shift towards a Western diet between children and adolescents has been observed in the Mediterranean countries. This process has been defined as nutrition transition and is one of the major factors associated with the prevalence of chronic diseases observed from childhood onward (Ricotti et al, 2020). In fact, studies conducted in Portugal also suggest that young generations are moving away from the traditional MD (Lopes et al, 2017;Pereira-da-Silva et al, 2016;Rito et al, 2018;Rodrigues et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

A school-based nutrition education programme effects on Mediterranean diet adherence and on the nutritional status in Azorean children and adolescents

Vidinha¹,

Castela²,

Meireles³

et al. 2022

RevSALUS

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Introduction: The Mediterranean diet (MD) is widely known as a healthy eating pattern for preventing and reducing childhood obesity. School has been described as a privileged setting for modulating eating habits and health promotion. Objective: The study aimed to analyse the effects of a nutrition education programme on the nutritional status and MD adherence in children and adolescents from São Miguel Island, Azores. Methods: A total of 298 students from the 1st to the 3rd cycle were included. An anthropometric assessment (height, weight, and waist circumference) was performed, and participants completed a questionnaire which included KIDMED Index at baseline and after the intervention. This programme had grade-appropriate nutritional education activities, promoting the Mediterranean food pattern. Results: After the intervention, students with a higher education level showed improvements in nutritional status. We verified an increase in the obesity prevalence in 1st cycle students (26.7% vs 32.2%) and a decrease in the 2nd and 3rd cycles (26.4% vs 20.7% and 21.5% vs 20.7%, respectively). Concerning to KIDMED index, in 1st cycle students, we observed a decrease in the percentage of optimal adherence (52.2% vs 47.8%). Otherwise, in 2nd and 3rd cycles, students enhanced their optimal MD adherence (31.0% vs 35.6% and 27.3% vs 30.6%, respectively). It was found a negatively correlation between MD adherence and body mass index (RS = - 0.154, p = 0.010) and between MD adherence and waist circumference (RS = - 0.138, p = 0.021). Conclusion: Our findings suggest that a nutrition education programme is more effective in improving nutritional status and MD adherence in adolescents, compared with children.

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Mediterranean diet, nutrition transition, and cardiovascular risk factor in children and adolescents

Cited by 2 publications

References 54 publications

Is the Perceived Fruit Accessibility Related to Fruit Intakes and Prevalence of Overweight in Disadvantaged Youth: A Cross-Sectional Study

Is the Perceived Fruit Accessibility Related to Fruit Intakes and Prevalence of Overweight in Disadvantaged Youth: A Cross-Sectional Study

A school-based nutrition education programme effects on Mediterranean diet adherence and on the nutritional status in Azorean children and adolescents

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