Nutrient adequacy and Mediterranean Diet in Spanish school children and adolescents

Serra-Majem, Lluís; Ribas, Lourdes; García, A; Pérez-Rodrígo, Carmen; Aranceta-Bartrina, Javier

doi:10.1038/sj.ejcn.1601812

Cited by 131 publications

(119 citation statements)

References 19 publications

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“…Consequently, some questions could arise regarding the effectiveness of the MD in pregnancy in relation to the increased maternal nutritional needs during this period. First, several studies have demonstrated the high nutritional quality of the MD characterised by better dietary fat quality and an increased quantity of antioxidants (43,44) . Because alcohol consumption is prohibited in pregnancy, and during this period there is increased need for Ca intake, we did not include in the index alcohol consumption and we presumed dairy compounds to be protective and not detrimental.…”

Section: Discussionmentioning

confidence: 99%

Mediterranean diet adherence during pregnancy and fetal growth: INMA (Spain) and RHEA (Greece) mother–child cohort studies

et al. 2011

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Dietary intake of specific nutrients or food groups during pregnancy could influence fetal growth, but scant evidence is available on effects of dietary patterns. The aim of this study was to evaluate the impact of Mediterranean diet (MD) adherence during pregnancy on fetal growth in two population-based mother -child cohorts in Spain and Greece. We studied 2461 mother -newborn pairs from the Spanish multi-centre 'INMA' study (Atlantic area: INMA-Atlantic; Mediterranean area: INMA-Mediterranean), and 889 pairs from the 'RHEA' study in Crete, Greece. Maternal diet during pregnancy was assessed by FFQ and MD adherence was evaluated through an a priori score. Fetal growth restriction was based on a customised model, and multivariate log-binomial and linear regression models were used to adjust for several confounders. MD scores differ significantly between the cohorts with women in INMA-Atlantic reporting higher intakes of fish and dairy products, while women in the Mediterranean area reported higher intakes of cereals, vegetables and fruits. Women with high MD adherence had a significantly lower risk of delivering a fetal growth -restricted infant for weight (risk ratios: 0·5; 95 % CI 0·3, 0·9) in the INMA-Mediterranean cohort. Stratified analysis by smoking revealed that higher MD adherence increased birth weight and birth length in smoking mothers, whereas this effect was not apparent in non-smoking mothers. The results of the present study show that several types of MD exist across European Mediterranean regions. High MD adherence may modify the detrimental effect of smoking on birth size, but overall effects of diet were not universal for the studies in this analysis.

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Section: Discussionmentioning

confidence: 99%

Mediterranean diet adherence during pregnancy and fetal growth: INMA (Spain) and RHEA (Greece) mother–child cohort studies

et al. 2011

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“…BMI groups were calculated according to the cut-off points for adolescents' BMI defined by the International Obesity Taskforce (IOTF) (31) . Three categories were used to define adolescents' MDP adherence according to the KIDMED questionnaire (28)(29)(30) : (i) #3 points was defined as very poor adherence; (ii) 4-7 points was defined as medium adherence; and (iii) $8 points was defined as high adherence.…”

Section: Discussionmentioning

confidence: 99%

“…Four questionnaires were given to the participants for completion in the classroom: (i) a questionnaire on personal characteristics, socio-economic status (SES) and parents' education level; (ii) a twenty-item questionnaire based on the principles of the Mediterranean diet pyramid (26) for the assessment of adolescents' perceived and actual knowledge about the MDP and its health outcomes; (iii) an FFQ for the assessment of their past-week dietary habits (27) ; and (iv) a brief (sixteen-item) questionnaire (KIDMED) for assessment of their adherence to the MDP that has been successfully used among children and adolescents in Spain (28)(29)(30) .…”

Section: Questionnairesmentioning

confidence: 99%

Increased knowledge predicts greater adherence to the Mediterranean diet in Greek adolescents

Tsartsali¹,

Thompson²,

Jago³

2009

Public Health Nutr.

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Objectives: To examine knowledge of and adherence to the Mediterranean dietary pattern (MDP) among Greek adolescents, assess associations between MDP knowledge and adherence with BMI, and determine socio-cultural factors predicting MDP compliance. Design: Cross-sectional. Setting: Greek adolescents aged 15-17 years. Subjects: Two hundred adolescents (103 females, ninety-seven males) from six schools on the Greek island of Chios. The sampling procedure was similar for all schools; schools were randomly selected from different geographic areas and all municipalities. BMI was calculated from measured height and weight; participants completed four questionnaires assessing parents' socio-economic status and education, adolescents' perceived and actual MDP knowledge, past-week dietary habits, and MDP adherence.

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“…Calcium, iron and vitamin D deficiencies were found among underprivileged populations in several European countries (Serra-Majem et al, 2003). Adequate nutrition contributes to the well being of children and their potential learning ability (Walker et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Dietary intake in asylum seeker children in The Netherlands, strongly related to age and origin

2006

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Objective: To monitor the dietary intake of energy, macro-and micronutrients in asylum seeker children. Design and setting: Cross-sectional study in three asylum seeker centres in The Netherlands. Subjects: Hundred and sixteen children 2-12 years old (86% of the study cohort) provided a dietary history. Method: The dietary intake was estimated by 24 h recall, and the origin of the children was classified in three geographic regions: African (n ¼ 45), Central Asia (n ¼ 34) or Eastern Europe (n ¼ 37). Results: The total energy intake from fat was in 24% of the children above 40En%. Seventy per cent of the children above 4 year of age had a saturated fat intake above 10En%. The children from Eastern Europe had a higher intake of fat and disaccharides than the children from the other regions. Among the children, an intake less than 80% of the recommended daily allowances of micronutrients was found for calcium (42%), iron (49%), vitamin A (45%) and vitamin D (80%). An inadequate dietary intake of iron and vitamin D was significantly more seen among the youngest children, whereas an inadequate intake of calcium and vitamin A was found more among the elder children. Conclusions: The dietary intake of a prominent proportion of these children contains too much fat and insufficient amounts of calcium, iron, vitamin A and vitamin D. The low micronutrient intake of the asylum seeker children can be considered as a nutritional risk. Nutritional education and strategies to improve the macro-and micronutrient intake of asylum seeker children is indicated.

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Nutrient adequacy and Mediterranean Diet in Spanish school children and adolescents

Cited by 131 publications

References 19 publications

Mediterranean diet adherence during pregnancy and fetal growth: INMA (Spain) and RHEA (Greece) mother–child cohort studies

Mediterranean diet adherence during pregnancy and fetal growth: INMA (Spain) and RHEA (Greece) mother–child cohort studies

Increased knowledge predicts greater adherence to the Mediterranean diet in Greek adolescents

Dietary intake in asylum seeker children in The Netherlands, strongly related to age and origin

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