Trends in the adherence to the Mediterranean diet in Israeli adolescents: results from two national health and nutrition surveys, 2003 and 2016

Peng, Wen; Goldsmith, Rebecca; Shimony, Tal; Berry, Elliot M.; Sinai, Tali

doi:10.1007/s00394-021-02522-2

Cited by 13 publications

(17 citation statements)

References 58 publications

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“…The cross‐sectional studies examined the association of an anthropometric measure with a score of adherence to the Mediterranean diet. The score most commonly used was the 16‐item KIDMED index (ranging −4 to 12) or one of its variation, and only six studies 30,31,34,48,65,73 used another score such as the MDS. The majority of studies included BMI as the main anthropometric marker, except three: waist circumference, 75 abdominal obesity, 72 or body fat percentage 63 .…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies included BMI as the main anthropometric marker, except three: waist circumference, 75 abdominal obesity, 72 or body fat percentage 63 . In cross‐sectional studies, regarding general adiposity expressed by BMI, continuous or in categories (overweight/obesity), a total of 27 studies 31,32,34–37,40,41,45,46,49–51,55–58,62,65,67,68,70–74,76 found statistically non significant associations, 16 a negative association, 30,38,39,42–44,47,48,54,59–61,64,66,69,77 and 1 a positive association 52 with greater adherence to the Mediterranean diet. Regarding central adiposity, 11 studies found no significant association, 30,32,34,46,49–51,55,57,72,73 whereas 5 found an inverse association 35,39,48,53,75 and 2 a positive association 39,52 .…”

Section: Resultsmentioning

confidence: 99%

“…In cross‐sectional studies, regarding general adiposity expressed by BMI, continuous or in categories (overweight/obesity), a total of 27 studies 31,32,34–37,40,41,45,46,49–51,55–58,62,65,67,68,70–74,76 found statistically non significant associations, 16 a negative association, 30,38,39,42–44,47,48,54,59–61,64,66,69,77 and 1 a positive association 52 with greater adherence to the Mediterranean diet. Regarding central adiposity, 11 studies found no significant association, 30,32,34,46,49–51,55,57,72,73 whereas 5 found an inverse association 35,39,48,53,75 and 2 a positive association 39,52 . Regarding the statistical approaches, 17 studies only performed simple chi‐square, ANOVA, or Pearson correlation tests without adjustment, 42,43,45,49–51,55,57,58,63,64,66–68,70,74,77 of which only 5 found statistically significant differences in anthropometric markers according to Mediterranean diet adherence 42,43,64,66,77 .…”

Section: Resultsmentioning

confidence: 99%

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Mediterranean diet and adiposity in children and adolescents: A systematic review

Lassale

Fitó

Morales-Suárez-Varela

et al. 2021

Obesity Reviews

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Summary Our aim was to summarize, through a systematic review, the current evidence from dietary intervention and observational studies on the impact of adherence to the Mediterranean diet on adiposity markers and obesity in children and adolescents. We searched Medline up to June 1, 2021 for the identification of intervention and observational studies meeting the inclusion criteria, following the PRISMA statement. We included 55 articles: 8 intervention studies and 47 observational studies. Three trials report a beneficial effect of the dietary intervention, whereas two did not, and three did not compare with a control. All observational studies were cross‐sectional, and only five studies also included a longitudinal analysis. More than half of the cross‐sectional studies found no significant association between adherence to Mediterranean diet and adiposity. Three out of the five longitudinal studies found a negative association. The majority of both observational and intervention studies was of low quality. Despite a large number of published studies, overall, there is only limited evidence of a beneficial effect of following a traditional Mediterranean diet to maintain a healthy body weight in childhood. More high‐quality intervention and longitudinal data are needed to form the base of large‐scale health programs to prevent childhood obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Mediterranean diet and adiposity in children and adolescents: A systematic review

Lassale

Fitó

Morales-Suárez-Varela

et al. 2021

Obesity Reviews

View full text Add to dashboard Cite

show abstract

“…Adolescents participating in the multinational Health Behaviors in Schools study demonstrated higher sedentarism and a lower intake of fruits and vegetables with age increases [ 50 ], suggesting that unhealthy eating behaviors may increase with age. Generally, eating patterns that represent a healthier diet (i.e., with characteristics of the Mediterranean diet recommended by the Israeli Ministry of Health [ 51 ]), for example, the plant-based DP, appear to be associated with health-promoting behaviors and high socioeconomic status, while others, such as the ‘junk food’ and ‘carnivore’ DPs, were related with unhealthy behaviors and low socioeconomic backgrounds. The association between lower SES and unhealthy DPs identified in the present study has also been reported in a scoping review among adolescents from lower SES [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary Patterns among Adolescents Are Associated with Growth, Socioeconomic Features, and Health-Related Behaviors

Sinai

Axelrod

Shimony

et al. 2021

Foods

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Dietary patterns (DPs), usually established in adolescents, are important modifiable risk factors in the etiology of malnutrition and chronic diseases. This study aimed to identify DPs of adolescents and examine their associations with growth, sociodemographic, and lifestyle characteristics. A nationally representative, school-based, cross-sectional study was conducted in Israeli adolescents aged 11–18 years during 2015–2016. A self-administered survey queried sociodemographics, health behaviors, and diet. Weight and height were measured, and WHO height z-scores and BMI cutoffs were calculated. Food frequency questionnaire data were analyzed using principal components analysis (PCA) to identify DPs. Associations between growth, lifestyle, and sociodemographic characteristics and DPs were modeled using multivariable logistic regressions. A total of 3902 adolescents (46% males, mean age 15.2 ± 1.6 years) completed the survey. PCA identified five DPs, accounting for 38.3% of the total variance. The first two prominent DPs were the ‘plant-based food’ DP, which was associated with the female sex, higher socioeconomic status, overweight/obesity, and healthy lifestyle and the ‘junk food’ DP, which was associated with lower SES, unhealthy lifestyle, and lower height z-scores. Our results elucidate major DPs that strongly correlate with lifestyle risk behaviors and suboptimal growth among adolescents. Implementing screening for DPs should be further examined to identify higher risk health factors among youth.

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“…An additional limitation was that, due to the retrospective design, we were unable to assess the dietary habits of the patients whose data were studied. Nonetheless, since we live in a Mediterranean region, we assumed that patients followed similar dietary menus since the Mediterranean diet is accessible and affordable to people living in Israel [30]. The Mediterranean diet is characterised by a high intake of green vegetables, cereals, whole grains and olive oil, and moderate consumption of alcohol, red meat and dairy products [31,32].…”

Section: Discussionmentioning

confidence: 99%

The impact of overweight on diverticular disease: a cross-sectional multicentre study

Mari¹,

Sbeit²,

Haddad³

et al. 2021

Polish Archives of Internal Medicine

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The main finding of this study is the possible link between overweight and the increased risk of acute diverticulitis among patients with asymptomatic diverticulosis. This observation has special practical applications since overweight is a modifiable factor. The finding of this study open horizons for prospective studies on the effects of weight loss as an optional treatment for symptomatic diverticular disease.

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Trends in the adherence to the Mediterranean diet in Israeli adolescents: results from two national health and nutrition surveys, 2003 and 2016

Cited by 13 publications

References 58 publications

Mediterranean diet and adiposity in children and adolescents: A systematic review

Mediterranean diet and adiposity in children and adolescents: A systematic review

Dietary Patterns among Adolescents Are Associated with Growth, Socioeconomic Features, and Health-Related Behaviors

The impact of overweight on diverticular disease: a cross-sectional multicentre study

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