Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program

Detalhes bibliográficos
Autor(a) principal: Rito, Ana
Data de Publicação: 2019
Outros Autores: Dinis, Ana, Rascôa, Carla, Maia, António, Mendes, Sofia, Stein-Novais, Camila, Lima, João
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/6404
Resumo: Background: Despite its health benefits, adherence to the Mediterranean diet (MD) has been decreasing, particularly in young generations and in Mediterranean regions, including Portugal. Socioeconomic and lifestyle factors have been shown to influence children and adolescents’ eating habits. This study aimed to assess the association between socioeconomic factors and children’s nutritional status with the MD adherence using the Eat Mediterranean (EM) program. Methods: Participant’s BMI and adherence to the MD diet was assessed at baseline and after the intervention. Data regarding socioeconomic status and KIDMED Index were collected using a family record form. The intervention consisted of various educational sessions addressing the principles and promoting a Mediterranean dietary pattern in schools belonging to two municipalities in the central area of Portugal. A total of 1,772 participants (from preschool to secondary school) met the inclusion criteria for the study. Results: At the end of the program, the adherence to the MD diet improved significantly with participants increasing their adherence to an optimal diet by 17.6%. Daily intake of foods belonging to the MD diet also increased significantly, and the intake of high energy density foods decreased. Mother’s educational level and household income were significantly (p < 0.0001) associated with optimal MD adherence by participants, in both stages. Nutritional status was not associated with the KIDMED Index. Discussion: The EM program showed to be effective in increasing MD adherence in this study population since optimal MD adherence was reported in most participants at the end of the EM program. Household income and mother’s educational level were positively associated with the diet quality of the children and adolescents.
id RCAP_5ecdfedb39fe0e547cda08375cc59374
oai_identifier_str oai:repositorio.insa.pt:10400.18/6404
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean ProgramAdesão à Dieta Mediterrânica (índice KIDMED), determinantes socioeconómicos e estado nutricional das crianças portuguesas: Programa Eat MediterraneanMediterranean DietPublic HealthDietary HabitsKIDMED IndexSocioeconomic DeterminantsDieta MediterrânicaSaúde PublicaHábitos AlimentaresÍndice KIDMEDDeterminantes SocioeconómicosEstilos de Vida e Impacto na SaúdePortugalBackground: Despite its health benefits, adherence to the Mediterranean diet (MD) has been decreasing, particularly in young generations and in Mediterranean regions, including Portugal. Socioeconomic and lifestyle factors have been shown to influence children and adolescents’ eating habits. This study aimed to assess the association between socioeconomic factors and children’s nutritional status with the MD adherence using the Eat Mediterranean (EM) program. Methods: Participant’s BMI and adherence to the MD diet was assessed at baseline and after the intervention. Data regarding socioeconomic status and KIDMED Index were collected using a family record form. The intervention consisted of various educational sessions addressing the principles and promoting a Mediterranean dietary pattern in schools belonging to two municipalities in the central area of Portugal. A total of 1,772 participants (from preschool to secondary school) met the inclusion criteria for the study. Results: At the end of the program, the adherence to the MD diet improved significantly with participants increasing their adherence to an optimal diet by 17.6%. Daily intake of foods belonging to the MD diet also increased significantly, and the intake of high energy density foods decreased. Mother’s educational level and household income were significantly (p < 0.0001) associated with optimal MD adherence by participants, in both stages. Nutritional status was not associated with the KIDMED Index. Discussion: The EM program showed to be effective in increasing MD adherence in this study population since optimal MD adherence was reported in most participants at the end of the EM program. Household income and mother’s educational level were positively associated with the diet quality of the children and adolescents.Introdução: Embora sejam reconhecidos os benefícios para a saúde decorrentes da Dieta Mediterrânica (DM), tem-se verificado um decréscimo na adesão a este padrão alimentar, particularmente em idades mais jovens e em regiões Mediterrânicas, Portugal incluído. Estilos de vida e fatores socioeconómicos têm demonstrado influenciar os hábitos alimentares de crianças e adolescentes. Este estudo tem como objetivo analisar a associação entre os fatores socioeconómicos, o estado nutricional e a adesão à DM através do programa Eat Mediterranean. Metodologia: O IMC e a adesão à DM dos participantes foram aferidos no início do programa e após a intervenção do mesmo. Informação relativa ao estatuto socioeconómico e o índice KIDMED foram recolhidos através dum questionário dirigido à família. A intervenção do programa consistiu em diversas sessões de educação alimentar, em 2 municípios da região Centro de Portugal, onde foram abordados os princípios da DM e a sua promoção. 1,772 participantes (do pré-escolar ao ensino secundário) apresentaram os critérios de inclusão no estudo. Resultados: No final do programa, a adesão à DM melhorou significativamente com um aumento de 17.6% para uma ótima adesão à DM. O consumo diário de alimentos incluídos na DM aumentou também significativamente enquanto o consumo de alimentos de elevada densidade energética diminuiu. O nível de educação da mãe e o rendimento familiar mostraram estar significativamente (p < 0.0001) associados a uma ótima adesão à DM pelos participantes em ambas as fases. Entre o estado nutricional e o índice KIDMED não foi encontrada associação. Discussão: O programa Eat Mediterranean demonstrou ser eficaz no aumento da adesão à DM por parte dos participantes uma vez que foi reportada pela maioria dos estudantes no final do programa uma ótima adesão à DM. O rendimento familiar e o nível de educação da mãe foram positivamente associados à qualidade da dieta das crianças e adolescentes participantes.The EM program (2015–2017) was coordinated by ARSLVT, Portugal, co-funded by the Public Health Initiatives Program (PT06) of the EEA Grants, to the grant application 171NU2.Karger/on behalf of NOVA National School of Public HealthRepositório Científico do Instituto Nacional de SaúdeRito, AnaDinis, AnaRascôa, CarlaMaia, AntónioMendes, SofiaStein-Novais, CamilaLima, João2019-05-29T11:55:30Z2019-03-052019-03-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/6404engPort J Public Health. 2019 Mar 5;3(9):2-9. doi:10.1159/0004958032504-313710.1159/000495803info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:24Zoai:repositorio.insa.pt:10400.18/6404Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:41:03.679554Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
Adesão à Dieta Mediterrânica (índice KIDMED), determinantes socioeconómicos e estado nutricional das crianças portuguesas: Programa Eat Mediterranean
title Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
spellingShingle Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
Rito, Ana
Mediterranean Diet
Public Health
Dietary Habits
KIDMED Index
Socioeconomic Determinants
Dieta Mediterrânica
Saúde Publica
Hábitos Alimentares
Índice KIDMED
Determinantes Socioeconómicos
Estilos de Vida e Impacto na Saúde
Portugal
title_short Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
title_full Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
title_fullStr Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
title_full_unstemmed Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
title_sort Mediterranean Diet Index (KIDMED) adherence, socioeconomic determinants, and nutritional status of Portuguese children: the Eat Mediterranean Program
author Rito, Ana
author_facet Rito, Ana
Dinis, Ana
Rascôa, Carla
Maia, António
Mendes, Sofia
Stein-Novais, Camila
Lima, João
author_role author
author2 Dinis, Ana
Rascôa, Carla
Maia, António
Mendes, Sofia
Stein-Novais, Camila
Lima, João
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Rito, Ana
Dinis, Ana
Rascôa, Carla
Maia, António
Mendes, Sofia
Stein-Novais, Camila
Lima, João
dc.subject.por.fl_str_mv Mediterranean Diet
Public Health
Dietary Habits
KIDMED Index
Socioeconomic Determinants
Dieta Mediterrânica
Saúde Publica
Hábitos Alimentares
Índice KIDMED
Determinantes Socioeconómicos
Estilos de Vida e Impacto na Saúde
Portugal
topic Mediterranean Diet
Public Health
Dietary Habits
KIDMED Index
Socioeconomic Determinants
Dieta Mediterrânica
Saúde Publica
Hábitos Alimentares
Índice KIDMED
Determinantes Socioeconómicos
Estilos de Vida e Impacto na Saúde
Portugal
description Background: Despite its health benefits, adherence to the Mediterranean diet (MD) has been decreasing, particularly in young generations and in Mediterranean regions, including Portugal. Socioeconomic and lifestyle factors have been shown to influence children and adolescents’ eating habits. This study aimed to assess the association between socioeconomic factors and children’s nutritional status with the MD adherence using the Eat Mediterranean (EM) program. Methods: Participant’s BMI and adherence to the MD diet was assessed at baseline and after the intervention. Data regarding socioeconomic status and KIDMED Index were collected using a family record form. The intervention consisted of various educational sessions addressing the principles and promoting a Mediterranean dietary pattern in schools belonging to two municipalities in the central area of Portugal. A total of 1,772 participants (from preschool to secondary school) met the inclusion criteria for the study. Results: At the end of the program, the adherence to the MD diet improved significantly with participants increasing their adherence to an optimal diet by 17.6%. Daily intake of foods belonging to the MD diet also increased significantly, and the intake of high energy density foods decreased. Mother’s educational level and household income were significantly (p < 0.0001) associated with optimal MD adherence by participants, in both stages. Nutritional status was not associated with the KIDMED Index. Discussion: The EM program showed to be effective in increasing MD adherence in this study population since optimal MD adherence was reported in most participants at the end of the EM program. Household income and mother’s educational level were positively associated with the diet quality of the children and adolescents.
publishDate 2019
dc.date.none.fl_str_mv 2019-05-29T11:55:30Z
2019-03-05
2019-03-05T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/6404
url http://hdl.handle.net/10400.18/6404
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Port J Public Health. 2019 Mar 5;3(9):2-9. doi:10.1159/000495803
2504-3137
10.1159/000495803
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Karger/on behalf of NOVA National School of Public Health
publisher.none.fl_str_mv Karger/on behalf of NOVA National School of Public Health
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799132154241744896