Adherencia a la dieta mediterránea y asociación con la condición nutricional y el comportamiento alimentario en escolares españoles

  1. Andrea CALDERÓN GARCÍA 1
  2. Roberto PEDRERO TOMÉ 2
  3. Ana ALAMINOS-TORRES 2
  4. Consuelo PRADO MARTÍNEZ 3
  5. Jesús Román MARTÍNEZ ÁLVAREZ 4
  6. Noemí LÓPEZ EJEDA 5
  7. María Dolores MARRODÁN SERRANO 5
  1. 1 Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA). Madrid, 28080.España. Grupo de Investigación EPINUT - Universidad Complutense de Madrid. Madrid, 28040. España. Departamento de Enfermería y Nutrición. Facultad de Ciencias Biomédicas. Universidad Europea de Madrid. Departamento de Biología. Facultad de Ciencias. Universidad Autónoma de Madrid
  2. 2 Grupo de Investigación EPINUT - Universidad Complutense de Madrid. Madrid, 28040. España. Departamento de Biodiversidad, Ecología y Evolución. Facultad de Biología. Universidad Complutense de Madrid.
  3. 3 Grupo de Investigación EPINUT - Universidad Complutense de Madrid. Madrid, 28040. España. Departamento de Biología. Facultad de Ciencias. Universidad Autónoma de Madrid
  4. 4 Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA). Madrid, 28080.España. Grupo de Investigación EPINUT - Universidad Complutense de Madrid. Madrid, 28040. España
  5. 5 Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA). Madrid, 28080.España. Grupo de Investigación EPINUT - Universidad Complutense de Madrid. Madrid, 28040. España. Departamento de Biodiversidad, Ecología y Evolución. Facultad de Biología. Universidad Complutense de Madrid.
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Journal:
Nutrición clínica y dietética hospitalaria

ISSN: 0211-6057

Year of publication: 2023

Volume: 43

Issue: 2

Pages: 172-181

Type: Article

DOI: 10.12873/432CALDERON DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Nutrición clínica y dietética hospitalaria

Abstract

Introduction: eating behaviors may modulate or influence diet quality which in turn may influence the nutritional status of children and adolescents. Aims: to investigate the association of diet quality with nutritional status as assessed by different anthropometric indices, and with pro and anti-eating behaviors. Methods: This descriptive cross-sectional study of 526Spain schoolchildren aged 6 to 16. Each subject was assessed anthropometrically, using the KIDMED questionnaire for adherence to the Mediterranean diet and the CEBQ questionnaire to assess eating behavior. Results: 12.80% of the sample had low adherence to the Mediterranean diet, 59.80% had poor adherence, 59.80% could be improved, and 27.40% had high adherence. High adherence to this dietary pattern was confirmed as a protective factor for obesity, especially at the abdominal level. Whe nrelating eating behavior to dietary quality, it was found that generally, school children with greater enjoyment of food and less demand for food have double the adherence to the Mediterranean diet. The response to satiety and under-eating ingestion also played an important role in food choices. Conclusions: The higher the adherence to the Mediterranean pattern, the lower the risk of obesity, especially abdominal obesity. In turn eating behaviors may play an essential role in the quality of school children’s diets highlighting the enjoyment and acceptance or rejection of food. Given the bidirectional nature of the effects between diet quality - nutritional status, and between eating behaviors - diet quality, the joint analysis can be the basis for future research with theaim of a better nutritional approach from the earliest ages.

Bibliographic References

  • Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, et al; Mediterranean Diet Foundation Expert Group. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011; 14(12A):2274-84. doi: 10.1017/S1368980011002515.
  • Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean Diet; a Literature Review. Nutrients 2015; 7(11):9139-53. doi: 10.3390/nu7115459
  • López-Gil, J. F., Camargo, E. M., & Yuste, J. L. Adherencia a la dieta mediterránea en escolares de Educación Primaria partícipes en actividad física: una revisión sistemática. Cultura, Ciencia y Deporte, 2020 Feb 15(44), 267-275.
  • García-Solano M, Gutiérrez-González E, López-Sobaler AM, Ruiz-Álvarez M, Bermejo López LM, Aparicio A, et al. Situación ponderal de la población escolar de 6 a 9 años en España: resultados del estudio ALADINO 2019. Nutr Hosp. 2021; 38(5):943-953. doi: 10.20960/nh.03618.
  • Tarro S, Lahdenperä M, Vahtera J, Pentti J, Lagström H. Diet quality in preschool children and associations with individual eating behavior and neighborhood socioeconomic disadvantage. The STEPS Study. Appetite 2022; 172:105950. doi: 10.1016/j.appet.2022.105950
  • Henríquez Konings FP, Lanuza Rilling FI, Bustos Medina LH, González San Martín A, Hazbún Game JI. Asociación entre conducta alimentaria y estado nutricional en preescolares chilenos. Nutr Hosp. 2018; 35(5):1049-1053. doi: 10.20960/nh.1803
  • Roach E, Viechnicki GB, Retzloff LB, Davis-Kean P, Lumeng JC, Miller AL. Family food talk, child eating behavior, and maternal feeding practices. Appetite 2017; 117:40-50. doi: 10.1016/j.appet.2017.06.001
  • Jani R, Agarwal CK, Golley P, Shanyar N, Mallan K, Chipchase L. Associations between appetitive traits, dietary patterns and weight status of children attending the School Kids Intervention Program. Nutr Health. 2020; 26(2):103-113. Doi: 10.1177/0260106020910962
  • Faith MS, Carnell S, Kral TV. Genetics of food intake self-regulation in childhood: literature review and research opportunities. Hum Hered. 2013;75(2- 4):80-9. doi: 10.1159/000353879.
  • Rudy E, Bauer KW, Hughes SO, et al. Interrelationships of child appetite, weight and snacking among Hispanic preschoolers. Pediatr Obes. 2018; 13(1):38-45. doi: 10.1111/ijpo.12186
  • Buja A, Manfredi M, Zampieri C, Minnicelli A, Bolda R, Brocadello F, Gatti M, Baldovin T, Baldo V. Is emotional eating associated with behavioral traits and Mediterranean diet in children? A cross-sectional study. BMC Public Health 2022; 22(1):1794.doi: 10.1186/s12889-022-14192-8
  • Wardle J. Guthrie CA, Sanderson S, Rapoport L. Development of the Children´s Eating Behaviour Questionnaire. Child Psychol. Psychiat. 2001; 42 (7): 963-970. doi: 10.1111/1469-7610.00792.
  • Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors Influencing Children's Eating Behaviours. Nutrients 2018; 10(6):706. doi: 10.3390/nu10060706
  • WMA - World Medical Association (2013). Helsinki Declaration - Ethical principles for medical research involving human subjects. 64ª Asamblea General, Fortaleza, Brasil. [Consultado: 15 de febrero de 2023]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm- principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
  • Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004; 7(7):931-5. doi: 10.1079/phn2004556.
  • Weiner JS, Lourie, JA. Eds. Practical human biology. London: Academic Press; 1981.
  • Siri WE. Body composition from fluid spaces and density; analysis of methods. In: Techniques for measuring body composition Ed. Brozek, J. and Henschel, A., 1961; 223-244. Washington: National Academy of Sciences.
  • Brook CG. Determination of body composition of children from skinfold measurements. Arch Dis Child. 1971; 46(246):182-4. doi: 10.1136/adc.46.246.182.
  • Durnin JV, Rahaman MM. The assessment of the amount of fat in the human body from measurements of skinfold thickness. Br J Nutr. 1967; 21(3):681-9. doi: 10.1079/bjn19670070.
  • Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Body mass index cut offs to define thinness in children and adolescent: international survey. BMJ 2007; 335(7612): 166–167. doi: 10.1136/bmj.39238.399444.55
  • Marrodán MD, Martínez JR, González-Montero M, López-Ejeda N, Cabañas MD, Prado C. Precisión diagnóstica del índice cintura-talla para la identificación del sobrepeso y de la obesidad infantil. Med Clin (Barc). 2012. doi: 10.1016/j.medcli.2012.01.032
  • Marrodán MD, Mesa MS, Alba JA, Ambrosio B, Barrio PA, Drak L, et al. Diagnosis de la obesidad: actualización de criterios y su validez clínica y poblacional. An Pediatr (Barc) 2006; 65:5-14. doi: 10.1157/13090892.
  • Jimeno-Martínez A, Maneschy I, Moreno LA, Bueno-Lozano G, De Miguel- Etayo P, Flores-Rojas K, et al. Reliability and Validation of the Child Eating Behavior Questionnaire in 3- to 6-Year-Old Spanish Children. Front Psychol. 2022, 4;13:705912. Doi: 10.3389/fpsyg.2022.705912
  • Kanellopoulou A, Giannakopoulou SP, Notara V, Antonogeorgos G, Rojas-Gil AP, Kornilaki EN, et al. The association between adherence to the Mediterranean diet and childhood obesity; the role of family structure: Results from an epidemiological study in 1728 Greek students. Nutr Health. 2021; 27(1):39-47. doi: 10.1177/0260106020952600
  • Bacopoulou F, Landis G, Rentoumis A, Tsitsika A, Efthymiou V. Mediterranean diet decreases adolescent waist circumference. Eur J Clin Invest. 2017; 47(6):447- 455. doi: 10.1111/eci.12760.
  • Galán-Lopez P, Sánchez-Oliver AJ, Ries F, González-Jurado JA. Mediterranean Diet, Physical Fitness and Body Composition in Sevillian Adolescents: A Healthy Lifestyle. Nutrients 2019; 11(9):2009. doi: 10.3390/nu11092009.
  • Bibiloni MDM, Gallardo-Alfaro L, Gómez SF, Wärnberg J, Osés-Recalde M, González-Gross M, et al. Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Nutrients 2022; 14(4):738. doi: 10.3390/nu14040738
  • Arroyo Uriarte P, Mazquiaran Bergera L, Rodríguez Alonso P, Valero Gaspar T, Ruiz Moreno E et al. Informe de Estado de Situación sobre “Frutas y Hortalizas: Nutrición y Salud en la España del S. XXI”. Fundación Española de la Nutrición (FEN), 2018.
  • Da Rocha BRS, Rico-Campà A, Romanos-Nanclares A, Ciriza E, Barbosa KBF, Martínez-González MÁ, et al. La adherencia a la dieta mediterránea está inversamente asociada al consumo de alimentos ultraprocesados en niños españoles: la Proyecto SENDO. Salud Pública Nutr. 2021; 24 (11): 3294-doi: 10.1017/S1368980020001524
  • Da Costa MP, Severo M, Oliveira A, Lopes C, Hetherington M, Vilela S. Longitudinal bidirectional relationship between children's appetite and diet quality: A prospective cohort study. Appetite 2022;169:105801. doi: 10.1016/j.appet.2021.105801
  • Vilela S, Hetherington MM, Oliveira A, Lopes C. Tracking diet variety in childhood and its association with eating behaviours related to appetite: The generation XXI birth cohort. Appetite 2018; 123:241-248. doi: 10.1016/j.appet.2017.12.030
  • Vedovato GM, Vilela S, Severo M, Rodrigues S, Lopes C, Oliveira A. Ultra- processed food consumption, appetitive traits and BMI in children: a prospective study. Br J Nutr. 2021; 125(12):1427-1436. doi: 10.1017/S0007114520003712
Data source: Dialnet