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Adherence to a Mediterranean-like dietary pattern in children from eight European countries. The IDEFICS study
G Tognon1, L A Moreno2, T Mouratidou2
1Public Health Epidemiology Unit, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
European children show similar adherence to Mediterranean diets, except for Italian preschoolers. This study analyzed adherence across eight countries, finding variations by sex and age but no consistent link to socioeconomic factors.
Area of Science:
- Pediatric Nutrition
- Dietary Pattern Analysis
- Public Health
Background:
- Documented benefits of Mediterranean-like dietary patterns are known.
- Limited data exists on adherence among European children.
- The Identification and prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) study provides a basis for this research.
Purpose of the Study:
- To compare Mediterranean diet adherence among children aged 2-9 across eight European countries.
- To calculate the Mediterranean Diet Score (MDS) for European children.
- To investigate factors influencing adherence to a Mediterranean-like diet in children.
Main Methods:
- Utilized 24-hour dietary recall data from 7940 children in the IDEFICS study.
- Calculated MDS based on age- and sex-specific median intakes of six food groups and fat ratios.
- Stratified adherence by sex, age, parental origin, and socioeconomic characteristics.
Main Results:
- Highest adherence (MDS>3) observed in Italian preschool boys (55.9%); lowest in Spanish school-aged girls (26.0%).
- Adherence was not consistently associated with living in Mediterranean countries or higher socioeconomic status.
- Variations in adherence between sexes and age groups differed by country without a clear pattern.
Conclusions:
- European children exhibit largely similar adherence to Mediterranean-like diets.
- Italian preschoolers represent an exception with notably higher adherence.
- Further research may explore country-specific factors influencing dietary patterns in children.
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