Related Experiment Video
Updated: Oct 8, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Anthropometric Parameters and Mediterranean Diet Adherence in Preschool Children in Split-Dalmatia County,
Dora Bučan Nenadić1,2, Ela Kolak1,2, Marija Selak1,2
1Department of Nutrition and Dietetics, University Hospital Centre Split, 21000 Split, Croatia.
Insights
Childhood obesity is rising in Croatia. This study found low adherence to the Mediterranean diet (MeDi) among preschool children, linked to poorer nutritional status and higher obesity rates.
Area of Science:
- Pediatric Nutrition
- Public Health
- Dietary Habits
Background:
- Childhood obesity presents a significant public health challenge in European nations, including Croatia.
- Prevalence data indicates a high rate of overweight and obesity among Croatian children.
- The Mediterranean diet (MeDi) is recognized for its positive impact on health and nutritional status.
Purpose of the Study:
- To assess the nutritional status of preschool children in Split, Croatia.
- To evaluate adherence to the Mediterranean diet (MeDi) in this population.
- To identify potential correlations between dietary habits and anthropometric measurements.
Main Methods:
- Cross-sectional, observational study involving 598 preschool children (ages 3-7).
- Data collection included parental lifestyle questionnaires and the Mediterranean Diet Quality Index (KIDMED).
- Anthropometric measurements (weight, height, MUAC, WC) were taken, and z-scores calculated.
Main Results:
- Over 20% of children were overweight or obese, with 9% underweight.
- Nearly half (49%) of participants exhibited low adherence to the MeDi (low KIDMED score).
- Significant negative correlations were observed between MUAC/WC and daily fruit/vegetable consumption.
Conclusions:
- Low adherence to MeDi principles among preschool children is a concern.
- Promoting the MeDi is crucial for improving child health in Mediterranean regions.
- Educational initiatives are needed to foster healthy eating habits in young children.
Abstract:
Obesity is a rapidly growing problem in European countries, Croatia being among them. According to the latest CroCOSI data, every third child in Croatia aged 8.0-8.9 years is overweight or obese. The Mediterranean diet (MeDi) and its impact on nutritional status and health has been the focus of recent research. Therefore, the aim of this cross-sectional, observational study was to determine the nutritional status and adherence to the MeDi of preschool children in Split, Croatia. We included 598 preschool children aged 3 to 7 years and, for each child, parents completed a lifestyle questionnaire and the Mediterranean Diet Quality Index (KIDMED) in order to assess adherence to the MeDi. The anthropometric assessment included the measurement of weight, height, mid-upper arm circumference (MUAC), waist circumference (WC) and the z-score was calculated. According to the z-score, 420 (70.2%) children had a healthy body weight with 54 (9%) underweight and 124 (20.8%) overweight or obese children. Almost half (49%) of the study participants had a low KIDMED index score, indicating a low MeDi adherence, 37% had an average score, while only 14% had high MeDi compliance. Statistically significant negative correlations between MUAC and WC and the consumption of a second daily serving of fruit (p = 0.04) as well as a daily serving of vegetables (p = 0.03) were found. In conclusion, low compliance to the MeDi principles in preschool children is concerning. Considering the beneficial effects of the MeDi on overall health, further education, and the adoption of healthy eating habits in preschool children in this Mediterranean region are required.
Related Concept Videos
Self-Schemas
Regulation of Food Intake
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Nature and Nurture
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Correlations

