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Adherence to Mediterranean diet is inversely associated with the consumption of ultra-processed foods among Spanish children: the SENDO project.
da Rocha, Bárbara Rafaela Santos; Rico-Campà, Anaïs; Romanos-Nanclares, Andrea; Ciriza, Edurne; Barbosa, Kiriaque Barra Ferreira; Martínez-González, Miguel Ángel; Martín-Calvo, Nerea.
Affiliation
  • da Rocha BRS; Department of Medicine, Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil.
  • Rico-Campà A; Department of Preventive Medicine and Public Health, University of Navarra, School of Medicine, Pamplona, Spain.
  • Romanos-Nanclares A; Centro de investigación biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
  • Ciriza E; Department of Preventive Medicine and Public Health, University of Navarra, School of Medicine, Pamplona, Spain.
  • Barbosa KBF; Ansoain Primary Care Health Center, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain.
  • Martínez-González MÁ; Department of Medicine, Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil.
  • Martín-Calvo N; Department of Nutrition, Federal University of Sergipe, São Cristovão, Brazil.
Public Health Nutr ; 24(11): 3294-3303, 2021 08.
Article in En | MEDLINE | ID: mdl-32698921
OBJECTIVE: To assess whether higher adherence to the traditional Mediterranean diet (MedDiet) was associated with lower consumption of ultra-processed foods (UPF) and lower free sugar intake. DESIGN: Cross-sectional analysis of baseline information among participants in the SENDO project, a Spanish paediatric cohort. Dietary information was collected through a semi-quantitative FFQ. Food items were classified according to the NOVA classification. Adherence to the MedDiet was evaluated through the KIDMED index. SETTING: Spain. PARTICIPANTS: Three hundred eight-six children (52 % boys) with a mean age of 5·3 years old (sd 1·0) were included in the analysis. RESULTS: 74·4 % of the children had moderate adherence to the MedDiet (mean KIDMED score: 5·9 points; sd 1·7) and overall, 32·2 % of the total energy intake came from UPF. Each two additional points in the KIDMED score was associated with 3·1 % (95 % CI 2·1, 4·0) lower energy intake from UPF. Compared to those with low adherence to the MedDiet, children with medium and high adherence reported 5·0 % (95 % CI 2·2, 7·7) and 8·5 % (95 % CI 5·2, 11·9) lower energy intake from UPF, respectively. We also found that 71·6 % of the variability in free sugar intake was explained by the variability in UPF consumption. CONCLUSIONS: Adherence to the traditional MedDiet was inversely associated with energy intake from UPF. Furthermore, most of the variability in free sugar intake was explained by the variability of UPF consumption. Public health strategies are needed to strengthen the adherence to the MedDiet in pre-schoolers while regulating the production, marketing and advertising of UPF.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Diet, Mediterranean Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Child / Child, preschool / Female / Humans / Male Language: En Journal: Public Health Nutr Journal subject: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Year: 2021 Document type: Article Affiliation country: Brazil Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Diet, Mediterranean Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Child / Child, preschool / Female / Humans / Male Language: En Journal: Public Health Nutr Journal subject: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Year: 2021 Document type: Article Affiliation country: Brazil Country of publication: United kingdom