Mediterranean Diet Adherence in Italian Children: How much do Demographic Factors and Socio-Economic Status Matter?
Children
Diet cost
KIDMED
Mediterranean diet
Socio-economic status
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
01 Oct 2024
01 Oct 2024
Historique:
accepted:
03
09
2024
medline:
1
10
2024
pubmed:
1
10
2024
entrez:
1
10
2024
Statut:
aheadofprint
Résumé
. This cross-sectional study aimed to evaluate the degree of children's adherence to the Mediterranean Diet (MD), to estimate the weekly cost of MD, and to assess the role of food cost and demographic/socio-economic factors as potential barriers to comply with a healthy dietary model. . Data collection was conducted through an online questionnaire sent to parents of children (6-11 years old) living in Italy. This survey allowed the collection of demographic/socio-economic information about the family and their dietary habits. Adherence to the MD in children was assessed through the KIDMED index. The weekly diet cost was calculated based on the food prices of two Italian supermarket chains. Descriptive statistics and inferential tests were run to evaluate the sample's characteristics and correlations between diet cost, socio-demographics, and adherence to MD. . Data highlighted that 31.5% of the children achieved high compliance with the MD, whereas 22.2% showed low adherence. The average diet cost increased significantly with the increasing level of adherence to the MD (Spearman's Rho = 0.322, p = 0.018). Moreover, results showed that a high parent educational level was positively associated with the KIDMED score (Spearman's Rho = 0.323, p = 0.017). No significant correlations were found between dietary cost and other characteristics such as economic status and house type. . Despite the small sample size, our results suggest that nutrition education interventions targeted at children and their parents/caregivers might favour more conscious dietary choices, which in turn will help reduce the differences in diet quality caused by the educational level gaps existing in families.
Identifiants
pubmed: 39352571
doi: 10.1007/s10995-024-03996-2
pii: 10.1007/s10995-024-03996-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Acito, M., Cangelosi, G., Petrelli, F., Moretti, M., Villarini, M., Celestino, A., Sordoni, E., & Grappasonni, I. (2024). Eating and lifestyle habits and primary school health-related programs: A survey involving Italian children and teachers. Annali Di Igiene: Medicina Preventiva E Di Comunita, 36(2), 123–143. https://doi.org/10.7416/ai.2024.2599
doi: 10.7416/ai.2024.2599
pubmed: 38236002
Aggarwal, A., Monsivais, P., Cook, A. J., & Drewnowski, A. (2011). Does diet cost mediate the relation between socioeconomic position and diet quality? European Journal of Clinical Nutrition, 65(9), 1059–1066. https://doi.org/10.1038/ejcn.2011.72
doi: 10.1038/ejcn.2011.72
pubmed: 21559042
pmcid: 3157585
Albuquerque, G., Moreira, P., Rosário, R., Araújo, A., Teixeira, V. H., Lopes, O., Moreira, A., & Padrão, P. (2017). Adherence to the Mediterranean diet in children: Is it associated with economic cost? Porto Biomedical Journal, 2(4), 115–119. https://doi.org/10.1016/j.pbj.2017.01.009
doi: 10.1016/j.pbj.2017.01.009
pubmed: 32258600
pmcid: 6806967
Altavilla, C., & Caballero-Pérez, P. (2019). An update of the KIDMED questionnaire, a Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition, 22(14), 2543–2547. https://doi.org/10.1017/S1368980019001058
doi: 10.1017/S1368980019001058
pubmed: 31146796
pmcid: 10260407
Archero, F., Ricotti, R., Solito, A., Carrera, D., Civello, F., Di Bella, R., Bellone, S., & Prodam, F. (2018). Adherence to the Mediterranean Diet among School Children and adolescents living in Northern Italy and Unhealthy Food Behaviors Associated to overweight. Nutrients, 10(9), E1322. https://doi.org/10.3390/nu10091322
doi: 10.3390/nu10091322
Barnaba, L., Intorre, F., Azzini, E., Ciarapica, D., Venneria, E., Foddai, M. S., Maiani, F., Raguzzini, A., & Polito, A. (2020). Evaluation of adherence to Mediterranean diet and association with clinical and biological markers in an Italian population. Nutrition (Burbank Los Angeles County Calif), 77, 110813. https://doi.org/10.1016/j.nut.2020.110813
doi: 10.1016/j.nut.2020.110813
pubmed: 32450332
Bonaccio, M., Bonanni, A. E., Di Castelnuovo, A., De Lucia, F., Donati, M. B., de Gaetano, G., Iacoviello, L., & Moli-sani Project Investigators. (2012). Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: Cross-sectional results from the Moli-Sani study. British Medical Journal Open, 2(6), e001685. https://doi.org/10.1136/bmjopen-2012-001685
doi: 10.1136/bmjopen-2012-001685
Dondi, A., Candela, E., Morigi, F., Lenzi, J., Pierantoni, L., & Lanari, M. (2020). Parents’ perception of Food Insecurity and of its effects on their children in Italy six months after the COVID-19 pandemic outbreak. Nutrients, 13(1), E121. https://doi.org/10.3390/nu13010121
doi: 10.3390/nu13010121
Grosso, G., & Galvano, F. (2016). Mediterranean diet adherence in children and adolescents in southern European countries. NFS Journal, 3, 13–19. https://doi.org/10.1016/j.nfs.2016.02.004
doi: 10.1016/j.nfs.2016.02.004
Grosso, G., Marventano, S., Buscemi, S., Scuderi, A., Matalone, M., Platania, A., Giorgianni, G., Rametta, S., Nolfo, F., Galvano, F., & Mistretta, A. (2013). Factors associated with adherence to the Mediterranean diet among adolescents living in Sicily, Southern Italy. Nutrients, 5(12), 4908–4923. https://doi.org/10.3390/nu5124908
doi: 10.3390/nu5124908
pubmed: 24304608
pmcid: 3875926
Guasch-Ferré, M., & Willett, W. C. (2021). The Mediterranean diet and health: A comprehensive overview. Journal of Internal Medicine, 290(3), 549–566. https://doi.org/10.1111/joim.13333
doi: 10.1111/joim.13333
pubmed: 34423871
Iaccarino Idelson, P., Scalfi, L., & Valerio, G. (2017). Adherence to the Mediterranean Diet in children and adolescents: A systematic review. Nutrition Metabolism and Cardiovascular Diseases: NMCD, 27(4), 283–299. https://doi.org/10.1016/j.numecd.2017.01.002
doi: 10.1016/j.numecd.2017.01.002
pubmed: 28254269
Istituto Nazionale di Statistica (2019). Stili di vita di bambini e ragazzi (anni 2017–2018). https://www.istat.it/it/files//2019/10/Report_Stili_di_vita_minori.pdf
Istituto Superiore di Sanità (2019). OKkio alla SALUTE - The Results 2019. https://www.epicentro.iss.it/okkioallasalute/pdf2020/infografica-en-2019.pdf
Keys, A., Menotti, A., Karvonen, M. J., Aravanis, C., Blackburn, H., Buzina, R., Djordjevic, B. S., Dontas, A. S., Fidanza, F., & Keys, M. H. (1986). The diet and 15-year death rate in the seven countries study. American Journal of Epidemiology, 124(6), 903–915. https://doi.org/10.1093/oxfordjournals.aje.a114480
doi: 10.1093/oxfordjournals.aje.a114480
pubmed: 3776973
Lewis, M., McNaughton, S. A., Rychetnik, L., & Lee, A. J. (2020). A systematic scoping review of the habitual dietary costs in low socioeconomic groups compared to high socioeconomic groups in Australia. Nutrition Journal, 19(1), 139. https://doi.org/10.1186/s12937-020-00654-5
doi: 10.1186/s12937-020-00654-5
pubmed: 33302963
pmcid: 7731625
Mackenbach, J. D., Brage, S., Forouhi, N. G., Griffin, S. J., Wareham, N. J., & Monsivais, P. (2015). Does the importance of dietary costs for fruit and vegetable intake vary by socioeconomic position? The British Journal of Nutrition, 114(9), 1464–1470. https://doi.org/10.1017/S0007114515003025
doi: 10.1017/S0007114515003025
pubmed: 26353803
pmcid: 4657115
Noale, M., Nardi, M., Limongi, F., Siviero, P., Caregaro, L., Crepaldi, G., Maggi, S., & Mediterranean Diet Foundation Study Group. (2014). Adolescents in southern regions of Italy adhere to the Mediterranean diet more than those in the northern regions. Nutrition Research (New York N Y), 34(9), 771–779. https://doi.org/10.1016/j.nutres.2014.08.001
doi: 10.1016/j.nutres.2014.08.001
pubmed: 25213381
Roccaldo, R., Censi, L., D’Addezio, L., Toti, E., Martone, D., D’Addesa, D., Cernigliaro, A., & ZOOM8 Study group. (2014). Adherence to the Mediterranean diet in Italian school children (the ZOOM8 study). International Journal of Food Sciences and Nutrition, 65(5), 621–628. https://doi.org/10.3109/09637486.2013.873887
doi: 10.3109/09637486.2013.873887
pubmed: 24527679
Rosi, A., Calestani, M. V., Parrino, L., Milioli, G., Palla, L., Volta, E., Brighenti, F., & Scazzina, F. (2017). Weight status is related with gender and sleep duration but not with Dietary habits and Physical Activity in Primary School Italian Children. Nutrients, 9(6), E579. https://doi.org/10.3390/nu9060579
doi: 10.3390/nu9060579
Rydén, P. J., & Hagfors, L. (2011). Diet cost, diet quality and socio-economic position: How are they related and what contributes to differences in diet costs? Public Health Nutrition, 14(9), 1680–1692. https://doi.org/10.1017/S1368980010003642
doi: 10.1017/S1368980010003642
pubmed: 21255480
Santomauro, F., Lorini, C., Tanini, T., Indiani, L., Lastrucci, V., Comodo, N., & Bonaccorsi, G. (2014). Adherence to Mediterranean diet in a sample of tuscan adolescents. Nutrition (Burbank Los Angeles County Calif), 30(11–12), 1379–1383. https://doi.org/10.1016/j.nut.2014.04.008
doi: 10.1016/j.nut.2014.04.008
pubmed: 25280416
Schröder, H., Gomez, S. F., Ribas-Barba, L., Pérez-Rodrigo, C., Bawaked, R. A., Fíto, M., & Serra-Majem, L. (2016). Monetary Diet cost, Diet Quality, and parental socioeconomic status in Spanish Youth. PloS One, 11(9), e0161422. https://doi.org/10.1371/journal.pone.0161422
doi: 10.1371/journal.pone.0161422
pubmed: 27622518
pmcid: 5021338
Tognon, G., Moreno, L. A., Mouratidou, T., Veidebaum, T., Molnár, D., Russo, P., Siani, A., Akhandaf, Y., Krogh, V., Tornaritis, M., Börnhorst, C., Hebestreit, A., Pigeot, I., Lissner, L., & IDEFICS consortium. (2014). &. Adherence to a Mediterranean-like dietary pattern in children from eight European countries. The IDEFICS study. International Journal of Obesity (2005), 38 Suppl 2, S108-114. https://doi.org/10.1038/ijo.2014.141
Zani, C., Ceretti, E., Grioni, S., Viola, G. C. V., Donato, F., Feretti, D., Festa, A., Bonizzoni, S., Bonetti, A., Monarca, S., Villarini, M., Levorato, S., Carducci, A., Verani, M., Casini, B., De Donno, A., Grassi, T., Bagordo, F., Carraro, E., & MAPEC-LIFE Study Group. (2016). Are 6–8 year old Italian children moving away from the Mediterranean diet? Annali Di Igiene: Medicina Preventiva E Di Comunita, 28(5), 339–348. https://doi.org/10.7416/ai.2016.2114
doi: 10.7416/ai.2016.2114
pubmed: 27627665