Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children

Background The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective w...

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Autores: Bawaked, Rowaedh Ahmed, Gómez Santos, Santiago Felipe, Homs, Clara, Casas Esteve, Rafael, Cardenas, Gabriela, Fitó Colomer, Montserrat, Schröder, Helmut
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Recursos:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/73516
Acesso em linha:https://doi.org/10.1016/j.appet.2018.08.024
http://hdl.handle.net/10459.1/73516
Access Level:acceso abierto
Palavra-chave:Eating behaviors
Mediterranean diet
Socioeconomic status
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spelling Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish childrenBawaked, Rowaedh AhmedGómez Santos, Santiago FelipeHoms, ClaraCasas Esteve, RafaelCardenas, GabrielaFitó Colomer, MontserratSchröder, HelmutEating behaviorsMediterranean dietSocioeconomic statusBackground The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective was to investigate the association of Mediterranean diet adherence with eating behaviors, lifestyle habits, and maternal education in a prospective cohort of children. Methods The present prospective cohort analysis included 1639 children aged 8–10 years. The study was carried out during two academic years, 2012/2014, with an average follow-up of 15 months. Eating behaviors, physical activity, and adherence to Mediterranean diet were estimated by the Dutch Eating Behavior Questionnaire for Children, the Physical Activity Questionnaire for Children, and the KIDMED index, respectively. Results Multivariate linear regression analysis adjusted for sex, age, maternal education, baseline adherence to the Mediterranean diet, and intervention group revealed a significant (p < 0.01) inverse association of external eating and screen time with adherence to the Mediterranean diet at follow-up (mean of 15 months). The opposite association was found for meal frequency and physical activity (p < 0.02). A high level of maternal education increased the odds of a child's high adherence to the Mediterranean diet (OR = 1.56 CI 1.13; 2.14) compared to peers whose mothers had only a primary education. Conclusions Screen time, physical activity, meal frequency, and external eating predict adherence to the Mediterranean diet independently of baseline diet quality. Maternal education level is an important prospective determinant for the adherence to the Mediterranean diet.This work was supported by grants from the Instituto de Salud Carlos III FEDER (PI11/01900 and CB06/02/0029), AGAUR (2014 SGR 240), the King Abdullah scholarship program [2014,ID 2631], and by Miguel Servet's contract (CP06/00100). The CIBERESP and the CIBEROBN are initiatives of the Instituto de Salud Carlos III, Madrid, Spain. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Elsevier2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionhttps://doi.org/10.1016/j.appet.2018.08.024http://hdl.handle.net/10459.1/73516reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésVersió postprint del document publicat a https://doi.org/10.1016/j.appet.2018.08.024Appetite, 2018, vol. 130, p. 279-285cc-by-nc-nd (c) Elsevier, 2018info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:repositori.udl.cat:10459.1/735162026-06-24T12:42:17Z
dc.title.none.fl_str_mv Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
title Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
spellingShingle Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
Bawaked, Rowaedh Ahmed
Eating behaviors
Mediterranean diet
Socioeconomic status
title_short Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
title_full Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
title_fullStr Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
title_full_unstemmed Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
title_sort Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
dc.creator.none.fl_str_mv Bawaked, Rowaedh Ahmed
Gómez Santos, Santiago Felipe
Homs, Clara
Casas Esteve, Rafael
Cardenas, Gabriela
Fitó Colomer, Montserrat
Schröder, Helmut
author Bawaked, Rowaedh Ahmed
author_facet Bawaked, Rowaedh Ahmed
Gómez Santos, Santiago Felipe
Homs, Clara
Casas Esteve, Rafael
Cardenas, Gabriela
Fitó Colomer, Montserrat
Schröder, Helmut
author_role author
author2 Gómez Santos, Santiago Felipe
Homs, Clara
Casas Esteve, Rafael
Cardenas, Gabriela
Fitó Colomer, Montserrat
Schröder, Helmut
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Eating behaviors
Mediterranean diet
Socioeconomic status
topic Eating behaviors
Mediterranean diet
Socioeconomic status
description Background The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective was to investigate the association of Mediterranean diet adherence with eating behaviors, lifestyle habits, and maternal education in a prospective cohort of children. Methods The present prospective cohort analysis included 1639 children aged 8–10 years. The study was carried out during two academic years, 2012/2014, with an average follow-up of 15 months. Eating behaviors, physical activity, and adherence to Mediterranean diet were estimated by the Dutch Eating Behavior Questionnaire for Children, the Physical Activity Questionnaire for Children, and the KIDMED index, respectively. Results Multivariate linear regression analysis adjusted for sex, age, maternal education, baseline adherence to the Mediterranean diet, and intervention group revealed a significant (p < 0.01) inverse association of external eating and screen time with adherence to the Mediterranean diet at follow-up (mean of 15 months). The opposite association was found for meal frequency and physical activity (p < 0.02). A high level of maternal education increased the odds of a child's high adherence to the Mediterranean diet (OR = 1.56 CI 1.13; 2.14) compared to peers whose mothers had only a primary education. Conclusions Screen time, physical activity, meal frequency, and external eating predict adherence to the Mediterranean diet independently of baseline diet quality. Maternal education level is an important prospective determinant for the adherence to the Mediterranean diet.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1016/j.appet.2018.08.024
http://hdl.handle.net/10459.1/73516
url https://doi.org/10.1016/j.appet.2018.08.024
http://hdl.handle.net/10459.1/73516
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a https://doi.org/10.1016/j.appet.2018.08.024
Appetite, 2018, vol. 130, p. 279-285
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Elsevier, 2018
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv cc-by-nc-nd (c) Elsevier, 2018
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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