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Adherence to a Mediterranean-like dietary pattern in children from eight European countries : the IDEFICS study

(2014) INTERNATIONAL JOURNAL OF OBESITY. 38(suppl. 2). p.S108-S114
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Abstract
BACKGROUND: Despite documented benefits of a Mediterranean-like dietary pattern, there is a lack of knowledge about how children from different European countries compare with each other in relation to the adherence to this pattern. In response to this need, we calculated the Mediterranean diet score (MDS) in 2-9-year-old children from the Identification and prevention of dietary-and lifestyle-induced health effects in children and infants (IDEFICS) eight-country study. SUBJECTS AND METHODS: Using 24 h dietary recall data obtained during the IDEFICS study (n = 7940), an MDS score was calculated based on the age- and sex-specific population median intakes of six food groups (vegetables and legumes, fruit and nuts, cereal grains and potatoes, meat products and dairy products) and the ratio of unsaturated to saturated fats. For fish and seafood, which was consumed by 10% of the population, one point was given to consumers. The percentages of children with high MDS levels (43) were calculated and stratified by sex, age and by having at least one migrant parent or both native parents. Demographic (sex and age) and socioeconomic characteristics (parental education and income) of children showing high (43) vs low (<= 3) MDS levels were examined. RESULTS: The highest prevalence of children with MDS 43 was found among the Italian pre-school boys (55.9%) and the lowest among the Spanish school-aged girls (26.0%). Higher adherence to a Mediterranean-like dietary pattern was not associated with living in a Mediterranean country or in a highly educated or high-income family, although with some exceptions. Differences in adherence between boys and girls or age groups varied between countries without any general pattern. CONCLUSIONS: With the exception of Italian pre-schoolers, similar adherence levels to a Mediterranean-like dietary pattern have been observed among European children.
Keywords
LIFE-STYLE FACTORS, BALEARIC-ISLANDS ADOLESCENTS, METABOLIC SYNDROME, CHILDHOOD OBESITY, GREEK CHILDREN, QUALITY INDEX, CANCER-RISK, EPIC COHORT, DETERMINANTS, MORTALITY

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MLA
Tognon, G et al. “Adherence to a Mediterranean-like Dietary Pattern in Children from Eight European Countries : the IDEFICS Study.” INTERNATIONAL JOURNAL OF OBESITY 38.suppl. 2 (2014): S108–S114. Print.
APA
Tognon, G., Moreno, L., Mouratidou, T., Veidebaum, T., Molnár, D., Russo, P., Siani, A., et al. (2014). Adherence to a Mediterranean-like dietary pattern in children from eight European countries : the IDEFICS study. INTERNATIONAL JOURNAL OF OBESITY, 38(suppl. 2), S108–S114.
Chicago author-date
Tognon, G, LA Moreno, T Mouratidou, T Veidebaum, D Molnár, P Russo, A Siani, et al. 2014. “Adherence to a Mediterranean-like Dietary Pattern in Children from Eight European Countries : the IDEFICS Study.” International Journal of Obesity 38 (suppl. 2): S108–S114.
Chicago author-date (all authors)
Tognon, G, LA Moreno, T Mouratidou, T Veidebaum, D Molnár, P Russo, A Siani, Yasmina Akhandaf, V Krogh, M Tornaritis, C Börnhorst, A Hebestreit, I Pigeot, and L Lissner. 2014. “Adherence to a Mediterranean-like Dietary Pattern in Children from Eight European Countries : the IDEFICS Study.” International Journal of Obesity 38 (suppl. 2): S108–S114.
Vancouver
1.
Tognon G, Moreno L, Mouratidou T, Veidebaum T, Molnár D, Russo P, et al. Adherence to a Mediterranean-like dietary pattern in children from eight European countries : the IDEFICS study. INTERNATIONAL JOURNAL OF OBESITY. 2014;38(suppl. 2):S108–S114.
IEEE
[1]
G. Tognon et al., “Adherence to a Mediterranean-like dietary pattern in children from eight European countries : the IDEFICS study,” INTERNATIONAL JOURNAL OF OBESITY, vol. 38, no. suppl. 2, pp. S108–S114, 2014.
@article{7147114,
  abstract     = {BACKGROUND: Despite documented benefits of a Mediterranean-like dietary pattern, there is a lack of knowledge about how children from different European countries compare with each other in relation to the adherence to this pattern. In response to this need, we calculated the Mediterranean diet score (MDS) in 2-9-year-old children from the Identification and prevention of dietary-and lifestyle-induced health effects in children and infants (IDEFICS) eight-country study. 
SUBJECTS AND METHODS: Using 24 h dietary recall data obtained during the IDEFICS study (n = 7940), an MDS score was calculated based on the age- and sex-specific population median intakes of six food groups (vegetables and legumes, fruit and nuts, cereal grains and potatoes, meat products and dairy products) and the ratio of unsaturated to saturated fats. For fish and seafood, which was consumed by 10% of the population, one point was given to consumers. The percentages of children with high MDS levels (43) were calculated and stratified by sex, age and by having at least one migrant parent or both native parents. Demographic (sex and age) and socioeconomic characteristics (parental education and income) of children showing high (43) vs low (<= 3) MDS levels were examined. 
RESULTS: The highest prevalence of children with MDS 43 was found among the Italian pre-school boys (55.9%) and the lowest among the Spanish school-aged girls (26.0%). Higher adherence to a Mediterranean-like dietary pattern was not associated with living in a Mediterranean country or in a highly educated or high-income family, although with some exceptions. Differences in adherence between boys and girls or age groups varied between countries without any general pattern. 
CONCLUSIONS: With the exception of Italian pre-schoolers, similar adherence levels to a Mediterranean-like dietary pattern have been observed among European children.},
  author       = {Tognon, G and Moreno, LA and Mouratidou, T and Veidebaum, T and Molnár, D and Russo, P and Siani, A and Akhandaf, Yasmina and Krogh, V and Tornaritis, M and Börnhorst, C and Hebestreit, A and Pigeot, I and Lissner, L},
  issn         = {0307-0565},
  journal      = {INTERNATIONAL JOURNAL OF OBESITY},
  keywords     = {LIFE-STYLE FACTORS,BALEARIC-ISLANDS ADOLESCENTS,METABOLIC SYNDROME,CHILDHOOD OBESITY,GREEK CHILDREN,QUALITY INDEX,CANCER-RISK,EPIC COHORT,DETERMINANTS,MORTALITY},
  language     = {eng},
  number       = {suppl. 2},
  pages        = {S108--S114},
  title        = {Adherence to a Mediterranean-like dietary pattern in children from eight European countries : the IDEFICS study},
  url          = {http://dx.doi.org/10.1038/ijo.2014.141},
  volume       = {38},
  year         = {2014},
}

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