Mediterranean diet adherence in 9-years old children: a cross-sectional study in the part of the Split-Dalmatia County, Croatia.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Central European journal of public health Pub Date : 2024-09-01 DOI:10.21101/cejph.a8094
Katarina Tomelić Ercegović, Petar Đolonga, Zvonimir Družianić, Vladimir Ercegović, Željka Karin
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Abstract

Objectives: Childhood obesity is a growing global problem that can be prevented by improving diet quality. Mediterranean diet (MedDiet), historically present in Mediterranean countries, is considered one of the healthiest dietary patterns. This cross-sectional study aimed to determine the MedDiet adherence and anthropometric parameters in 9-year-old children from the central geographic locations of Split-Dalmatia County, Croatia.

Methods: The study analysed data obtained from 158 children aged nine years from central parts of Dalmatia: Split and Hvar. To assess the MedDiet adherence, the parents of the children filled out the Mediterranean Diet Index (KIDMED) questionnaire. Appointed school medicine specialists collected anthropometric data of the children and categorized them into body mass index (BMI) categories according to the Center for Disease Control and Prevention (CDC) criteria. Additionally, we assessed the influence of parents' education degree on children's MedDiet adherence and anthropometric measures.

Results: Results showed that more than a quarter of nine-year-olds included in this study were overweight or obese (BMI ≥ 85th percentile for age and sex). One of the main findings was that 72% of children had suboptimal (poor or average) MedDiet adherence. Moreover, children with suboptimal KIDMED results (KI < 8) had significantly higher body weight, waist circumference, hip circumference, and waist-to-height ratio. Also, results showed that mothers' education notably influences children's anthropometry.

Conclusion: Our study found that childhood obesity is a significant concern among 9-year-olds, with a high prevalence of overweight and obesity. Additionally, our results showed that MedDiet adherence is suboptimal among this age group. These results indicate that children of the Mediterranean are not spared of modern life challenges. This problem should be prioritized in the future to prevent the development of a metabolically compromised adult population.

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克罗地亚斯普利特-达尔马提亚县部分地区 9 岁儿童的地中海饮食习惯:横断面研究。
目标:儿童肥胖症是一个日益严重的全球性问题,可以通过改善饮食质量来预防。地中海饮食(MedDiet)历来存在于地中海国家,被认为是最健康的饮食模式之一。这项横断面研究旨在确定克罗地亚斯普利特-达尔马提亚县中部地区 9 岁儿童的地中海饮食坚持情况和人体测量参数:研究分析了来自达尔马提亚中部地区 158 名 9 岁儿童的数据:斯普利特和赫瓦尔。为了评估地中海饮食坚持情况,儿童的父母填写了地中海饮食指数(KIDMED)问卷。学校指定的医学专家收集了儿童的人体测量数据,并根据美国疾病控制和预防中心(CDC)的标准将他们划分为体重指数(BMI)类别。此外,我们还评估了父母的受教育程度对儿童坚持 "健康饮食 "和人体测量的影响:结果:研究结果显示,超过四分之一的九岁儿童超重或肥胖(体重指数≥年龄和性别百分位数的 85)。研究的主要发现之一是,72%的儿童对 "健康饮食 "的依从性不达标(较差或一般)。此外,KIDMED结果不达标(KI<8)的儿童体重、腰围、臀围和腰围身高比明显偏高。研究结果还显示,母亲的受教育程度对儿童的人体测量有明显影响:我们的研究发现,儿童肥胖症是 9 岁儿童中的一个重大问题,超重和肥胖的发生率很高。此外,我们的研究结果表明,该年龄段儿童的 "地中海饮食 "坚持率并不理想。这些结果表明,地中海地区的儿童也不能幸免于现代生活的挑战。今后应优先考虑这一问题,以防止出现代谢受损的成年人口。
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来源期刊
Central European journal of public health
Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
0.00%
发文量
45
期刊介绍: The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.
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