Adherence to the Mediterranean Diet in Children and Adolescents in the Mediterranean and Continental Regions of Croatia

Q3 Arts and Humanities

Collegium Antropologicum Pub Date : 2022-01-01 DOI:10.5671/ca.46.1.4

Sara Sila, S. Kolaček, I. Hojsak, M. Radonić, T. Niseteo, Ana Radunić, Lucija Marić, M. Mašić, I. Trivić

{"title":"Adherence to the Mediterranean Diet in Children and Adolescents in the Mediterranean and Continental Regions of Croatia","authors":"Sara Sila, S. Kolaček, I. Hojsak, M. Radonić, T. Niseteo, Ana Radunić, Lucija Marić, M. Mašić, I. Trivić","doi":"10.5671/ca.46.1.4","DOIUrl":null,"url":null,"abstract":"Adherence to the Mediterranean diet (MD) has been found beneficial for the prevention and treatment of various chronic non-communicable diseases; however, adherence to MD is declining, especially in the Mediterranean countries. Croatia is characteristic for having both traditionally continental and Mediterranean regions, with distinct dietary features. The aim of this study was to compare difference in adherence to MD and overall dietary intake between children and adolescents from continental and Mediterranean part of Croatia. Participants were randomly recruited children and adolescents (n=838, mean age 9.96 ± 2.09 years) located in continental and Mediterranean parts of Croatia. Three different questionnaires were distributed and collected: general questionnaire (age and gender), the Mediterranean Diet Quality Index for children and adolescents (KIDMED) and 3-day food records (3DFR). Statistical analysis was performed using SPSS 260 (IBM Corporation, Chicago, Illinois, USA) statistical software. P values less than 0.05 were considered significant. Overall, low adherence to MD was evident in 23.1% of participants, while only 15.8% of children and adolescents had good compliance with MD. A significant difference in KIDMED score has been found between the continental (mean score 4.91 ± 2.33) and Mediterranean (mean score 5.57 ± 2.12) part of Croatia (p<0.001), as well as in the intake of energy and some nutrients. Moreover, participants from the Mediterranean part of Croatia had better compliance with D-A-CH recommendations for some nutrients compared to those from the continental part. Although children and adolescents from the Mediterranean part of Croatia had better adherence to MD than those from the continental part, overall, relatively poor adherence to MD was evident for both regions. Therefore, a healthy, balanced diet should be encouraged in both regions, preferably taking into account traditionally consumed and locally available foods.","PeriodicalId":35544,"journal":{"name":"Collegium Antropologicum","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Collegium Antropologicum","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5671/ca.46.1.4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Arts and Humanities","Score":null,"Total":0}

引用次数: 0

Abstract

Adherence to the Mediterranean diet (MD) has been found beneficial for the prevention and treatment of various chronic non-communicable diseases; however, adherence to MD is declining, especially in the Mediterranean countries. Croatia is characteristic for having both traditionally continental and Mediterranean regions, with distinct dietary features. The aim of this study was to compare difference in adherence to MD and overall dietary intake between children and adolescents from continental and Mediterranean part of Croatia. Participants were randomly recruited children and adolescents (n=838, mean age 9.96 ± 2.09 years) located in continental and Mediterranean parts of Croatia. Three different questionnaires were distributed and collected: general questionnaire (age and gender), the Mediterranean Diet Quality Index for children and adolescents (KIDMED) and 3-day food records (3DFR). Statistical analysis was performed using SPSS 260 (IBM Corporation, Chicago, Illinois, USA) statistical software. P values less than 0.05 were considered significant. Overall, low adherence to MD was evident in 23.1% of participants, while only 15.8% of children and adolescents had good compliance with MD. A significant difference in KIDMED score has been found between the continental (mean score 4.91 ± 2.33) and Mediterranean (mean score 5.57 ± 2.12) part of Croatia (p<0.001), as well as in the intake of energy and some nutrients. Moreover, participants from the Mediterranean part of Croatia had better compliance with D-A-CH recommendations for some nutrients compared to those from the continental part. Although children and adolescents from the Mediterranean part of Croatia had better adherence to MD than those from the continental part, overall, relatively poor adherence to MD was evident for both regions. Therefore, a healthy, balanced diet should be encouraged in both regions, preferably taking into account traditionally consumed and locally available foods.

查看原文本刊更多论文

克罗地亚地中海和大陆地区儿童和青少年坚持地中海饮食

研究发现，坚持地中海饮食有利于预防和治疗各种慢性非传染性疾病;然而，坚持MD的人数正在下降，特别是在地中海国家。克罗地亚的特点是既有传统的大陆地区，也有地中海地区，饮食特点明显。本研究的目的是比较克罗地亚大陆和地中海地区的儿童和青少年在坚持MD和总体饮食摄入量方面的差异。参与者随机招募来自克罗地亚大陆和地中海地区的儿童和青少年(n=838，平均年龄9.96±2.09岁)。发放和收集三种不同的问卷:一般问卷(年龄和性别)、儿童和青少年地中海饮食质量指数(KIDMED)和3天饮食记录(3DFR)。采用SPSS 260 (IBM Corporation, Chicago, Illinois, USA)统计软件进行统计分析。P值小于0.05为显著性。总体而言，23.1%的参与者对MD的依从性较低，而只有15.8%的儿童和青少年对MD的依从性较好。克罗地亚大陆地区(平均评分4.91±2.33)和地中海地区(平均评分5.57±2.12)之间的KIDMED评分存在显著差异(p<0.001)，能量和一些营养素的摄入量也存在显著差异。此外，与来自大陆部分的参与者相比，来自克罗地亚地中海部分的参与者更好地遵守了D-A-CH对某些营养素的建议。尽管克罗地亚地中海地区的儿童和青少年比大陆地区的儿童和青少年更好地遵守了医学指南，但总体而言，这两个地区的儿童和青少年对医学指南的遵守程度相对较差。因此，应在这两个区域鼓励健康、均衡的饮食，最好考虑到传统消费和当地可获得的食物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Collegium Antropologicum Social Sciences-Anthropology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： International journal Collegium Antropologicum is the official journal of the Croatian Antropological Society and is jointly published by: Croatian Anthropological Society Croatian Association of Medical Anthropology - Croatian Medical Association Department of Natural Sciences, Anthropological Centre and the Scientific Council for Anthropological Research of the Croatian Academy of Sciences and Arts. With the numerous international recognition of co-operative experts, the Journal represents a relevant reference source in the fields of cultural and biological anthropology, sociology, ethnology, psychology, demography, history, archaeology, genetics, biomedicine, human ecology, nutrition and other fields related to multidisciplinary character of anthropology.