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Rosi A, Scazzina F, Giampieri F, Álvarez-Córdova L, Abdelkarim O, Ammar A, Aly M, Frias-Toral E, Pons J, Vázquez-Araújo L, Rodríguez Velasco CL, Brito Ballester J, Monasta L, Mata A, Chacón A, Busó P, Grosso G. Lifestyle Factors Associated with Children's and Adolescents' Adherence to the Mediterranean Diet Living in Mediterranean Countries: The DELICIOUS Project. Nutrients 2024; 17:26. [PMID: 39796460 PMCID: PMC11722675 DOI: 10.3390/nu17010026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2024] [Revised: 12/13/2024] [Accepted: 12/18/2024] [Indexed: 01/13/2025] Open
Abstract
Background/Objectives. Traditional dietary patterns are being abandoned in Mediterranean countries, especially among younger generations. This study aimed to investigate the potential lifestyle determinants that can increase adherence to the Mediterranean diet in children and adolescents. Methods. This study is a cross-sectional analysis of data from five Mediterranean countries (Italy, Spain, Portugal, Egypt, and Lebanon) within the context of the EU-funded project DELICIOUS (UnDErstanding consumer food choices & promotion of healthy and sustainable Mediterranean Diet and LIfestyle in Children and adolescents through behavIOUral change actionS). This study comprised information on 2011 children and adolescents aged 6-17 years old collected during 2023. The main background characteristics of both children and parents, including age, sex, education, and family situation, were collected. Children's eating (i.e., breakfast, place of eating, etc.) and lifestyle habits (i.e., physical activity level, sleep, and screen time) were also investigated. The level of adherence to the Mediterranean diet was assessed using the KIDMED index. Logistic regression analyses were performed to test for likelihood of higher adherence to the Mediterranean diet. Results. Major determinants of higher adherence to the Mediterranean diet were younger age, higher physical activity level, adequate sleep duration, and, among dietary habits, having breakfast and eating with family members and at school. Parents' younger age and higher education were also determinants of higher adherence. Multivariate adjusted analyses showed that an overall healthier lifestyle and parents' education were the factors independently associated with higher adherence to the Mediterranean diet. Conclusions. Higher adherence to the Mediterranean diet in children and adolescents living in the Mediterranean area is part of an overall healthy lifestyle possibly depending on parents' cultural background.
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Affiliation(s)
- Alice Rosi
- Human Nutrition Unit, Department of Food and Drug, University of Parma, 43124 Parma, Italy
| | - Francesca Scazzina
- Human Nutrition Unit, Department of Food and Drug, University of Parma, 43124 Parma, Italy
| | - Francesca Giampieri
- Department of Clinical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
- Research Group on Food, Nutritional Biochemistry and Health, Universidad Europea del Atlántico, Isabel Torres 21, 39011 Santander, Spain
- Joint Laboratory on Food Science, Nutrition, and Intelligent Processing of Foods, Polytechnic University of Marche, Universidad Europea del Atlántico Spain and Jiangsu University, 60121 Ancona, Italy
- International Research Center for Food Nutrition and Safety, Jiangsu University, Zhenijang 212013, China
| | - Ludwig Álvarez-Córdova
- Carrera de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Católica de Santiago de Guayaquil, Av. Pdte. Carlos Julio Arosemena Tola, Guayaquil 090615, Ecuador
- Facultad de Ciencias de la Salud, Universidad de Las Américas (UDLA), Quito 170513, Ecuador
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Achraf Ammar
- Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, 55122 Mainz, Germany
- Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia
| | - Mohamed Aly
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Evelyn Frias-Toral
- School of Medicine, Universidad Espíritu Santo, Samborondón 091952, Ecuador
| | - Juancho Pons
- Editorial Luis Vives (EDELVIVES), Carretera de Madrid, 50012 Zaragoza, Spain
| | - Laura Vázquez-Araújo
- BCC Innovation, Technology Center in Gastronomy, Basque Culinary Center, 20009 Donostia-San Sebastián, Spain
- Basque Culinary Center, Faculty of Gastronomic Sciences, Mondragon Unibertsitatea, 20009 Donostia-San Sebastián, Spain
| | - Carmen Lili Rodríguez Velasco
- Department of Clinical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
- Department of Health, Nutrition and Sport, Universidad Internacional Iberoamericana, Campeche 24560, Mexico
- Department of Project Management, Universidade Internacional do Cuanza, Cuito EN 250, Bié, Angola
| | - Julién Brito Ballester
- Department of Clinical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
- Faculty of Social Sciences and Humanities, Universidad Internacional Iberoamericana, Arecibo, PR 00613, USA
- Faculty of Health Sciences, Universidad de La Romana, La Romana 22000, Dominican Republic
| | - Lorenzo Monasta
- Institute for Maternal and Child Health—IRCCS Burlo Garofolo, 34137 Trieste, Italy
| | - Ana Mata
- Technological Institute for Children’s Products & Leisure AIJU, 03440 Alicante, Spain
| | - Adrián Chacón
- Technological Institute for Children’s Products & Leisure AIJU, 03440 Alicante, Spain
| | - Pablo Busó
- Technological Institute for Children’s Products & Leisure AIJU, 03440 Alicante, Spain
| | - Giuseppe Grosso
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy
- Center for Human Nutrition and Mediterranean Foods (NUTREA), University of Catania, 95123 Catania, Italy
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Mateo-Orcajada A, Abenza-Cano L, Molina-Morote JM, Vaquero-Cristóbal R. The influence of physical activity, adherence to Mediterranean diet, and weight status on the psychological well-being of adolescents. BMC Psychol 2024; 12:410. [PMID: 39068446 PMCID: PMC11282856 DOI: 10.1186/s40359-024-01906-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 07/15/2024] [Indexed: 07/30/2024] Open
Abstract
The mental health of adolescents is a determining factor for their adequate development, but is influenced by factors such as physical activity, nutrition, gender, and weight status. However, previous research has not analysed differences in psychological status, mainly in basic psychological needs and life satisfaction, among male and female adolescents with different levels of physical activity, weight status and adherence to the Mediterranean diet (AMD). For this reason, the objectives of the present investigation were to establish whether the differences between active and inactive adolescents in basic psychological needs and life satisfaction depend on gender; and to determine the differences in basic psychological needs and life satisfaction of active and inactive adolescents with different weight status and AMD. A total of 791 adolescents aged between twelve and sixteen years old participated in the study. All the participants were measured for basic psychological needs, life satisfaction, and level of physical activity, AMD, and height and body mass. The results showed a higher score in basic psychological needs and life satisfaction for active adolescents in both the males' and females' groups. No differences were found in the psychological variables when comparing adolescents with different weight status. Adolescents with a higher AMD showed higher scores in satisfaction of basic psychological needs and satisfaction with life than adolescents with a worse AMD. Therefore, it can be concluded that the level of physical activity and AMD are factors to be considered for the mental health of adolescents, but the relevance of weight status will have to be confirmed in future research.
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Affiliation(s)
| | - Lucía Abenza-Cano
- Facultad de Deporte. UCAM, Universidad Católica de Murcia, Murcia, Spain.
| | | | - Raquel Vaquero-Cristóbal
- Research Group Movement Sciences and Sport (MS&SPORT), Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia, Murcia, Spain
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Delgado-Floody P, Caamaño-Navarrete F, Barahona-Fuentes G, Arriagada-Hernández C, Valdés-Badilla P, Del-Cuerpo I, Cresp-Barría M, Gómez-López M. The Mediating Role of Cardiorespiratory Fitness in the Association between a Negative Lifestyle and Poor Mental Health in Chilean Schoolchildren. CHILDREN (BASEL, SWITZERLAND) 2024; 11:866. [PMID: 39062315 PMCID: PMC11276541 DOI: 10.3390/children11070866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Revised: 07/08/2024] [Accepted: 07/11/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND A negative lifestyle has a reported relationship with psychological problems and deteriorated well-being. However, there is little information regarding the mediating role of cardiorespiratory fitness (CRF) in this relationship. OBJECTIVES The objectives of the present study are twofold: first, to investigate the association between negative lifestyle, physical self-concept (PSC), and depression, and second, to assess the potential mediating role of CRF in this complex relationship. METHODS This cross-sectional study included 612 schoolchildren aged between 9 and 14 years from the Araucanía region (southern Chile). CRF was measured using the Leger test, and lifestyle, depression, and PSC were measured using validated questionnaires. RESULTS A negative lifestyle reported an inverse association with PSC (p < 0.001) and a positive association with depression levels (p < 0.001). The mediation analysis showed that CRF was positively related to PSC (p < 0.001) and inversely related to depression (p = 0.001); besides, the indirect effect CRF acted as a partial mediator in the association between a negative lifestyle and PSC (indirect effect = -1.15; SE = 0.01; 95% CI, -1.87, -0.55) and depression levels (indirect effect = 0.22; SE = 0.08; 95% CI, 0.08, 0.38). CONCLUSION In conclusion, CRF in schoolchildren played a potential mediating role in the association between a negative lifestyle and depression and PSC.
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Affiliation(s)
- Pedro Delgado-Floody
- Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile;
| | - Felipe Caamaño-Navarrete
- Physical Education Career, Universidad Autónoma de Chile, Temuco 4780000, Chile; (F.C.-N.); (C.A.-H.)
| | - Guillermo Barahona-Fuentes
- Núcleo de Investigación en Salud Actividad Física y Deporte ISAFYD, Universidad de Las Américas, Sede Viña del Mar, Viña del Mar 2531098, Chile;
- Faculty of Education and Social Sciences, Universidad Andres Bello, Viña del Mar 2520000, Chile
| | - Carlos Arriagada-Hernández
- Physical Education Career, Universidad Autónoma de Chile, Temuco 4780000, Chile; (F.C.-N.); (C.A.-H.)
- Grupo de Investigación Colaborativa para el Desarrollo Escolar (GICDE), Temuco 4780000, Chile
| | - Pablo Valdés-Badilla
- Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3530000, Chile;
- Sports Coach Career, School of Education, Universidad Viña del Mar, Viña del Mar 2520000, Chile
| | - Indya Del-Cuerpo
- Department of Physical Education and Sport, Faculty of Sports Sciences, University of Granada, 18010 Granada, Spain;
- Strength & Conditioning Laboratory, CTS-642 Research Group, Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18010 Granada, Spain
| | - Mauricio Cresp-Barría
- Department of Education and Innovation, Faculty of Education, Universidad Catolica de Temuco, Temuco 4780000, Chile;
| | - Manuel Gómez-López
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia, 30720 Murcia, Spain
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Melguizo-Ibáñez E, González-Valero G, Badicu G, Yagin FH, Alonso-Vargas JM, Ardigò LP, Puertas-Molero P. Mediterranean diet adherence on self-concept and anxiety as a function of weekly physical activity: an explanatory model in higher education. Front Nutr 2023; 10:1215359. [PMID: 37538920 PMCID: PMC10396437 DOI: 10.3389/fnut.2023.1215359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 06/28/2023] [Indexed: 08/05/2023] Open
Abstract
Introduction Scientific literature has now demonstrated the benefits of an active lifestyle for people's psychological health. Based on the above statement, the aim was to (a) evaluate and adjust a structural equation model containing the variables anxiety, self-concept, and Mediterranean diet adherence and (b) contrast the proposed theoretical model by studying the differences between the variables according to the level of weekly physical activity in a sample of 558 university students. Methods A non-experimental, exploratory, cross-sectional investigation has been proposed. Instruments such as the PREDIMED Questionnaire, the Beck Anxiety Inventory, the International Physical Activity Questionnaire, and the Form 5 Self-Concept Questionnaire were used to collect data. Results and discussion The results illustrate that students showing low adherence to the Mediterranean diet had higher levels of anxiety (M = 0.95) than those showing a high degree of adherence (M = 0.75). It is also observed that young people with a high degree of adherence to the Mediterranean diet report higher scores in the different dimensions of self-concept compared to young people with a low degree of adherence. In conclusion, it is affirmed that young people who show a high degree of adherence to this dietary pattern show lower levels of anxiety and greater recognition of the different areas of their self-concept.
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Affiliation(s)
- Eduardo Melguizo-Ibáñez
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain
| | - Gabriel González-Valero
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain
| | - Georgian Badicu
- Department of Physical Education and Special Motricity, Faculty of Physical Education and Mountain Sports, Transilvania University of Braşov, Braşov, Romania
| | - Fatma Hilal Yagin
- Department of Biostatistics, and Medical Informatics, Faculty of Medicine, Inonu University, Malatya, Türkiye
| | - José Manuel Alonso-Vargas
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain
| | - Luca Paolo Ardigò
- Department of Teacher Education, NLA University College, Oslo, Norway
| | - Pilar Puertas-Molero
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain
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Melguizo-Ibáñez E, González-Valero G, Puertas-Molero P, Alonso-Vargas JM. Emotional Intelligence, Physical Activity Practice and Mediterranean Diet Adherence-An Explanatory Model in Elementary Education School Students. CHILDREN 2022; 9:children9111770. [PMID: 36421219 PMCID: PMC9688524 DOI: 10.3390/children9111770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/01/2022] [Accepted: 11/17/2022] [Indexed: 11/19/2022]
Abstract
Currently, there is a global concern with regard to the lifestyles of young people. This study aims to study the association between Mediterranean diet adherence, emotional intelligence and physical activity practice in teenagers in the last cycle of elementary education. In turn, this objective is divided into (a) developing an explanatory model of the practice of physical activity, Mediterranean diet adherence and emotional intelligence; and (b) developing a multi-group model according to the gender of the participants. A descriptive, cross-sectional, comparative study was conducted in a sample of 293 elementary school students (M = 11.45; S.D = 0.31). The instruments used were an ad hoc socio-demographic questionnaire, the Trait Meta Mood Scale-24, the KIDMED questionnaire and the Physical Activity Questionnaire for Older Children. The results show that males show a positive relationship between adherence to the Mediterranean diet and emotional intelligence and between emotional intelligence and physical activity. In contrast, in the case of females, a negative relationship was observed between emotional intelligence and physical activity. In conclusion, it can be seen that gender plays a fundamental role in adolescence, being a key factor influencing an active and healthy lifestyle.
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Melguizo-Ibáñez E, Puertas-Molero P, González-Valero G, Alonso-Vargas JM. An Explanatory Model of Sport Motivation, Physical Self-Concept and Anxiety as a Function of the Degree of Adherence to the Mediterranean Diet in Future Physical Education Teachers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13547. [PMID: 36294123 PMCID: PMC9603781 DOI: 10.3390/ijerph192013547] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/13/2022] [Accepted: 10/17/2022] [Indexed: 06/16/2023]
Abstract
The present research has the objectives of establishing the relationship between motivational climate towards sport, anxiety, and physical self-concept, and identifying the existing relationships between anxiety, motivational climate, and physical self-concept, broken down into (a) developing an explanatory model of the motivational climate towards sport and its relationship with anxiety and physical self-concept, and (b) contrasting the structural model by means of a multi-group analysis according to the degree of adherence to the Mediterranean diet. A quantitative, comparative, non-experimental (ex post facto), cross-sectional study was carried out with a total sample of 556 participants (23.06 ± 6.23). The instruments used were an ad hoc questionnaire and the Spanish versions of the Perceived Motivational Climate in Sport Questionnaire 2, Beck Anxiety Inventory, Self-Concept Form-5, and the PREDIMED questionnaire. The data reveal that participants who show high adherence to the Mediterranean diet attain higher scores on physical self-concept and anxiety, as well as ego-climate. As a conclusion, it is observed that participants who show a high adherence to the Mediterranean diet show higher scores in physical self-concept and anxiety, as well as in all the variables that make up the ego-climate.
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Affiliation(s)
| | - Pilar Puertas-Molero
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, 18071 Granada, Spain
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Negative Physical Self-Concept Is Associated to Low Cardiorespiratory Fitness, Negative Lifestyle and Poor Mental Health in Chilean Schoolchildren. Nutrients 2022; 14:nu14132771. [PMID: 35807951 PMCID: PMC9269072 DOI: 10.3390/nu14132771] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/22/2022] [Accepted: 06/29/2022] [Indexed: 12/23/2022] Open
Abstract
Background: Evidence suggests that physical self-concept (PSC) is linked to well-being in children and adolescents. Objective: The objective was to investigate the association of PSC with mental health (i.e., depression and body image), physical status (i.e., fitness and weight status) and lifestyle (physical activity (PA) patterns and nutritional level) in Chilean schoolchildren. Methods: A total of 617 schoolchildren (n = 271 girls and n = 346 boys) aged 10−14 years participated in this study. Self-concept, depression and body image dissatisfaction were determined by questionnaires. Physical fitness, PA, screen time (ST), Mediterranean diet (MD) adherence and anthropometric parameters were also included. Results: Poor PSC was linked to bad cardiorespiratory fitness (CRF) (<42 VO2max) (OR 1.64; 95%CI 1.12−2.34; p = 0.01), severe body image dissatisfaction (OR 2.51, 95%CI 0.99−6.35; p = 0.05), ST of more than two hours a day (OR 2.1; 95%CI 1.41−3.12; p < 0.001), PA after school of no more than two hours per week (OR 1.52; 95%CI 1.08−2.13; p = 0.015) and depression (OR 1.80; 95%CI 1.1−2.92; p = 0.017). High nutritional level showed an association with general PSC and general self-concept (p < 0.05). Absence of body image dissatisfaction was related to general self-concept (p < 0.01) and physical condition dimensions (p < 0.05). Conclusions: PSC is associated with CRF, PA after school, ST and nutritional level. According to mental health variables, poor PSC is related to depression in Chilean schoolchildren. Therefore, promoting a healthy lifestyle among children should be a target of community- and school-based interventions to promote PSC.
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