Skip to main content
Top

Open Access 27-09-2024 | Obesity | REVIEW

Diet Quality Scores, Obesity and Metabolic Syndrome in Children and Adolescents: A Systematic Review and Meta-Analysis

Authors: Alicia Larruy-García, Lubna Mahmood, María L. Miguel-Berges, Guiomar Masip, Miguel Seral-Cortés, Pilar De Miguel-Etayo, Luis A. Moreno

Published in: Current Obesity Reports

Login to get access

Abstract

Purpose of Review

We aimed to examine the relationship between various diet quality scores and obesity and Metabolic Syndrome (MetS) in children and adolescents.

Recent Findings

Obesity and MetS, which increase the risk of type 2 diabetes and cardiovascular disease from childhood through adolescence, have been associated with adherence to various diet quality scores.

Summary

A systematic search was performed in PubMed/Medline, Scopus, SciELO, Embase, and Cochrane, covering the period until March 2024. Two researchers evaluated 3,519 studies according to the inclusion criteria. Finally, 73 articles that analysed the relationship between diet quality scores and obesity and MetS were included, and 6 of them were included in a meta-analysis. Children younger than 12 years old showed statistically significant differences indicating a higher Mediterranean diet (MD) score adherence compared to those with a low score adherence for BMI (MD = 0.33 kg/m2, 95% CI: 0.01, 0.64) and WC values (MD = 1.21 cm, 95% CI: 0.50, 1.93). Additionally, in the meta-regression analysis, boys showed stronger associations for BMI, z-score BMI and WC (β = 19.82, 95% CI: 17.62, 22.03, β = 0.64, 95% CI: 0.33, 0.96 and β = 67.03, 95% CI: 57.29, 76.77, respectively). Studies in this review suggest an association between high adherence to different diet quality scores and low BMI. Meta-analysis assessing the association between adherence to the MD and BMI, and WC, showed a protective effect of the MD pattern against obesity outcomes. This systematic review and meta-analyses provided evidence on the effect of the diet quality on obesity and MetS in children and adolescents.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bhurosy T, Jeewon R. Overweight and obesity epidemic in developing countries: a problem with diet, physical activity, or socioeconomic status? Sci World J. 2014;2014:1.CrossRef Bhurosy T, Jeewon R. Overweight and obesity epidemic in developing countries: a problem with diet, physical activity, or socioeconomic status? Sci World J. 2014;2014:1.CrossRef
2.
3.
go back to reference Reid M, Worsley A, Mavondo F. The obesogenic household: Factors influencing dietary gatekeeper satisfaction with family diet. Psychol Mark. 2015;32(5):544–57.CrossRef Reid M, Worsley A, Mavondo F. The obesogenic household: Factors influencing dietary gatekeeper satisfaction with family diet. Psychol Mark. 2015;32(5):544–57.CrossRef
4.
go back to reference Barbalho SM, Oshiiwa M, Sato Fontana LC, Ribeiro Finalli EF, Paiva Filho ME, Machado Spada AP. Metabolic syndrome and atherogenic indices in school children: A worrying panorama in Brazil. Diabetes Metab Syndr. 2017;1(11 Suppl 1):S397-401.CrossRef Barbalho SM, Oshiiwa M, Sato Fontana LC, Ribeiro Finalli EF, Paiva Filho ME, Machado Spada AP. Metabolic syndrome and atherogenic indices in school children: A worrying panorama in Brazil. Diabetes Metab Syndr. 2017;1(11 Suppl 1):S397-401.CrossRef
5.
go back to reference Pereira AR, Oliveira A. Dietary interventions to prevent childhood obesity: A literature review. Nutrients. 2021;13(10):1–17.CrossRef Pereira AR, Oliveira A. Dietary interventions to prevent childhood obesity: A literature review. Nutrients. 2021;13(10):1–17.CrossRef
6.
go back to reference Kaur J. A comprehensive review on metabolic syndrome. Cardiol Res Pract. 2014;2014:1.CrossRef Kaur J. A comprehensive review on metabolic syndrome. Cardiol Res Pract. 2014;2014:1.CrossRef
7.
go back to reference Noubiap JJ, Nansseu JR, Lontchi-Yimagou E, Nkeck JR, Nyaga UF, Ngouo AT, et al. Global, regional, and country estimates of metabolic syndrome burden in children and adolescents in 2020: a systematic review and modelling analysis. Lancet Child Adolesc Heal. 2022;6(3):158–70.CrossRef Noubiap JJ, Nansseu JR, Lontchi-Yimagou E, Nkeck JR, Nyaga UF, Ngouo AT, et al. Global, regional, and country estimates of metabolic syndrome burden in children and adolescents in 2020: a systematic review and modelling analysis. Lancet Child Adolesc Heal. 2022;6(3):158–70.CrossRef
10.
go back to reference Colby S, Zhou W, Allison C, Mathews AE, Olfert MD, Morrell JS, et al. Development and validation of the short healthy eating index survey with a college population to assess dietary quality and intake. Nutrients. 2020;12(9):1–24.CrossRef Colby S, Zhou W, Allison C, Mathews AE, Olfert MD, Morrell JS, et al. Development and validation of the short healthy eating index survey with a college population to assess dietary quality and intake. Nutrients. 2020;12(9):1–24.CrossRef
11.
go back to reference Gil Á, de Victoria EM, Olza J. Indicators for the evaluation of diet quality. Nutr Hosp. 2015;31(Suppl 3):128–44.PubMed Gil Á, de Victoria EM, Olza J. Indicators for the evaluation of diet quality. Nutr Hosp. 2015;31(Suppl 3):128–44.PubMed
12.
go back to reference Wang J, Masters WA, Bai Y, Mozaffarian D, Naumova EN, Singh GM. The International Diet-Health Index: a novel tool to evaluate diet quality for cardiometabolic health across countries. BMJ Glob Heal. 2020;5(7):e002120.CrossRef Wang J, Masters WA, Bai Y, Mozaffarian D, Naumova EN, Singh GM. The International Diet-Health Index: a novel tool to evaluate diet quality for cardiometabolic health across countries. BMJ Glob Heal. 2020;5(7):e002120.CrossRef
13.
go back to reference Jennings A, Welch A, Van Sluijs EMF, Griffin SJ, Cassidy A. Diet quality is independently associated with weight status in children aged 9–10 years. J Nutr. 2011;141(3):453–9.PubMedCrossRef Jennings A, Welch A, Van Sluijs EMF, Griffin SJ, Cassidy A. Diet quality is independently associated with weight status in children aged 9–10 years. J Nutr. 2011;141(3):453–9.PubMedCrossRef
14.
go back to reference Okubo H, Crozier SR, Harvey NC, Godfrey KM, Inskip HM, Cooper C, et al. Diet quality across early childhood and adiposity at 6 years: the Southampton Women’s Survey. Int J Obes (Lond). 2015;39(10):1456–62.PubMedCrossRef Okubo H, Crozier SR, Harvey NC, Godfrey KM, Inskip HM, Cooper C, et al. Diet quality across early childhood and adiposity at 6 years: the Southampton Women’s Survey. Int J Obes (Lond). 2015;39(10):1456–62.PubMedCrossRef
15.
go back to reference Sørensen LMN, Aamodt G, Brantsæter AL, Meltzer HM, Papadopoulou E. Diet quality of Norwegian children at 3 and 7 years: changes, predictors and longitudinal association with weight. Int J Obes (Lond). 2022;46(1):10–20.PubMedCrossRef Sørensen LMN, Aamodt G, Brantsæter AL, Meltzer HM, Papadopoulou E. Diet quality of Norwegian children at 3 and 7 years: changes, predictors and longitudinal association with weight. Int J Obes (Lond). 2022;46(1):10–20.PubMedCrossRef
16.
go back to reference De Miguel-Etayo P, Moreno LA, Santabárbara J, Martín-Matillas M, Azcona-San Julian MC, Marti del Moral A, et al. Diet quality index as a predictor of treatment efficacy in overweight and obese adolescents: The EVASYON study. Clin Nutr. 2019;38(2):782–90.PubMedCrossRef De Miguel-Etayo P, Moreno LA, Santabárbara J, Martín-Matillas M, Azcona-San Julian MC, Marti del Moral A, et al. Diet quality index as a predictor of treatment efficacy in overweight and obese adolescents: The EVASYON study. Clin Nutr. 2019;38(2):782–90.PubMedCrossRef
17.
go back to reference de SáLustosa LCR, Nascimento LM, de Carvalho Lavôr LC, Gomes KRO, Mascarenhas MDM, Frota KMG. Metabolic syndrome in adolescents and its association with diet quality. Rev Nutr. 2019;32:1–16. de SáLustosa LCR, Nascimento LM, de Carvalho Lavôr LC, Gomes KRO, Mascarenhas MDM, Frota KMG. Metabolic syndrome in adolescents and its association with diet quality. Rev Nutr. 2019;32:1–16.
18.
go back to reference Pan Y, Pratt CA. Metabolic syndrome and its association with diet and physical activity in US adolescents. J Am Diet Assoc. 2008;108(2):276–86.PubMedCrossRef Pan Y, Pratt CA. Metabolic syndrome and its association with diet and physical activity in US adolescents. J Am Diet Assoc. 2008;108(2):276–86.PubMedCrossRef
19.
go back to reference Garcidueñas-Fimbres TE, Paz-Graniel I, Nishi SK, Salas-Salvadó J, Babio N. Eating speed, eating frequency, and their relationships with diet quality, adiposity, and metabolic syndrome, or its components. Nutrients. 2021;13(5):1687.PubMedPubMedCentralCrossRef Garcidueñas-Fimbres TE, Paz-Graniel I, Nishi SK, Salas-Salvadó J, Babio N. Eating speed, eating frequency, and their relationships with diet quality, adiposity, and metabolic syndrome, or its components. Nutrients. 2021;13(5):1687.PubMedPubMedCentralCrossRef
20.
go back to reference Caferoglu Z, Erdal B, Hatipoglu N, Kurtoglu S. The effects of diet quality and dietary acid load on insulin resistance in overweight children and adolescents. Endocrinol Diabetes Nutr. 2021;69:426.CrossRef Caferoglu Z, Erdal B, Hatipoglu N, Kurtoglu S. The effects of diet quality and dietary acid load on insulin resistance in overweight children and adolescents. Endocrinol Diabetes Nutr. 2021;69:426.CrossRef
21.
go back to reference Cho J, Hong H, Park S, Kim S, Kang H. Insulin resistance and its association with metabolic syndrome in Korean children. Biomed Res Int. 2017;2017:8728017.PubMedPubMedCentralCrossRef Cho J, Hong H, Park S, Kim S, Kang H. Insulin resistance and its association with metabolic syndrome in Korean children. Biomed Res Int. 2017;2017:8728017.PubMedPubMedCentralCrossRef
22.
go back to reference Kerr JA, Liu RS, Gasser CE, Mensah FK, Burgner D, Lycett K, et al. Diet quality trajectories and cardiovascular phenotypes/metabolic syndrome risk by 11–12 years. Int J Obes (Lond). 2021;45(7):1392–403.PubMedCrossRef Kerr JA, Liu RS, Gasser CE, Mensah FK, Burgner D, Lycett K, et al. Diet quality trajectories and cardiovascular phenotypes/metabolic syndrome risk by 11–12 years. Int J Obes (Lond). 2021;45(7):1392–403.PubMedCrossRef
23.
go back to reference Rethlefsen ML, Kirtley S, Waffenschmidt S, Ayala AP, Moher D, Page MJ, et al. PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. Syst Rev. 2021;10(1):39.PubMedPubMedCentralCrossRef Rethlefsen ML, Kirtley S, Waffenschmidt S, Ayala AP, Moher D, Page MJ, et al. PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. Syst Rev. 2021;10(1):39.PubMedPubMedCentralCrossRef
24.
go back to reference Blaxter M. Criteria for the evaluation of qualitative research papers. Med Sociol News. 1996;22:68–71. Blaxter M. Criteria for the evaluation of qualitative research papers. Med Sociol News. 1996;22:68–71.
27.
go back to reference Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page M et al. Cochrane Handbook for Systematic Reviews of Interventions. England:Wiley. 2019. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page M et al. Cochrane Handbook for Systematic Reviews of Interventions. England:Wiley. 2019.
28.
go back to reference Jiménez-Pavón D, Sesé MA, Huybrechts I, Cuenca-García M, Palacios G, Ruiz JR, et al. Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: The HELENA study. Br J Nutr. 2013;110(10):1919–25.PubMedCrossRef Jiménez-Pavón D, Sesé MA, Huybrechts I, Cuenca-García M, Palacios G, Ruiz JR, et al. Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: The HELENA study. Br J Nutr. 2013;110(10):1919–25.PubMedCrossRef
29.
go back to reference Kanellopoulou A, Giannakopoulou SP, Notara V, Antonogeorgos G, Rojas-Gil AP, Kornilaki EN, et al. The association between adherence to the Mediterranean diet and childhood obesity; the role of family structure: Results from an epidemiological study in 1728 Greek students. Nutr Health. 2021;27(1):39–47.PubMedCrossRef Kanellopoulou A, Giannakopoulou SP, Notara V, Antonogeorgos G, Rojas-Gil AP, Kornilaki EN, et al. The association between adherence to the Mediterranean diet and childhood obesity; the role of family structure: Results from an epidemiological study in 1728 Greek students. Nutr Health. 2021;27(1):39–47.PubMedCrossRef
30.
go back to reference Katsagoni CN, Psarra G, Georgoulis M, Tambalis K, Panagiotakos DB, Sidossis LS. High and moderate adherence to Mediterranean lifestyle is inversely associated with overweight, general and abdominal obesity in children and adolescents: The MediLIFE-index. Nutr Res. 2020;73:38–47.PubMedCrossRef Katsagoni CN, Psarra G, Georgoulis M, Tambalis K, Panagiotakos DB, Sidossis LS. High and moderate adherence to Mediterranean lifestyle is inversely associated with overweight, general and abdominal obesity in children and adolescents: The MediLIFE-index. Nutr Res. 2020;73:38–47.PubMedCrossRef
31.
go back to reference Lakka TA, Lintu N, Väistö J, Viitasalo A, Sallinen T, Haapala EA, et al. A 2 year physical activity and dietary intervention attenuates the increase in insulin resistance in a general population of children: the PANIC study. Diabetologia. 2020;63(11):2270–81.PubMedPubMedCentralCrossRef Lakka TA, Lintu N, Väistö J, Viitasalo A, Sallinen T, Haapala EA, et al. A 2 year physical activity and dietary intervention attenuates the increase in insulin resistance in a general population of children: the PANIC study. Diabetologia. 2020;63(11):2270–81.PubMedPubMedCentralCrossRef
32.
go back to reference Linardakis M, Bertsias G, Sarri K, Papadaki A, Kafatos A. Metabolic syndrome in children and adolescents in Crete, Greece, and association with diet quality and physical fitness. J Public Health (Bangkok). 2008;16(6):421–8.CrossRef Linardakis M, Bertsias G, Sarri K, Papadaki A, Kafatos A. Metabolic syndrome in children and adolescents in Crete, Greece, and association with diet quality and physical fitness. J Public Health (Bangkok). 2008;16(6):421–8.CrossRef
33.
go back to reference Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, et al. Mediterranean diet adherence and body composition among Southern Italian adolescents. Obes Res Clin Pract. 2017;11(2):215–26.PubMedCrossRef Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, et al. Mediterranean diet adherence and body composition among Southern Italian adolescents. Obes Res Clin Pract. 2017;11(2):215–26.PubMedCrossRef
34.
go back to reference Murakami K, Livingstone MBE. Associations between energy density of meals and snacks and overall diet quality and adiposity measures in British children and adolescents: the National Diet and Nutrition Survey. Br J Nutr. 2016;116(9):1633–45.PubMedCrossRef Murakami K, Livingstone MBE. Associations between energy density of meals and snacks and overall diet quality and adiposity measures in British children and adolescents: the National Diet and Nutrition Survey. Br J Nutr. 2016;116(9):1633–45.PubMedCrossRef
35.
go back to reference Murakami K. Associations between nutritional quality of meals and snacks assessed by the Food Standards Agency nutrient profiling system and overall diet quality and adiposity measures in British children and adolescents. Nutrition. 2018;49(February 2018):57–65.PubMedCrossRef Murakami K. Associations between nutritional quality of meals and snacks assessed by the Food Standards Agency nutrient profiling system and overall diet quality and adiposity measures in British children and adolescents. Nutrition. 2018;49(February 2018):57–65.PubMedCrossRef
37.
go back to reference Tognon G, Hebestreit A, Lanfer A, Moreno LA, Pala V, Siani A, et al. Mediterranean diet, overweight and body composition in children from eight European countries: Cross-sectional and prospective results from the IDEFICS study. Nutr Metab Cardiovasc Dis. 2014;24(2):205–13.PubMedCrossRef Tognon G, Hebestreit A, Lanfer A, Moreno LA, Pala V, Siani A, et al. Mediterranean diet, overweight and body composition in children from eight European countries: Cross-sectional and prospective results from the IDEFICS study. Nutr Metab Cardiovasc Dis. 2014;24(2):205–13.PubMedCrossRef
38.
go back to reference Archero F, Ricotti R, Solito A, Carrera D, Civello F, Di Bella R, et al. Adherence to the mediterranean diet among school children and adolescents living in northern Italy and unhealthy food behaviors associated to overweight. Nutrients. 2018;10(9):1–13.CrossRef Archero F, Ricotti R, Solito A, Carrera D, Civello F, Di Bella R, et al. Adherence to the mediterranean diet among school children and adolescents living in northern Italy and unhealthy food behaviors associated to overweight. Nutrients. 2018;10(9):1–13.CrossRef
39.
go back to reference Galan-Lopez P, Ries F, Gisladottir T, Domínguez R, Sánchez-Oliver AJ. Healthy lifestyle: Relationship between mediterranean diet, body composition and physical fitness in 13 to 16-years old icelandic students. Int J Environ Res Publ Health. 2018;15(12):2632.CrossRef Galan-Lopez P, Ries F, Gisladottir T, Domínguez R, Sánchez-Oliver AJ. Healthy lifestyle: Relationship between mediterranean diet, body composition and physical fitness in 13 to 16-years old icelandic students. Int J Environ Res Publ Health. 2018;15(12):2632.CrossRef
40.
go back to reference Alonso FJ, Carranza MD, Rueda JD, Naranjo J. Composición corporal en escolares de primaria y su relación con el habito nutricional y la práctica reglada de actividad física. Rev Andaluza Med del Deport. 2019;43(2):176. Alonso FJ, Carranza MD, Rueda JD, Naranjo J. Composición corporal en escolares de primaria y su relación con el habito nutricional y la práctica reglada de actividad física. Rev Andaluza Med del Deport. 2019;43(2):176.
41.
go back to reference Calatayud Sáez F, Calatayud Moscoso del Prado B, Gallego Fernández-Pacheco JG. Efectos de una dieta mediterránea tradicional en niños con sobrepeso y obesidad tras un año de intervención. Pediatr Aten Primaria. 2011;13(52):553–69.CrossRef Calatayud Sáez F, Calatayud Moscoso del Prado B, Gallego Fernández-Pacheco JG. Efectos de una dieta mediterránea tradicional en niños con sobrepeso y obesidad tras un año de intervención. Pediatr Aten Primaria. 2011;13(52):553–69.CrossRef
42.
go back to reference Galan-Lopez P, Sánchez-Oliver AJ, Ries F, González-Jurado JA. Mediterranean diet, physical fitness and body composition in sevillian adolescents: A healthy lifestyle. Nutrients. 2019;11(9):2009.PubMedPubMedCentralCrossRef Galan-Lopez P, Sánchez-Oliver AJ, Ries F, González-Jurado JA. Mediterranean diet, physical fitness and body composition in sevillian adolescents: A healthy lifestyle. Nutrients. 2019;11(9):2009.PubMedPubMedCentralCrossRef
43.
go back to reference Notario-Barandiaran L, Valera-Gran D, Gonzalez-Palacios S, Garcia-de-la-Hera M, Fernández-Barrés S, Pereda-Pereda E, et al. High adherence to a mediterranean diet at age 4 reduces overweight, obesity and abdominal obesity incidence in children at the age of 8. Int J Obes. 2020;44(9):1906–17.CrossRef Notario-Barandiaran L, Valera-Gran D, Gonzalez-Palacios S, Garcia-de-la-Hera M, Fernández-Barrés S, Pereda-Pereda E, et al. High adherence to a mediterranean diet at age 4 reduces overweight, obesity and abdominal obesity incidence in children at the age of 8. Int J Obes. 2020;44(9):1906–17.CrossRef
44.
go back to reference Ojeda-Rodríguez A, Zazpe I, Morell-Azanza L, Chueca MJ, Azcona-Sanjulian MC, Marti A. Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention. Nutrients. 2018;10(10):1500.PubMedPubMedCentralCrossRef Ojeda-Rodríguez A, Zazpe I, Morell-Azanza L, Chueca MJ, Azcona-Sanjulian MC, Marti A. Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention. Nutrients. 2018;10(10):1500.PubMedPubMedCentralCrossRef
45.
go back to reference Rodríguez Cabrero M, García Aparicio A, Salinero JJ, Pérez González B, Sánchez Fernández JJ, Gracia R, et al. Calidad de la dieta y su relación con el IMC y el sexo en adolescentes. Nutr Clin Diet Hosp. 2012;32(2):21–7. Rodríguez Cabrero M, García Aparicio A, Salinero JJ, Pérez González B, Sánchez Fernández JJ, Gracia R, et al. Calidad de la dieta y su relación con el IMC y el sexo en adolescentes. Nutr Clin Diet Hosp. 2012;32(2):21–7.
46.
go back to reference Rosa Guillamón A, Carrillo López PJ, GarcíaCantó E, Perez Soto JJ, Tarraga Marcos L, Tarraga López PJ. Mediterranean diet, weight status and physical activity in schoolchildren of the Region of Murcia. Clín Investig Arterioscler (English Ed). 2019;31(1):1–7. Rosa Guillamón A, Carrillo López PJ, GarcíaCantó E, Perez Soto JJ, Tarraga Marcos L, Tarraga López PJ. Mediterranean diet, weight status and physical activity in schoolchildren of the Region of Murcia. Clín Investig Arterioscler (English Ed). 2019;31(1):1–7.
47.
go back to reference Serrano MM, Camacho GO, Cardenosa MC, Cardenosa AC, Guardado IM, Sayavera JB, et al. Influencia de la calidad de la dieta de escolares sobre parametros sanguineus y antropométricos relacionados con la salud. Rev Esp Nutr Comunitaria. 2016;22(3):9–13. Serrano MM, Camacho GO, Cardenosa MC, Cardenosa AC, Guardado IM, Sayavera JB, et al. Influencia de la calidad de la dieta de escolares sobre parametros sanguineus y antropométricos relacionados con la salud. Rev Esp Nutr Comunitaria. 2016;22(3):9–13.
48.
go back to reference Nenadić DB, Kolak E, Selak M, Smoljo M, Radić J, Vučković M, et al. Anthropometric parameters and mediterranean diet adherence in preschool children in Split-Dalmatia county, Croatia—Are they related? Nutrients. 2021;13(12):4252.CrossRef Nenadić DB, Kolak E, Selak M, Smoljo M, Radić J, Vučković M, et al. Anthropometric parameters and mediterranean diet adherence in preschool children in Split-Dalmatia county, Croatia—Are they related? Nutrients. 2021;13(12):4252.CrossRef
49.
go back to reference Bacopoulou F, Landis G, Rentoumis A, Tsitsika A, Efthymiou V. Mediterranean diet decreases adolescent waist circumference. Eur J Clin Invest. 2017;47(6):447–55.PubMedCrossRef Bacopoulou F, Landis G, Rentoumis A, Tsitsika A, Efthymiou V. Mediterranean diet decreases adolescent waist circumference. Eur J Clin Invest. 2017;47(6):447–55.PubMedCrossRef
50.
go back to reference Fernández-Iglesias R, Álvarez-Pereira S, Tardón A, Fernández-García B, Iglesias-Gutiérrez E. Adherence to the mediterranean diet in a school population in the principality of Asturias (Spain): Relationship with physical activity and body weight. Nutrients. 2021;13(5):1507.PubMedPubMedCentralCrossRef Fernández-Iglesias R, Álvarez-Pereira S, Tardón A, Fernández-García B, Iglesias-Gutiérrez E. Adherence to the mediterranean diet in a school population in the principality of Asturias (Spain): Relationship with physical activity and body weight. Nutrients. 2021;13(5):1507.PubMedPubMedCentralCrossRef
51.
go back to reference Gallardo LP, Adell CJ, Gonzalo DG, Díez JAR, Alcoceba RA. Weight status and adherence to the mediterranean diet in children from 6 to 9 years old in the interval of 10 years. Nutr Clin y Diet Hosp. 2021;41(2):53–60. Gallardo LP, Adell CJ, Gonzalo DG, Díez JAR, Alcoceba RA. Weight status and adherence to the mediterranean diet in children from 6 to 9 years old in the interval of 10 years. Nutr Clin y Diet Hosp. 2021;41(2):53–60.
52.
go back to reference George ES, Gavrili S, Itsiopoulos C, Manios Y, Moschonis G. Poor adherence to the Mediterranean diet is associated with increased likelihood of metabolic syndrome components in children: The Healthy Growth Study. Public Health Nutr. 2021;24(10):2823–33.PubMedCrossRef George ES, Gavrili S, Itsiopoulos C, Manios Y, Moschonis G. Poor adherence to the Mediterranean diet is associated with increased likelihood of metabolic syndrome components in children: The Healthy Growth Study. Public Health Nutr. 2021;24(10):2823–33.PubMedCrossRef
53.
go back to reference Grams L, Nelius AK, Pastor GG, Sillero-Quintana M, Veiga ÓL, Homeyer D, et al. Comparison of adherence to mediterranean diet between Spanish and German school-children and influence of gender, overweight, and physical activity. Nutrients. 2022;14(21):4697.PubMedPubMedCentralCrossRef Grams L, Nelius AK, Pastor GG, Sillero-Quintana M, Veiga ÓL, Homeyer D, et al. Comparison of adherence to mediterranean diet between Spanish and German school-children and influence of gender, overweight, and physical activity. Nutrients. 2022;14(21):4697.PubMedPubMedCentralCrossRef
54.
go back to reference Martíncrespo-Blanco MC, Varillas-Delgado D, Blanco-Abril S, Cid-Exposito MG, Robledo-Martín J. Effectiveness of an Intervention Programme on Adherence to the Mediterranean Diet in a Preschool Child: A Randomised Controlled Trial. Nutrients. 2022;14(8). Martíncrespo-Blanco MC, Varillas-Delgado D, Blanco-Abril S, Cid-Exposito MG, Robledo-Martín J. Effectiveness of an Intervention Programme on Adherence to the Mediterranean Diet in a Preschool Child: A Randomised Controlled Trial. Nutrients. 2022;14(8).
55.
go back to reference Seral-Cortes M, Sabroso-Lasa S, Bailo-Aysa A, Gonzalez-Gross M, Molnár D, Censi L, et al. Mediterranean diet, screen-time-based sedentary behavior and their interaction effect on adiposity in European adolescents: The HELENA study. Nutrients. 2021;13(2):1–16.CrossRef Seral-Cortes M, Sabroso-Lasa S, Bailo-Aysa A, Gonzalez-Gross M, Molnár D, Censi L, et al. Mediterranean diet, screen-time-based sedentary behavior and their interaction effect on adiposity in European adolescents: The HELENA study. Nutrients. 2021;13(2):1–16.CrossRef
56.
go back to reference Blijleven KA, Navis G, Kromhout D, Corpeleijn E. Nutrition beyond the first 1000 days: Diet quality and 7-year change in BMI and overweight in 3-year old children from the Dutch GECKO Drenthe birth cohort. J Dev Orig Health Dis. 2021;12(6):933–9.PubMedCrossRef Blijleven KA, Navis G, Kromhout D, Corpeleijn E. Nutrition beyond the first 1000 days: Diet quality and 7-year change in BMI and overweight in 3-year old children from the Dutch GECKO Drenthe birth cohort. J Dev Orig Health Dis. 2021;12(6):933–9.PubMedCrossRef
58.
go back to reference Farajian P, Risvas G, Karasouli K, Pounis GD, Kastorini CM, Panagiotakos DB, et al. Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: the GRECO study. Atherosclerosis. 2011;217(2):525–30.PubMedCrossRef Farajian P, Risvas G, Karasouli K, Pounis GD, Kastorini CM, Panagiotakos DB, et al. Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: the GRECO study. Atherosclerosis. 2011;217(2):525–30.PubMedCrossRef
59.
go back to reference Galan-Lopez P, Domínguez R, Pihu M, Gísladóttir T, Sánchez-Oliver AJ, Ries F. Evaluation of physical fitness, body composition, and adherence to mediterranean diet in adolescents from Estonia: The adoleshealth study. Int J Environ Res Public Health. 2019;16(22):1–13.CrossRef Galan-Lopez P, Domínguez R, Pihu M, Gísladóttir T, Sánchez-Oliver AJ, Ries F. Evaluation of physical fitness, body composition, and adherence to mediterranean diet in adolescents from Estonia: The adoleshealth study. Int J Environ Res Public Health. 2019;16(22):1–13.CrossRef
60.
go back to reference De Santi M, Callari F, Brandi G, Toscano RV, Scarlata L, Amagliani G, et al. Mediterranean diet adherence and weight status among Sicilian Middle school adolescents. Int J Food Sci Nutr. 2020;71(8):1010–8.PubMedCrossRef De Santi M, Callari F, Brandi G, Toscano RV, Scarlata L, Amagliani G, et al. Mediterranean diet adherence and weight status among Sicilian Middle school adolescents. Int J Food Sci Nutr. 2020;71(8):1010–8.PubMedCrossRef
61.
go back to reference Er V, Dias KI, Papadaki A, White J, Wells S, Ward DS, et al. Association of diet in nurseries and physical activity with zBMI in 2-4-year olds in England: A cross-sectional study 11 medical and health sciences 1117 public health and health services. BMC Public Health. 2018;18(1):1–11. Er V, Dias KI, Papadaki A, White J, Wells S, Ward DS, et al. Association of diet in nurseries and physical activity with zBMI in 2-4-year olds in England: A cross-sectional study 11 medical and health sciences 1117 public health and health services. BMC Public Health. 2018;18(1):1–11.
62.
go back to reference Galan-Lopez P, Gisladóttir T, Ries F. Adherencia a la Dieta Mediterránea, Motivos para la Práctica de Ejercicio Físico y Composición Corporal en Adolescentes Islandeses (Adherence to the Mediterranean Diet, Motives for Physical Exercise and Body Composition in Icelandic Adolescents). Retos. 2020;2041(38):552–9.CrossRef Galan-Lopez P, Gisladóttir T, Ries F. Adherencia a la Dieta Mediterránea, Motivos para la Práctica de Ejercicio Físico y Composición Corporal en Adolescentes Islandeses (Adherence to the Mediterranean Diet, Motives for Physical Exercise and Body Composition in Icelandic Adolescents). Retos. 2020;2041(38):552–9.CrossRef
63.
go back to reference Galan-Lopez P, Sanchez-Oliver AJ, Pihu M, Gísladóttír T, Domínguez R, Ries F. Association between adherence to the mediterranean diet and physical fitness with body composition parameters in 1717 european adolescents: The adoleshealth study. Nutrients. 2020;12(1):1–19. Galan-Lopez P, Sanchez-Oliver AJ, Pihu M, Gísladóttír T, Domínguez R, Ries F. Association between adherence to the mediterranean diet and physical fitness with body composition parameters in 1717 european adolescents: The adoleshealth study. Nutrients. 2020;12(1):1–19.
65.
go back to reference Golpour-hamedani S, Mohammadifard N, Khosravi A. Dietary approaches to stop hypertension diet and obesity: A cross-sectional study of Iranian children and adolescents. ARYA Atheroscler. 2017;13(1):7–13.PubMedPubMedCentral Golpour-hamedani S, Mohammadifard N, Khosravi A. Dietary approaches to stop hypertension diet and obesity: A cross-sectional study of Iranian children and adolescents. ARYA Atheroscler. 2017;13(1):7–13.PubMedPubMedCentral
66.
go back to reference Hooshmand F, Asghari G, Yuzbashian E, Mahdavi M, Mirmiran P, Azizi F. Modified healthy eating index and incidence of metabolic syndrome in children and adolescents: Tehran lipid and glucose study. J Pediatr. 2018;197(April):134-139.e2.PubMedCrossRef Hooshmand F, Asghari G, Yuzbashian E, Mahdavi M, Mirmiran P, Azizi F. Modified healthy eating index and incidence of metabolic syndrome in children and adolescents: Tehran lipid and glucose study. J Pediatr. 2018;197(April):134-139.e2.PubMedCrossRef
67.
go back to reference Korkmaz GÖ, Kabaran S. Protective effects of a Mediterranean-like dietary pattern on obesity, abdominal obesity and large neck circumference in a cohort of Turkish children aged 6–9 years. Asia Pac J Clin Nutr. 2020;29(2):363–71.PubMed Korkmaz GÖ, Kabaran S. Protective effects of a Mediterranean-like dietary pattern on obesity, abdominal obesity and large neck circumference in a cohort of Turkish children aged 6–9 years. Asia Pac J Clin Nutr. 2020;29(2):363–71.PubMed
68.
go back to reference Mohseni-Takalloo S, Hosseini-Esfahani F, Mirmiran P, Azizi F. Associations of pre-defined dietary patterns with obesity associated phenotypes in Tehranian adolescents. Nutrients. 2016;8(8):505.PubMedPubMedCentralCrossRef Mohseni-Takalloo S, Hosseini-Esfahani F, Mirmiran P, Azizi F. Associations of pre-defined dietary patterns with obesity associated phenotypes in Tehranian adolescents. Nutrients. 2016;8(8):505.PubMedPubMedCentralCrossRef
69.
go back to reference Sümen A, Evgin D. A cross-sectional study examining self-reported anthropometric measurements with adolescents’ nutrition attitudes, obesity awareness and diet quality indices during the pandemic. J Pediatr Nurs. 2022;64:133.PubMedPubMedCentralCrossRef Sümen A, Evgin D. A cross-sectional study examining self-reported anthropometric measurements with adolescents’ nutrition attitudes, obesity awareness and diet quality indices during the pandemic. J Pediatr Nurs. 2022;64:133.PubMedPubMedCentralCrossRef
70.
go back to reference Çağiran Yilmaz F, Çağiran D, Özçelik AÖ. Adolescent obesity and its association with diet quality and cardiovascular risk factors. Ecol Food Nutr. 2019;58(3):207–18.PubMedCrossRef Çağiran Yilmaz F, Çağiran D, Özçelik AÖ. Adolescent obesity and its association with diet quality and cardiovascular risk factors. Ecol Food Nutr. 2019;58(3):207–18.PubMedCrossRef
73.
go back to reference Kocaadam-Bozkurt B, Karaçil Ermumcu MŞ, Erdoğan Gövez N, Bozkurt O, Akpinar Ş, Mengi Çelik Ö, et al. Association between adherence to the Mediterranean diet with anthropometric measurements and nutritional status in adolescents. Nutr Hosp. 2023;40(2):368–76.PubMed Kocaadam-Bozkurt B, Karaçil Ermumcu MŞ, Erdoğan Gövez N, Bozkurt O, Akpinar Ş, Mengi Çelik Ö, et al. Association between adherence to the Mediterranean diet with anthropometric measurements and nutritional status in adolescents. Nutr Hosp. 2023;40(2):368–76.PubMed
74.
go back to reference Lioret S, McNaughton SA, Cameron AJ, Crawford D, Campbell KJ, Cleland VJ, et al. Three-year change in diet quality and associated changes in BMI among schoolchildren living in socio-economically disadvantaged neighbourhoods. Br J Nutr. 2014;112(2):260–8.PubMedPubMedCentralCrossRef Lioret S, McNaughton SA, Cameron AJ, Crawford D, Campbell KJ, Cleland VJ, et al. Three-year change in diet quality and associated changes in BMI among schoolchildren living in socio-economically disadvantaged neighbourhoods. Br J Nutr. 2014;112(2):260–8.PubMedPubMedCentralCrossRef
75.
go back to reference Wong JE, Parnell WR, Howe AS, Lubransky AC, Black KE, Skidmore PML. Diet quality is associated with measures of body fat in adolescents from Otago. New Zealand Public Health Nutr. 2015;18(8):1453–60.PubMedCrossRef Wong JE, Parnell WR, Howe AS, Lubransky AC, Black KE, Skidmore PML. Diet quality is associated with measures of body fat in adolescents from Otago. New Zealand Public Health Nutr. 2015;18(8):1453–60.PubMedCrossRef
76.
go back to reference Sahel K, Elfane H, El-Jamal S, El Ayachi M, Belahsen R. Food quality and nutritional status of school-going adolescents in the province of El Jadida in Morocco. Rocz Panstw Zakl Hig / Ann Natl Inst Hyg. 2022;73(4):423–33. Sahel K, Elfane H, El-Jamal S, El Ayachi M, Belahsen R. Food quality and nutritional status of school-going adolescents in the province of El Jadida in Morocco. Rocz Panstw Zakl Hig / Ann Natl Inst Hyg. 2022;73(4):423–33.
77.
go back to reference An R. Diet quality and physical activity in relation to childhood obesity. Int J Adolesc Med Health. 2017; 29(2). An R. Diet quality and physical activity in relation to childhood obesity. Int J Adolesc Med Health. 2017; 29(2).
78.
go back to reference Summer SS, Jenkins T, Inge T, Deka R, Khoury JC. Association of diet quality, physical activity, and abdominal obesity with metabolic syndrome z-score in black and white adolescents in the US. Nutr Metab Cardiovasc Dis. 2022;32(2):346–54.PubMedCrossRef Summer SS, Jenkins T, Inge T, Deka R, Khoury JC. Association of diet quality, physical activity, and abdominal obesity with metabolic syndrome z-score in black and white adolescents in the US. Nutr Metab Cardiovasc Dis. 2022;32(2):346–54.PubMedCrossRef
79.
go back to reference Liu M, Chen Q, Li Z, Zhang J, Wang P, He Q. Association between diet quality and cardiometabolic risk factor clustering stratified by socioeconomic status among chinese children. J Acad Nutr Diet. 2021;121(10):1975–19832.PubMedCrossRef Liu M, Chen Q, Li Z, Zhang J, Wang P, He Q. Association between diet quality and cardiometabolic risk factor clustering stratified by socioeconomic status among chinese children. J Acad Nutr Diet. 2021;121(10):1975–19832.PubMedCrossRef
80.
go back to reference Hu K, Button AM, Tate CM, Kracht CL, Champagne CM, Staiano AE. Adolescent diet quality, cardiometabolic risk, and adiposity: A prospective cohort. J Nutr Educ Behav. 2023;55(12):851–60.PubMedCrossRef Hu K, Button AM, Tate CM, Kracht CL, Champagne CM, Staiano AE. Adolescent diet quality, cardiometabolic risk, and adiposity: A prospective cohort. J Nutr Educ Behav. 2023;55(12):851–60.PubMedCrossRef
81.
go back to reference Zheng X, Wang H, Wu H. Association between diet quality scores and risk of overweight and obesity in children and adolescents. BMC Pediatr. 2023;23(1):1–8.CrossRef Zheng X, Wang H, Wu H. Association between diet quality scores and risk of overweight and obesity in children and adolescents. BMC Pediatr. 2023;23(1):1–8.CrossRef
82.
go back to reference Berz JPB, Singer MR, Guo X, Daniels SR, Moore LL. Use of a DASH food group score to predict excess weight gain in adolescent girls in the national growth and health study. Arch Pediatr Adolesc Med. 2011;165:540–6.PubMedCrossRef Berz JPB, Singer MR, Guo X, Daniels SR, Moore LL. Use of a DASH food group score to predict excess weight gain in adolescent girls in the national growth and health study. Arch Pediatr Adolesc Med. 2011;165:540–6.PubMedCrossRef
83.
go back to reference Thomson JL, Landry AS, Tussing-Humphreys LM, Goodman MH. Diet quality of children in the United States by body mass index and sociodemographic characteristics. Obes Sci Pract. 2020;6(1):84–98.PubMedCrossRef Thomson JL, Landry AS, Tussing-Humphreys LM, Goodman MH. Diet quality of children in the United States by body mass index and sociodemographic characteristics. Obes Sci Pract. 2020;6(1):84–98.PubMedCrossRef
84.
go back to reference Hajna S, Liu J, Leblanc PJ, Faught BE, Merchant AT, Cairney J, et al. Association between body composition and conformity to the recommendations of Canada’s Food Guide and the Dietary Approaches to Stop Hypertension (DASH) diet in peri-adolescence. Public Health Nutr. 2012;15(10):1890–6.PubMedCrossRef Hajna S, Liu J, Leblanc PJ, Faught BE, Merchant AT, Cairney J, et al. Association between body composition and conformity to the recommendations of Canada’s Food Guide and the Dietary Approaches to Stop Hypertension (DASH) diet in peri-adolescence. Public Health Nutr. 2012;15(10):1890–6.PubMedCrossRef
85.
go back to reference McGee M, Unger S, Hamilton J, Birken CS, Pausova Z, Kiss A, et al. Associations between diet quality and body composition in young children born with very low body weight. J Nutr. 2020;150(11):2961–8.PubMedPubMedCentralCrossRef McGee M, Unger S, Hamilton J, Birken CS, Pausova Z, Kiss A, et al. Associations between diet quality and body composition in young children born with very low body weight. J Nutr. 2020;150(11):2961–8.PubMedPubMedCentralCrossRef
86.
go back to reference Setayeshgar S, Maximova K, Ekwaru JP, Gray-Donald K, Henderson M, Paradis G, et al. Diet quality as measured by the Diet Quality Index-International is associated with prospective changes in body fat among Canadian children. Public Health Nutr. 2017;20(3):456–63.PubMedCrossRef Setayeshgar S, Maximova K, Ekwaru JP, Gray-Donald K, Henderson M, Paradis G, et al. Diet quality as measured by the Diet Quality Index-International is associated with prospective changes in body fat among Canadian children. Public Health Nutr. 2017;20(3):456–63.PubMedCrossRef
87.
go back to reference Bekelman TA, Ringham BM, Sauder KA, Johnson SL, Harrall KH, Glueck DH, et al. Adherence to index-based dietary patterns in childhood and BMI trajectory during the transition to adolescence: the EPOCH study. Int J Obes. 2022;45(11):2439–46.CrossRef Bekelman TA, Ringham BM, Sauder KA, Johnson SL, Harrall KH, Glueck DH, et al. Adherence to index-based dietary patterns in childhood and BMI trajectory during the transition to adolescence: the EPOCH study. Int J Obes. 2022;45(11):2439–46.CrossRef
88.
go back to reference Ducharme-Smith K, Brady TM, Vizthum D, Caulfield LE, Mueller NT, Rosenstock S, et al. Diet quality scores associated with improved cardiometabolic measures among African American adolescents. Pediatr Res. 2022;92(3):853–61.PubMedCrossRef Ducharme-Smith K, Brady TM, Vizthum D, Caulfield LE, Mueller NT, Rosenstock S, et al. Diet quality scores associated with improved cardiometabolic measures among African American adolescents. Pediatr Res. 2022;92(3):853–61.PubMedCrossRef
89.
go back to reference Ducharme-Smith K, Caulfield LE, Brady TM, Rosenstock S, Mueller NT, Garcia-Larsen V. Higher Diet Quality in African-American Adolescents Is Associated with Lower Odds of Metabolic Syndrome: Evidence from the NHANES. J Nutr. 2021;151(6):1609–17.PubMedPubMedCentralCrossRef Ducharme-Smith K, Caulfield LE, Brady TM, Rosenstock S, Mueller NT, Garcia-Larsen V. Higher Diet Quality in African-American Adolescents Is Associated with Lower Odds of Metabolic Syndrome: Evidence from the NHANES. J Nutr. 2021;151(6):1609–17.PubMedPubMedCentralCrossRef
90.
go back to reference Torres R, Santos E, Orraca L, Elias A, Palacios C. Diet quality, social determinants, and weight status in puerto rican children aged 12 years. J Acad Nutr Diet. 2014;114(8):1230–5.PubMedPubMedCentralCrossRef Torres R, Santos E, Orraca L, Elias A, Palacios C. Diet quality, social determinants, and weight status in puerto rican children aged 12 years. J Acad Nutr Diet. 2014;114(8):1230–5.PubMedPubMedCentralCrossRef
91.
go back to reference Torres R, Serrano M, Pérez CM, Palacios C. Physical environment, diet quality, and body weight in a group of 12-year-old children from four public schools in Puerto Rico. P R Health Sci J. 2014;33(1):14–21.PubMedPubMedCentral Torres R, Serrano M, Pérez CM, Palacios C. Physical environment, diet quality, and body weight in a group of 12-year-old children from four public schools in Puerto Rico. P R Health Sci J. 2014;33(1):14–21.PubMedPubMedCentral
92.
go back to reference Aljahdali AA, Peterson KE, Cantoral A, Ruiz-Narvaez E, Tellez-Rojo MM, Kim HM, et al. Diet quality scores and cardiometabolic risk factors in Mexican children and adolescents: A longitudinal analysis. Nutrients. 2022;14(4):1–19.CrossRef Aljahdali AA, Peterson KE, Cantoral A, Ruiz-Narvaez E, Tellez-Rojo MM, Kim HM, et al. Diet quality scores and cardiometabolic risk factors in Mexican children and adolescents: A longitudinal analysis. Nutrients. 2022;14(4):1–19.CrossRef
94.
go back to reference Latorre-Román PÁ, Guzmán-Guzmán IP, Antonio Párraga-Montilla J, Caamaño-Navarrete F, Salas-Sánchez J, Palomino-Devia C, et al. Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study. Pediatr Obes. 2022;17(7):1–8.CrossRef Latorre-Román PÁ, Guzmán-Guzmán IP, Antonio Párraga-Montilla J, Caamaño-Navarrete F, Salas-Sánchez J, Palomino-Devia C, et al. Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study. Pediatr Obes. 2022;17(7):1–8.CrossRef
95.
go back to reference Pereira JL, Mattei J, Isasi CR, Van Horn L, Carnethon MR, Daviglus ML, et al. Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in São Paulo, Brazil and in the USA: Differences and similarities. Public Health Nutr. 2021;24(13):4091–101.PubMedCrossRef Pereira JL, Mattei J, Isasi CR, Van Horn L, Carnethon MR, Daviglus ML, et al. Diet quality, excess body weight and cardiometabolic risk factors in adolescents living in São Paulo, Brazil and in the USA: Differences and similarities. Public Health Nutr. 2021;24(13):4091–101.PubMedCrossRef
96.
go back to reference Said FA, Khamis AG, Salmin AH, Msellem SN, Mdachi K, Noor R, et al. Influence of diet quality on nutritional status of school-aged children and adolescents in Zanzibar, Tanzania. PLoS ONE. 2023;18(10):1–12.CrossRef Said FA, Khamis AG, Salmin AH, Msellem SN, Mdachi K, Noor R, et al. Influence of diet quality on nutritional status of school-aged children and adolescents in Zanzibar, Tanzania. PLoS ONE. 2023;18(10):1–12.CrossRef
98.
go back to reference Rolland-Cachera MF, Deheeger M, Maillot M, Bellisle F. Early adiposity rebound: causes and consequences for obesity in children and adults. Int J Obes. 2006;30(4):S11-7.CrossRef Rolland-Cachera MF, Deheeger M, Maillot M, Bellisle F. Early adiposity rebound: causes and consequences for obesity in children and adults. Int J Obes. 2006;30(4):S11-7.CrossRef
99.
go back to reference D’innocenzo S, Biagi C, Lanari M. Obesity and the mediterranean diet: A review of evidence of the role and sustainability of the mediterranean diet. Nutrients. 2019;11(6):1306.PubMedPubMedCentralCrossRef D’innocenzo S, Biagi C, Lanari M. Obesity and the mediterranean diet: A review of evidence of the role and sustainability of the mediterranean diet. Nutrients. 2019;11(6):1306.PubMedPubMedCentralCrossRef
100.
go back to reference Tognon G, Moreno LA, 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. Int J Obes. 2014;38:S108–14.CrossRef Tognon G, Moreno LA, 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. Int J Obes. 2014;38:S108–14.CrossRef
101.
go back to reference Castro-Barquero S, Ruiz-León AM, Sierra-Pérez M, Estruch R, Casas R. Dietary strategies for metabolic syndrome: A comprehensive review. Nutrients. 2020;12(10):1–21.CrossRef Castro-Barquero S, Ruiz-León AM, Sierra-Pérez M, Estruch R, Casas R. Dietary strategies for metabolic syndrome: A comprehensive review. Nutrients. 2020;12(10):1–21.CrossRef
102.
go back to reference Schap TR, Kuczynski K, Hiza H. Healthy eating index—beyond the score. J Acad Nutr Diet. 2017;117(4):519–21.PubMedCrossRef Schap TR, Kuczynski K, Hiza H. Healthy eating index—beyond the score. J Acad Nutr Diet. 2017;117(4):519–21.PubMedCrossRef
103.
go back to reference Kim S, Haines PS, Siega-Riz AM, Popkin BM. The diet quality index-international (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476–84.PubMedCrossRef Kim S, Haines PS, Siega-Riz AM, Popkin BM. The diet quality index-international (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476–84.PubMedCrossRef
104.
go back to reference Hlaing-hlaing H, Pezdirc K, Tavener M, James EL, Hure A. Diet quality indices used in Australian and New Zealand Adults: A systematic review and critical appraisal. Nutrients. 2020;12(12):1–30.CrossRef Hlaing-hlaing H, Pezdirc K, Tavener M, James EL, Hure A. Diet quality indices used in Australian and New Zealand Adults: A systematic review and critical appraisal. Nutrients. 2020;12(12):1–30.CrossRef
105.
go back to reference Yoong SL, Skelton E, Jones J, Wolfenden L. Do childcare services provide foods in line with the 2013 Australian Dietary guidelines? A cross-sectional study. Aust N Z J Public Health. 2014;38(6):595–6.PubMedCrossRef Yoong SL, Skelton E, Jones J, Wolfenden L. Do childcare services provide foods in line with the 2013 Australian Dietary guidelines? A cross-sectional study. Aust N Z J Public Health. 2014;38(6):595–6.PubMedCrossRef
106.
go back to reference Costarelli V, Michou M, Panagiotakos DB, Lionis C. Adherence to the Mediterranean diet and weight status in children: the role of parental feeding practices. Int J Food Sci Nutr. 2021;72(1):112–22.PubMedCrossRef Costarelli V, Michou M, Panagiotakos DB, Lionis C. Adherence to the Mediterranean diet and weight status in children: the role of parental feeding practices. Int J Food Sci Nutr. 2021;72(1):112–22.PubMedCrossRef
Metadata
Title
Diet Quality Scores, Obesity and Metabolic Syndrome in Children and Adolescents: A Systematic Review and Meta-Analysis
Authors
Alicia Larruy-García
Lubna Mahmood
María L. Miguel-Berges
Guiomar Masip
Miguel Seral-Cortés
Pilar De Miguel-Etayo
Luis A. Moreno
Publication date
27-09-2024
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Current Obesity Reports
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-024-00589-6

A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
Start the cases

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Read more