ArticlePublic health nutrition2016
Socio-economic and lifestyle parameters associated with diet quality of children and adolescents using classification and regression tree analysis: the DIATROFI study.
Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic status and health behavior in children and adolescents: a systematic literature review.Frontiers in public health · 2023Pooled it
- Socio-economic and cultural disparities in diet among adolescents and young adults: a systematic review.Public health nutrition · 2020Pooled it
- Promotion of healthy nutrition among students participating in a school food aid program: a randomized trial.International journal of public health · 2016Trial
- Risk Profiles of Poor Diet Quality Among University Students: A Multivariate Segmentation Analysis.Nutrients · 2025Article
- Health Profiles in Developmental Age: An Analysis of the Eating Habits and Lifestyles of a Sample of Italian Children.Children (Basel, Switzerland) · 2025Article
- Diet Quality and Weight Status are Predicted by Federal Nutrition Assistance Program Participation, Health, and Demographics.Current developments in nutrition · 2025Article
- Early-life and concurrent predictors of the healthy adolescent microbiome in a cohort study.Genome medicine · 2025Article
- Development and validation of a nutrition assessment questionnaire based on the social and behavior change model for adolescents in Ethiopia.Frontiers in public health · 2025Article
- Lifestyle Clusters of Diet Quality, Sleep, and Screen Time and Associations with Weight Status in Children from Madrid City: ENPIMAD Study.Nutrients · 2024Article
- A Higher Adherence to the ALINFA Nutritional Intervention Is Effective for Improving Dietary Patterns in Children.Children (Basel, Switzerland) · 2024Article
- The international Family Affluence Scale (FAS): Charting 25 years of indicator development, evidence produced, and policy impact on adolescent health inequalities.SSM - population health · 2024Article
- Socioeconomic Status and Diet Quality in Children with and without Food Allergy.The Journal of pediatrics · 2023Article
- Nutritional Value of Meals Designed for a School-Based Food Aid Program and Comparison with Similar Commercial Products: An Example of Good Practice from the DIATROFI Program.Children (Basel, Switzerland) · 2023Article
- Assessment of Diet Quality in Children and Adolescents with Overweight or Obesity in Greece.Children (Basel, Switzerland) · 2023Article
- Article
- Impact of Parental Food Choices on Nutritional and Metabolic Status of Children with Type 1 Diabetes.Foods (Basel, Switzerland) · 2023Article
- The influential role of parents' socioeconomic status and diet quality on their children's dietary behavior: results from the LIPOKAP study among the Iranian population.BMC pediatrics · 2023Article
- Article
- Factors Associated with Diet Quality among Adolescents in a Post-Disaster Area: A Cross-Sectional Study in Indonesia.Nutrients · 2023Article
- Assessing Quality of Life in First- and Second-Generation Immigrant Children and Adolescents; Highlights from the DIATROFI Food Aid and Healthy Nutrition Promotion Program.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore factors affecting children's and adolescents' diet quality, in the framework of a food aid and promotion of healthy nutrition programme implemented in areas of low socio-economic status of Greece, during the current financial crisis.
designFrom a total of 162 schools participating in the programme during 2012-2013, we gathered 15 897 questionnaires recording sociodemographic characteristics, lifestyle parameters and dietary habits of children and their families. As a measure of socio-economic status, the Family Affluence Scale (FAS) was used; whereas for the assessment of diet quality, the KIDMED score was computed. Associations between KIDMED and FAS, physical activity and socio-economic parameters were examined using regression and classification-regression tree analysis (CART).
resultsThe higher the FAS score, the greater the percentage of children and adolescents who reported to consume, on a daily basis, fruits and vegetables, dairy products and breakfast (P<0·001). Results from CART showed that children and adolescents in the medium or high FAS groups had higher KIDMED score, compared with those in the low FAS group. For those in the low FAS group, KIDMED score is expected to increase by 12·4 % when they spend more than 0·25 h/week in sports activities. The respective threshold for the medium and high FAS groups is 1·75 h/week, while education of the mother and father affected KIDMED score significantly as well.
conclusionsDiet quality is strongly influenced by socio-economic parameters in children and adolescents living in economically disadvantaged areas of Greece, so that lower family affluence is associated with worse diet quality.
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