ArticleEuropean child & adolescent psychiatry2024
Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study.
Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is greater adherence to the Mediterranean diet related to higher health-related quality of life among children and adolescents? A systematic review and meta-analysis.European journal of pediatrics · 2025Pooled it
- Lifestyle Factors Associated with Perceived Stress Among Adolescents: The Indirect Role of Mediterranean Diet Adherence in the Screen Time-Stress Association.Healthcare (Basel, Switzerland) · 2026Article
- Physical Activity as a Mediator of the Relationship Between Mediterranean Diet Adherence and Anxiety Symptoms in Chilean Adolescents: A Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
- The study protocol of the ePro-Schools project: an eHealth program for promoting physical activity and healthy nutrition in schools.BMC public health · 2026Article
- When distress meets disability: social connectedness buffers functional impairment in university students.Scientific reports · 2026Article
- Beyond Psychological Trauma: Associations of Nutritional Status with Depression in Child and Adolescent Victims of Crime.Healthcare (Basel, Switzerland) · 2026Article
- Dietary patterns and neuropsychological function in adolescents: a cross-sectional and longitudinal study.BMC medicine · 2026Article
- Mediterranean Diet Adherence Is Associated with Lower Prevalence of Depression and Anxiety in University Students: A Cross-Sectional Study in Greece.Diseases (Basel, Switzerland) · 2026Article
- How does parental psychological control influence adolescent depression? A sequential mediation and network analysis of smartphone addiction and sleep disturbance.BMC public health · 2026Article
- Adherence to the Mediterranean Diet Among Families from Four Countries in the Mediterranean Basin.Nutrients · 2025Article
- Eco-anxiety's dual role in adherence to the Mediterranean and DASH diets: the mediating roles of depression, anxiety, and stress.Frontiers in psychology · 2025Article
- Longitudinal association of breakfast and midnight snacks with depressive symptoms in China multi-ethnic adolescents.Frontiers in psychiatry · 2025Article
- Examining the association between the Mediterranean diet and depression: a cross-sectional study in Lebanon.Frontiers in nutrition · 2025Article
- Article
- Unhealthy Lifestyle Contributes to Negative Mental Health and Poor Quality of Life in Young University Students.Healthcare (Basel, Switzerland) · 2024Article
- Meeting the 24-h movement recommendations and its relationship with Mediterranean dietary patterns in early childhood: the SENDO project.European journal of pediatrics · 2024Article
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Authors and funding
7 authors.
Funding
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Abstract
Depression and anxiety are prevalent and disabling conditions among adolescents. The aim of this study was to examine the relationship between adherence to the Mediterranean diet (MD) and depressive, anxiety, and stress symptoms in adolescents. This cross-sectional study included a sample of 698 adolescent students from a region of Spain (mean age of 13.9 ± 1.5 years; 56.2% girls). Adherence to the MD was evaluated with the Mediterranean Diet Quality Index in children and adolescents (KIDMED). Mental health symptoms were measured with the Depression, Anxiety, and Stress Scale (DASS-21). Logistic regression models were performed, including a wide range of potential confounders. Compared to individuals with low adherence to the MD, those with moderate and high adherence had lower odds of experiencing depressive symptoms (odds ratio [OR] = 0.40, 95% confidence interval [CI] 0.24-0.65 and OR = 0.33, 95% CI 0.20-0.55, respectively), which were statistically significant even after adjustment. No significant associations were found regarding anxiety or stress symptoms. Therefore, according to our results, higher adherence to the MD is inversely related to having depressive symptoms among adolescents, regardless of socioeconomic, anthropometric, and lifestyle factors. Considering the deleterious effects of mental health problems in youths, further research on the role of nonpharmacological strategies for the prevention and treatment of depressive symptoms in adolescence is essential.
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