ArticleNutrients2024
Youth Healthy Eating Index (YHEI) and Diet Adequacy in Relation to Country-Specific National Dietary Recommendations in Children and Adolescents in Five Mediterranean Countries from the DELICIOUS Project.
Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Diet Quality Among Hungarian Children Assessed Using the Healthy Eating Index-2020: Associations with Sociodemographic Factors.Nutrients · 2026Article
- The Role of Gut Microbiota in Postmenopausal Women: Implications for Lipid Metabolism and Targeted Nutritional Interventions.Current nutrition reports · 2026Review
- Cluster-Based Evaluation of Dietary Guideline Adherence and Food Literacy Among Adolescents: Implications for Tailored Diets.Nutrients · 2026Article
- Mucin Alterations in Response to High-Fat Diet and the Potential Protective Role of Chickpea Accessions.Nutrients · 2025Article
- The Influence of Mediterranean and Western Dietary Patterns on Sensory Perception and Taste Sensitivity: A Study Among University Students.Foods (Basel, Switzerland) · 2025Article
- Unhealthy Ultra-Processed Food, Diet Quality and Adherence to the Mediterranean Diet in Children and Adolescents: The DELICIOUS Project.Foods (Basel, Switzerland) · 2025Article
- An evaluation and optimization of nutrition, environmental footprint, and food waste in Italian primary school menus: a case study.Journal of translational medicine · 2025Article
- Unhealthy Dietary Habits and Sedentary Behaviours Among Adolescents and Young Adults in Rome (Italy) Participating in the ALIMA Study: Growing Risks for Health.Healthcare (Basel, Switzerland) · 2025Article
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- Optimizing Nutritional Management Before and After Bariatric Surgery: A Comprehensive Guide for Sustained Weight Loss and Metabolic Health.Nutrients · 2025Review
- Translation, validity, and reliability of an Arabic version of the short Healthy Eating Index tested in young Saudi adults: a questionnaire-based study.Frontiers in public health · 2025Article
- Unhealthy Ultra-Processed Food Consumption in Children and Adolescents Living in the Mediterranean Area: The DELICIOUS Project.International journal of public health · 2025Article
- Parents' nutrition knowledge, perceived barriers and enablers, and healthy-eating attitudes associated with children's adherence to the Mediterranean diet: the DELICIOUS project.Frontiers in nutrition · 2025Article
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Abstract
BACKGROUND/
objectivesThe diet quality of younger individuals is decreasing globally, with alarming trends also in the Mediterranean region. The aim of this study was to assess diet quality and adequacy in relation to country-specific dietary recommendations for children and adolescents living in the Mediterranean area.
methodsA cross-sectional survey was conducted of 2011 parents of the target population participating in the DELICIOUS EU-PRIMA project. Dietary data and cross-references with food-based recommendations and the application of the youth healthy eating index (YHEI) was assessed through 24 h recalls and food frequency questionnaires.
resultsAdherence to recommendations on plant-based foods was low (less than ∼20%), including fruit and vegetables adequacy in all countries, legume adequacy in all countries except for Italy, and cereal adequacy in all countries except for Portugal. For animal products and dietary fats, the adequacy in relation to the national food-based dietary recommendations was slightly better (∼40% on average) in most countries, although the Eastern countries reported worse rates. Higher scores on the YHEI predicted adequacy in relation to vegetables (except Egypt), fruit (except Lebanon), cereals (except Spain), and legumes (except Spain) in most countries. Younger children (
conclusionsPlant-based food groups, including fruit, vegetables, legumes, and even (whole-grain) cereals are underrepresented in the diets of Mediterranean children and adolescents. Moreover, the adequate consumption of other important dietary components, such as milk and dairy products, is rather disregarded, leading to substantially suboptimal diets and poor adequacy in relation to dietary guidelines.
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