000150770 001__ 150770
000150770 005__ 20251017144651.0
000150770 0247_ $$2doi$$a10.1007/s00431-024-05945-1
000150770 0248_ $$2sideral$$a142745
000150770 037__ $$aART-2025-142745
000150770 041__ $$aeng
000150770 100__ $$aLarruy-García, Alicia
000150770 245__ $$aValidity of the MED4CHILD tool for assessing adherence to the Mediterranean diet in preschool children
000150770 260__ $$c2025
000150770 5060_ $$aAccess copy available to the general public$$fUnrestricted
000150770 5203_ $$aMost of the available tools to assess adherence to Mediterranean diet (MedDiet) were constructed for adults, having limited applicability to children and adolescents. The aim of this study is to validate a specific questionnaire to assess adherence to MedDiet in children aged 3 to 6 years (MED4CHILD questionnaire). The validation was performed in a baseline examination of a cohort of children who were recruited in schools in seven cities. Of the total sample of 1509 children, we included 858 children aged 3 to 6 years with complete information on adherence to the MedDiet, food consumption, anthropometry and cardiometabolic characteristics. Adherence to the MedDiet was assessed using an 18-item questionnaire, adapted from validated questionnaire for adults using the Delphi method. Food and beverage consumption was assessed using a validated COME-Kids Food and Beverage Frequency Questionnaire. Anthropometric measurements and cardiometabolic risk factors were assessed using standard methods. Statistical analyses included kappa agreement, ANOVA and linear regression models. Higher MED4CHILD scores were associated with higher intakes of food characteristic of the MedDiet. The MED4CHILD questionnaire showed moderate validity, especially for key items of the Mediterranean diet (kappa ranging from 0.333 to 0.665). Direct significant associations were found between MED4CHILD scores and cardiometabolic profile, including waist circumference (p), triglycerides and HOMA-IR (p < 0.05).
Conclusion: The 18-item MED4CHILD questionnaire showed moderate validity for assessing adherence to the MedDiet in children aged 3 to 6 years, in terms of agreement with food and beverage consumption and favourable cardiometabolic profile.
What is known: • The Mediterranean diet has been linked to a number of health benefits and the assessment of children's adherence to this diet is important for public health and research. • The tools available to assess MedDiet compliance are mainly for adults.
What is new: • The MED4CHILD questionnaire is a simple, inexpensive and rapid tool for assessing MedDiet compliance in children. • This tool showed moderate relative validity and a high score was associated with a favourable cardiometabolic profile.
000150770 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000150770 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000150770 700__ $$aDe Miguel-Etayo, Pilar
000150770 700__ $$aBabio, Nancy
000150770 700__ $$aFlores-Rojas, Katherine
000150770 700__ $$aPicáns-Leis, Rosaura
000150770 700__ $$aGómez-Martínez, Carlos
000150770 700__ $$aMiguel-Berges, María L.
000150770 700__ $$aMartínez, J. Alfredo
000150770 700__ $$aCorella, Dolores
000150770 700__ $$ade la Torre-Aguilar, M. José
000150770 700__ $$aVázquez-Cobela, Rocío
000150770 700__ $$aShyam, Sangeetha
000150770 700__ $$aPastor-Villaescusa, Belén
000150770 700__ $$aCórdoba-Rodríguez, Diana Paola
000150770 700__ $$aSchröder, Helmut
000150770 700__ $$aFernández de la Puente, María
000150770 700__ $$aJurado-Castro, José Manuel
000150770 700__ $$aNi, Jiaqi
000150770 700__ $$aNavas-Carretero, Santiago
000150770 700__ $$aLeis, Rosaura
000150770 700__ $$aGil-Campos, Mercedes
000150770 700__ $$aSalas-Salvadó, Jordi
000150770 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, Luis A.$$uUniversidad de Zaragoza
000150770 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000150770 773__ $$g184, 2 (2025), e130 [13 pp.]$$pEur. j. pediatr.$$tEuropean Journal of Pediatrics$$x0340-6199
000150770 8564_ $$s939428$$uhttps://zaguan.unizar.es/record/150770/files/texto_completo.pdf$$yVersión publicada
000150770 8564_ $$s2334502$$uhttps://zaguan.unizar.es/record/150770/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000150770 909CO $$ooai:zaguan.unizar.es:150770$$particulos$$pdriver
000150770 951__ $$a2025-10-17-14:36:20
000150770 980__ $$aARTICLE