Health behaviours as predictors of the Mediterranean diet adherence
A decision tree approach
Bibliographic Data
| ID | 15095758 |
|---|---|
| Authors | Joana Margarida Bôto (0000-0002-9892-8899, University of Algarve), Ana Marreiros (0000-0001-9410-4772, University of Algarve), Patrícia Diogo (0000-0002-0804-5014, Necton (Portugal)), Ezequiel Pinto (0000-0001-9322-2937, University of Algarve), Maria Palma Mateus (0000-0002-9278-5540, University of Algarve, corresponding author) |
| Year | 2022 |
| Volume | 25 |
| Issue | 7 |
| Pages | 1864-1876 |
| Publication date | 2022-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980021003293 |
| PMID | 34369348 |
| OpenAlex | W3190775129 |
| Language | EN |
| References cited | 44 |
Objective: This study aimed to identify health behaviours that determine adolescent’s adherence to the Mediterranean diet (MD) through a decision tree statistical approach. Design: Cross-sectional study, with data collected through a self-fulfilment questionnaire with five sections: (1) eating habits; (2) adherence to the MD (KIDMED index); (3) physical activity; (4) health habits and (5) socio-demographic characteristics. Anthropometric and blood pressure data were collected by a trained research team. The Automatic Chi-square Interaction Detection (CHAID) method was used to identify health behaviours that contribute to a better adherence to the MD. Setting: Eight public secondary schools, in Algarve, Portugal. Participants: Adolescents with ages between 15 and 19 years ( n 325). Results: According to the KIDMED index, we found a low adherence to MD in 9·0 % of the participants, an intermediate adherence in 45·5 % and a high adherence in 45·5 %. Participants that regularly have breakfast, eat vegetable soup, have a second piece of fruit/d, eat fresh or cooked vegetables 1 or more times a day, eat oleaginous fruits at least 2 to 3 times a week, and practice sports and leisure physical activities outside school show higher adherence to the MD ( P · 001). Conclusions: The daily intake of two pieces of fruit and vegetables proved to be a determinant health behaviour for high adherence to MD. Strategies to promote the intake of these foods among adolescents must be developed and implemented
Anthropometry · Body mass index · CHAID · Decision tree · Environmental health · Mediterranean diet · Physical activity · Physical therapy · Public health · Consumer Attitudes and Food Labeling · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Gerontology
Statistical Methods for Rates and Proportions
The Health Behaviour in School-aged Children (HBSC) study
Nutrition in adolescents
An Exploratory Technique for Investigating Large Quantities of Categorical Data
Adherence to Mediterranean diet and health status
Development of a WHO growth reference for school-aged children and adolescents
Implementation of strategies to increase adolescents’ access to fruit and vegetables at school
Longitudinal study of psychopathological, anthropometric and sociodemographic factors related to the level of Mediterranean diet adherence in a community sample of Spanish adolescents
The global nutrition transition
Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy
Food, youth and the Mediterranean diet in Spain. Development of Kidmed, Mediterranean Diet Quality Index in children and adolescents
The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies
Do Globalization and Free Markets Drive Obesity among Children and Youth? An Empirical Analysis, 1990–2013
How important is school environment in explaining individual variance of health behaviors
The Mediterranean Diet from Ancel Keys to the Unesco Cultural Heritage. A Pattern of Sustainable Development between Myth and Reality
| Citation velocity | historical |
|---|---|
| Highly cited | No |