The Economic Cost of Diet and Its Association with Adherence to the Mediterranean Diet in a Cohort of Spanish Primary Schoolchildren

Dados Bibliográficos

ID15464656
AutoresRosario Pastor (0000-0003-4682-4809, Catholic University of Ávila), Noemi Pinilla (Catholic University of Ávila), Josep A Tur (0000-0002-6940-0761, Instituto de Salud Carlos III, autor correspondente)
Ano2021
Volume18
Fascículo3
Páginas1282-1282
Data de publicação2021-01-31
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18031282
PMID33572671
OpenAlexW3126189361
IdiomaEN
Citações recebidas1
Referências citadas46

Background : Adoption of a certain dietary pattern is determined by different factors such as taste, cost, convenience, and nutritional value of food. Objective : To assess the association between the daily cost of a diet and its overall quality in a cohort of 6-12-year-old Spanish schoolchildren. Methods : A cross-sectional survey was conducted on a cohort ( n = 130; 47% female) of 6-12-year-old children schooled in primary education in the central region of Spain. Three-day 24 h records were administered, and the nutritional quality of the diet was also determined by means of Mediterranean Adequacy Index (MAI). A questionnaire on sociodemographic data, frequency of eating in fast-food restaurants, and supplement intake were also recorded. The person responsible for the child's diet and the schooler himself completed the questionnaires, and homemade measures were used to estimate the size of the portions. Food prices were obtained from the Household Consumption Database of the Spanish Ministry of Agriculture, Fisheries and Food. The economic cost of the diet was calculated by multiplying the amount in grams of the food consumed by each child by the corresponding price in grams and adding up the total amount for each participant. The total economic cost of the diet was calculated in €/day and in €/1000 kcal/day. Results : The area under the curve (AUC) for €/day and €/1000 kcal/day represent 62.6% and 65.6%, respectively. According to AUC values, adherence to Mediterranean diet (MD) is a moderate predictor of the monetary cost of the diet. A direct relationship between the cost of the diet and the adherence to MD was observed [OR (€/1000 kcal/day) = 3.012; CI (95%): 1.291; 7.026; p = 0.011]. Conclusions : In a cohort of Spanish schoolchildren with low adherence to the MD, a higher cost of the diet standardized to 1000 kcal was associated with above-average MAI values

Agriculture · Christian ministry · Cohort · Cohort study · Environmental health · Food frequency questionnaire · Food group · Food intake · Food prices · Food security · Geography · Mediterranean diet · Consumer Attitudes and Food Labeling · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Pediatrics