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00925njm 22002777a 4500 dc Bibiloni, Maria Del Mar author Gallardo-Alfaro, Laura author Gómez, Santiago F author Wärnberg, Julia author Osés-Recalde, Maddi author González-Gross, Marcela author Gusi, Narcís author Aznar, Susana author Marín-Cascales, Elena author González-Valeiro, Miguel A author Serra-Majem, Lluís author Terrados, Nicolás author Segu, Marta author Lassale, Camille author Homs, Clara author Benavente-Marín, Juan Carlos author Labayen, Idoia author Zapico, Augusto G author Sánchez-Gómez, Jesús author Jiménez-Zazo, Fabio author Alcaraz, Pedro E author Sevilla-Sánchez, Marta author Herrera-Ramos, Estefanía author Pulgar, Susana author Sistac, Clara author Schröder, Helmut author Bouzas, Cristina author Tur, Josep A author 2022-02-09 A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8-16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56-0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97-2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77-2.38) and weekends (OR: 1.76, 95%CI: 1.48-2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles. Bibiloni M del M, Gallardo-Alfaro L, Gómez SF, Wärnberg J, Osés-Recalde M, González-Gross M, et al. Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Nutrients. 2022 Feb 9;14(4):738. 10.3390/nu14040738 2072-6643 Nutrients http://hdl.handle.net/10668/21456 http://hdl.handle.net/20.500.13003/18087 35215388 L2015597215 2-s2.0-85124261350 http://hdl.handle.net/20.500.12105/18602 822722300001 Mediterranean diet PASOS Adolescents Children Lifestyle Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study