How Modern Habits Are Reshaping The Mediterranean Diet For The Worse

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Despite nan region’s estimation for patient living, caller investigation reveals that ultra-processed foods are progressively prevalent successful nan diets of Mediterranean youth, linking mediocre eating habits pinch excessive surface clip and modern manner shifts.

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Study: Unhealthy Ultra-Processed Food Consumption successful Children and Adolescents Living successful nan Mediterranean Area: The DELICIOUS Project. Image Credit: Rimma Bondarenko / Shutterstock

In a caller study published successful the International Journal of Public Health, researchers leveraged an extended cross-sectional study to analyse nan depletion of unhealthy UPF items among younker successful nan Mediterranean region.

The study surveyed 2,011 families crossed 5 countries and recovered that astir 95% of children and adolescents consumed astatine slightest 1 unhealthy UPF point daily.

This precocious intake was powerfully linked to obesity, older teen age, and suboptimal manner factors, including accrued surface clip and vulnerability to nutrient advertising, pinch further links to predominant eating retired of location and snacking.

High parental acquisition was associated pinch precocious depletion but not pinch regular consumption, while having an older aliases female responding genitor was inversely associated. Younger parental property was identified arsenic a consequence facet for higher UPF consumption.

These findings propose that UPF depletion is portion of a complex, modern, and unhealthy manner that has taken guidelines moreover successful this traditionally patient region.

In this study, “daily consumption” referred to eating astatine slightest 1 of nan listed unhealthy UPF items daily.

Mediterranean Diet and nan Nutrition Transition

The accepted Mediterranean Diet (MeDi) has historically been considered 1 of nan astir optimal extant dietary patterns, famously associated pinch longevity and health. However, caller decades person witnessed a world "nutrition transition." In galore areas, including nan Mediterranean region, accepted dietary patterns are reported arsenic being progressively abandoned successful favour of "Westernized" products that are precocious successful power but debased successful nutritional density.

The superior constituents of these "unhealthy" diets are often ultra-processed foods (UPFs), business formulations containing small to nary full foods. Nutritional investigation has revealed that these foods prioritize convenience and hyper-palatability, often utilizing cosmetic additives and precocious levels of added sugar, sodium, and unhealthy fats.

A increasing assemblage of investigation links precocious UPF depletion to galore wellness problems, including metabolic disorders, type 2 glucosuria (T2D), cardiovascular illness (CVD), and moreover intelligence wellness issues for illustration depression.

Studies specifically focused connected children and adolescents person associated UPFs pinch nutrient addiction successful nan erstwhile cohort, and faster increases successful assemblage wide scale (BMI) and assemblage fat percent during adolescence. While this inclination is globally recognized, information specifically focusing connected unhealthy UPFs successful Mediterranean younker stay limited.

Study Design and DELICIOUS Project Overview

The coming study addressed this knowledge spread by utilizing a cross-sectional study of nan DELICIOUS (UnDErstanding user nutrient choices & promotion of patient and sustainable Mediterranean fare and LIfestyle successful Children and adolescents done behavIOUral alteration actionS) project, an inaugural aimed astatine knowing nutrient choices and promoting a patient Mediterranean manner successful children and adolescents.

The study cohort consisted of 2,011 parents of children and adolescents aged 6 to 17 from 5 Mediterranean countries: Italy, Spain, Portugal, Egypt, and Lebanon. Study information were collected via a parent-completed, elaborate physics study that covered demographics, eating habits, and manner factors for some parents and their children.

Assessment Tools and Data Collection Methods

The study included a 13-item nutrient wave questionnaire (FFQ) measuring nan depletion of soft drinks, accelerated food, salty snacks, commercialized sauces, and sweets. These items operationalized “unhealthy” UPFs; frequency, alternatively than amount aliases full UPF intake, was assessed, and nan information were parent-reported. FFQ information were utilized to categorize participants based connected their respective depletion frequencies.

Additionally, children's Body Mass Index (BMI) was collected and utilized to categorize participants into normal weight, overweight, aliases obese (Centers for Disease Control and Prevention [CDC] criteria).

Lifestyle habits were assessed utilizing validated tools, including nan International Physical Activity Questionnaire-Short Form (IPAQ) and a manner people derived from nan Electronic Kids Dietary Index (E-KINDEX), which allowed for multivariate study and nan recognition of statistical associations betwixt unhealthy UPF depletion and a wide scope of demographic and manner variables.

Key Findings connected UPF Consumption Patterns

Study findings revealed that astir 95% of included children and adolescents consumed unhealthy UPFs daily, pinch nan median intake crossed nan full cohort computed to beryllium astir 1.8 servings per day. Multivariate analyses revealed cardinal factors powerfully associated pinch higher consumption.

Firstly, older children and those pinch obesity were recovered to show nan astir important risk. Compared to 6–8-year-olds, adolescents aged 15–17 were 2.74 times much apt to person precocious depletion (p < 0.001) and 3.78 times much apt to beryllium regular consumers (p < 0.001). Children pinch obesity were 1.97 times much apt to person precocious depletion (p < 0.001) and 2.02 times much apt to beryllium regular consumers (p < 0.05) than their normal-weight peers.

Secondly, precocious parental acquisition was associated pinch 2.23 times higher likelihood of precocious UPF depletion (p < 0.05) but not pinch regular consumption.

Thirdly, manner was highlighted arsenic a important contributor to mediocre dietary habits. Specifically, compared to those pinch little than 2 hours of surface clip a day, children pinch 2–4 hours of surface clip were 2.61 times much apt to beryllium regular consumers (p < 0.001), and those pinch complete 4 hours were 2.64 times much apt (p < 0.05). 

Eating retired of location showed immoderate of nan largest effects: consuming meals retired astatine slightest 2 times per week was associated pinch 20.73 times higher likelihood of regular depletion and 4.42 times higher likelihood of precocious consumption. Eating advertised foods was besides associated pinch 5.03 times higher likelihood of regular consumption.

Snacking was associated pinch some precocious (OR = 1.95) and regular (OR = 2.88) consumption. A higher E-KINDEX manner people was inversely associated pinch some precocious and regular consumption.

Implications and Public Health Recommendations

The coming study highlights nan alarming prevalence of regular UPF depletion among Mediterranean youth, uncovering these unhealthy dietary patterns profoundly enmeshed successful an wide unhealthy manner characterized by precocious surface time, sedentary behavior, and circumstantial eating habits, specified arsenic snacking and eating out.

While nan study's cross-sectional creation precludes causation, nan convenience sampling via a user database limits nationalist representativeness, and parent-reported FFQ wave for selected “unhealthy” UPF items does not quantify full UPF aliases information sizes, introducing imaginable misclassification.

The findings underscore nan urgent request for a comprehensive, multi-pronged attack involving parents, educators, and healthcare professionals to foster healthier, much progressive lifestyles for children, moreover successful regions pinch a rich | history of patient eating habits. Given nan beardown associations pinch eating retired and advertizing exposure, family- and environment-level strategies whitethorn beryllium particularly applicable targets.

Journal reference:

  • Rosi, A., et al. (2025). Unhealthy Ultra-Processed Food Consumption successful Children and Adolescents Living successful nan Mediterranean Area: The DELICIOUS Project. International Journal of Public Health, 70. DOI: 10.3389/ijph.2025.1608318. https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2025.1608318/full
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