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Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1–2 years. EniM clinical trial

  • Margarita Roset-Salla (a1), Joana Ramon-Cabot (a1), Jordi Salabarnada-Torras (a1), Guillem Pera (a2) and Albert Dalmau (a2)...

Abstract

Objective

The objective of the present study was to evaluate the effectiveness of an educational programme on healthy alimentation, carried out in day-care centres and aimed at the parents of children from 1 to 2 years of age, regarding the acquisition of healthy eating habits among themselves and their children.

Design

We performed a multicentre, multidisciplinary, randomized controlled study in a community setting.

Setting

The EniM study (nutritional intervention study among children from Mataró) was performed in twelve day-care centres in Mataró (Spain). Centres were randomized into a control group (CG) and an intervention group (IG). IG received four or five educational workshops on diet, CG did not have workshops.

Subjects

Children, not exclusively breast-fed, from 1 to 2 years of age, in the participating day-care centres and the persons responsible for their alimentation (mother or father).

Results

Thirty-five per cent of the IG did not attend the minimum of three workshops and were excluded. The CG included seventy-four children and seventy-two parents and the IG seventy-five children and sixty-seven parents. Both groups were comparable at baseline. Basal adherence to the Mediterranean diet was 56·4 % in parents (Gerber index) and 7·7 points in children (Kidmed test). At 8 months, Mediterranean diet adherence had improved in the IG by 5·8 points in the Gerber index (P=0·01) and 0·6 points in the Kidmed test (P=0·02) compared with the CG.

Conclusions

This educational intervention performed in parents at the key period of incorporation of a 1–2-year-old child to the family table showed significant increases in adherence of the parents to the Mediterranean diet, suggesting future improvement in different indicators of health and an expected influence on the diet of their children.

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Corresponding author

* Corresponding author: Email 7784jst@comb.cat

References

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1. Toledano, E, Aznar, S, Cortés, O et al. (2007) Prevención de la obesidad infantil y juvenil. In 1 a Conferencia de Prevención y Promoción de la Salud en la Práctica Clínica en España , p. 44. Madrid: Semfyc Ediciones.
2. De Onis, M, Blössner, M & Borghi, E (2010) Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 92, 12571264.
3. Kelly, T, Yang, W, Chen, C-S et al. (2008) Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond) 32, 14311437.
4. Pérez-Farinós, N, López-Sobaler, AM, Dal, Re MÁ et al. (2013) The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011. Biomed Res Int 2013, 163687.
5. Lakshman, R, Elks, CE & Ong, KK (2012) Childhood obesity. Circulation 126, 17701779.
6. Wardle, J, Carnell, S & Cooke, L (2005) Parental control over feeding and children’s fruit and vegetable intake: how are they related? J Am Diet Assoc 105, 227232.
7. Davis, MM, McGonagle, K, Schoeni, RF et al. (2008) Grandparental and parental obesity influences on childhood overweight: implications for primary care practice. J Am Board Fam Med 21, 549554.
8. Savage, JS, Fisher, JO & Birch, LL (2007) Parental influence on eating behavior: conception to adolescence. J Law Med Ethics 35, 2234.
9. Ciampa, PJ, Kumar, D, Barkin, SL et al. (2010) Interventions aimed at decreasing obesity in children younger than 2 years: a systematic review. Arch Pediatr Adolesc Med 164, 10981104.
10. Serra Majem, L, Ribas Barba, L, Salvador Castell, G et al. (2007) Tendencias del estado nutricional de la población española: resultados del sistema de monitorización nutricional de Cataluña (1992–2003). Rev Esp Salud Publica 8, 559570.
11. León-Muñoz, LM, Guallar-Castillón, P, Graciani, A et al. (2012) Adherence to the Mediterranean diet pattern has declined in Spanish adults. J Nutr 142, 18431850.
12. Koehler, S, Sichert-Hellert, W & Kersting, M (2007) Measuring the effects of nutritional counseling on total infant diet in a randomized controlled intervention trial. J Pediatr Gastroenterol Nutr 45, 106113.
13. Dapcich, V, Salvador, G, Ribas, L et al. (2004) Guía de la alimentación saludable. Sociedad Española de Nutrición Comunitaria. http://aesan.msssi.gob.es/AESAN/docs/docs/publicaciones_estudios/nutricion/guia_alimentacion.pdf (accessed January 2015).
14. Calañas-Continente, A & Bellido, D (2006) Bases científicas de una alimentación saludable. Rev Med Navarra 50, 714.
15. Schröder, H (2007) Protective mechanisms of the Mediterranean diet in obesity and type 2 diabetes. J Nutr Biochem 18, 149160.
16. Bluford, D AA, Sherry, B & Scanlon, KS (2007) Interventions to prevent or treat obesity in preschool children: a review of evaluated programs. Obesity (Silver Spring) 15, 13561372.
17. Pérez Jarauta, MJ, Echauri Ozcoidi, M, Ancizu Irure, E et al. (2006) Manual de Educación para la Salud, p. 188. Pamplona: Instituto de Salud Pública Gobierno de Navarra.
18. Craig, CL, Marshall, AL, Sjöström, M et al. (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35, 13811395.
19. Serra-Majem, L, Ribas, L, Salvador, G et al. (2003) Avaluació de l’estat nutricional de la població catalana 2002–2003, p. 61. http://www.aesan.mspsi.gob.es/AESAN/docs/docs/evaluacion_riesgos/Cataluna.pdf (accessed January 2015).
20. Schröder, H, Fitó, M, Estruch, R et al. (2011) A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr 141, 11401145.
21. Martín-Moreno, JM, Boyle, P, Gorgojo, L et al. (1993) Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol 22, 512519.
22. Estruch, R, Martínez-González, MA, Corella, D et al. (2006) Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med 145, 111.
23. Serra-Majem, L, Ribas, L, Ngo, J et al. (2004) Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 7, 931935.
24. Roman-Viñas, B, Ortiz-Andrellucchi, A, Mendez, M et al. (2010) Is the food frequency questionnaire suitable to assess micronutrient intake adequacy for infants, children and adolescents? Matern Child Nutr 6, Suppl. 2, 112121.
25. Farran, A, Zamora, R & Cervera, P (2004) Tablas de composición de alimentos del CESNID. Barcelona: McGraw-Hill/Interamericana de España.
26. Bondia-Pons, I, Mayneris-Perxachs, J, Serra-Majem, L et al. (2010) Diet quality of a population sample from coastal north-east Spain evaluated by a Mediterranean adaptation of the diet quality index (DQI). Public Health Nutr 13, 1224.
27. Gerber, M (2007) Qualitative methods to evaluate Mediterranean diet in adults. Public Health Nutr 9, 147151.
28. Babio, N, Cabezas, C, Cabrera, D et al. (2009) Recomanacions per a l’alimentació en la primera infancia (de 0 a 3 anys). Direcció General de Salut Pública de la Generalitat de Catalunya. http://canalsalut.gencat.cat/web/.content/home_canal_salut/ciutadania/vida_saludable/alimentacio/consells_generals/documents/recaliprinf.pdf (accessed April 2015).
29. Peña Quintana, L, Ros Mar, L, González Santana, D et al. (2010) Alimentación del preescolar y escolar. In Protocolos Diagnóstico-terapéuticos de Gastroenterología, Hepatología y Nutrición Pediátrica SEGHNP-AEP, 2nd ed., pp. 297305. Madrid: ERGON.
30. Brugulat Guiteras, P, Medina Bustos, A & Mompart Penina, A (2013) Enquesta de Salut de Catalunya 2012. Informe dels principals resultats. Direcció General de Planificació i Recerca en Salut, Departament de Salut, Generalitat de Catalunya. http://salutweb.gencat.cat/web/.content/home/el_departament/estadistiques_sanitaries/enquestes/02_enquesta_catalunya_continua/documents/arxius/informeesca2012.pdf (accessed January 2015).
31. Aranceta-Bartrina, J & Serra-Majem, L (2005) Prevalencia de obesidad en España. Med Clin (Barc) 125, 460466.
32. Rodríguez-Artalejo, F, Graciani, A, Guallar-Castillón, P et al. (2011) Rationale and methods of the study on nutrition and cardiovascular risk in Spain (ENRICA). Rev Esp Cardiol 64, 876882.
33. Domínguez, LJ, Bes-Rastrollo, M, de la Fuente-Arrillaga, C et al. (2013) Similar prediction of total mortality, diabetes incidence and cardiovascular events using relative- and absolute-component Mediterranean diet score: the SUN cohort. Nutr Metab Cardiovasc Dis 23, 451458.
34. Martínez-González, MA, García-Arellano, A, Toledo, E et al. (2012) A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PLoS One 7, e43134.
35. Bammann, K, Gwozdz, W, Lanfer, A et al. (2013) Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes 8, 112.
36. Dalmau Serra, J & Moreno Villares, J (2011) Leches de crecimiento en la alimentación infantil. Acta Pediatr Esp 69, 373378.
37. Díaz Gómez, M (2013) Encuesta Nacional sobre Hábitos de Lactancia. Global Breastfeeding Summit. http://www.aeped.es/sites/default/files/resumen-presentacion-encuestalm-julio2013_0.pdf (accessed January 2015).
38. Sofi, F, Abbate, R, Gensini, GF et al. (2010) Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr 92, 11891196.
39. Kastorini, C-M, Milionis, HJ, Esposito, K et al. (2011) The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. J Am Coll Cardiol 57, 12991313.
40. Bach, A, Serra-Majem, L, Carrasco, JL et al. (2007) The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review. Public Health Nutr 9, 132146.
41. Sofi, F, Macchi, C, Abbate, R et al. (2014) Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutr 17, 27692782.
42. Martínez-González, MA, Fernández-Jarne, E, Serrano-Martínez, M et al. (2004) Development of a short dietary intake questionnaire for the quantitative estimation of adherence to a cardioprotective Mediterranean diet. Eur J Clin Nutr 58, 15501552.
43. Martínez-González, MA, Guillén-Grima, F, De Irala, J et al. (2012) The Mediterranean diet is associated with a reduction in premature mortality among middle-aged adults. J Nutr 142, 16721678.
44. Estruch, R, Ros, E, Salas-Salvadó, J et al. (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368, 12791290.
45. Arós, F & Estruch, R (2013) Mediterranean diet and cardiovascular prevention. Rev Esp Cardiol 66, 771774.
46. Llargues, E, Franco, R, Recasens, A et al. (2011) Assessment of a school-based intervention in eating habits and physical activity in school children: the AVall study. J Epidemiol Community Health 65, 896901.
47. Anderson, J, Parker, W, Steyn, N et al. (2009) Interventions on Diet and Physical Activity: What Works: Summary Report. Geneva: WHO.
48. Anderson, J, Parker, W, Steyn, N et al. (2009) Interventions on Diet and Physical Activity: What Works: Evidence Tables. Geneva: WHO.
49. Pomerleau, J, Lock, K, Knai, C et al. (2005) Interventions designed to increase adult fruit and vegetable intake can be effective: a systematic review of the literature. J Nutr 135, 24862495.
50. Monasta, L, Batty, GD, Macaluso, A et al. (2011) Interventions for the prevention of overweight and obesity in preschool children: a systematic review of randomized controlled trials. Obes Rev 12, e107e118.
51. Céspedes, J, Briceño, G, Farkouh, ME et al. (2013) Targeting preschool children to promote cardiovascular health: cluster randomized trial. Am J Med 126, 2735.
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