title: [Adherence to the Mediterranean diet in rural and urban adolescents of southern Spain, life satisfaction, anthropometry, and physical and sedentary activities].
abstract: BACKGROUND
  The Mediterranean diet is one of the healthier diet models. Mediterranean food patterns are suffering a deterioration that can especially affect children and adolescents.
  
  
  OBJECTIVE
  Determine adherence to the Mediterranean diet in adolescents of southern Spain and its relationship with the residence area, sex, age, life satisfaction, anthropometry, and habits of physical activity and sedentary activities.
  
  
  METHODS
  A total of 1973 adolescents (11-18 years) of southern Spain participated in this descriptive cross-sectional study. Cut-off value between rural and urban locations was 10000 inhabitants. Adherence to the Mediterranean diet was calculated from the KIDMED questionnaire. Life satisfaction, physical activity, and sedentary activities also were measured through valid and reliable questionnaires. Body mass index and % body fat were measured using the TANITA BC-420-S body analyzer.
  
  
  RESULTS
  30.9% of the adolescents reported an optimal quality diet, percent higher in rural locations (P < 0.05). Adherence was lower in older adolescents (P < 0.001), it was not different between sexes or according to anthropometric variables. Adolescents more satisfied with their lives (P < 0.001), more active (P < 0.001), more studious (P < 0.001), and less sedentary in front of a screen (P < 0.001) showed greater adherence to the Mediterranean food pattern.
  
  
  CONCLUSIONS
  The majority of adolescents need to improve their nutritional quality. Compared with these subjects, the adolescents most adherent to the Mediterranean diet had a healthier lifestyle and they showed greater life satisfaction.
authors.affiliation: Departamento de Deporte e Informática, Facultad del Deporte, Universidad Pablo de Olavide, Sevilla, España. agracru@upo.es
authors.forename: Alberto
authors.initials: A
authors.lastname: Grao-Cruces
authors.forename: Alberto
authors.initials: A
authors.lastname: Nuviala
authors.forename: Antonio
authors.initials: A
authors.lastname: Fernández-Martínez
authors.forename: Ana-María
authors.initials: AM
authors.lastname: Porcel-Gálvez
authors.forename: José-Enrique
authors.initials: JE
authors.lastname: Moral-García
authors.forename: Emilio-José
authors.initials: EJ
authors.lastname: Martínez-López
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001823:Body Composition / Q000502:physiology; D015992:Body Mass Index; D002648:Child; D003430:Cross-Sectional Studies; D004034:Diet Surveys; D038441:Diet, Mediterranean; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity; D010349:Patient Compliance; D010549:Personal Satisfaction; D012424:Rural Population; D057185:Sedentary Behavior; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population