title: Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1-2 years. EniM clinical trial.
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.
  
  
  METHODS
  We performed a multicentre, multidisciplinary, randomized controlled study in a community setting.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors.affiliation: 1La Riera Primary Care Center,Institut Català de la Salut,Ronda Prim 35,Planta 2ª,08302 Mataró,Spain.
authors.forename: Margarita
authors.identifier: http://orcid.org/0000-0002-5823-4112
authors.initials: M
authors.lastname: Roset-Salla
authors.affiliation: 1La Riera Primary Care Center,Institut Català de la Salut,Ronda Prim 35,Planta 2ª,08302 Mataró,Spain.
authors.forename: Joana
authors.initials: J
authors.lastname: Ramon-Cabot
authors.affiliation: 1La Riera Primary Care Center,Institut Català de la Salut,Ronda Prim 35,Planta 2ª,08302 Mataró,Spain.
authors.forename: Jordi
authors.initials: J
authors.lastname: Salabarnada-Torras
authors.affiliation: 2Research Support Unit Metropolitana Nord,Institut Universitari de Recerca en Atenció Primària IDIAP Jordi Gol,Santa Coloma de Gramenet,Spain.
authors.forename: Guillem
authors.identifier: http://orcid.org/0000-0003-3188-7268
authors.initials: G
authors.lastname: Pera
authors.affiliation: 2Research Support Unit Metropolitana Nord,Institut Universitari de Recerca en Atenció Primària IDIAP Jordi Gol,Santa Coloma de Gramenet,Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Dalmau
mesh_terms: D015992:Body Mass Index; D001942:Breast Feeding; D002656:Child Day Care Centers; D002675:Child, Preschool; D000072001:Diet, Healthy; D038441:Diet, Mediterranean; D002149:Energy Intake; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008297:Male; D018977:Micronutrients / Q000008:administration & dosage; D010290:Parents / Q000193:education*; D010349:Patient Compliance; D012111:Residence Characteristics; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires
chemical_list: D018977:Micronutrients
keywords: Child; Diet; Health education; Infant nutrition science; Mediterranean; Pre-school