title: Compliance with the Mediterranean Diet Quality Index (KIDMED) among Balearic Islands' Adolescents and Its Association with Socioeconomic, Anthropometric and Lifestyle Factors.
abstract: OBJECTIVE
  To assess the compliance levels of adolescents in the Balearic Islands with the Mediterranean Diet Quality Index (KIDMED Index) and to assess its associations with socioeconomic, anthropometric and lifestyle characteristics.
  
  
  METHODS
  A cross-sectional survey (n = 1,231; 12-17 years) carried out in 2007-2008. The degree of adherence to the Mediterranean diet (MedDiet) was evaluated using the KIDMED Index. Body composition, body image, socioeconomic factors, and physical activity were also assessed.
  
  
  RESULTS
  Around 30% of adolescents showed high adherence to MedDiet and 15.7% showed poor adherence. More boys (32.0%) than girls (25.2%) showed high adherence to MedDiet. However, the proportion of adolescents who were reported to skip breakfast was higher among girls than boys (30.0 vs. 19.2%, respectively). The OR for poor adherence to MedDiet was higher in adolescents who usually attend mass media during mealtime, in boys eating ≤3 occasions/day, and in physically inactive girls. In boys, poor adherence to MedDiet was associated with lower OR in the age range 12-13 and in those who wished to have a thin body shape. In girls, high parental educational level, time spent on media <2 h/day and eating breakfast regularly were also associated with lower OR for poor adherence to MedDiet.
  
  
  CONCLUSIONS
  A high percentage of adolescents in Balearic Islands showed poor adherence to MedDiet.
authors.affiliation: Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Palma de Mallorca, Spain.
authors.forename: Maria del Mar
authors.initials: Mdel M
authors.lastname: Bibiloni
authors.forename: Antoni
authors.initials: A
authors.lastname: Pons
authors.forename: Josep A
authors.initials: JA
authors.lastname: Tur
mesh_terms: D000293:Adolescent; D001823:Body Composition; D001828:Body Image; D015992:Body Mass Index; D002648:Child; D003430:Cross-Sectional Studies; D038441:Diet, Mediterranean; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D009043:Motor Activity; D009752:Nutritional Status; D009765:Obesity / Q000178:diet therapy; D050177:Overweight / Q000178:diet therapy; D010349:Patient Compliance; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires