title: KIDMED TEST; PREVALENCE OF LOW ADHERENCE TO THE MEDITERRANEAN DIET IN CHILDREN AND YOUNG; A SYSTEMATIC REVIEW.
abstract: BACKGROUND
  during the last decades, a quick and important modification of the dietary habits has been observed in the Mediterranean countries, especially among young people. Several authors have evaluated the pattern of adherence to the Mediterranean Diet in this group of population, by using the KIDMED test.
  
  
  OBJECTIVE
  the purpose of this study was to evaluate the adherence to the Mediterranean Diet among children and adolescents by using the KIDMED test through a systematic review and meta-analysis.
  
  
  METHODS
  PubMed database was accessed until January 2014. Only cross-sectional studies evaluating children and young people were included. A random effects model was considered.
  
  
  RESULTS
  eighteen cross-sectional studies were included. The population age ranged from 2 to 25 years. The total sample included 24 067 people. The overall percentage of high adherence to the Mediterranean Diet was 10% (95% CI 0.07-0.13), while the low adhesion was 21% (IC 95% 0.14 to 0.27). In the low adherence group, further analyses were performed by defined subgroups, finding differences for the age of the population and the geographical area.
  
  
  CONCLUSIONS
  the results obtained showed important differences between high and low adherence to the Mediterranean Diet levels, although successive subgroup analyzes were performed. There is a clear trend towards the abandonment of the Mediterranean lifestyle.
authors.affiliation: Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, Las Palmas de Gran Canaria.. mnissensohn@acciones.ulpgc.es.
authors.forename: S
authors.initials: S
authors.lastname: García Cabrera
authors.affiliation: Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, Las Palmas de Gran Canaria.. mnissensohn@acciones.ulpgc.es.
authors.forename: N
authors.initials: N
authors.lastname: Herrera Fernández
authors.affiliation: Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, Las Palmas de Gran Canaria.. mnissensohn@acciones.ulpgc.es.
authors.forename: C
authors.initials: C
authors.lastname: Rodríguez Hernández
authors.affiliation: Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, Las Palmas de Gran Canaria. Instituto de Investigación Biomédica y Sanitaria (IUIBS), Grupo de Investigación de Nutrición, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria. Ciber Fisiopatología Obesidad y Nutrición (CIBEROBN, CB06/03), Instituto de Salud arlos III, Madrid.. mnissensohn@acciones.ulpgc.es.
authors.forename: M
authors.initials: M
authors.lastname: Nissensohn
authors.affiliation: Ciber Fisiopatología Obesidad y Nutrición (CIBEROBN, CB06/03), Instituto de Salud Carlos III, Madrid. Fundación de Investigación de Nutrición, Barcelona. Departamento de Ciencias del Deporte, Facultad de Psicología, Ciencias de la Educación y el Deporte Blanquerna, Universidad Ramon Llull, Barcelona. España.. mnissensohn@acciones.ulpgc.es.
authors.forename: B
authors.initials: B
authors.lastname: Román-Viñas
authors.affiliation: Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, Las Palmas de Gran Canaria. Instituto de Investigación Biomédica y Sanitaria (IUIBS), Grupo de Investigación de Nutrición, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria. Ciber Fisiopatología Obesidad y Nutrición (CIBEROBN, CB06/03), Instituto de Salud arlos III, Madrid. Fundación de Investigación de Nutrición, Barcelona.. mnissensohn@acciones.ulpgc.es.
authors.forename: L
authors.initials: L
authors.lastname: Serra-Majem
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004034:Diet Surveys / Q000295:instrumentation* / Q000379:methods*; D038441:Diet, Mediterranean / Q000706:statistics & numerical data*; D005247:Feeding Behavior; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008019:Life Style; D008297:Male; D019083:Mediterranean Region / Q000453:epidemiology; D055815:Young Adult