Unhealthy Ultra-Processed Food, Diet Quality and Adherence to the Mediterranean Diet in Children and Adolescents: The DELICIOUS Project

Giampieri, Francesca and Rosi, Alice and Frias-Toral, Evelyn and Abdelkarim, Osama and Aly, Mohamed and Ammar, Achraf and Zambrano-Villacres, Raynier and Pons, Juancho and Vázquez-Araújo, Laura and Decembrino, Nunzia and Scuderi, Alessandro and Leonardi, Alice and Monasta, Lorenzo and Maniega Legarda, Fernando and Mata, Ana and Chacón, Adrián and Busó, Pablo and Grosso, Giuseppe francesca.giampieri@uneatlantico.es, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED (2025) Unhealthy Ultra-Processed Food, Diet Quality and Adherence to the Mediterranean Diet in Children and Adolescents: The DELICIOUS Project. Foods, 14 (15). p. 2648. ISSN 2304-8158 (Unpublished)

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Abstract

Background: Western dietary patterns worldwide are increasingly dominated by energy-dense, nutrient-deficient industrial foods, often identified as ultra-processed foods (UPFs). Such products may have detrimental health implications, particularly if nutritionally inadequate. This study aimed to examine the intake of unhealthy UPFs among children and adolescents from five Mediterranean countries (Italy, Spain, Portugal, Egypt, and Lebanon) involved in the DELICIOUS project and to assess the association with dietary quality indicators. Methods: A survey was conducted with a sample of 2011 parents of children and adolescents aged 6 to 17 years to evaluate their dietary habits. Diet quality was assessed using the Youth Healthy Eating Index (Y-HEI), the KIDMED index to determine adherence to the Mediterranean diet, and compliance with national dietary guidelines. Results: Increased UPF consumption was not inherently associated with healthy or unhealthy specific food groups, although children and adolescents who consumed UPF daily were less likely to exhibit high overall diet quality and adherence to the Mediterranean diet. In all five countries, greater UPF intake was associated with poorer compliance with dietary recommendations concerning fats, sweets, meat, and legumes. Conclusions: Increased UPF consumption among Mediterranean children and adolescents is associated with an unhealthy dietary pattern, possibly marked by a high intake of fats, sweets, and meat, and a low consumption of legumes.

Item Type: Article
Uncontrolled Keywords: ultra-processed food; Mediterranean diet; children and adolescents
Subjects: Subjects > Nutrition
Divisions: Europe University of Atlantic > Research > Scientific Production
Universidad Internacional do Cuanza > Research > Scientific Production
University of La Romana > Research > Scientific Production
Depositing User: Sr Bibliotecario
Date Deposited: 04 Sep 2025 08:34
Last Modified: 04 Sep 2025 12:23
URI: http://repositorio.funiber.org/id/eprint/17825

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