Parents’ nutrition knowledge, perceived barriers and enablers, and healthy-eating attitudes associated with children’s adherence to the Mediterranean diet: the DELICIOUS project

Castellano, Sabrina and Choo, Wen Rui and Rosi, Alice and Abril Mera, Tania and Scazzina, Francesca and Giampieri, Francesca and Frias-Toral, Evelyn and Abdelkarim, Osama and Aly, Mohamed and Ammar, Achraf and Pons, Juancho and Vázquez-Araújo, Laura and Maniega Legarda, Fernando and Monasta, Lorenzo and Scuderi, Alessandro and Decembrino, Nunzia and Mata, Ana and Chacón, Adrián and Busó, Pablo and Grosso, Giuseppe UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, francesca.giampieri@uneatlantico.es, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED (2026) Parents’ nutrition knowledge, perceived barriers and enablers, and healthy-eating attitudes associated with children’s adherence to the Mediterranean diet: the DELICIOUS project. Frontiers in Nutrition, 12. ISSN 2296-861X

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Abstract

Objective: Children’s dietary choices are influenced by several factors, including parents’ modeling. The relation between parents’ psychosocial factors and their children’s level of adherence to the Mediterranean diet were explored. Methods: Food literacy, perceived barriers and enablers, and healthy-eating attitude following the Capability, Opportunity and Motivation (COM-B) model for behavioral change were evaluated in 2,011 participants in the DELICIOUS (UnDErstanding consumer food choices & promotion of healthy and sustainable Mediterranean Diet and LIfestyle in Children and adolescents through behavIOUral change actionS) project. Adherence to the Mediterranean diet was assessed through the KIDMED questionnaire. Beta coefficients and standard errors (SEs) were calculated through linear regression analyses. Results: Post-adjustment for potential confounding factors, results showed significant positive correlation between children’s adherence to the Mediterranean diet and parental food literacy [β (SE) = 0.180 (0.011)], perceived barriers and enablers [β (SE) = 0.135 (0.009)], and healthy-eating attitudes (divided into five constructs) [β (SE) = 0.069 (0.030), β (SE) = 0.037 (0.029), β (SE) = 0.162 (0.017), β (SE) = 0.147 (0.010), β (SE) = 0.158 (0.011)]. Individual dietary components of the Mediterranean diet were also associated with various psychosocial factors. Conclusion: These results confirm the importance of parental food literacy, perceived enablers and barriers to healthy-eating, health-eating attitude in their children’s adherence to the Mediterranean diet.

Item Type:	Article
Uncontrolled Keywords:	Mediterranean diet, children, adolescents, parents, food literacy, nutrition knowledge
Subjects:	Subjects > Nutrition
Divisions:	Europe University of Atlantic > Research > Scientific Production
Depositing User:	Sr Bibliotecario
Date Deposited:	21 Jan 2026 18:15
Last Modified:	22 Jan 2026 18:09
URI:	http://repositorio.funiber.org/id/eprint/26825

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