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Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: The GRECO study

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dc.contributor.author Farajian, P en
dc.contributor.author Risvas, G en
dc.contributor.author Karasouli, K en
dc.contributor.author Pounis, GD en
dc.contributor.author Kastorini, CM en
dc.contributor.author Panagiotakos, DB en
dc.contributor.author Zampelas, A en
dc.date.accessioned 2014-06-06T06:51:31Z
dc.date.available 2014-06-06T06:51:31Z
dc.date.issued 2011 en
dc.identifier.issn 00219150 en
dc.identifier.uri http://dx.doi.org/10.1016/j.atherosclerosis.2011.04.003 en
dc.identifier.uri http://62.217.125.90/xmlui/handle/123456789/5553
dc.subject Children en
dc.subject Greece en
dc.subject Mediterranean diet en
dc.subject Obesity en
dc.subject Risk factor en
dc.subject Underweight en
dc.subject.other article en
dc.subject.other body weight en
dc.subject.other child en
dc.subject.other controlled study en
dc.subject.other feeding behavior en
dc.subject.other female en
dc.subject.other Greece en
dc.subject.other health survey en
dc.subject.other human en
dc.subject.other major clinical study en
dc.subject.other male en
dc.subject.other Mediterranean diet en
dc.subject.other obesity en
dc.subject.other physical activity en
dc.subject.other priority journal en
dc.subject.other school child en
dc.subject.other sex difference en
dc.subject.other Analysis of Variance en
dc.subject.other Body Mass Index en
dc.subject.other Child en
dc.subject.other Child Behavior en
dc.subject.other Cross-Sectional Studies en
dc.subject.other Diet, Mediterranean en
dc.subject.other Exercise en
dc.subject.other Female en
dc.subject.other Food Habits en
dc.subject.other Greece en
dc.subject.other Health Behavior en
dc.subject.other Health Knowledge, Attitudes, Practice en
dc.subject.other Humans en
dc.subject.other Male en
dc.subject.other Obesity en
dc.subject.other Patient Compliance en
dc.subject.other Prevalence en
dc.subject.other Questionnaires en
dc.subject.other Risk Assessment en
dc.subject.other Risk Factors en
dc.subject.other Risk Reduction Behavior en
dc.title Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: The GRECO study en
heal.type journalArticle en
heal.identifier.primary 10.1016/j.atherosclerosis.2011.04.003 en
heal.publicationDate 2011 en
heal.abstract Objective: In order to provide estimates of overweight and obesity among Greek schoolchildren, and the adherence rates to the Mediterranean diet (MD), a nationwide survey was performed among fifth and sixth grade students aged 10-12 years old. Methods: A stratified sampling in 10 regions of the country was applied to voluntarily enroll a representative sample of 4786 children. Children were weighed and measured and completed a semi-quantitative food frequency questionnaire with a supplementary section for the assessment of dietary aspects and physical activity levels. Additionally, the KIDMED index was used to evaluate the degree of adherence to the MD. Results: According to the IOTF cut-offs, overweight (OW) and obesity (OB) prevalence among boys was 29.9% and 12.9%, while in girls 29.2% and 10.6%, respectively. Only 4.3% of the children had an optimal KIDMED score. KIDMED score did not differ between boys and girls and no differences were detected between normal weight and OW and OB children. However, children from semi-urban or rural regions had higher score. Furthermore, children with higher KIDMED score reported following a healthier diet and having higher physical activity levels. Conclusion: The prevalence of childhood obesity in Greece is the highest ever reported together with low adherence rates to the dietary patterns of the MD. Current findings suggest an increased risk for even higher rates of obesity in adolescence and adulthood in the near future. Taking into account that children are also abandoning the traditional cardio-protective MD, the increased risk for future adverse health consequences seems evident. © 2011 Elsevier Ireland Ltd. en
heal.journalName Atherosclerosis en
dc.identifier.issue 2 en
dc.identifier.volume 217 en
dc.identifier.doi 10.1016/j.atherosclerosis.2011.04.003 en
dc.identifier.spage 525 en
dc.identifier.epage 530 en


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