Public Health Nutrition

Research Paper

Evaluation of the Mediterranean Diet Quality Index (KIDMED) in children and adolescents in Southern Spain

Miguel Mariscal-Arcasa1, Ana Rivasa1, Javier Velascoa1, Maria Ortegaa1, Ascension Maria Caballeroa2 and Fatima Olea-Serranoa1 c1

a1 Department of Nutrition and Food Science, University of Granada, Campus de Cartuja s/n, 18071 Granada, Spain

a2 Concejalia de Salud, Excmo, Ayuntamiento de Granada, Spain


Objective The Mediterranean diet is considered one of the healthiest dietary models. Recent changes in the actual Mediterranean diet include a reduction in energy intake and a higher consumption of foods with low nutrient density (e.g. soft drinks, candy, sweets, etc.). In Spain, in association with cultural and lifestyle changes, there has been a reduction in the intake of antioxidants and vitamins, an increase in the proportion of SFA and a decrease in the consumption of fibre, among other changes. Children and adolescents may be the age groups with the most deteriorated Mediterranean diet. The current paper presents the results of applying the Mediterranean Diet Quality Index for children and adolescents (KIDMED) to a large sample of Spanish schoolchildren.

Design Data from questionnaires were used to calculate the KIDMED index.

Setting Granada, Southern Spain.

Subjects Schoolchildren (n 3190) aged 8–16 years.

Results Among the 8–10-year-olds, the KIDMED index classification was ‘good’ in 48·6% of the population, ‘average’ in 49·5% and ‘poor’ in 1·6%. Among the 10–16-year-olds, the KIDMED index classification was good in 46·9% of the population, average in 51·1% and poor in 2·0%.

Conclusions The nutritional behaviour of the present population of schoolchildren is similar to that found in the earlier KIDMED study.

(Received March 27 2008)

(Accepted October 13 2008)


c1 Corresponding author: Email