Evidence map›Paper›PMID 39385014›Full record

ArticlePediatric research2025

Adherence to the Mediterranean diet and changes in body mass index.

Clara Homs, Paula Berruezo, Genís Según, Silvia Torres, Mar Ribera, Albert Sauri, Julen Tejada, Jan Ródenas, Charlotte Juton, Raimon Milà and 3 more

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In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Clara HomsGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.ORCID 0000-0001-5223-5811
Paula BerruezoGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.ORCID 0009-0002-6355-6463
Genís SegúnGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.ORCID 0000-0003-3035-1744
Silvia TorresGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.ORCID 0009-0000-3552-2093
Mar RiberaGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.
Albert SauriGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.
Julen TejadaGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.
Jan RódenasGasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.
Charlotte JutonEndocrinology Department, Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Raimon MilàGlobal Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Sciences-University Ramon Llull, Barcelona, Spain.ORCID 0000-0002-3857-9666
Montserrat FítoCardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.ORCID 0000-0002-1817-483X
Santiago F Gómez *Gasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain. sgomez@gasolfoundation.org.ORCID 0000-0003-3352-2510
Helmut Schröder *Cardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. HSchroder@researchmar.net.ORCID 0000-0003-2231-5081

Funding

Centro de Investigación Biomédica en Red Epidemiologia y Salud Publica (CIBERESP)European Regional Development Fund (ERDF)Instituto de Salud Carlos III FEDERInstituto de Salud Carlos III (ISCIII) of Spain
6 · The paper itself

Abstract

backgroundDiet is considered a determinant of weight status, however, more evidence is needed for children. The Mediterranean diet (MedDiet) is one of the healthiest worldwide. This study analyzes the prospective association between adherence to the MedDiet at baseline and changes in standardized body mass index (zBMI) and the incidence of excessive weight.

methods1389 children participated with a follow-up of 15 months. Weight, height, and adherence to the MedDiet were measured (baseline and follow-up).

resultsMultiple logistic regression analysis revealed that a high increase in zBMI was associated with lower odds of eating vegetables once [OR 0.74 (95% CI 0.57-0.98)] or more a day [OR 0.68 (95% CI 0.49-0.95)], nuts 2-3 times/week [OR 0.74 (95% CI 0.56-0.97)] or 2 cups of yogurt or/and cheese daily [OR 0.74 (95% CI 0.55-0.99)]. Not consuming each food item was used as reference. Multiple linear regression analysis showed a negative (β = -0.010, p = 0.040) association between the MedDiet at baseline and changes in zBMI at follow-up, significance disappeared (p = 0.082) after final adjustment for baseline zBMI.

conclusionBaseline MedDiet was not significantly associated with the incidence of excessive weight at follow-up. The MedDiet was positively associated with changes in zBMI, however the effect size was small. IMPACT: The present longitudinal study contributes knowledge regarding the adherence to Mediterranean diet as a predictive variable of weight status evolution in children. Higher adherence to the Mediterranean diet at baseline was prospectively and inversely associated with changes in zBMI after 15 months of follow-up. Consuming vegetables, nuts, and yoghurt/cheese according to the recommendations reduces the likelihood of having a high increase in zBMI after 15 months of follow-up.

Indexed as

Body Mass IndexDiet, MediterraneanPatient CompliancePediatric ObesityAdolescentChildFemaleHumansLogistic ModelsMaleProspective StudiesVegetables

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.