From Egypt to Italy, children who regularly eat ultra-processed foods are falling short of dietary guidelines and moving distant from accepted Mediterranean eating patterns, researchers warn.
In a caller article published successful nan journal Foods, researchers examined nan depletion of unhealthy ultra-processed foods (UPFs) among children and adolescents successful 5 Mediterranean countries, exploring really UPF intake relates to fare quality.
Their study showed that higher depletion of UPFs was linked pinch poorer wide fare quality, reduced compliance pinch dietary guidelines, and little adherence to nan Mediterranean diet.
Background
In caller decades, diets person shifted from seasonal, fresh, section foods toward industrially processed alternatives, a inclination particularly evident among children and adolescents.
Technological advances and globalization person reshaped nutrient production, expanding support life and convenience but often sacrificing nutritional quality. This displacement raises concerns, arsenic children are peculiarly susceptible owed to developmental needs, trading susceptibility, and reliance connected caregivers and schools for diet.
Early vulnerability to mediocre eating habits tin disrupt patient growth, impair cognitive and immune function, and summation nan semipermanent consequence of cardiovascular disease, obesity, and diabetes.
Mediterranean countries, erstwhile known for nan balanced and nutrient-rich Mediterranean diet, are besides experiencing a gradual move toward Western-style eating, marked by nutrient-poor, calorie-dense foods. Although wide depletion of specified foods remains little than successful countries for illustration nan US aliases UK, these trends are concerning.
According to nan Nova classification, UPFs are business products precocious successful sugars, fats, and additives but debased successful basal nutrients. Growing grounds links predominant UPF depletion pinch mediocre fare quality, chronic diseases, and moreover cognitive problems.
About nan Study
Researchers analyzed dietary habits of children and adolescents aged betwixt 6 and 17 years successful 5 Mediterranean countries, namely Lebanon, Egypt, Portugal, Spain, and Italy, utilizing information provided by 2011 parents recruited from a user database.
Eligible participants had to beryllium parents of children wrong nan property scope and person net access, and data, including demographic information, were collected via an online survey. Weight position was calculated utilizing established maturation floor plan assemblage wide scale (BMI) percentiles, classifying participants arsenic obese, overweight, aliases normal weight.
Physical activity was assessed utilizing a questionnaire, which categorized activity arsenic low, moderate, aliases high. Dietary intake was assessed done 24-hour recalls and play nutrient wave questions. Special attraction was fixed to 13 categories of UPFs, including accelerated food, soft drinks, pastries, and candies. UPF depletion was categorized arsenic “high” (above nan median) aliases “daily” (daily depletion of astatine slightest 1 type of UPF; not needfully each categories).
Diet value was assessed utilizing 2 indices: nan Youth Healthy Eating Index (adapted to a maximum people of 90 successful this study) and nan Mediterranean Diet Quality Index (with a precocious people of 12). Statistical analyses included Chi-square, study of variance (ANOVA), and multivariate logistic regression, adjusting for beingness activity, weight, age, and sex.
Key Findings
Among nan 2011 participants, nary important differences by activity were recovered crossed UPF depletion groups. However, obesity and overweight were much communal among children pinch higher regular UPF intake. Interestingly, a higher proportionality of physically progressive adolescents besides reported precocious UPF consumption. The authors projected this mightiness bespeak accrued hunger from higher activity alternatively than inherently unhealthy behaviors, but noted this contrasts pinch astir lit and requires confirmation.
In position of nutrient groups, precocious and regular UPF consumers ate much sweets, nuts, dairy, meat, and cereals, but showed a little proportionality consuming precocious consequence intake (≥3 portions/day) and a higher proportionality consuming mean consequence (1–2 portions/day), pinch Spain arsenic a notable objection wherever precocious UPF consumers ate much fruit. Importantly, rootlike and full atom intake remained accordant sloppy of UPF depletion levels. Country-specific patterns mostly mirrored these results.
Diet value was consistently little successful children pinch higher UPF intake. Those consuming UPFs regular aliases often scored importantly little connected some nan fare value indices. For example, regular UPF depletion was associated pinch astir 40–60% little likelihood of achieving precocious fare value scores. Subgroup analyses showed peculiarly beardown antagonistic associations successful Egypt, Portugal, and Italy, while Lebanon showed paradoxical increases successful Mediterranean fare adherence among precocious UPF consumers, and findings were little accordant successful Spain.
Further study showed that precocious UPF consumers were little apt to meet dietary recommendations for fats, sweets, meat, and legumes crossed countries. Some exceptions were noted, specified arsenic higher adherence to Spanish guidelines for food among predominant UPF consumers.
Conclusions
This study recovered that higher depletion of unhealthy UPFs among children and adolescents successful Mediterranean countries was powerfully linked pinch poorer fare value and little adherence to nan Mediterranean diet, echoing grounds from different research.
Although immoderate country-level variations emerged, predominant UPF intake was associated pinch unbalanced diets rich | successful fats, sweets, and processed meats, perchance displacing minimally processed foods. The study provides a broad multi-country appraisal of UPF depletion successful Mediterranean younker utilizing standardized metrics.
The study’s strengths see its standardized, multi-country creation and attraction connected some fare value indices and adherence to nationalist guidelines. However, limitations see its cross-sectional design, reliance connected parental reports (which whitethorn dwell of callback and societal desirability bias), and restricted attraction connected only definite UPF categories.
In conclusion, reducing unhealthy UPF intake is basal to sphere nan wellness benefits associated pinch nan Mediterranean diet. This requires multi-sectoral strategies, including education, stricter trading regulations, schoolhouse nutrition policies, and manufacture accountability done reformulation and labeling.
Journal reference:
- Unhealthy Ultra-Processed Food, Diet Quality and Adherence to nan Mediterranean Diet successful Children and Adolescents: The DELICIOUS Project. Giampieri, F., Rosi, A., et al. Foods (2025). DOI: 10.3390/foods14152648, https://www.mdpi.com/2304-8158/14/15/2648