Influence of Mediterranean diet adherence, physical activity patterns, and weight status on cardiovascular response to cardiorespiratory fitness test in Chilean school children

Delgado‐Floody, Pedro; Álvarez, Cristian; Caamaño‐Navarrete, Felipe; Jerez‐Mayorga, Daniel; Román, Pedro Ángel Latorre

doi:10.1016/j.nut.2019.110621

Cited by 19 publications

(12 citation statements)

References 30 publications

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“…A total of 26.6% and 16.9% of participants in this study were overweight and obese, respectively. This shows that almost half of the study sample demonstrated values related to obesity, which agrees with other studies [ 21 , 47 , 48 ]. Even though the participants were physically active, these results may be due to the influential and combination of various factors, such as inadequate daily eating patterns; increased time for sedentary behavior, characterized often as screen-based media-use behaviors [ 49 ]; not performing the minimum physical activity recommended by the WHO [ 50 ]; or insufficient sleep, which may negatively affect body weight [ 51 ].…”

Section: Discussionsupporting

confidence: 92%

“…Our results showed a higher value in the aforementioned variables in the obese group. Similar results have been previously evidenced [ 21 ], and several factors, such as changes in dietary patterns, have been shown and justified in the aetiology of obesity [ 52 ]. Besides, girls showed a higher percentage of body fat mass compared to boys, which may also be due to a higher level of a sedentary lifestyle and, therefore, the lesser practice of physical activity of the girls, which are determining factors of NCDs [ 53 ].…”

Section: Discussionsupporting

confidence: 89%

“…[ 19 , 20 ]. However, more recently, instruments have been designed to evaluate the adherence to specific healthy eating patterns in this population, such as the Mediterranean diet (MD) [ 21 ], that are considered an essential type of diet for preventing and reducing obesity at this age [ 22 ]. The KIDMED score (Mediterranean Diet Quality Index) developed by Serra-Majem et al [ 23 ] is a nutritional index that evaluates adherence to the MD and the quality of diet in children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Weight Status, Adherence to the Mediterranean Diet, and Physical Fitness in Spanish Children and Adolescents: The Active Health Study

et al. 2020

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The aim of this study was to analyze the differences in body composition and physical fitness according to the weight status (normoweight, overweight and obese) and the level of adherence to the Mediterranean diet (MD; low, medium or high), in physically active children and adolescents. Furthermore, this study also analyzed the relationship between body composition and physical fitness with Body Mass Index (BMI), fat mass and the level of adherence to the MD. In total, 1676 participants aged 6–17 from different municipal sports schools participated in this cross-sectional study. Data on adherence to the MD (a KIDMED questionnaire), anthropometric measurements, body composition and physical fitness parameters (the 20-m shuttle run test and muscular strength) were collected. A total of 43.5% of the sample were presented as overweight and obese, and only 35.7% had high or optimal adherence to the MD. The results revealed that a normoweight status was associated with greater cardiorespiratory fitness (p < 0.05; ES: 0.50 to 0.67) and lower-body muscular strength (p < 0.05; ES: 0.58 to 1.10). The overweight group showed more significant results than the other groups in handgrip strength (p < 0.01). Greater adherence to the MD in this population indicated better physical fitness, but only in boys. It is concluded that normoweight status and optimal adherence to the MD in children and adolescents are associated with health benefits, which are significant in the body composition and the effect on physical fitness.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Weight Status, Adherence to the Mediterranean Diet, and Physical Fitness in Spanish Children and Adolescents: The Active Health Study

et al. 2020

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“…In addition, Chilean children with high adherence to MedDiet showed lower blood pressure levels and better cardiovascular fitness [ 36 , 37 ], suggesting that early acquisition of this food intake pattern may be beneficial for cardiovascular physiology and prevention of relevant risk factors for NCD among young Latin Americans. Furthermore, high adherence to MedDiet was associated prospectively with reduced acute ischemic stroke severity in a Chilean hospital-register study [ 38 ].…”

Section: Mediterranean-type Ecosystem Of Central Chile and Local Imentioning

confidence: 99%

Mediterranean Lifestyle to Promote Physical, Mental, and Environmental Health: The Case of Chile

Echeverría

Tiboni-Oschilewski

Berkowitz

et al. 2020

IJERPH

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Chile is currently experiencing a progressive epidemiological transition towards chronic diseases. In this country, >50% of annual deaths are attributed to cardiovascular disease and cancer. Moreover, health surveys have shown high prevalence of obesity, diabetes, hypertension, and elevated cardiovascular disease risk. In addition, mental health issues are also frequent among Chilean adults. On the other hand, the agri-food system contributes to 21–37% of greenhouse gases emissions worldwide. Overall, current health and food chain situation calls out for design and implementation of evidence-based feasible and effective nutritional interventions needed to promote physical and mental health along with addressing food sustainability in Chile. Nowadays, the Mediterranean diet is recognized as one of the healthiest dietary patterns based on observational and interventional studies linked to a wide variety of health outcomes. However, a Mediterranean lifestyle goes well beyond food intake: it includes promotion of psychosocial resources, community life as well as cultural traditions. Indeed, Mediterranean lifestyle is a true modus vivendi that integrally promotes physical, mental, and social well-being. In addition, the Mediterranean diet stands out for its environmental sustainability because it is characterized mainly as a plant-based dietary pattern with low carbon and water footprints. Remarkably, Central Chile has a Mediterranean-like setting with plant and animal food production and availability patterns comparable to those present in countries located around the Mediterranean Sea. Therefore, this article reviews how promotion of Mediterranean lifestyle adherence in Chile offers great potential for management of the ongoing epidemiological transition to chronic diseases as well to promote psychological well-being within a unique food system and dietary sustainability vision for this Latin American country.

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“…The adherence to the Mediterranean diet could be categorized as low adherence (very low-quality diet, 0-3), medium adherence (improvement of the diet is needed, 4-7), and high adherence (ideal adherence to the Mediterranean diet, 8-12) [33]. However, in this study, the total score (KIDMED index) was used as scale variable [34].…”

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confidence: 99%

Physical Fitness, Body Composition, and Adherence to the Mediterranean Diet in Young Football Players: Influence of the 20 mSRT Score and Maturational Stage

Manzano-Carrasco

Felipe

Sánchez-Sánchez

et al. 2020

IJERPH

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This study aimed to analyze the differences in physical fitness variables, body composition, and adherence to the Mediterranean diet according to the cardiorespiratory fitness and the maturational stage in young football players. A total of 194 male football players (aged 8–16) from three football sport schools participated in this study. Data on cardiorespiratory fitness (the 20-m shuttle run test), anthropometric measurements, handgrip strength, respiratory capacity (forced spirometry), and adherence to the Mediterranean diet (KIDMED questionnaire) were collected. Players were divided into two groups depending on their maturational stage (prepubertal n = 127 and pubertal n = 67). The results show a direct relationship between low levels of cardiorespiratory fitness and body mass index, as well as body fat and leg fat. Similarly, players with lower cardiorespiratory fitness presented higher values of handgrip strength in the prepubertal state. On the other hand, improvements in respiratory values were observed in the pubertal state with the rest of the parameters when the cardiorespiratory fitness was increased. Therefore, the promotion of recreational football that encourage and develop cardiorespiratory fitness is a key factor and can be used as an effective sport activity to promote physical fitness and healthy habits in children and adolescents as well as within the population that is already physically active.

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Influence of Mediterranean diet adherence, physical activity patterns, and weight status on cardiovascular response to cardiorespiratory fitness test in Chilean school children

Cited by 19 publications

References 30 publications

Weight Status, Adherence to the Mediterranean Diet, and Physical Fitness in Spanish Children and Adolescents: The Active Health Study

Weight Status, Adherence to the Mediterranean Diet, and Physical Fitness in Spanish Children and Adolescents: The Active Health Study

Mediterranean Lifestyle to Promote Physical, Mental, and Environmental Health: The Case of Chile

Physical Fitness, Body Composition, and Adherence to the Mediterranean Diet in Young Football Players: Influence of the 20 mSRT Score and Maturational Stage

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