Background: The Mediterranean diet is considered a healthy dietary pattern associated with substantial health benefits. While its application at global level is rather difficult due to the intricate features eradicated into the cultural heritage of populations living in countries facing the Mediterranean basin, its preservation in such areas is considered crucial to maintain a good health status of current and future generations. Objective: To assess the level of adherence to the Mediterranean diet in children and adolescents living in 5 Mediterranean countries participating in the DELICIOUS project. Methods: An online survey was conducted involving 2011 parents of children and adolescents from Spain, Italy, Lebanon, Egypt, and Portugal. The KIDMED score applied to 24-h recalls of their children's diets was used to assess the level of adherence to the Mediterranean diet and cross-references with background and lifestyle variables. Results: Children and adolescents living in Lebanon and Portugal are more adherent than their counterparts in other countries. Some specific aspects related to the Mediterranean diet were rather common, such as olive oil consumption, daily fruit and vegetable intake, as well as lifestyle habits including having breakfast and limited sweets. Others, including having a second portion of fruit and vegetable, adequate consumption of fish, nuts, and cereals (for breakfast), as well as frequent consumption of fast foods underscored substantial abandonment of certain other Mediterranean diet features. Older adolescents with inadequate sleep duration, longer screen time, and low physical activity levels, as well as children of older parents with lower educational level, lower family income, and living in rural areas had significantly lower KIDMED scores. Conclusions: This study provides important information on the current status of adherence to the Mediterranean among children and adolescents in the Mediterranean region and may help setting specific targets for nutrition interventions aiming at its promotion.

Background/Objectives. Traditional dietary patterns are being abandoned in Mediterranean countries, especially among younger generations. This study aimed to investigate the potential lifestyle determinants that can increase adherence to the Mediterranean diet in children and adolescents. Methods. This study is a cross-sectional analysis of data from five Mediterranean countries (Italy, Spain, Portugal, Egypt, and Lebanon) within the context of the EU-funded project DELICIOUS (UnDErstanding consumer food choices & promotion of healthy and sustainable Mediterranean Diet and LIfestyle in Children and adolescents through behavIOUral change actionS). This study comprised information on 2011 children and adolescents aged 6–17 years old collected during 2023. The main background characteristics of both children and parents, including age, sex, education, and family situation, were collected. Children’s eating (i.e., breakfast, place of eating, etc.) and lifestyle habits (i.e., physical activity level, sleep, and screen time) were also investigated. The level of adherence to the Mediterranean diet was assessed using the KIDMED index. Logistic regression analyses were performed to test for likelihood of higher adherence to the Mediterranean diet. Results. Major determinants of higher adherence to the Mediterranean diet were younger age, higher physical activity level, adequate sleep duration, and, among dietary habits, having breakfast and eating with family members and at school. Parents’ younger age and higher education were also determinants of higher adherence. Multivariate adjusted analyses showed that an overall healthier lifestyle and parents’ education were the factors independently associated with higher adherence to the Mediterranean diet. Conclusions. Higher adherence to the Mediterranean diet in children and adolescents living in the Mediterranean area is part of an overall healthy lifestyle possibly depending on parents’ cultural background.

A growing body of literature demonstrates that engaging in sport regularly and maintaining an active lifestyle have a positive impact on cognition. The purpose of this study was to examine the influence of sport experiences and physical activity on attention, and explore whether the type of sport can impact differently on the neuroelectric system using Event-Related Potentials (ERPs). Thirty-three young adults (mean age = 19.72 ± 1.25) were divided according to their sport experience into swimmers, karateka, and irregular exercisers. Participants performed auditory oddball tasks, while measures of task performance and ERPs were collected. The results indicated that exercisers, regardless of their sport experience, exhibited a larger and shorter P3 compared to irregular exercisers. However, no significant difference was observed in the reaction time (RT) between groups. No statistically significant differences in the RT and P3 were present between swimmers and karateka. These findings suggest that sport experiences, regardless of the type, are associated with a larger amount of neural attentional resources and faster stimulus evaluation speed. The results replicate previous studies that have reported improved cognitive functions in more active individuals. They further extended the current knowledge by indicating that both swimming and karate influence attention and do not differentially alter the brain response.

Growing evidence indicates that culture and education can influence cognitive constructs. Studies targeting Western and Asian populations have shown a positive relationship between aerobic fitness and cognitive control in children; however, this association has yet to be explored in the Arab world. The current study aimed to investigate the relationship between aerobic fitness and attentional networks in Egyptian preadolescent children. In total, 103 preadolescent children (9.76 ± 0.11) completed an assessment of aerobic fitness using a 6-min running test and a computerized attention network test that allowed for assessing alerting, orienting, and executive networks. The results revealed that higher aerobic fitness was associated with shorter response time and higher response accuracy in a more cognitively demanding task condition (i.e., incongruent trials). Furthermore, higher aerobic fitness was associated with a more efficient executive network. No associations were observed for alerting and orienting networks. These findings corroborate growing evidence indicating the importance of aerobic fitness for cognitive development and extend the literature by suggesting that the positive association between aerobic fitness and cognitive control might be generalized to the Arab population and not significantly change across cultures.