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Adherence to Mediterranean diet associated with health-related quality of life in children and adolescents: a systematic review
Recently, Health-related quality of life (HRQoL) has grown to be an increasingly substantial qualitative outcome for use in evaluating the efficacy of interventions aimed at pediatric populations, an outcome that is affected by dietary habits. The Mediterranean diet (MD) was found to enhance several health outcomes, such as mental health and cardiovascular health. In this systematic review by Romero-Robles et al. (2022), the authors investigated the links between HRQoL and MD fidelity in children and adolescents. The authors searched for relevant publications from study inception to May 2022, in the following databases: Cochrane Library, Scopus, PubMed, Web of Science, Embase, and Ovid-MEDLINE. A total of 11 studies (one longitudinal and 10 cross-sectional, total n = 6796), subjected the participants to MD fidelity testing using the KIDMED index (n = 10), the Krece Plus test (n = 1), and HRQoL testing using the KIDSCREEN test in all the included studies. Analysis of the results revealed that MD fidelity led to a substantial enhancement of HRQoL in five studies, while two studies reported a non-substantial enhancement and one study showed a decrease in HRQoL with MD. It is noteworthy, however, that through using the Newcastle-Ottawa Scale (NOS), a low risk of bias was discovered in four studies, while a high risk of bias was discovered in seven of the studies included. The authors conclude that MD leads to an enhancement of HRQoL in children and adolescents and that further research is necessary to validate these discovered links. [NPID: Adolescent, child, diet, Mediterranean, patient compliance, quality of life]
Year: 2022
