{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:42:23Z","timestamp":1760060543735,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Associa\u00e7\u00e3o para a Promo\u00e7\u00e3o do Desenvolvimento Rural do Ribatejo (APRODER)","award":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"],"award-info":[{"award-number":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"]}]},{"DOI":"10.13039\/501100001871","name":"FCT\u2014Foundation for Science and Technology, I.P.","doi-asserted-by":"publisher","award":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"],"award-info":[{"award-number":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Santar\u00e9m Polytechnic University, School of Agriculture","award":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"],"award-info":[{"award-number":["PDR2020-20.5.4-FEADER-086302","UID\/04748\/2023","UID\/00681\/2023"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Poor dietary habits remain a significant public health concern, highlighting the need to promote healthy and sustainable eating patterns, especially in childhood and adolescence. This study assessed the eating habits of primary school children in the Tagus Lez\u00edria region, focusing on adherence to the Mediterranean Diet (MD), recognized for its health and environmental benefits. Methods: The KIDMED index (Mediterranean Diet Quality Index for children and adolescents) was applied to 435 children, the vast majority (97.7%) aged 6\u201310 years. Results: The data showed that 64.6% of participants exhibited high adherence to the MD, 32.0% medium, and 3.5% low adherence. Despite these encouraging levels, several gaps were identified: 80% of the children did not meet the recommendation for regular nut consumption (\u22652\u20133 times\/week), 44% consumed legumes less than once a week, and 43% failed to eat vegetables more than once a day. Regarding demographic factors, no significant differences were observed in overall adherence categories; however, differences emerged in specific eating behaviours. For example, girls consumed more vegetables and cereals than boys, and children in rural areas consumed less dairy than those living in urban settings. Conclusions: These findings emphasize the importance of reinforcing targeted school-based educational interventions to promote healthier dietary behaviours, particularly increased consumption of fruits, vegetables, fish, pulses, and nuts. Strengthening children\u2019s adherence to the MD from an early age may contribute to improving their health and fostering sustainable eating practices.<\/jats:p>","DOI":"10.3390\/nu17172853","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:04:28Z","timestamp":1756814668000},"page":"2853","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adherence to the Mediterranean Diet Among Primary School Children in the Tagus Lez\u00edria Region, Portugal: A Study on Eating Habits"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1879-8554","authenticated-orcid":false,"given":"Vanda Lopes","family":"de Andrade","sequence":"first","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Research Centre for Natural Resources, Environment and Society (CERNAS), Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Life Quality Research Centre (CIEQV), Santarem Polytechnic University, Complexo Andaluz, Apartado 279, 2001-904 Santar\u00e9m, Portugal"},{"name":"Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, 1649-003 Lisboa, Portugal"}]},{"given":"In\u00eas","family":"Ferr\u00e3o","sequence":"additional","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3951-6610","authenticated-orcid":false,"given":"Maria","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-9568","authenticated-orcid":false,"given":"Igor","family":"Dias","sequence":"additional","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Research Centre for Natural Resources, Environment and Society (CERNAS), Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Life Quality Research Centre (CIEQV), Santarem Polytechnic University, Complexo Andaluz, Apartado 279, 2001-904 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6379-1768","authenticated-orcid":false,"given":"Paula","family":"Pinto","sequence":"additional","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Research Centre for Natural Resources, Environment and Society (CERNAS), Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Life Quality Research Centre (CIEQV), Santarem Polytechnic University, Complexo Andaluz, Apartado 279, 2001-904 Santar\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6868-2894","authenticated-orcid":false,"given":"Paula","family":"Ruivo","sequence":"additional","affiliation":[{"name":"School of Agriculture, Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Research Centre for Natural Resources, Environment and Society (CERNAS), Santar\u00e9m Polytechnic University, Quinta do Galinheiro\u2014S. Pedro, 2001-904 Santar\u00e9m, Portugal"},{"name":"Life Quality Research Centre (CIEQV), Santarem Polytechnic University, Complexo Andaluz, Apartado 279, 2001-904 Santar\u00e9m, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/j.1753-4887.2008.00025.x","article-title":"Changing dietary habits of ethnic groups in Europe and implications for health","volume":"66","author":"Gilbert","year":"2008","journal-title":"Nutr. Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e00161417","DOI":"10.1590\/0102-311x00161417","article-title":"Obesidade adulta nas na\u00e7\u00f5es: Uma an\u00e1lise via modelos de regress\u00e3o beta","volume":"34","author":"Souza","year":"2018","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_3","unstructured":"World Health Organization (2024). Noncommunicable Diseases: Mortality, World Health Organization. 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