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The association between Mediterranean diet: related health literacy, cooking skills and Mediterranean diet adherence in the Spanish population

datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCasucci, Maria Giulia
dc.contributor.authorMuñoz-Martínez, Júlia
dc.contributor.authorCaneda-Ferrón, Begoña
dc.contributor.authorSalinas-Roca, Blanca
dc.contributor.authorOrta-Ramirez, Alicia
dc.contributor.authorVidal, Eulàlia
dc.contributor.authorRodríguez-Monforte, Míriam
dc.contributor.authorCosta, Inês M.
dc.contributor.authorCosta, Vânia
dc.contributor.authorRenzi, Sofia
dc.contributor.authorCarrillo-Álvarez, Elena
dc.date.accessioned2026-03-09T17:47:18Z
dc.date.available2026-03-09T17:47:18Z
dc.date.issued2026-01
dc.descriptionThis research was partly carried out within the framework of the Tool4MEDLife project. The Tool4MEDLife project is part of the PRIMA program supported by the European Union. This project received funding from: Spain: Proyecto PCI2023-143354 financiado por MICIU/AEI/10.13039/501100011033 y cofinanciado por la Unión Europea; Portugal: FCT—Foundation for Science and Technology, I.P., under the project PRIMA/0013/2022/FCT; Italy: MUR—Italian Ministry of University and Research, under the project PRIMA22_00088; Turkey: TÜBİTAK—The Scientific and Technological Research Council of Türkiye, under the project number 123N077.
dc.description.abstractBackground/Objectives: Even with solid proof of its benefits for cardiovascular health and metabolism, adherence to the Mediterranean Diet (MD) in Spain has noticeably declined in recent years. The socioeconomic changes occurring in recent decades have prompted shifts in cooking habits and in how food is socially experienced, particularly among children and adolescents. The MD is more than just food: it is a cultural tradition and a lifestyle, rich in food and cooking skills, and food wisdom passed down over generations. When these practices fade, it affects both health and the environment, making them vital components in strengthening support for food knowledge, cooking abilities, and a healthier lifestyle. Considering these shifting dietary patterns and the growing need for targeted educational strategies, the present study aimed to investigate the association between cooking skills, MD-related health literacy, and adherence to the Mediterranean Diet across different developmental stages: childhood, adolescence, and adulthood in a sample of the Spanish population. Additionally, a secondary objective was to identify potential critical windows for intervention based on the strength of these associations. Methods: This cross-sectional study included 832 Spanish participants grouped by age: children and early adolescents (n = 408), older adolescents (n = 136), and adults (n = 288). Cooking skills were assessed using CooC11 for children and FCSk for older groups. Adults also completed Lit_MEDiet to assess MD-related health literacy. Adherence was measured with KIDMED (children/adolescents) and MEDAS (adults). Spearman correlations and standardized linear regressions were used. All statistical tests were two-sided, and statistical significance was set at p < 0.05. Results: In children, no significant association was found between cooking skills (CooC11) and KIDMED scores (β = 0.008; p = 0.875). Among adolescents, a strong positive association emerged between FCSk and KIDMED (β = 0.313; p < 0.001; ρ = 0.371), indicating a large, standardized effect and suggesting that this stage is particularly sensitive to food skills. In adults (18+), both food and cooking skills (FCSk) (β = 0.189; p = 0.001) and MD-related health literacy (Lit_MEDiet) (β = 0.187; p = 0.004) were moderately associated with MEDAS scores. Conclusions: These findings suggest that mid-adolescence could represent a favourable developmental window where food skills may hold potential to influence positive dietary behaviours. Regarding adults, the results indicate that combining practical and educational components appears to beneficial for dietary quality. Overall, this study supports the relevance of age-tailored public health strategies to potentially enhance long-term adherence to the Mediterranean Diet.eng
dc.identifier.citationCasucci MG, Muñoz-Martínez J, Caneda-Ferrón B, Salinas-Roca B, Costa IM, Costa V, et al. The association between Mediterranean diet: related health literacy, cooking skills and Mediterranean diet adherence in the Spanish population. Nutrients. 2026;18(2):235.
dc.identifier.doi10.3390/nu18020235
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.21/22705
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI AG
dc.relationTool4MEDLife project is part of the PRIMA program
dc.relationPRIMA/0013/2022/FCT
dc.relation.hasversionhttps://www.mdpi.com/2072-6643/18/2/235
dc.relation.ispartofNutrients
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectMediterranean diet
dc.subjectCooking skills
dc.subjectHealth literacy
dc.subjectNutrition education
dc.subjectAdolescents
dc.subjectLife-course perspective
dc.subjectDietary behaviour
dc.subjectSpain
dc.subjectTool4MEDLife
dc.subjectPRIMA/0013/2022/FCT
dc.titleThe association between Mediterranean diet: related health literacy, cooking skills and Mediterranean diet adherence in the Spanish populationeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.startPage235
oaire.citation.titleNutrients
oaire.citation.volume18
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.affiliation.nameESTeSL
person.familyNameCosta
person.familyNameCosta
person.givenNameInês M.
person.givenNameVânia
person.identifier.ciencia-idA71F-CC3E-305B
person.identifier.orcid0009-0009-5185-4608
person.identifier.orcid0000-0001-8485-5628
relation.isAuthorOfPublication18a99b47-1adf-41a5-9e5b-b8cdc6578d93
relation.isAuthorOfPublication98a992aa-694e-4149-929c-32c0c343663d
relation.isAuthorOfPublication.latestForDiscovery98a992aa-694e-4149-929c-32c0c343663d

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