Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project

A Mediterranean diet (MedDiet) has emerged as a crucial dietary choice, not only in attenuating various adolescents’ metabolic health issues but it has also been associated with improved cognitive and academic achievement. However, few studies have established patterns of food consumption linked to...

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Main Authors: Humberto Peña-Jorquera, Ricardo Martínez-Flores, Juan Pablo Espinoza-Puelles, José Francisco López-Gil, Gerson Ferrari, Rafael Zapata-Lamana, Mara Cristina Lofrano-Prado, Leslie Landaeta-Díaz, Igor Cigarroa, Samuel Durán-Agüero, Carlos Cristi-Montero
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/5/608
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author Humberto Peña-Jorquera
Ricardo Martínez-Flores
Juan Pablo Espinoza-Puelles
José Francisco López-Gil
Gerson Ferrari
Rafael Zapata-Lamana
Mara Cristina Lofrano-Prado
Leslie Landaeta-Díaz
Igor Cigarroa
Samuel Durán-Agüero
Carlos Cristi-Montero
author_facet Humberto Peña-Jorquera
Ricardo Martínez-Flores
Juan Pablo Espinoza-Puelles
José Francisco López-Gil
Gerson Ferrari
Rafael Zapata-Lamana
Mara Cristina Lofrano-Prado
Leslie Landaeta-Díaz
Igor Cigarroa
Samuel Durán-Agüero
Carlos Cristi-Montero
author_sort Humberto Peña-Jorquera
collection DOAJ
description A Mediterranean diet (MedDiet) has emerged as a crucial dietary choice, not only in attenuating various adolescents’ metabolic health issues but it has also been associated with improved cognitive and academic achievement. However, few studies have established patterns of food consumption linked to both cognitive and academic achievement in adolescents living in a developing country with non-Mediterranean-based food. <b>Methods:</b> This cross-sectional study included 1296 Chilean adolescents (50% girls) aged 10–14 years. The MedDiet Quality Index was used to assess adherence to the MedDiet in children and adolescents. Through cluster analysis, four distinct dietary patterns were identified: Western diet (WD = 4.3%); low fruit and vegetables, high-sugar diet (LFV-HSD = 28.2%); low fruit and vegetables, low-sugar diet (LFV-LSD = 42.2%); and the MedDiet (25.3%). A mixed-model analysis was conducted to compare these clusters and their relationships with cognitive and academic achievements. Principal component analysis was performed to identify four primary cognitive domains: working memory, cognitive flexibility, inhibitory control, and fluid reasoning. Academic achievement was determined with five school subjects (Language, English, Mathematics, Science, and History) and included the Academic-PISA score derived from the mean scores in Language, Mathematics, and Science. <b>Results:</b> A marked difference was observed between the four clusters, which was mainly related to the consumption of sugar, ultra-processed foods, fruits, and vegetables. According to cognitive performance, the MedDiet group showed higher performance across all domains than the LFV-HSD, LFV-LSD, and WD groups. Regarding academic achievement, the WD underperformed in all analyses compared to the other groups, while the MedDiet was the unique profile that achieved a positive difference in all academic subjects compared to the WD and LFV-HSD groups (<i>p</i> < 0.05). <b>Conclusions:</b> These findings suggest that higher adherence to Mediterranean-style-based patterns and better food quality choices are associated with improved cognitive and academic achievements.
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spelling doaj.art-c79b3c4fff6745ee87357cd8169474282024-03-12T16:51:55ZengMDPI AGNutrients2072-66432024-02-0116560810.3390/nu16050608Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action ProjectHumberto Peña-Jorquera0Ricardo Martínez-Flores1Juan Pablo Espinoza-Puelles2José Francisco López-Gil3Gerson Ferrari4Rafael Zapata-Lamana5Mara Cristina Lofrano-Prado6Leslie Landaeta-Díaz7Igor Cigarroa8Samuel Durán-Agüero9Carlos Cristi-Montero10IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, ChileIRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, ChileIRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, ChileOne Health Research Group, Universidad de Las Américas, Quito 170517, EcuadorFaculty of Health Sciences, Universidad Autónoma de Chile, Av. Pedro de Valdivia 425, Providencia 7500912, ChileSchool of Education, Universidad de Concepción, Los Ángeles 4440000, ChileDepartments of Kinesiology and Psychology, California State University, San Bernardino, CA 92407, USAFaculty of Health and Social Sciences, Universidad de las Américas, Santiago 7500975, ChileSchool of Kinesiology, Faculty of Health, Universidad Santo Tomás, Los Ángeles 4440000, ChileSchool of Nutrition and Dietetics, Faculty of Health Care Sciences, Universidad San Sebastián, Santiago 8330106, ChileIRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, ChileA Mediterranean diet (MedDiet) has emerged as a crucial dietary choice, not only in attenuating various adolescents’ metabolic health issues but it has also been associated with improved cognitive and academic achievement. However, few studies have established patterns of food consumption linked to both cognitive and academic achievement in adolescents living in a developing country with non-Mediterranean-based food. <b>Methods:</b> This cross-sectional study included 1296 Chilean adolescents (50% girls) aged 10–14 years. The MedDiet Quality Index was used to assess adherence to the MedDiet in children and adolescents. Through cluster analysis, four distinct dietary patterns were identified: Western diet (WD = 4.3%); low fruit and vegetables, high-sugar diet (LFV-HSD = 28.2%); low fruit and vegetables, low-sugar diet (LFV-LSD = 42.2%); and the MedDiet (25.3%). A mixed-model analysis was conducted to compare these clusters and their relationships with cognitive and academic achievements. Principal component analysis was performed to identify four primary cognitive domains: working memory, cognitive flexibility, inhibitory control, and fluid reasoning. Academic achievement was determined with five school subjects (Language, English, Mathematics, Science, and History) and included the Academic-PISA score derived from the mean scores in Language, Mathematics, and Science. <b>Results:</b> A marked difference was observed between the four clusters, which was mainly related to the consumption of sugar, ultra-processed foods, fruits, and vegetables. According to cognitive performance, the MedDiet group showed higher performance across all domains than the LFV-HSD, LFV-LSD, and WD groups. Regarding academic achievement, the WD underperformed in all analyses compared to the other groups, while the MedDiet was the unique profile that achieved a positive difference in all academic subjects compared to the WD and LFV-HSD groups (<i>p</i> < 0.05). <b>Conclusions:</b> These findings suggest that higher adherence to Mediterranean-style-based patterns and better food quality choices are associated with improved cognitive and academic achievements.https://www.mdpi.com/2072-6643/16/5/608nutritionlearningcognitionbrain functionyouthschool
spellingShingle Humberto Peña-Jorquera
Ricardo Martínez-Flores
Juan Pablo Espinoza-Puelles
José Francisco López-Gil
Gerson Ferrari
Rafael Zapata-Lamana
Mara Cristina Lofrano-Prado
Leslie Landaeta-Díaz
Igor Cigarroa
Samuel Durán-Agüero
Carlos Cristi-Montero
Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
Nutrients
nutrition
learning
cognition
brain function
youth
school
title Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
title_full Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
title_fullStr Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
title_full_unstemmed Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
title_short Adolescents with a Favorable Mediterranean-Style-Based Pattern Show Higher Cognitive and Academic Achievement: A Cluster Analysis—The Cogni-Action Project
title_sort adolescents with a favorable mediterranean style based pattern show higher cognitive and academic achievement a cluster analysis the cogni action project
topic nutrition
learning
cognition
brain function
youth
school
url https://www.mdpi.com/2072-6643/16/5/608
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