Cardiovascular risk factors begin in childhood and track into adulthood, increasing the possibility of impaired cardiometabolic health. Adopting healthy dietary patterns can help curb childhood obesity, a worrisome epidemic problem at present. In the era of personalized nutrition, dietary recommendations should be adapted to different stages of life, including children (older than 3 years) and adolescents. Hereby, we present an updated version of the Mediterranean Lifestyle Pyramid addressed to children and adolescents, wihich may be used as a prevention tool by health professionals, teachers, and stakeholders. This pyramid arises from a consensus position between participants in a forum on Mediterranean Food Cultures with international experts. During this meeting, after reviewing all literature published, a consensus was reached on the new Medieterranean Lifestyle Pyramid for kids including details such as labels of the pyramid, position of foods, servings, type of foods, and healthy lifestyle habits. All components of the pyramid are supported by the most recent scientifically sound research and are based upon top-level evidence in nutritional sciences. Fruit, vegetables, legumes, nuts, wholegrains, and EVOO continue to be at the basis of the pyramid, but the importance of an adequate intake of fish, dairy products, and meat during these particular ages, when body and brain development occurs, is also considered. The promotion of physical activity, adequate sleep and good emotional health are emphasized, as well as the consumption of seasonal and local products, and overall sustainability. Improving dietary habits in early stages of life should increase health in adulthood and reduce future incidence of non-communicable chronic diseases. The Mediterranean Diet and its graphic representation in the Lifestyle Pyramid should be a health-fostering tool not only for adults and children, but also for the entire planet because it promotes the diversity of species, respect for the earth, and the local economy. CLINICAL TRIAL REGISTRY NUMBER AND WEBSITE WHERE IT WAS OBTAINED: Not applicable STATEMENT OF SIGNIFICANCE: A new Mediterranean lifestyle pyramid is addressed to children and adolescents, as well as health professionals, teachers, and stakeholders. Fruit, vegetables, legumes, nuts, wholegrain cereals, and extra-virgin olive oil continue to be a crucial part of the pyramid, but the importance of adequate intake of fish, dairy products, and meat in these early ages, when body and brain development occurs, is also emphasized.
Keywords: Mediterranean diet; adolescents; cardiometabolic diseases; children; extra-virgin olive oil; lifestyle; obesity; sustainability.
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