Abstract The study assessed the adherence to the Mediterranean Diet (MD) among 467 secondary school students from the D. Afonso Sanches School Group, in Vila do Conde, Portugal, correlating the KIDMED index with data on eating habits, cooking methods, and socio-economic factors, collected through bespoke questionnaires designed by the authors. A high point-in-time adherence to the KIDMED index was observed (52.2% high), although actual eating practices diverged from MD principles: insufficient consumption of fruit (21%) and vegetables (19%), high fast-food intake (65%), and increased sedentary behaviour exacerbated by the COVID-19 pandemic. Identified barriers included the cost of fresh products (78%), limited Mediterranean options in school canteens (84%) and strong advertising influence (90%). It is recommended to articulate assessment tools (KIDMED and food frequency questionnaires), implement culinary workshops, revise school menus, provide incentives for local producers and promote food literacy campaigns, alongside extracurricular physical activity programmes. Information © The Authors 2026
Carapeto et al. (Mon,) studied this question.