Spanish update of the KIDMED questionnaire, a mediterranean diet quality index in children and adolescents

Since 2004 the KIDMED questionnaire has been used to evaluate adherence to the mediterranean diet in children and adolescents. During the last decade, there was a paradigm shift about the daily consumption of fruit juice and whole grains. These changes have led to an update of the KIDMED questionnaire in English. We propose an update of the spanish version of the KIDMED questionnaire. We propose deleting 'or fruit juice' from the first question. In the eighth question we propose adding 'whole-grain' to the daily consumption of pasta and rice. In the ninth question, we propose adding 'whole cereals or whole grains' to the consumption of cereals or grain over breakfast. The twelfth question is reformulated as: "Skips breakfast". We propose some modifications to the spanish version KIDMED questionnaire to provide a tool according to the new recommendations for a healthy diet in children and adolescents.