Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students.

IF 4.4 2区医学 Q1 NUTRITION & DIETETICS

Nutrition Journal Pub Date : 2024-05-27 DOI:10.1186/s12937-024-00962-0

Cinzia Franchini, Beatrice Biasini, Giovanni Sogari, Rungsaran Wongprawmas, Giulia Andreani, Irina Dolgopolova, Miguel I Gómez, Jutta Roosen, Davide Menozzi, Cristina Mora, Francesca Scazzina, Alice Rosi

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引用次数: 0

Abstract

Background: Promoting healthy and sustainable diets is increasingly important and the Mediterranean Diet (MD) has been recognized as an appropriate example that can be adapted to different countries. Considering that the college years are the time when US young adults are most likely to adopt unhealthy eating habits, the present study assessed adherence to the MD and the sustainability of dietary behaviors in a nationally representative sample of US university students, aiming to identify crucial levers for improving their eating behaviors.

Methods: MD adherence and the adoption of healthy and sustainable dietary patterns were assessed through the KIDMED and the Sustainable-HEalthy-Diet (SHED Index questionnaires, respectively, administered through an online survey that also included sociodemographic and behavioral questions. Non-parametric and logistic regression analyses were performed.

Results: A sample of 1485 participants (median (IQR) age 21.0 (19.0-22.0); 59% women) correctly completed the survey. A medium adherence to the MD was the most prevalent (47%). According to multivariate logistic regression analysis, the likelihood of being more compliant with the MD increased when meeting physical activity recommendations, having a high SHED Index score, having the willingness to purchase and eat healthy and sustainable dishes, eating ultra-processed plant-based meat alternatives foods daily, and regularly attending the university canteen.

Conclusions: Encouraging dietary patterns rich in plant-based foods and with a moderate intake of animal products is crucial to increasing the adoption of healthy and sustainable diets, and university dining services represent a suitable setting to build a supportive environment that educates students on human and planetary health.

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坚持地中海饮食及其与可持续饮食行为、社会人口因素和生活方式的关系：一项针对美国大学生的横断面研究。

背景：促进健康和可持续饮食越来越重要，而地中海饮食（Mediterranean Diet，MD）已被公认为可适用于不同国家的适当范例。考虑到大学时期是美国年轻人最有可能养成不健康饮食习惯的时期，本研究对具有全国代表性的美国大学生样本进行了地中海饮食坚持率和饮食行为可持续性的评估，旨在找出改善其饮食行为的关键杠杆：方法：通过在线调查（其中还包括社会人口学和行为学问题），分别采用 KIDMED 和可持续健康饮食（SHED 指数）问卷，对坚持 MD 和采用健康、可持续饮食模式的情况进行评估。研究进行了非参数分析和逻辑回归分析：1485名参与者（中位数（IQR）年龄为21.0（19.0-22.0）；59%为女性）正确填写了调查问卷。对 MD 的依从性为中等（47%）。根据多变量逻辑回归分析，符合体育锻炼建议、SHED指数得分高、愿意购买和食用健康和可持续菜肴、每天食用超加工植物性肉类替代食品以及经常参加大学食堂活动的人更有可能遵守MD：鼓励多吃植物性食品、适量摄入动物性食品的饮食模式，对于提高健康和可持续饮食的采用率至关重要，而大学餐饮服务则是营造支持性环境、对学生进行人类和地球健康教育的合适场所。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition Journal NUTRITION & DIETETICS-

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.