Abstract
Introduction: The transition to university life among adolescents is often associated with decreased physical activity and poorer eating habits, including increased consumption of sugar- and fat-rich foods. Aims: This study aimed to assess adherence to the Mediterranean dietary pattern and to characterise lifestyle behaviours—namely alcohol consumption, smoking habits, and physical activity—among university students. Methods: A cross-sectional study was conducted using an online questionnaire, distributed via institutional email and Facebook, and available throughout May 2022. Data were collected on sociodemographic characteristics, lifestyle habits, dietary intake (assessed with the PREDIMED questionnaire), and physical activity (measured using the IPAQ). Results: The sample included 62 participants, predominantly female (85.5%) and undergraduate students (88.7%), with half enrolled in a public higher education institution. Approximately 30% were overweight (pre-obesity/obesity). The median PREDIMED score was 9 (IQR: 7–10). Most students did not smoke or consume alcohol regularly. Nonetheless, participants reported spending an average of 7 hours per day in sedentary activities, with 71.2% citing lack of time as a barrier to physical activity. A positive correlation was observed between age and PREDIMED score (r = 0.436; p < 0.001). Conclusions: These findings underscore the importance of implementing targeted interventions to promote healthy lifestyle habits among university students.
References
Aceijas, C., Waldhäusl, S., Lambert, N., Cassar, S., & Bello-Corassa, R. (2017). Determinants of health-related lifestyles among university students. Perspect Public Health, 137(4), 227-236. https://doi.org/10.1177/1757913916666875
Alkhateeb, S. A., Alkhameesi, N. F., Lamfon, G. N., Khawandanh, S. Z., Kurdi, L. K., Faran, M. Y., . . . Safdar, O. Y. (2019). Pattern of physical exercise practice among university students in the Kingdom of Saudi Arabia (before beginning and during college): a cross-sectional study. BMC Public Health, 19(1), 1716. https://doi.org/10.1186/s12889-019-8093-2
Almeida, M., & Oliveira, A. (2018). Padrão Alimentar Mediterrânico e Atlântico – uma abordagem às suas características-chave e efeitos na saúde. Acta Portuguesa de Nutrição(11), 22-28. https://doi.org/https://dx.doi.org/10.21011/apn.2017.1104
Barbosa, C., Pimenta, P., & Real, H. (2018). Roda da Alimentação Mediterrânica e Pirâmide da Dieta Mediterrânica: comparação entre os dois guias alimentares. Acta Portuguesa de Nutrição(11), 06-14. https://doi.org/https://dx.doi.org/10.21011/apn.2017.1102
Brivio, F., Viganò, A., Paterna, A., Palena, N., & Greco, A. (2023). Narrative Review and Analysis of the Use of "Lifestyle" in Health Psychology. Int J Environ Res Public Health, 20(5). https://doi.org/10.3390/ijerph20054427
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., . . . Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc, 35(8), 1381-1395. https://doi.org/10.1249/01.Mss.0000078924.61453.Fb
Deng, Y., Cherian, J., Khan, N. U. N., Kumari, K., Sial, M. S., Comite, U., . . . Popp, J. (2022). Family and Academic Stress and Their Impact on Students' Depression Level and Academic Performance. Front Psychiatry, 13, 869337. https://doi.org/10.3389/fpsyt.2022.869337
Direção-Geral da Saúde. (2021). Relatório do Programa Nacional para a Prevenção e Controlo do Tabagismo 2020. Direção-Geral da Saúde.
Dobroslavska, P., Silva, M. L., Vicente, F., & Pereira, P. (2024). Mediterranean Dietary Pattern for Healthy and Active Aging: A Narrative Review of an Integrative and Sustainable Approach. Nutrients, 16(11), 1725. https://www.mdpi.com/2072-6643/16/11/1725
Fernandes, J. D. (2016). Estudo comparativo dos níveis de atividade física, comportamento sedentário e hábitos alimentares de estudantes do ensino superior Universidade Lusófona de Humanidades e Tecnologias]. Lisboa.
Ferreira-Pêgo, C., Rodrigues, J., Costa, A., & Sousa, B. (2019). Adherence to the Mediterranean diet in Portuguese university students: Adesão à Dieta Mediterrânea em estudantes universitários Portugueses. Journal Biomedical and Biopharmaceutical Research, 16, 41-49. https://doi.org/10.19277/BBR.16.1.196
Gherasim, A., Arhire, L. I., Niță, O., Popa, A. D., Graur, M., & Mihalache, L. (2020). The relationship between lifestyle components and dietary patterns. Proc Nutr Soc, 79(3), 311-323. https://doi.org/10.1017/s0029665120006898
Goyal, J., & Rakhra, G. (2024). Sedentarism and Chronic Health Problems. Korean J Fam Med, 45(5), 239-257. https://doi.org/10.4082/kjfm.24.0099
Gregório, M., Sousa, S. M., Chkoniya, V., & Graça, P. (2020). Estudo de adesão ao padrão alimentar Mediterrânico. Direção-Geral da Saúde.
Guasch-Ferré, M., & Willett, W. C. (2021). The Mediterranean diet and health: a comprehensive overview. J Intern Med, 290(3), 549-566. https://doi.org/10.1111/joim.13333
Hernández Gallardo, D., Arencibia, R., Linares-Girela, D., Murillo-Plúa, D., Bosques-Cotelo, J., & Manrique, M. (2021). Condición nutricional y hábitos alimentarios en estudiantes universitarios de Manabí, Ecuador. Revista Espanola de Nutricion Comunitaria, 27.
Hrelia, S., Di Renzo, L., Bavaresco, L., Bernardi, E., Malaguti, M., & Giacosa, A. (2022). Moderate Wine Consumption and Health: A Narrative Review. Nutrients, 15(1). https://doi.org/10.3390/nu15010175
Hultgren, B. A., Turrisi, R., Cleveland, M. J., Mallett, K. A., Reavy, R., Larimer, M. E., . . . Hospital, M. M. (2019). Transitions in drinking behaviors across the college years: A latent transition analysis. Addict Behav, 92, 108-114. https://doi.org/10.1016/j.addbeh.2018.12.021
Institute for Health Metrics and Evaluation (IHME). (2020). GBD Compare Data Visualization. IHME, University of Washington. http://vizhub.healthdata.org/gbd-compare.
Jachimowicz-Rogowska, K., & Winiarska-Mieczan, A. (2023). Initiatives to Reduce the Content of Sodium in Food Products and Meals and Improve the Population's Health. Nutrients, 15(10). https://doi.org/10.3390/nu15102393
Karam, J., Bibiloni, M. d. M., Serhan, M., & Tur, J. A. (2021). Adherence to Mediterranean Diet among Lebanese University Students. Nutrients, 13(4), 1264. https://www.mdpi.com/2072-6643/13/4/1264
Lakshmi, R., Romate, J., Rajkumar, E., George, A. J., & Wajid, M. (2023). Factors influencing tobacco use behaviour initiation – From the perspective of the Capability, Opportunity, Motivation- Behaviour (COM-B) Model. Heliyon, 9(6), e16385. https://doi.org/https://doi.org/10.1016/j.heliyon.2023.e16385
Leal, S., Sousa, A. C., Valdiviesso, R., Pádua, I., Gonçalves, V. M. F., & Ribeiro, C. (2025). Exploring Factors Associated with Health Status and Dietary Supplement Use Among Portuguese Adults: A Cross-Sectional Online Survey. Healthcare, 13(7), 769. https://www.mdpi.com/2227-9032/13/7/769
Lopes, C., Torres, D., Oliveira, A., Severo, M., Alarcão, V., Guiomar, S., . . . Ramos, E. (2018). National Food, Nutrition, and Physical Activity Survey of the Portuguese General Population 2015–2016: Summary of Results. University of Porto.
López-Moreno, M., Garcés-Rimón, M., Miguel, M., & Iglesias López, M. T. (2021). Adherence to Mediterranean Diet, Alcohol Consumption and Emotional Eating in Spanish University Students. Nutrients, 13(9), 3174. https://www.mdpi.com/2072-6643/13/9/3174
Madeira, F., Almeida, D. M., Bosi, M., & Nogueira, J. (2018). Estilos de vida, habitus e promoção da saúde: algumas aproximações. Saúde e Sociedade, 27, 106-115. https://doi.org/10.1590/s0104-12902018170520
Martínez-González, M., Corella, D., Salas-Salvadó, J., Ros, E., Covas, M. I., Fiol, M., . . . Estruch, R. (2012). Cohort profile: design and methods of the PREDIMED study. Int J Epidemiol, 41(2), 377-385. https://doi.org/10.1093/ije/dyq250
OECD. (2021). Preventing Harmful Alcohol Use. OECD Publishing. https://doi.org/doi:https://doi.org/10.1787/6e4b4ffb-en
Oliveira, L., Saraiva, A., Lima, M. J., Teixeira-Lemos, E., Alhaji, J. H., Carrascosa, C., & Raposo, A. (2024). Mediterranean Food Pattern Adherence in a Female-Dominated Sample of Health and Social Sciences University Students: Analysis from a Perspective of Sustainability. Nutrients, 16(22). https://doi.org/10.3390/nu16223886
Quesado, A., Santos, A. R., Soares, I. C., Moreira, L., & Pereira, S. (2020). Promoção da atividade física numa instituição de ensino superior. Revista de Investigação & Inovação em Saúde, 3(2), 49-60. https://doi.org/10.37914/riis.v3i2.91
Rana, J. S., Chi, F. W., Acquah, I., & Sterling, S. A. (2025). Unhealthy alcohol use and risk of coronary heart disease among young and middle-aged adults. Am J Prev Cardiol, 21, 100947. https://doi.org/10.1016/j.ajpc.2025.100947
Rudolph, J. E., Zhong, Y., Duggal, P., Mehta, S. H., & Lau, B. (2023). Defining representativeness of study samples in medical and population health research. BMJ Med, 2(1), e000399. https://doi.org/10.1136/bmjmed-2022-000399
Santos, I., Sniehotta, F. F., Marques, M. M., Carraça, E. V., & Teixeira, P. J. (2017). Prevalence of personal weight control attempts in adults: a systematic review and meta-analysis. Obes Rev, 18(1), 32-50. https://doi.org/10.1111/obr.12466
Sprake, E. F., Russell, J. M., Cecil, J. E., Cooper, R. J., Grabowski, P., Pourshahidi, L. K., & Barker, M. E. (2018). Dietary patterns of university students in the UK: a cross-sectional study. Nutrition Journal, 17(1), 90. https://doi.org/10.1186/s12937-018-0398-y
Trigo, A., & Santiago, L. (2021). Consumo de Álcool nos Estudantes do Ensino Superior de Coimbra e o Impacto das Festas Académicas. Acta Médica Portuguesa, 34. https://doi.org/10.20344/amp.12366
Tsartsapakis, I., Trigonis, I., Zafeiroudi, A., Kouli, O., Papacharisis, V., & Stavrousis, D. (2025). The Role of Recreational Physical Activity in Adherence to the Mediterranean Diet in the Greek Population: Public Health and Sustainability Implications. Sports, 13(4), 95. https://www.mdpi.com/2075-4663/13/4/95
World Health Organization. (2000). Obesity : preventing and managing the global epidemic : report of a WHO consultation. World Health Organization,.
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour: at a glance. World Health Organization.
World Health Organization., & Management of substance abuse team. (2018). Global status report on alcohol and health 2018. WHO.
Yun, T. C., Ahmad, S. R., & Quee, D. K. S. (2018). Dietary Habits and Lifestyle Practices among University Students in Universiti Brunei Darussalam. Malays J Med Sci, 25(3), 56-66. https://doi.org/10.21315/mjms2018.25.3.6

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Leandro Oliveira, Francisco , Tiago Figueiredo , Carina Rossoni (Author)

