Mediterranean Diet Adherence and Lifestyle Patterns: A Study in a University Student Sample
PDF
XML

Keywords

Mediterranean Diet
Lifestyles
University Students
Physical Activity

How to Cite

Mediterranean Diet Adherence and Lifestyle Patterns: A Study in a University Student Sample. (2025). Knowledge Journal, 2(2), 1-13. https://doi.org/10.65155/kj.12

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.

PDF
XML

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

Creative Commons License

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)

Downloads

Download data is not yet available.