ArticleNutrition journal2024
Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students.
Article in Nutrition journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Determinants of Adherence to a Ketogenic Diet in Patients with Heart Failure with Reduced Ejection Fraction.Nutrients · 2026Trial
- Mediterranean Diet Adherence and Sustainable Eating Behaviors in Type 2 Diabetes: A Cross-Sectional Analysis of Adiposity, Cooking and Food Skills, and Macrovascular Complications.Healthcare (Basel, Switzerland) · 2026Article
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- Fast-Food Consumption Frequency, Food-Choice Motivations, and Mediterranean Diet Adherence in Young Football Athletes: A Cross-Sectional Study.Nutrients · 2026Article
- Nutritional Interventions in Osteoarthritis: Mechanisms, Clinical Evidence, and Translational Opportunities.Nutrients · 2026Review
- The relationship between sustainable dietary behaviors, sustainable food literacy, healthy life awareness, and social media addiction in adults: a cross-sectional study in Türkiye.Journal of health, population, and nutrition · 2025Article
- New Tools for Health: COMUNI Questionnaire to Measure Dietary Quality of University Menus.Nutrients · 2025Article
- Association between ultra-processed food consumption, carbon footprint awareness and sustainable and healthy eating behaviors in adult: a cross-sectional study.BMC public health · 2025Article
- Article
- The Relationship Between Socio-Demographic and Behavioral Characteristics and Adherence to the Mediterranean Diet: The UniFoodWaste Study Among University Students in Italy.Epidemiologia (Basel, Switzerland) · 2025Article
- Mediterranean Diet, Sleep Quality, Perceived Stress, and Physical Activity: A Pilot Study Among School Teachers.Nutrients · 2025Article
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- Article
- Evaluation of the relationship between nutrition literacy, Mediterranean diet compliance, ecological footprint and sustainable environmental attitudes in adolescents.BMC public health · 2025Article
- From knowledge to action: How nutrition knowledge shapes sustainable eating and Mediterranean diet adherence.Frontiers in nutrition · 2025Article
- How do they eat: a digital diet ethnography of dietary behavior determinants among New Zealand and Chinese university students.Frontiers in nutrition · 2025Article
- Dietary assessment and dietary guidelines across 11 European Union countries: a review from the PLAN'EAT project.Frontiers in nutrition · 2025Review
- Gender, residence, and socioeconomic differences in the relationship of nutrition literacy with vegetable and fruit intake in adults.Frontiers in nutrition · 2025Article
- Meat consumption among different social groups and specific options for reducing it: a literature review of empirical research.Frontiers in sociology · 2025Review
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPromoting 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.
methodsMD 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.
resultsA 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.
conclusionsEncouraging 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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