ArticleNutrients2025
Low Mediterranean Diet Adherence Is Associated with Poor Socioeconomic Status and Quality of Life: A Cross-Sectional Analysis.
Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Challenging the Wine Component in Mediterranean Diet Scores: Cognitive Outcomes in Portuguese Adults at High Risk of Dementia.Nutrients · 2025Trial
- Review
- Association Between Food Security Status and Adherence to Mediterranean Diet Among Adults in Saudi Arabia: A Cross-Sectional Study.Foods (Basel, Switzerland) · 2026Article
- Food insecurity, obesity, and lifestyle in Spanish food aid recipients.BMC public health · 2025Article
- Adherence to the Mediterranean Diet Among Primary School Children in the Tagus Lezíria Region, Portugal: A Study on Eating Habits.Nutrients · 2025Article
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4 authors.
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Abstract
backgroundHealth-related quality of life (HRQoL) can be impacted by various environmental factors: lifestyle habits, food insecurity, social-economic status, and dietary patterns. The Mediterranean diet (MedDiet) has been associated with a healthier lifestyle and better health outcomes. The aim of this study was to determine whether greater adherence to the MedDiet was associated with better HRQoL in communities with low social and economic statuses living in two social neighborhoods, "Bairro da Rosa" and "Ingote", in Portugal.
methodsA cross-sectional analysis was performed on 102 citizens currently receiving government social support and attending the "Health Kiosk", a community center created within the Europe Enabling Smart Healthy Age-Friendly Environments (EU_SHAFE) project enhancing educative sessions and screening by health professionals. The participants answered a 36-item questionnaire about their HRQoL (SF-36) and a 14-item questionnaire about their adherence to the Mediterranean diet (MEDAS). Spearman correlation analysis between variables and multiple linear regression models were used to estimate the effect of the baseline characteristics and MedDiet adherence on HRQoL scores (SF-36).
resultsNo statistically significant correlation was found between MedDiet adherence and total HRQoL scores across the eight health concepts. However, age was shown to negatively influence HRQoL, whereas daily physical activity had a positive impact on health. SF-36 physical health concepts exhibited a linear trend with respect to MedDiet adherence, while emotional health concepts showed inconsistent patterns across adherence groups. Education and waist circumference influence HRQoL, with higher levels of education correlating with better quality of life and greater waist circumference being negatively associated with aspects such as energy and vitality. These findings suggest that factors beyond dietary patterns, such as physical activity, education, and body composition, play pivotal roles in shaping HRQoL in disadvantaged communities, emphasizing the need for multifaceted public health interventions.
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