Evidence map›Paper›PMID 41909049›Full record

ArticleFrontiers in nutrition2026

Adherence to healthy and sustainable diets and health-related behaviors in a Spanish online university setting.

Maria Pilar Giner, Barbara Pilar González-Serrano, Alba Pardo, Alicia Aguilar-Martínez, Clara Gomez-Donoso, Paula Sol Ventura, Laura Esquius, Marina Bosque-Prous, Anna Bach-Faig

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maria Pilar GinerNUTRALiSS, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Barbara Pilar González-SerranoNUTRALiSS, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Alba PardoNUTRALiSS, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Alicia Aguilar-MartínezFoodLab Research Group, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Clara Gomez-DonosoNUTRALiSS, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Paula Sol VenturaFaculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Laura EsquiusFoodLab Research Group, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.
Marina Bosque-ProusEpi4health Research Group, Department of Psychobiology and Methodology of Health Sciences, Universitat Autònoma de Barcelona, Barcelona, Spain.
Anna Bach-FaigNUTRALiSS, Faculty of Health Sciences, Open University of Catalonia (UOC), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Universities represent strategic environments for promoting healthy behaviors. Evaluating dietary quality and sustainability alongside other health-related factors is essential for developing health promotion strategies. Objective: This study aimed to assess adherence to diets based on the latest Spanish healthy and sustainable dietary guidelines, and to explore associations between diet, health-related behaviors, and sociodemographic characteristics among students and staff at the Open University of Catalonia (UOC). Methods: An online cross-sectional survey was conducted during the 2020-2021 academic year ( Results: Overall, many participants exhibited low PA, insufficient sleep, and elevated stress. Adherence to healthy and sustainable diet according to HEASUS was moderate (students: 5.9 ± 1.5; staff: 6.2 ± 1.4). Higher PA and active commuting were positively associated with HEASUS, while SB, male gender, and overweight status were inversely associated. Health-related factors showed stronger associations with HEASUS adherence at lower quantiles, indicating that unhealthy behaviors cluster and reinforce each other more strongly among those with poorer dietary adherence. Although females scored slightly higher on HEASUS, they reported greater stress, poorer sleep, and higher SB. Conclusion: Our findings underscore the importance of integrated, gender-sensitive strategies that jointly address diet quality, PA, sleep, and emotional well-being. Online universities represent an important setting for promoting both health and sustainability, especially through targeted actions that support a plant-rich, nutrient-dense dietary pattern, enhance emotional well-being, and encourage more active daily routines.

Indexed as

dietary patternemotional well-beinghealth promotionhealthy behaviorsonline universityphysical activityuniversity population

Identifiers

PMID41909049
PMCPMC13017255

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.