Evidence map›Paper›PMID 42040120›Full record

ArticleFrontiers in public health2026

Multifactorial determinants of health status: insights from the MEDIET4ALL large-scale survey on eco-sociodemographic, psychological, and lifestyle (diet, physical activity, and sleep) factors.

Achraf Ammar, Atef Salem, Mohamed Ali Boujelbane, Khaled Trabelsi, Bassem Bouaziz, Mohamed Kerkeni, Liwa Masmoudi, Juliane Heydenreich, Christiana Schallhorn, Gabriel Müller and 31 more

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

41 authors.

Achraf AmmarDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Atef Salem *Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Mohamed Ali Boujelbane *Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Khaled TrabelsiResearch Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Bassem BouazizMultimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), University of Sfax, Sfax, Tunisia.
Mohamed KerkeniHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Liwa MasmoudiResearch Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Juliane HeydenreichDepartment of Experimental Sports Nutrition, Faculty of Sports Sciences, Leipzig University, Leipzig, Germany.
Christiana SchallhornDepartment of Sports Economics, Sociology, and History, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Gabriel MüllerDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Ayse Merve UyarDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Hadeel Ali GhazzawiDepartment of Nutrition and Food Technology, School of Agriculture, The University of Jordan, Amman, Jordan.
Adam Tawfiq AmawiDepartment of Movement Sciences and Sports Training, School of Sport Science, The University of Jordan, Amman, Jordan.
Bekir Erhan OrhanFaculty of Sports Sciences, Istanbul Aydın University, Istanbul, Türkiye.
Giuseppe GrossoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Osama AbdelkarimDepartment of Sports Management, School of Business, ESLSCA University, Giza, Egypt.
Tarak DrissInterdisciplinary Laboratory in Neurosciences, Physiology, and Psychology: Physical Activity, Health, and Learning (LINP2), UFR STAPS, Paris Nanterre University, Nanterre, France.
Kais El AbedResearch Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Piotr ZmijewskiDepartment of Biomedical Sciences, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland.
Frédéric DebeaufortDepartment Bioengineering, Institut Universitaire de Technologie IUT-Dijon-Auexrre-Nevers, University Burgundy Europe, Dijon, France.
Nasreddine BenbettaiebDepartment Bioengineering, Institut Universitaire de Technologie IUT-Dijon-Auexrre-Nevers, University Burgundy Europe, Dijon, France.
Clément PoulainJoint Research Unit UMR PAM-Food Processing and Microbiology, Université Bourgogne Europe, INRAE, Institut Agro Dijon, Dijon, France.
Laura ReyesVitagora Innovation Cluster, Dijon, France.
Amparo GameroDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy and Food Sciences, University of Valencia, Valencia, Spain.
Marta Cuenca-OrtoláDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy and Food Sciences, University of Valencia, Valencia, Spain.
Antonio CillaDepartment of Preventive Medicine and Public Health, Food Science, Toxicology and Forensic Medicine, Faculty of Pharmacy and Food Sciences, University of Valencia, Valencia, Spain.
Nicola FrancescaDepartment of Agricultural Food and Forest Sciences SAAF, University of Palermo, Palermo, Italy.
Concetta Maria MessinaLaboratory of Marine Biochemistry and Ecotoxicology, Department of Earth and Marine Sciences DiSTeM, University of Palermo, Trapani, Italy.
Enrico ViolaDepartment of Agricultural Food and Forest Sciences SAAF, University of Palermo, Palermo, Italy.
Björn LorenzenMicrotarians SIS, Société d'Impact Sociétal, Luxembourg, Luxembourg.
Stefania FiliceMicrotarians SIS, Société d'Impact Sociétal, Luxembourg, Luxembourg.
Sadjia LahianiVALCORE Laboratory, Department of Biology, Faculty of Science, University of M'hamed Bougara Boumerdes, Boumerdes, Algeria.
Taha KhaldiBiotechnology Research Center C.R.Bt Constantine ALGERIA, Constantine, Algeria.
Nafaa SouissiHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Omar BoukhrisSIESTA Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia.
Evelyn Frias-ToralEscuela de Medicina, Universidad Espíritu Santo, Samborondón, Ecuador.
Haitham JahramiGovernment Hospitals, Manama, Bahrain.
Waqar HusainDepartment of Humanities, COMSATS University Islamabad, Islamabad, Pakistan.
Walid MahdiMultimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), University of Sfax, Sfax, Tunisia.
Hamdi ChtourouHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Wolfgang I SchöllhornDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-communicable diseases are a growing public health challenge, shaped not only by biological predispositions but also by geo-demographic, socioeconomic, psychological, and lifestyle factors. A comprehensive understanding of these determinants is essential for developing targeted public health strategies. This study aimed to examine the multifactorial determinants of individual health status by analyzing geo-demographic, socio-economic, behavioral, psychological, and lifestyle variables. Methods: Data were collected from 4,010 participants (age: 37.2 ± 15.4 years; 59.5% female) across 10 Mediterranean and neighboring countries using the multinational MEDIET4ALL e-survey. Health status was categorized as healthy, at-risk, or with diseases. Multinomial logistic regression, Quade's Rank ANCOVA and series of multiple regression models were conducted. Results: Collectively, around 25% of respondents declared to be at-risk of or with known disease. BMI emerged as the strongest negative predictor of health status ( Conclusion: These findings highlight the complex interplay of lifestyle, mental health, and socio-environmental factors in determining health outcomes, while emphasizing the urgent need for multi-level public health interventions, including policies promoting physical activity, healthy eating, mental well-being, and equitable healthcare access. Future research should employ longitudinal designs to establish causal relationships and guides preventive strategies.

Indexed as

DietExerciseHealth StatusLife StyleSleepAdultFemaleHealth SurveysHumansMaleMiddle AgedRisk FactorsSociodemographic FactorsSocioeconomic FactorsSurveys and Questionnairesdietary adherencehealth predictorsmental well-beingnon-communicable diseasespsychological distresspublic healthsedentary behaviorsocioeconomic disparities

Identifiers

PMID42040120
PMCPMC13106316

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.