Abstract：
BACKGROUND: Students\' dietary habits are moving from Mediterranean diet guidelines towards unhealthy eating patterns. The aim of this study was to determine adherence to the Mediterranean diet in a sample of Spanish university students and its association with lifestyle factors.
METHODS: A descriptive cross-sectional study was conducted with 685 university students who completed a self-report questionnaire. The data collected included demographic characteristics, dietary habits, smoking habits, alcohol consumption and physical activity. Mediterranean diet adherence was assessed by measuring the consumption of the foods that compose this type of diet through a score (range 0-10). Adherence to the Mediterranean diet was considered poor, average, or good.
RESULTS: The mean adherence score for the Mediterranean diet was 4.9 (1.2) points out of 10. A higher degree of adherence to the Mediterranean diet was observed in physically active students (OR=2.31, 95% CI: 1.05-5.10; p=0.038). Students who performed ≥150min/week of physical activity (OR=0.45, 95% CI: 0.33-0.62; p<0.001) and those over 25 years old (OR=0.44, 95% CI: 0.26-0.73; p=0.002) were less prone to low adherence to the Mediterranean diet than sedentary and younger students.
CONCLUSIONS: The university students have poor adherence to the Mediterranean diet. The results of the current study indicate that age and physical activity are associated with Mediterranean diet adherence. It is urgent to raise awareness among university students and implement intervention programmes promoting a healthy lifestyle.
METHODS: A descriptive cross-sectional study was conducted with 685 university students who completed a self-report questionnaire. The data collected included demographic characteristics, dietary habits, smoking habits, alcohol consumption and physical activity. Mediterranean diet adherence was assessed by measuring the consumption of the foods that compose this type of diet through a score (range 0-10). Adherence to the Mediterranean diet was considered poor, average, or good.
RESULTS: The mean adherence score for the Mediterranean diet was 4.9 (1.2) points out of 10. A higher degree of adherence to the Mediterranean diet was observed in physically active students (OR=2.31, 95% CI: 1.05-5.10; p=0.038). Students who performed ≥150min/week of physical activity (OR=0.45, 95% CI: 0.33-0.62; p<0.001) and those over 25 years old (OR=0.44, 95% CI: 0.26-0.73; p=0.002) were less prone to low adherence to the Mediterranean diet than sedentary and younger students.
CONCLUSIONS: The university students have poor adherence to the Mediterranean diet. The results of the current study indicate that age and physical activity are associated with Mediterranean diet adherence. It is urgent to raise awareness among university students and implement intervention programmes promoting a healthy lifestyle.
摘要：
背景：学生的饮食习惯正在从地中海饮食指南转向不健康的饮食模式。这项研究的目的是确定西班牙大学生样本中对地中海饮食的依从性及其与生活方式因素的关系。
方法：对685名完成自我报告问卷的大学生进行了描述性横断面研究。收集的数据包括人口统计特征，饮食习惯，吸烟习惯,酒精消费和身体活动。通过评分（范围0-10）测量构成这种饮食的食物的消费量来评估地中海饮食的依从性。坚持地中海饮食被认为是穷人，平均,或者很好。
结果：地中海饮食的平均依从性评分为4.9分（1.2分）。在体育锻炼的学生中观察到更高的地中海饮食依从性（OR=2.31，95％CI：1.05-5.10；p=0.038）。每周体力活动≥150分钟的学生（OR=0.45，95％CI：0.33-0.62;p<0.001）和25岁以上的学生（OR=0.44，95％CI：0.26-0.73;p=0.002）比久坐和年轻的学生更不容易坚持地中海饮食。
结论：大学生对地中海饮食的依从性较差。当前研究的结果表明，年龄和身体活动与地中海饮食依从性有关。迫切需要提高大学生的认识，并实施促进健康生活方式的干预计划。
方法：对685名完成自我报告问卷的大学生进行了描述性横断面研究。收集的数据包括人口统计特征，饮食习惯，吸烟习惯,酒精消费和身体活动。通过评分（范围0-10）测量构成这种饮食的食物的消费量来评估地中海饮食的依从性。坚持地中海饮食被认为是穷人，平均,或者很好。
结果：地中海饮食的平均依从性评分为4.9分（1.2分）。在体育锻炼的学生中观察到更高的地中海饮食依从性（OR=2.31，95％CI：1.05-5.10；p=0.038）。每周体力活动≥150分钟的学生（OR=0.45，95％CI：0.33-0.62;p<0.001）和25岁以上的学生（OR=0.44，95％CI：0.26-0.73;p=0.002）比久坐和年轻的学生更不容易坚持地中海饮食。
结论：大学生对地中海饮食的依从性较差。当前研究的结果表明，年龄和身体活动与地中海饮食依从性有关。迫切需要提高大学生的认识，并实施促进健康生活方式的干预计划。
