{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:48:06Z","timestamp":1791496086010,"version":"4.3.4"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T00:00:00Z","timestamp":1683763200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980023000964_as1\"><jats:title>Objective:<\/jats:title><jats:p>The protective effect of the Mediterranean Diet (MeDi) is undisputed. However, adherence to MeDi has decreased in recent years, particularly in young people. The aim of this study was to evaluate adherence to MeDi in medical students and to assess the influence of knowledge acquisition as well as other factors on dietary compliance.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023000964_as2\"><jats:title>Design:<\/jats:title><jats:p>A cross-sectional study was conducted on medical students. The data were obtained through anonymous surveys that collected demographic characteristics, medical history, alcohol and tobacco consumption, physical activity and adherence to MeDi \u2013 using 14-point Mediterranean Diet Adherence Score (MEDAS) \u2013. Adherence to MeDi and related factors were evaluated by univariate and multivariable analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023000964_as3\"><jats:title>Participants:<\/jats:title><jats:p>Medical students from the first to the sixth year of the 2018\u20132019 academic year.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023000964_as4\"><jats:title>Setting:<\/jats:title><jats:p>The study was conducted at the university of Las Palmas de Gran Canaria.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023000964_as5\"><jats:title>Results:<\/jats:title><jats:p>Of 589 respondents (73 % women) mean aged 22 years (range 18\u201339), 58\u00b79 % showed good adherence to MeDi. Adherence was significantly associated with age (<jats:italic>P<\/jats:italic> = 0\u00b7017) but not with sex or the presence of comorbidities. Independently, adherence to MeDi was higher in last academic courses (OR = 2\u00b71; 95 % CI = 1\u00b73, 3\u00b72; <jats:italic>P<\/jats:italic> = 0\u00b7001), in those who consumed alcohol more frequently (OR = 1\u00b75; 95 % CI = 1\u00b70, 2\u00b71; <jats:italic>P<\/jats:italic> = 0\u00b7039) and in those who practiced more exercise (OR = 1\u00b75; 95 % CI = 1\u00b72, 1\u00b79; <jats:italic>P<\/jats:italic> &lt; 0\u00b7001).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023000964_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>Half of all medical students did not have a good adherence to MeDi. Adherence was higher at older age in higher academic years and related to greater physical activity. It would be convenient to quantify dietary knowledge as well as implement nutritional educational programmes, favouring a healthy lifestyle.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980023000964","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T08:53:46Z","timestamp":1683795226000},"page":"1798-1806","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":16,"title":["Adherence to the Mediterranean Diet in medical students"],"prefix":"10.1017","volume":"26","author":[{"given":"Sonia","family":"Gonz\u00e1lez-Sosa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Juan","family":"Ruiz-Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Puente-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Mar\u00eda","family":"Robaina-Bord\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2540-3880","authenticated-orcid":false,"given":"Alicia","family":"Conde-Martel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"key":"S1368980023000964_ref7","doi-asserted-by":"publisher","DOI":"10.3390\/nu11092059"},{"key":"S1368980023000964_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1344"},{"key":"S1368980023000964_ref26","first-page":"1","article-title":"Physical status: the use of and interpretation of anthropometry, report of a WHO expert committee","volume":"854","year":"1995","journal-title":"World Health Organ Tech Rep Ser"},{"key":"S1368980023000964_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2007.01.008"},{"key":"S1368980023000964_ref34","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.804865"},{"key":"S1368980023000964_ref47","first-page":"181","article-title":"Cardio protector action of the alcohol moderated usage","volume":"36","author":"Arredondo Bruce","year":"2014","journal-title":"Rev M\u00e9dica Electr\u00f3nica"},{"key":"S1368980023000964_ref48","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h384"},{"key":"S1368980023000964_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.47.12.1520"},{"key":"S1368980023000964_ref22","first-page":"1173","article-title":"Changes in the adherence to the Mediterranean diet in students of grades of teaching and nursing after completing a course on nutrition","volume":"30","author":"Rodrigo Vega","year":"2014","journal-title":"Nutr Hosp"},{"key":"S1368980023000964_ref29","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12854"},{"key":"S1368980023000964_ref30","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2006.00295.x"},{"key":"S1368980023000964_ref18","doi-asserted-by":"publisher","DOI":"10.3390\/nu11030488"},{"key":"S1368980023000964_ref24","first-page":"730","article-title":"Health behavior counseling in primary care: provider-reported rate and confidence","volume":"39","author":"Vickers","year":"2007","journal-title":"Fam Med"},{"key":"S1368980023000964_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.mam.2019.06.001"},{"key":"S1368980023000964_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2017.01.002"},{"key":"S1368980023000964_ref50","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky043"},{"key":"S1368980023000964_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/61.6.1402S"},{"key":"S1368980023000964_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2013.04.026"},{"key":"S1368980023000964_ref32","doi-asserted-by":"publisher","DOI":"10.3390\/nu13093174"},{"key":"S1368980023000964_ref13","first-page":"57","article-title":"Lifestyle, adherence to Mediterranean diet, anthropometric characteristics in a group of universitary health sciences students","volume":"23","author":"Guillem-Saiz","year":"2017","journal-title":"Rev Esp Nutr Comunitaria"},{"key":"S1368980023000964_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2014.03.020"},{"key":"S1368980023000964_ref23","first-page":"22","article-title":"Health behaviour counselling in primary care: general practitioner \u2013 reported rate and confidence","volume":"23","author":"Saliba","year":"2011","journal-title":"Malta Med J"},{"key":"S1368980023000964_ref12","first-page":"449","article-title":"Food habits and health-related behaviors in a university population","volume":"31","author":"S\u00e1nchez-Socarr\u00e1s","year":"2014","journal-title":"Nutr Hosp"},{"key":"S1368980023000964_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2843-1"},{"key":"S1368980023000964_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019033"},{"key":"S1368980023000964_ref33","doi-asserted-by":"publisher","DOI":"10.3390\/nu11112830"},{"key":"S1368980023000964_ref43","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2016.05.007"},{"key":"S1368980023000964_ref17","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18189528"},{"key":"S1368980023000964_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/nu8110680"},{"key":"S1368980023000964_ref27","unstructured":"27. Verjoshanski, LV (1990) Sports Training: Planning and Programming. Barcelona, Spain: Mart\u00ednez Roca."},{"key":"S1368980023000964_ref31","doi-asserted-by":"publisher","DOI":"10.3390\/nu10020138"},{"key":"S1368980023000964_ref38","doi-asserted-by":"publisher","DOI":"10.3945\/an.113.005678"},{"key":"S1368980023000964_ref39","doi-asserted-by":"publisher","DOI":"10.3390\/nu12061778"},{"key":"S1368980023000964_ref20","doi-asserted-by":"publisher","DOI":"10.3945\/jn.110.135566"},{"key":"S1368980023000964_ref41","first-page":"e437","article-title":"Mediterranean diet: knowledge and adherence in Italian young people","volume":"171","author":"La Fauci","year":"2020","journal-title":"Clin Ter"},{"key":"S1368980023000964_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv127"},{"key":"S1368980023000964_ref25","first-page":"602","article-title":"Adherence to a Mediterranean Diet in a college population","volume":"26","author":"Dur\u00e1-Trav\u00e9","year":"2011","journal-title":"Nutr Hosp"},{"key":"S1368980023000964_ref36","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155437"},{"key":"S1368980023000964_ref44","first-page":"19","article-title":"Smoking and its relationship with lifestyles in a primary care consultation","volume":"23","author":"Roig Grau","year":"2021","journal-title":"Prev Tab"},{"key":"S1368980023000964_ref45","first-page":"37","article-title":"Disparities in food consumption and nutrient intake among in relation to smoking","volume":"29","author":"Elizondo","year":"2006","journal-title":"An Sist Sanit Navar"},{"key":"S1368980023000964_ref42","doi-asserted-by":"publisher","DOI":"10.3390\/nu13041264"},{"key":"S1368980023000964_ref46","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2015.10.011"},{"key":"S1368980023000964_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1200303"},{"key":"S1368980023000964_ref14","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.116.150029"},{"key":"S1368980023000964_ref40","author":"Arganini","year":"2012"},{"key":"S1368980023000964_ref49","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13900-8"},{"key":"S1368980023000964_ref15","doi-asserted-by":"publisher","DOI":"10.3390\/nu14204418"},{"key":"S1368980023000964_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2015.12.025"},{"key":"S1368980023000964_ref28","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"S1368980023000964_ref35","first-page":"4","article-title":"Longitudinal study about the adherence to Mediterranean diet patterns in health sciences students","volume":"22","author":"Sanchez-Fideli","year":"2018","journal-title":"Rev Esp Nutr Hum Diet"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980023000964","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T10:43:48Z","timestamp":1692787428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980023000964\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,11]]},"references-count":50,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S1368980023000964"],"URL":"https:\/\/doi.org\/10.1017\/s1368980023000964","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}