{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:33Z","timestamp":1787169993188,"version":"build-2736575974"},"reference-count":36,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T00:00:00Z","timestamp":1631059200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Introduction: Changes in eating behavior and eating disorders are especially common in young people, especially teenage and college women. The first year of college is a critical period, as students acquire freedoms that can lead to poor eating habits. During this first year, students usually gain weight. The aims of this project are to analyze the risk of developing eating disorders, the composition and dietary intake and the changes in the body composition of two groups of college students (independent from the family nucleus or still living within the family) in the first year of college. (2) Material and Methods: Multicentric prospective observational study protocol in which first-year students at the Universidad Europea del Atl\u00e1ntico and Universitat de Vic-Universitat Central de Catalunya voluntarily took part in the study. The students will be divided into two groups, independent and those residing in the family home, and the evolution of both groups will be compared at the beginning and at the end of the school year by performing anthropometric measurements, tests on lifestyle and eating habits (Test of Adherence to the Mediterranean Diet, MEDAS-14; Emotional Eater Questionnaire, EEQ), validated questionnaires on eating disorders (Eating Attitude Test, EAT26; Teen Figure Drawing Scales; SCOFF, Eating Behavior Test; Bulimia Investigatory Test Edinburgh, BITE) and their intake will be evaluated through 72 h dietary records. (3) Discussion: Determining the risk of suffering eating disorders of alimentary behavior, knowing eating consumption, perception of the corporal image and body composition through the first year of college will be decisive in establishing alimentary education strategies to prevent possible eating disorders in young students.<\/jats:p>","DOI":"10.3390\/ijerph18189457","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T10:12:03Z","timestamp":1631095923000},"page":"9457","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Eating Behavior during First-Year College Students, including Eating Disorders\u2014RUVIC-RUNEAT-TCA Project. Protocol of an Observational Multicentric Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3077-2653","authenticated-orcid":false,"given":"Anna","family":"Vila-Mart\u00ed","sequence":"first","affiliation":[{"name":"Research Group M3O, Methodology, Methods, Models and Outcomes of Health and Social Sciences, Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia, Vic 08500, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6243-5550","authenticated-orcid":false,"given":"I\u00f1aki","family":"El\u00edo","sequence":"additional","affiliation":[{"name":"Research Group on Foods, Nutritional Biochemistry and Health, Universidad Europea del Atl\u00e1ntico, 39011 Santander, Spain"},{"name":"Department of Health, Nutrition and Sports, Campus Campeche, Universidad Internacional Iberoamericana, Campeche 24560, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9082-7877","authenticated-orcid":false,"given":"Sandra","family":"Sumalla-Cano","sequence":"additional","affiliation":[{"name":"Research Group on Foods, Nutritional Biochemistry and Health, Universidad Europea del Atl\u00e1ntico, 39011 Santander, Spain"},{"name":"Department of Health, Nutrition and Sports, Campus Campeche, Universidad Internacional Iberoamericana, Campeche 24560, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.appet.2017.02.036","article-title":"Eating behaviour among nutrition students and social desirability as a confounder","volume":"113","author":"Freitas","year":"2017","journal-title":"Appetite"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Kyrkou, C., Tsakoumaki, F., Fotiou, M., Dimitropoulou, A., Symeonidou, M., Menexes, G., Biliaderis, C.G., and Michaelidou, A.M. (2018). Changing trends in nutritional behavior among university students in Greece, between 2006 and 2016. Nutrients, 10.","DOI":"10.3390\/nu10010064"},{"key":"ref_3","first-page":"277","article-title":"Eating behavior: The influence of age, nutrition knowledge, and Mediterranean diet","volume":"26","author":"Rodrigues","year":"2020","journal-title":"Nutr. Health"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Maillet, M.A., and Grouzet, F.M.E. (2021). Understanding changes in eating behavior during the transition to university from a self-determination theory perspective: A systematic review. J. Am. Coll. Health, in press.","DOI":"10.1080\/07448481.2021.1891922"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.chc.2019.05.010","article-title":"Eating disorders in transitional age youth","volume":"28","author":"Derenne","year":"2019","journal-title":"Child Adolesc. Psychiatr. Clin. N. Am."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. DSM-V, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_7","first-page":"33","article-title":"Eating disorders: Their prevalence and main risk factors\u2014First- and second-year college students","volume":"17","author":"Mesa","year":"2003","journal-title":"CES Med."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Yu, Z., and Tan, M. (2016). Disordered eating behaviors and food addiction among nutrition major college students. Nutrients, 8.","DOI":"10.3390\/nu8110673"},{"key":"ref_9","first-page":"927","article-title":"Prevalence of eating disorders in Spanish university students and associated factors: Unihcos project","volume":"30","author":"Bueno","year":"2014","journal-title":"Nutr. Hosp."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Beaudry, K.M., Ludwa, I.A., Thomas, A.M., Ward, W.E., Falk, B., and Josse, A.R. (2019). First-year university is associated with grater body weight, body composition and adverse dietary changes in males than females. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0218554"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Vaseboncoeur, C., Townsend, N., and Foster, C. (2015). A meta-analysis of weight gain in 1st year university students; Update on the Freshman 15. BMC Obes., 2.","DOI":"10.1186\/s40608-015-0051-7"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Tavolacci, M.P., D\u00e9chelotte, P., and Ladner, J. (2020). Eating disorders among college students in France: Characteristics, help-and care-seeking. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17165914"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1037\/0278-6133.27.1.S3","article-title":"The \u201cfreshman fifteen\u201d (\u201cthe freshman five\u201d actually): Predictors and possible explanations","volume":"27","author":"Joiner","year":"2008","journal-title":"Health Psychol."},{"key":"ref_14","unstructured":"Ben\u00edtez, A.M. (2016). H\u00e1bitos Alimentarios de Riesgo en la Poblaci\u00f3n Universitaria Extreme\u00f1a. [Ph.D. Thesis, Universidad de Extremadura]. Available online: https:\/\/www.educacion.gob.es\/teseo\/mostrarRef.do?ref=1209993."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.3945\/jn.110.135566","article-title":"A Short Screener Is Valid for Assessing Mediterranean Diet Adherence among Older Spanish Men and Women","volume":"141","author":"Estruch","year":"2011","journal-title":"J. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1079\/PHN2004556","article-title":"Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents","volume":"7","author":"Ribas","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"141","DOI":"10.14306\/renhyd.22.2.446","article-title":"Adherencia a la Dieta Mediterr\u00e1nea en estudiantes universitarios del sur de Espa\u00f1a seg\u00fan factores sociales, acad\u00e9micos y religiosos","volume":"22","author":"Manrique","year":"2018","journal-title":"Rev. Esp. Nutr. Hum. Diet"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1007\/s40519-020-00938-z","article-title":"Eating disorders and obesity (ED&O) in the COVID-19 storm. Eat","volume":"26","author":"Todisco","year":"2021","journal-title":"Weight Disord. Stud. Anorex."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"105130","DOI":"10.1016\/j.appet.2021.105130","article-title":"The food choices of US university students during COVID-19","volume":"161","author":"Powel","year":"2021","journal-title":"Appetite"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/eat.23517","article-title":"Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID-19 pandemic","volume":"54","author":"Christensen","year":"2021","journal-title":"Int. J. Eat. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1017\/S1138741600002687","article-title":"The Eating Attitudes Test (EAT-26): Reliability and Validity in Spanish Female Samples","volume":"13","author":"Rivas","year":"2010","journal-title":"Span. J. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1136\/bmj.319.7223.1467","article-title":"The SCOFF questionnaire: Assessment of a new screening tool for eating disorders","volume":"319","author":"Morgan","year":"1999","journal-title":"BMJ"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1007\/BF03354662","article-title":"SISDCA-Study Group on Psychometrics. Bulimic Investigatory Test, Edinburgh (BITE). A validation study of the Italian version","volume":"10","author":"Orlandi","year":"2005","journal-title":"Eat Weight Disord."},{"key":"ref_24","first-page":"645","article-title":"Validation of a questionnaire on emotional eating for use in case of obesity; the Emotional Eater Questionnaire (EEQ)","volume":"27","author":"Garaulet","year":"2010","journal-title":"Nutr. Hosp."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1017\/S0033291700030762","article-title":"The Eating Attitudes Test: An index of the symptoms of anorexia nervosa","volume":"9","author":"Garner","year":"1979","journal-title":"Psychol. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/1098-108X(199103)10:2<199::AID-EAT2260100209>3.0.CO;2-D","article-title":"Body figure perceptions and preferences among preadolescent children","volume":"10","author":"Collins","year":"1991","journal-title":"Int. J. Eat. Disord."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"634048","DOI":"10.1155\/2012\/634048","article-title":"Weight and Body Composition Changes during the First Three Years of College","volume":"2012","author":"Gropper","year":"2012","journal-title":"J. Obes."},{"key":"ref_28","first-page":"683","article-title":"Prevalencia de peso insuficiente, sobrepeso y obesidad, ingesta de energ\u00eda y perfil cal\u00f3rico de la dieta de estudiantes universitarios de la comunidad aut\u00f3noma de la regi\u00f3n de Murcia (Espa\u00f1a)","volume":"28","author":"Cutillas","year":"2013","journal-title":"Nutr. Hosp."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"6723931","DOI":"10.1155\/2017\/6723931","article-title":"Dietary polyphenols, Mediterranean dieta, prediabetis and type 2 Diabetes: A narrative reviwe of the evidence","volume":"2017","author":"Merino","year":"2017","journal-title":"Oxid. Med. Cell Longev."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Cena, H., and Calder, P.C. (2020). Defining a healthy diet: Evidence for the role of contemporary dietary paterns in Health and disease. Nutrients, 12.","DOI":"10.3390\/nu12020334"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.appet.2016.11.016","article-title":"Eating behaviour of university students in Germany: Dietary intake, barriers to healthy eating and changes in eating behaviour since the time of matriculation","volume":"109","author":"Hilger","year":"2017","journal-title":"Appetite"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Choi, J. (2020). Impact of stress levels on eating behaviors among college students. Nutrients, 12.","DOI":"10.3390\/nu12051241"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1017\/S136898001800174X","article-title":"Fruit and vegetable intakes, associated characteristics and perceptions of current and future availability in Dutch university students","volume":"22","author":"Maas","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1017\/S1368980012000080","article-title":"Clustering of lifestyle factors in Spanish university students: The relationship between smoking, alcohol consumption, physical activity and diet quality","volume":"15","year":"2012","journal-title":"Public Health Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Ashurst, J., Van Woerden, I., Dunton, G., Todd, M., Ohri-Vachaspati, P., Swan, P., and Bruening, M. (2018). The association among emotions and food choices in first-year college students using mobile-ecological momentary assessments. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5447-0"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"104145","DOI":"10.1016\/j.foodqual.2020.104145","article-title":"Food & meal decision making in lockdown. How and who has Covid-19 affected?","volume":"89","author":"Snuggs","year":"2020","journal-title":"Food. Qual. Prefer."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/18\/9457\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:58:32Z","timestamp":1760165912000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/18\/9457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,8]]},"references-count":36,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["ijerph18189457"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18189457","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,8]]}}}