Adherence to the Mediterranean Diet Among Nutrition and Dietetics Students
Main Article Content
Keywords
Mediterranean Diet, Mediterranean Diet Score, Eating habits, University students
Abstract
Objective: This study aimed to determine adherence to the Mediterranean diet among Nutrition and Dietetics students.
Methods: A cross sectional survey was conducted with the voluntary participation of students. 127 nutrition and dietetic students studying at Near East University. The thematic analysis had used to conduct the data by the SPSS version 18.0. ‘‘Mediterranean diet score-MDS’’ was used to determine to the adherence to Mediterranean diet. 3-day food record and 45-item food frequency questionnaire were used. In addition, the survey questioned dietary habits, lifestyle habits and anthropometric measurements.
Results: Adherence to Mediterranean diet was poor in 31% and moderate in 69% of the students. Adherence of the students to Mediterranean diet decreased towards their final year at the university (p= 0.001). Most of the students were minimal active. Male students were found more active than females (p=0.011). Female students had higher fat percentage (p=0.000), while males had higher waist circumstance (p=0.000). Female students were found to have increased body fat percentage as they continued the education (p=0.015). There was not found any significant correlation between physical activity, anthropometric measurements and adherence to the Mediterranean Diet. In addition, students had higher bread (80.2%) and pasta (34.10%) consumption whereas lower vegetables (38.6%), fruits (34.6%) and fish (42.5%) consumption.
Conclusion: The findings indicate that the eating and lifestyle habits of the students, even those studying nutrition, should be improved.
References
2. Baydemir C, Ozgur EG, Balci S. Evaluation of adherence to Mediterranean diet in medical students at Kocaeli University, Turkey. J Int Med Res. 2018;46(4):1585-1594.
3. Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, Medina FX, Battino M, Belahsen R, Miranda G, Serra-Majem L; Mediterranean Diet Foundation Expert Group. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011;14(12A):2274-84.
4. Grassi T, Bagordo F, Panico A, De Giorgi M, Idolo A, Serio F, Tumolo MR, De Donno A. Adherence to Mediterranean diet of children living in small Southern Italian villages. Int J Food Sci Nutr. 2020;71(4):490-499.
5. Tosti V, Bertozzi B, Fontana L. Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms. J Gerontol A Biol Sci Med Sci. 2018;73(3):318-326.
6. Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Papaioannou I, Stefanadis C, Toutouzas PK. The effect of Mediterranean diet on the risk of the development of acute coronary syndromes in hypercholesterolemic people: a case-control study (CARDIO2000). Coron Artery Dis. 2002;13(5):295-300.
7. Cheng E, Um CY, Prizment A, Lazovich D, Bostick RM. Associations of evolutionary-concordance diet, Mediterranean diet and evolutionary-concordance lifestyle pattern scores with all-cause and cause-specific mortality. Br J Nutr. 2018;18:1-10.
8. Chourdakis M, Tzellos T, Papazisis G, Toulis K, Kouvelas D. Eating habits, health attitudes and obesity indices among medical students in northern Greece. Appetite. 2010; 55(3):722-5.
9. Malinauskas BM, Raedeke TD, Aeby VG, Smith JL, Dallas MB. Dieting practices, weight perceptions, and body composition: a comparison of normal weight, overweight, and obese college females. Nutr J. 2006;5:11.
10. Chacón-Cuberos R, Zurita-Ortega F, Olmedo-Moreno EM, Castro-Sánchez M. Relationship between Academic Stress, Physical Activity and Diet in University Students of Education. Behav Sci (Basel). 2019; 9(6):59.
11. Freeland-Graves JH, Nitzke S; Academy of Nutrition and Dietetics. Position of the academy of nutrition and dietetics: total diet approach to healthy eating. J Acad Nutr Diet. 2013;113(2):307-17.
12. Rakıcıoğlu, N., Tek Acar, N., Ayaz, A., & Pekcan, G. 2009. Yemek ve besin fotoğraf kataloğu ölçü ve miktarlar. Ankara: Ata Ofset Published.
13. Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis. 2006;16(8):559-68.
14. CDC-Centers for Disease Control and Prevention. 2007. National health and nutrition examination survey (nhanes): Anthropometry procedures manual. Atlanta: Centers for Disease Control and Prevention.
15. WHO. BMI classification. [Accessed: January 28, 2020] https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi.
16. IPAQ, 2004. http://www.institutferran.org/documentos/scoring_short_ipaq_april04.pdf Accessed: June 23, 2015.
17. Craig C, Marshall A, Sjostrom M, Bauman A, Lee P, Macfarlane D, Lam T, Stewart S. 2017. International Physical Activity Questionnaire-Short Form.
18. Patino-Alonso MC, Recio-Rodríguez JI, Belio JF, Colominas-Garrido R, Lema-Bartolomé J, Arranz AG, Agudo-Conde C, Gomez-Marcos MA, García-Ortiz L; EVIDENT Group. Factors associated with adherence to the Mediterranean diet in the adult population. J Acad Nutr Diet. 2014;114(4):583-9.
19. Barrios-Vicedo R, Navarrete-Muñoz EM, García de la Hera M, González-Palacios S, Valera-Gran D, Checa-Sevilla JF, Gimenez-Monzo D, Vioque J. Una menor adherencia a la dieta Mediterránea se asocia a una peor salud auto-percibida en población universitaria [A lower adherence to Mediterranean diet is associated with a poorer self-rated health in university population]. Nutr Hosp. 2014;31(2):785-92.
20. Navarro-González I, López-Nicolás R, Rodríguez-Tadeo A, Ros-Berruezo G, Martínez-Marín M, Doménech-Asensi G. Adherence to the Mediterranean diet by nursing students of Murcia (Spain). Nutr Hosp. 2014;30(1):165-72.
21. García-Meseguer MJ, Burriel FC, García CV, Serrano-Urrea R. Adherence to Mediterranean diet in a Spanish university population. Appetite. 2014; 78:156-64.
22. Panagiotakos DB, Georgousopoulou EN, Pitsavos C, Chrysohoou C, Skoumas I, Pitaraki E, Georgiopoulos GA, Ntertimani M, Christou A, Stefanadis C; ATTICA Study Group. Exploring the path of Mediterranean diet on 10-year incidence of cardiovascular disease: the ATTICA study (2002-2012). Nutr Metab Cardiovasc Dis. 2015;25(3):327-35.
23. Leblanc V, Hudon AM, Royer MM, Corneau L, Dodin S, Bégin C, Lemieux S. Differences between men and women in dietary intakes and metabolic profile in response to a 12-week nutritional intervention promoting the Mediterranean diet. J Nutr Sci. 2015;4:e13.
24. Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, Bach-Faig A, Donini LM, Medina FX, Belahsen R, Piscopo S, Capone R, Aranceta-Bartrina J, La Vecchia C, Trichopoulou A. Updating the Mediterranean Diet Pyramid towards Sustainability: Focus on Environmental Concerns. Int J Environ Res Public Health. 2020; 17(23):8758.
25. Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T, Greenwood DC, Riboli E, Vatten LJ, Tonstad S. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality-a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol. 2017; 46(3):1029-1056.
26. Sánchez-Benito JL, Sánchez-Soriano E, Ginart Suárez J. Assessment of the Mediterranean Diet Adequacy Index of a collective of young cyclists. Nutr Hosp. 2009; 24(1):77-86.
27. León-Muñoz LM, Guallar-Castillón P, Graciani A, López-García E, Mesas AE, Aguilera MT, Banegas JR, Rodríguez-Artalejo F. Adherence to the Mediterranean diet pattern has declined in Spanish adults. J Nutr. 2012;142(10):1843-50.
28. Arvaniti F, Panagiotakos DB, Pitsavos C, Zampelas A, Stefanadis C. Dietary habits in a Greek sample of men and women: the ATTICA study. Cent Eur J Public Health. 2006;14(2):74-7.
29. Republic of Turkey Ministry of Health. 2014. Turkey Nutrition and Health Survey 2010. T C. Ministry of Health Publications. Ankara.
30. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003; 348(26):2599-608.
31. AHA-American Hearth Association., 2015. [Accessed: June 23] https://www.heart.org/HEARTORG/Encyclopedia/Heart-and-StrokeEncyclopedia_ UCM_445084_ContentIndex.jsp?title=nutrition%20and%20cardiovascular%20disease
32. IARC.2014 -International Agency for Research on Cancer. Last modified: 2020. [Accessed September 6], 2014http://www.iarc.fr/en/research-groups/NEP/index.php .
33. Bazzano LA, Joint FA, World Health Organization 2005. Dietary intake of fruit and vegetables and risk of diabetes mellitus and cardiovascular diseases [electronic resource]. World Health Organization.
34. Satalić Z, Barić IC, Keser I, Marić B. Evaluation of diet quality with the mediterranean dietary quality index in university students. Int J Food Sci Nutr. 2004; 55(8):589-97.
35. Van Diepen S, Scholten AM, Korobili C, Kyrli D, Tsigga M, Van Dieijen T, Kotzamanidis C, Grammatikopoulou MG. Greater Mediterranean diet adherence is observed in Dutch compared with Greek university students. Nutr Metab Cardiovasc Dis. 2011; 21(7):534-40..
36. Trichopoulou A, Naska A, Orfanos P, Trichopoulos D. Mediterranean diet in relation to body mass index and waist-to-hip ratio: the Greek European Prospective Investigation into Cancer and Nutrition Study. Am J Clin Nutr. 2005; 82(5):935-40.
37. Chourdakis M, Tzellos T, Pourzitaki C, Toulis KA, Papazisis G, Kouvelas D. Evaluation of dietary habits and assessment of cardiovascular disease risk factors among Greek university students. Appetite. 2011;57(2):377-83.
38. Yahia N, Wang D, Rapley M, Dey R. Assessment of weight status, dietary habits and beliefs, physical activity, and nutritional knowledge among university students. Perspect Public Health. 2016;136(4):231-44.
39. Menozzi D, Mora C. Fruit consumption determinants among young adults in Italy: A case study. LWT - Food Science and Technology. 2012;49(2):298-304. https://doi.org/https://doi.org/10.1016/j.lwt.2012.03.028.
40. Michalska A, Szejko N, Jakubczyk A, Wojnar M. Nonspecific eating disorders - a subjective review. Psychiatr Pol. 2016;50(3):497-507.
41. Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, Lange EH, Becofsky K, Rodriguez E, Shang YT. Physical activity and quality of life. J Prev Med Public Health. 2013 ;46 Suppl 1(Suppl 1):S28-34.
42. World Health Organization. Global strategy on diet, physical activity and health. [Accessed: September 24, 2020] https://www.who.int/dietphysicalactivity/factsheet_adults/en/
43. Slawson DL, Fitzgerald N, Morgan KT. Position of the Academy of Nutrition and Dietetics: the role of nutrition in health promotion and chronic disease prevention. J Acad Nutr Diet. 2013;113(7):972-9.