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Franchini C, Biasini B, Sogari G, Wongprawmas R, Andreani G, Dolgopolova I, Gómez MI, Roosen J, Menozzi D, Mora C, Scazzina F, Rosi A. Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students. Nutr J 2024; 23:56. [PMID: 38797846 PMCID: PMC11129378 DOI: 10.1186/s12937-024-00962-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 05/21/2024] [Indexed: 05/29/2024] Open
Abstract
BACKGROUND Promoting healthy and sustainable diets is increasingly important and the Mediterranean Diet (MD) has been recognized as an appropriate example that can be adapted to different countries. Considering that the college years are the time when US young adults are most likely to adopt unhealthy eating habits, the present study assessed adherence to the MD and the sustainability of dietary behaviors in a nationally representative sample of US university students, aiming to identify crucial levers for improving their eating behaviors. METHODS MD adherence and the adoption of healthy and sustainable dietary patterns were assessed through the KIDMED and the Sustainable-HEalthy-Diet (SHED Index questionnaires, respectively, administered through an online survey that also included sociodemographic and behavioral questions. Non-parametric and logistic regression analyses were performed. RESULTS A sample of 1485 participants (median (IQR) age 21.0 (19.0-22.0); 59% women) correctly completed the survey. A medium adherence to the MD was the most prevalent (47%). According to multivariate logistic regression analysis, the likelihood of being more compliant with the MD increased when meeting physical activity recommendations, having a high SHED Index score, having the willingness to purchase and eat healthy and sustainable dishes, eating ultra-processed plant-based meat alternatives foods daily, and regularly attending the university canteen. CONCLUSIONS Encouraging dietary patterns rich in plant-based foods and with a moderate intake of animal products is crucial to increasing the adoption of healthy and sustainable diets, and university dining services represent a suitable setting to build a supportive environment that educates students on human and planetary health.
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Affiliation(s)
- Cinzia Franchini
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Beatrice Biasini
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Giovanni Sogari
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | | | - Giulia Andreani
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Irina Dolgopolova
- Department of Marketing and Supply Chain Management, School of Business and Economics, Maastricht University, LM Maastricht, 6211, The Netherlands
| | - Miguel I Gómez
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, 14853, USA
| | - Jutta Roosen
- Marketing and Consumer Research, School of Management, Technical University of Munich, 85354, Freising, Weihenstephan, Germany
| | - Davide Menozzi
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Cristina Mora
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Francesca Scazzina
- Department of Food and Drug, University of Parma, Parma, 43124, Italy.
- Medical School, Building A, Via Volturno 39, Parma, 43125, Italy.
| | - Alice Rosi
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
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Lo Moro G, Corezzi M, Bert F, Buda A, Gualano MR, Siliquini R. Mental health and adherence to Mediterranean diet among university students: an Italian cross-sectional study. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2451-2461. [PMID: 34519625 DOI: 10.1080/07448481.2021.1970567] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE This study is aimed to explore severe mental illness (SMI), mental well-being (MWB), and Mediterranean Diet adherence (MedDiet) among university students. PARTICIPANTS University students in Northern Italy (sample size = 502). METHODS Cross-sectional survey was conducted in 2019. The questionnaires included Warwick-Edinburgh Mental Well-Being Scale for MWB, K6 for SMI, Mediterranean Diet Adherence Screener for MedDiet. Multivariable regressions were mainly performed (p < .05 as significant). RESULTS MWB was high in 3.93% of the participants and low in 23.97%. SMI was probable in 21.87%. MedDiet adherence was high in 2.19% and low in 35.06%. Mainly, poor/very poor perceived health, Economics/Legal/Strategic Sciences courses, and not being on time with exams showed associations with both lower MWB and probable SMI. Gender and some lifestyle, dietary, and university factors predicted MedDiet. MWB and MedDiet were positively associated. CONCLUSIONS This study found high levels of mental issues and low MedDiet. Modifiable factors at university level should be investigated to design preventive interventions.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences, University of Torino, Torino, Italy
| | - Michele Corezzi
- Department of Public Health Sciences, University of Torino, Torino, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences, University of Torino, Torino, Italy
| | - Alessia Buda
- Degree Course in Dietistics, University of Torino, Torino, Italy
| | | | - Roberta Siliquini
- Department of Public Health Sciences, University of Torino, Torino, Italy
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Vilugrón Aravena F, Cortés M, Valenzuela J, Rojas C, Gutiérrez P. [Obesity, weight-related stigma and its association with the perception of quality of life in Chilean university students]. NUTR HOSP 2023. [PMID: 37073745 DOI: 10.20960/nh.04338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023] Open
Abstract
INTRODUCTION little attention has been paid to the effect of exposure to weight-related stigma on the quality of life of young Chileans with little obesity. OBJECTIVE to identify the prevalence of weight-related stigma and to analyze its association with obesity and the perception of quality of life in university students from Valparaíso, Chile. METHODS correlational type study and cross-sectional design. Two hundred and sixty-two university students participated, from 18 to 29 years old, matriculated in the Faculty of Health Sciences of a public university in Valparaíso, Chile. Quality of life was assessed with the WHOQOL-BREF scale, weight-related stigma with the Brief Stigmatizing Situations Inventory (SSI), and nutritional status with body mass index (BMI) classification. The application of the questionnaires was on-line and the answers were anonymous. Multiple logistic regression models were used to evaluate the association between the variables, adjusted for gender and age. RESULTS the prevalence of stigma related to weight was 13,2 % in eutrophic, 24,4 % in overweight and 68,0 % in obese. Weight-related stigma, rather than obesity itself, is associated with poorer perceived physical health (OR: 4.30; 95 % CI: 2.10-8.80), psychological health (OR: 4.51; 95 % CI: 2.20-9.26), social relationships (OR: 3.21; 95 % CI: 1.56-6.60) and environment (OR: 2.86; 95 % CI: 1.33-6.14). CONCLUSION students exposed to stigmatizing situations related to weight had a worse perception of their quality of life compared to those not stigmatized.
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Affiliation(s)
- Fabiola Vilugrón Aravena
- Departamento de Salud, Comunidad y Gestión. Facultad de Ciencias de la Salud. Universidad de Playa Ancha
| | - Milenko Cortés
- Nutrición y Dietética. Facultad de Ciencias de la Salud. Universidad de Playa Ancha
| | - Javiera Valenzuela
- Nutrición y Dietética. Facultad de Ciencias de la Salud. Universidad de Playa Ancha
| | - Camila Rojas
- Nutrición y Dietética. Facultad de Ciencias de la Salud. Universidad de Playa Ancha
| | - Paulina Gutiérrez
- Nutrición y Dietética. Facultad de Ciencias de la Salud. Universidad de Playa Ancha
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Castro-Cuesta JY, Montoro-García S, Sánchez-Macarro M, Carmona Martínez M, Espinoza Marenco IC, Pérez-Camacho A, Martínez-Pastor A, Abellán-Alemán J. Adherence to the Mediterranean diet in first-year university students and its association with lifestyle-related factors: A cross-sectional study. HIPERTENSION Y RIESGO VASCULAR 2023; 40:65-74. [PMID: 36244967 DOI: 10.1016/j.hipert.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 08/30/2022] [Accepted: 09/01/2022] [Indexed: 05/16/2023]
Abstract
INTRODUCTION 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. MATERIAL AND 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. CONCLUSION 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.
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Affiliation(s)
- J Y Castro-Cuesta
- Health Sciences PhD Program, Universidad Católica de Murcia (UCAM), Murcia, España
| | - S Montoro-García
- Cátedra de Riesgo Cardiovascular y Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, España
| | - M Sánchez-Macarro
- Cátedra de Riesgo Cardiovascular y Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, España
| | - M Carmona Martínez
- Administración y Dirección de Empresas, Facultad de Ciencias Jurídicas y de la Empresa, Universidad Católica de Murcia (UCAM), Murcia, España
| | - I C Espinoza Marenco
- Máster en Geriatría, Universidad Católica San Antonio de Murcia (UCAM), Murcia, España
| | - A Pérez-Camacho
- Cirugía Endovascular, Hospital Clínic de Barcelona, Barcelona, España
| | - A Martínez-Pastor
- Cátedra de Riesgo Cardiovascular y Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, España
| | - J Abellán-Alemán
- Cátedra de Riesgo Cardiovascular y Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, España.
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Béjar LM, Mesa-Rodríguez P, Quintero-Flórez A, Ramírez-Alvarado MDM, García-Perea MD. Effectiveness of a Smartphone App (e-12HR) in Improving Adherence to the Mediterranean Diet in Spanish University Students by Age, Gender, Field of Study, and Body Mass Index: A Randomized Controlled Trial. Nutrients 2023; 15:nu15071688. [PMID: 37049528 PMCID: PMC10096856 DOI: 10.3390/nu15071688] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 03/17/2023] [Accepted: 03/29/2023] [Indexed: 04/03/2023] Open
Abstract
There is an urgent need to implement intervention programs to promote adherence to the Mediterranean diet (AMD) in university students to prevent non-communicable diseases. A powerful tool for this is smartphone apps. Furthermore, it is necessary to determine the subgroups that are most likely to benefit from these technologies. The objective is to evaluate the effectiveness of an app (e-12HR) at improving AMD in a sample of Spanish university students and different strata. The study method was a controlled and randomized clinical trial over a four-week follow-up period and involving 385 participants (76.9% women). The participants were in two parallel groups: the control group (CG) and the intervention group (IG), with only the IG receiving feedback to improve their AMD. There were significant statistical improvements (with higher values in the IG) at week four, after no significant statistical differences at baseline (Week One): in the whole sample: +25.7% AMD index and +74.5% percentage with moderate/high AMD index. In the subgroups, seven of eight subgroups, ranging in AMD index from +17.8% (≥20 years) to +33.0% (<20 years); and for males, in weeks two (+27.9%) and three (+23.9%), but not at week four. In conclusion, e-12HR could improve AMD among university students (in the total sample and all subgroups, except ≥25 kg/m2).
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Kulchar RJ, Haddad MB. Preventing burnout and substance use disorder among healthcare professionals through breathing exercises, emotion identification, and writing activities. JOURNAL OF INTERPROFESSIONAL EDUCATION & PRACTICE 2022; 29:100570. [PMID: 36349226 PMCID: PMC9633656 DOI: 10.1016/j.xjep.2022.100570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/17/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
The introduction of the COVID-19 pandemic has placed additional strain on healthcare workers, inducing immense levels of stress and workplace burnout. Health care professionals are acutely susceptible to COVID-19 exposure, ultimately leading to elevated levels of anxiety and mental illness. For example, dental professionals are at high risk due to their close work with the oral cavity. To provide temporary relief to the stress, some may turn toward substance use, especially if that individual has some form of mental illness. To curb the onset of burnout and its byproduct of substance use disorder, it is crucial to be equipped with proper tools and healthy habits that can counteract extreme levels of stress. In this article, a time-effective, 3-step method is introduced, with each activity proven to lessen the symptoms of burnout. When followed, an individual can navigate burnout's symptoms through a healthy mind and body approach. Additionally, resources to find resilience-building and mentorship programs are provided. Common substance use support groups and information regarding group meetings and contact information are listed.
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Yao W, Yun J, Zhang Y, Meng T, Mu Z. Usage behavior and health benefit perception of youth in urban parks: A case study from Qingdao, China. Front Public Health 2022; 10:923671. [PMID: 35991033 PMCID: PMC9381962 DOI: 10.3389/fpubh.2022.923671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
With the development of the urban park, people's cognition of the relationship between the environment and public health has been improved, and higher requirements for the living environment have been put forward. As an important group of park users, youths often have different needs regarding the health benefits brought by urban parks. To explore the potential relationship among youth's satisfaction with urban parks, their usage behavior, and health benefit perception, this article presents some constructive suggestions for the development of healthy landscapes in urban parks. Researchers have selected five typical urban parks from different areas in Qingdao, China. Furthermore, we have used the survey method by combining the practices of “issuing questionnaires, observing and interviewing” with the goal of collecting data on 500 park visitors in autumn, including information on social demography, the satisfaction of park landscape variables, and usage behavior and health perception. A linear regression model has been used to analyze the correlation among “landscape variables,” “usage behavior,” and “health benefit perception.” Results have shown that urban green landscapes and waterscapes can significantly affect youth's social health perception and static behavior. Moreover, static behaviors such as relaxation have a great impact on mental health perception. The results of this study will be beneficial in understanding youth's needs for landscapes when using urban parks. In addition, it will provide insight for the urban planners and landscape designers to design urban parks from the perspective of youth.
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Ahlstrand I, Larsson I, Larsson M, Ekman A, Hedén L, Laakso K, Lindmark U, Nunstedt H, Oxelmark L, Pennbrant S, Sundler AJ, Hallgren J. Health-promoting factors among students in higher education within health care and social work: a cross-sectional analysis of baseline data in a multicentre longitudinal study. BMC Public Health 2022; 22:1314. [PMID: 35804344 PMCID: PMC9270798 DOI: 10.1186/s12889-022-13690-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 06/20/2022] [Indexed: 11/21/2022] Open
Abstract
Background Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work. Methods This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ). Results Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC. Conclusions Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.
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Affiliation(s)
- Inger Ahlstrand
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Ingrid Larsson
- School of Health and Welfare, Halmstad University, Box 823, S-30118, Halmstad, Sweden.
| | | | - Aimée Ekman
- Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Lena Hedén
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Katja Laakso
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ulrika Lindmark
- Department of Health Sciences, Karlstad University, Karlstad, Sweden.,Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Håkan Nunstedt
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Lena Oxelmark
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Sandra Pennbrant
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Annelie J Sundler
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Jenny Hallgren
- School of Health and Education, University of Skövde, Skövde, Sweden
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Diotaiuti P, Mancone S, Falese L, Ferrara M, Bellizzi F, Valente G, Corrado S, Misiti F. Intention to Screen for Hepatitis C Among University Students: Influence of Different Communicative Scenarios. Front Psychiatry 2022; 13:873566. [PMID: 35633800 PMCID: PMC9130485 DOI: 10.3389/fpsyt.2022.873566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/06/2022] [Indexed: 11/13/2022] Open
Abstract
This study aimed to evaluate the influence of different narrative scenarios regarding students' intentions to undergo diagnostic screening for hepatitis C, and whether gender identification with the characters of the scenario could influence the students' intentions to undergo a medical test. A sample of 600 participants was administered three narrative scenarios with different frames (positive, negative, and ambivalent), including two gender options (male and female) for the main character of the story. A statistically significant three-way interaction between scenario, gender identification, and time resulted. There were significant simple main effects on the intention to have a diagnostic test for hepatitis C for the scenarios with the protagonist of the same gender as the participant and after the administration of the negative scenario. The use of a negative scenario with the same gender character was always more effective than the use of a positive framed scenario, even though there was a high level of knowledge regarding the disease. Personal diagnostic testing was not directly associated with knowledge regarding the infection. The findings of this study can ultimately help policymakers develop communication campaigns adapted to target populations such as college students, in order to raise awareness of the risk, promote prevention and behavioral change, and encourage medical screening.
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Affiliation(s)
- Pierluigi Diotaiuti
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Stefania Mancone
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Lavinia Falese
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Maria Ferrara
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Fernando Bellizzi
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Giuseppe Valente
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Stefano Corrado
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Francesco Misiti
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
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Mediterranean Diet, Psychological Adjustment and Health Perception in University Students: The Mediating Effect of Healthy and Unhealthy Food Groups. Nutrients 2021; 13:nu13113769. [PMID: 34836022 PMCID: PMC8621952 DOI: 10.3390/nu13113769] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 10/21/2021] [Accepted: 10/23/2021] [Indexed: 01/07/2023] Open
Abstract
This study aims to identify the relationships between eating habits and psychological adjustment and health perception, and to analyze potential mediating role of healthy and unhealthy foods in the relationship between adherence to the Mediterranean diet (MedDiet) and the psychological constructs and health perception. The sample was selected through stratified random cluster sampling and was composed of 788 university students. The participants responded to a MedDiet adherence screener and food consumption inventory to assess the eating habits, instruments measuring self-esteem, life satisfaction, curiosity and sense of coherence to assess the psychological adjustment, and single item measuring perceived health. The results revealed 41.9% of the participants had a high consumption of vegetables and 85.1% a low consumption of energy drinks, while 29.9% showed a high adherence to the MedDiet which was positively associated to each psychological variable and healthy foods and negatively with unhealthy foods. In conclusion, a higher adherence to the MedDiet, and the consumption of fruits and vegetables is related to higher psychological adjustment and health perception. However, the relationships between MedDiet and the psychological variables and health perception were fully or partially explained because of the consumption of healthy and unhealthy foods.
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Azzi DV, Melo J, Neto ADAC, Castelo PM, Andrade EF, Pereira LJ. Quality of life, physical activity and burnout syndrome during online learning period in Brazilian university students during the COVID-19 pandemic: a cluster analysis. PSYCHOL HEALTH MED 2021; 27:466-480. [PMID: 34192994 DOI: 10.1080/13548506.2021.1944656] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The COVID-19 pandemic caused several changes in the teaching-learning process, as it abruptly replaced the conventional classes into online classes despite social distancing requirements. Such changes may be associated with several mental health problems and negatively affect the quality of life and academic performance of university students. We performed a cluster analysis in a large sample of Brazilian undergraduate students, considering sociodemographic data, physical activity frequency, study areas, Burnout Syndrome (BS), Quality of Life (QoL) and perception of online learning (OL) during COVID-19 pandemic. Seven hundred and three students (between 17 and 62 years, from 67 higher education institutions) participated in the study. We identified three different profiles of students regarding psychological aspects and OL perception. The first profile, called as the 'Low QoL' group was composed of younger students, mainly females, with higher frequency of psychological disorders (as evidenced by the self-report of depression and/or anxiety), in addition to higher Burnout scores, lower QoL and worse OL perception. The second profile called 'Intermediate QoL' comprised participants with an average age of 45 years, with a greater number of men, married, with kids and working in addition to studying. They presented better OL scores than the 'Low QoL' group. The third profile called 'Better QoL' comprised students with higher scores in all domains of QoL and better OL perception, with greater frequency of physical activity and lower BS scores. Students from Health courses showed higher scores for general QoL, and also for the psychological and environmental domains in relation to the other areas. Besides, students of the Exact Sciences courses showed higher scores on all OL perception items in comparison to the other courses. Our results provide insights regarding the mental health profile of undergraduate students, allowing educational managers to outline specific coping strategies to assist students during the pandemic.
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Marendić M, Polić N, Matek H, Oršulić L, Polašek O, Kolčić I. Mediterranean diet assessment challenges: Validation of the Croatian Version of the 14-item Mediterranean Diet Serving Score (MDSS) Questionnaire. PLoS One 2021; 16:e0247269. [PMID: 33647026 PMCID: PMC7920370 DOI: 10.1371/journal.pone.0247269] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 02/03/2021] [Indexed: 02/07/2023] Open
Abstract
Mediterranean diet (MD) is among the most commonly investigated diets and recognized as one of the healthiest dietary patterns. Due to its complexity, geographical and cultural variations, it also represents a challenge for quantification. The aim of this cross-sectional study was to assess reliability and validity of the Croatian version of the 14-item Mediterranean Diet Serving Score (MDSS), using the Mediterranean Diet Adherence Screener (MEDAS) as the referent test. We included the exploratory sample of 360 medical students, and a confirmatory sample of 299 health studies students from the University of Split, Croatia. Test-retest reliability and validity of the MDSS were tested using intra-class correlation coefficients (ICC), while Cohen's kappa statistic was used to test correct classification of subjects into MD adherent/non-adherent category. A very good reliability was shown for the overall MDSS score (ICC = 0.881 [95% CI 0.843-0.909]), and a moderate reliability for the binary adherence (κ = 0.584). Concurrent validity of the MDSS was also better when expressed as a total score (ICC = 0.544 [0.439-0.629]) as opposed to the adherence (κ = 0.223), with similar result in the confirmatory sample (ICC = 0.510 [0.384-0.610]; κ = 0.216). Disappointingly, only 13.6% of medical students were adherent to the MD according to MDSS, and 19.7% according to the MEDAS questionnaire. Nevertheless, MDSS score was positively correlated with age (ρ = 0.179: P = 0.003), self-assessed health perception (ρ = 0.123; P = 0.047), and mental well-being (ρ = 0.139: P = 0.022). MDSS questionnaire is a short, reliable and reasonably valid instrument, and thus useful for assessing the MD adherence, with better results when used as a numeric score, even in the population with low MD adherence.
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Affiliation(s)
- Mario Marendić
- University Department of Health Studies, University of Split, Split, Croatia
- University Postgraduate Doctoral Study Program Evidence-Based Medicine, University of Split School of Medicine, Split, Croatia
| | - Nikolina Polić
- Institute of Emergency Medicine of Split-Dalmatia County, Split, Croatia
| | | | | | - Ozren Polašek
- Department of Public Health, University of Split School of Medicine, Split, Croatia
| | - Ivana Kolčić
- Department of Public Health, University of Split School of Medicine, Split, Croatia
- * E-mail:
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Barbosa Granados SH, Aguirre Loaiza H. Actividad física y calidad de vida relacionada con la salud en una comunidad académica. PENSAMIENTO PSICOLÓGICO 2020. [DOI: 10.11144/javerianacali.ppsi18-2.afcv] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Objetivo. Explorar las diferencias entre los niveles de actividad física (AF) ‒ligero, moderado y vigoroso‒, en función a la Calidad de Vida Relacionada con la Salud (CvRS). Método. 269 participantes (M = 25.3, DE = 1.5) entre estudiantes, docentes y administrativos de una comunidad académica de Pereira, Colombia. La AF se evaluó con el International Physical Activity Questionnaire (IPAQ) y la CvRS con el Cuestionario de Salud SF-36. Resultados. Quienes reportaron tener un nivel de AF moderado mostraron significativamente mejor vitalidad, salud mental y salud en general (p < 0.05). Mientras que aquellos con nivel de AF vigoroso promediaron más alto en salud general. Los niveles de AF moderado y vigoroso, en comparación con el ligero, presentaron mayor puntaje en la salud general y mental (p < 0.05). Conclusión. Este estudio aportó evidencia a favor de la hipótesis del vínculo entre AF y CvRS; además, reveló que aquellos con niveles de AF moderado y vigoroso presentan mejor CvRS en dimensiones de función social, vitalidad y salud general y mental. Futuros estudios deberían enfocarse en diferenciar los niveles de AF que mejor favorecen la CvRS, principalmente, en población escolar.
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Suliga E, Cieśla E, Michel S, Kaducakova H, Martin T, Śliwiński G, Braun A, Izova M, Lehotska M, Kozieł D, Głuszek S. Diet Quality Compared to the Nutritional Knowledge of Polish, German, and Slovakian University Students-Preliminary Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17239062. [PMID: 33291705 PMCID: PMC7730789 DOI: 10.3390/ijerph17239062] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/19/2020] [Accepted: 12/02/2020] [Indexed: 12/16/2022]
Abstract
The eating habits of students differ significantly from those recommended by health practitioners. The aim of this study was to find differences related to diet quality and knowledge on nutrition among Polish, German, and Slovakian students as well as to examine which factors differentiate the diet quality of students from these three countries. The study was conducted on a group of 394 university students from Poland, Germany, and Slovakia. The assessment of diet quality and knowledge on food and nutrition was done with the use of the Dietary Habits and Nutrition Beliefs Questionnaire. The diet of German students was characterized by a significantly higher consumption of legume-based foods, vegetables, and fruit compared to Polish students and Slovakian participants (p < 0.001). The diet of the Poles was characterized by a high consumption of cured meat, smoked sausages, hot dogs, white bread and bakery products, butter, fried foods, and energy drinks. The most important factors significantly associated with diet quality involved the country, place of residence, Body Mass Index (BMI), physical activity, and time spent watching TV or using a computer. Polish students were characterized by the highest level of knowledge on food and nutrition (p < 0.001). However, it was not reflected in their diet. The authorities of universities should aim to provide students with access to canteens on campuses which would offer the possibility of consumption of both affordable and healthy meals.
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Affiliation(s)
- Edyta Suliga
- Institute of Health Sciences, Medical College, Jan Kochanowski University, 25-369 Kielce, Poland; (E.S.); (D.K.)
| | - Elżbieta Cieśla
- Institute of Health Sciences, Medical College, Jan Kochanowski University, 25-369 Kielce, Poland; (E.S.); (D.K.)
- Correspondence:
| | - Sven Michel
- Institute of Ergonomics and Social Sciences, Faculty of Social Work, Health and Music, Brandenburg University of Technology Cottbus-Senftenberg, 03048 Cottbus, Germany; (S.M.); (T.M.); (A.B.)
| | - Helena Kaducakova
- Department of Nursing, Faculty of Health, Catholic University in Ružomberok, 03401 Ružomberok, Slovakia; (H.K.); (M.I.); (M.L.)
| | - Titus Martin
- Institute of Ergonomics and Social Sciences, Faculty of Social Work, Health and Music, Brandenburg University of Technology Cottbus-Senftenberg, 03048 Cottbus, Germany; (S.M.); (T.M.); (A.B.)
| | - Grzegorz Śliwiński
- Institute of Biomedical Engineering, Technical University in Dresden, 01069 Dresden, Germany;
| | - Alexander Braun
- Institute of Ergonomics and Social Sciences, Faculty of Social Work, Health and Music, Brandenburg University of Technology Cottbus-Senftenberg, 03048 Cottbus, Germany; (S.M.); (T.M.); (A.B.)
| | - Marcela Izova
- Department of Nursing, Faculty of Health, Catholic University in Ružomberok, 03401 Ružomberok, Slovakia; (H.K.); (M.I.); (M.L.)
| | - Maria Lehotska
- Department of Nursing, Faculty of Health, Catholic University in Ružomberok, 03401 Ružomberok, Slovakia; (H.K.); (M.I.); (M.L.)
| | - Dorota Kozieł
- Institute of Health Sciences, Medical College, Jan Kochanowski University, 25-369 Kielce, Poland; (E.S.); (D.K.)
| | - Stanisław Głuszek
- Institute of Medical Sciences, Medical College, Jan Kochanowski University, 25-369 Kielce, Poland;
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Mediating Effect of Sports Participation on the Relationship between Health Perceptions and Health Promoting Behavior in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186744. [PMID: 32947940 PMCID: PMC7559390 DOI: 10.3390/ijerph17186744] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/12/2020] [Accepted: 09/13/2020] [Indexed: 11/22/2022]
Abstract
The aim of this study was to verify the structural relationship between health perceptions, sports participation, and health promoting behavior in adolescents. A total of 507 adolescents living in Seoul, Republic of Korea, in 2020, participated in this study. This study was conducted using a preliminary survey and a main survey. In the preliminary survey, the reliability and validity of the scales used in this study were analyzed, and in the main survey, the relationships between individual variables were verified. Specifically, descriptive statistical analysis, path analysis, and mediating effect analysis were conducted in the main survey. The results of the study are as follows: first, health perceptions were found to have a positive effect on sports participation (p < 0.001). Furthermore, health perceptions were found to have no direct effect on health promoting behavior (p = 0.554), while sports participation was found to have a positive effect on health promoting behavior (p < 0.001). Additionally, sports participation completely mediated the relationship between health perceptions and health promoting behavior. Based on the results of this study, suggestions are presented on how to enhance health perceptions in adolescents who are in a critical period for forming healthy life habits, and to prepare measures to encourage sports participation.
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Ubago-Jiménez JL, Zurita-Ortega F, San Román-Mata S, Puertas-Molero P, González-Valero G. Impact of Physical Activity Practice and Adherence to the Mediterranean Diet in Relation to Multiple Intelligences among University Students. Nutrients 2020; 12:nu12092630. [PMID: 32872286 PMCID: PMC7551323 DOI: 10.3390/nu12092630] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 08/22/2020] [Accepted: 08/27/2020] [Indexed: 12/26/2022] Open
Abstract
Physical activity is important at any time of life. Particularly in the university, people tend to have more sedentary life, due to their studies. Eating habits are another health factor to consider. In addition, the Multiple Intelligences theory is a proposal that seeks the integral development and well-being of people. A descriptive, cross-sectional, and non-experimental research with the purpose of this study is to establish the relationships between practice of physical activity and the intelligences and determine the relationship between diet and the different types of intelligence in 215 university students. Findings indicate higher adherence to Mediterranean Diet in women and higher physical activity scores in men. Regarding multiple intelligences, men have higher indices in Bodily-kinesthetic, Interpersonal, Logical-mathematical, Musical, and Spatial intelligences, while women show higher levels in relation to Linguistic, Intrapersonal, and Naturalistic intelligences. Main conclusions from this study suggest the relationship between multiple intelligence and healthy habits, while also highlighting the need to improve eating habits and achieve greater adherence to Mediterranean Diet.
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Affiliation(s)
- José Luis Ubago-Jiménez
- Department of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain; (J.L.U.-J.); (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Félix Zurita-Ortega
- Department of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain; (J.L.U.-J.); (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Silvia San Román-Mata
- Department of Nursing, University of Granada, 18071 Granada, Spain
- Correspondence: ; Tel.: +34-958-246-685
| | - Pilar Puertas-Molero
- Department of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain; (J.L.U.-J.); (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Gabriel González-Valero
- Department of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain; (J.L.U.-J.); (F.Z.-O.); (P.P.-M.); (G.G.-V.)
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17
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Bennasar-Veny M, Yañez AM, Pericas J, Ballester L, Fernandez-Dominguez JC, Tauler P, Aguilo A. Cluster Analysis of Health-Related Lifestyles in University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1776. [PMID: 32182922 PMCID: PMC7084566 DOI: 10.3390/ijerph17051776] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 03/05/2020] [Accepted: 03/07/2020] [Indexed: 12/12/2022]
Abstract
Health-related lifestyles in young adults are a public health concern because they affect the risk for developing noncommunicable diseases. Although unhealthy lifestyles tend to cluster together, most studies have analyzed their effects as independent factors. This study assessed the prevalence, association, and clustering of health-related lifestyles (smoking, alcohol consumption, physical activity, and quality of diet) among university students. This cross-sectional study examined a sample of student participants from the University of the Balearic Islands (n = 444; 67.8% females; mean age: 23.1 years). A self-reported questionnaire was used to assess health-related lifestyles. Men that consumed more alcohol, had less healthy diets, were more likely to be overweight, and performed more physical activity. Women had a higher prevalence of low weight and performed less physical activity. Physical activity had a negative association with time using a computer (OR: 0.85; 95% CI: 0.76, 0.95) and a positive association with adherence to the Mediterranean diet (OR: 1.16; 95% CI: 1.02, 1.32). Adherence to the Mediterranean diet had a negative association with tobacco consumption (OR: 0.52; 95% CI: 0.30, 0.91), and positive associations with having breakfast every day (OR: 1.70; 95% CI: 1.05, 2.76) and consuming more daily meals (OR: 1.43; 95% CI: 1.10, 1.87). Cluster analysis indicated the presence of three distinct groups: Unhealthy lifestyles with moderate risk; unhealthy lifestyles with high risk; and healthy lifestyles with low risk. Health promotion interventions in the university environment that focus on multiple lifestyles could have a greater effect than interventions that target any single lifestyle.
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Affiliation(s)
- Miquel Bennasar-Veny
- Department of Nursing and Physiotherapy, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain; (M.B.-V.); (J.P.); (J.C.F.-D.); (A.A.)
| | - Aina M. Yañez
- Research Group on Global Health & Human Development, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain
| | - Jordi Pericas
- Department of Nursing and Physiotherapy, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain; (M.B.-V.); (J.P.); (J.C.F.-D.); (A.A.)
| | - Lluis Ballester
- Department of Specific Didactics and Pedagogy, Educational and Social Research and Training Research Group, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain;
| | - Juan Carlos Fernandez-Dominguez
- Department of Nursing and Physiotherapy, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain; (M.B.-V.); (J.P.); (J.C.F.-D.); (A.A.)
| | - Pedro Tauler
- Research Group on Evidence, lifestyles and Health Research, Instituto de Investigación Sanitaria Illes Balears, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain;
| | - Antoni Aguilo
- Department of Nursing and Physiotherapy, Balearic Islands University, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain; (M.B.-V.); (J.P.); (J.C.F.-D.); (A.A.)
- Research Group on Evidence, lifestyles and Health Research, Instituto de Investigación Sanitaria Illes Balears, Cra. de Valldemossa, Km 7.5, 07122 Palma, Illes Balears, Spain;
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Baceviciene M, Jankauskiene R, Balciuniene V. The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1593. [PMID: 32121625 PMCID: PMC7084262 DOI: 10.3390/ijerph17051593] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 02/27/2020] [Accepted: 02/29/2020] [Indexed: 12/17/2022]
Abstract
Purpose. The present study aimed to explore the associations between body image concerns (BI), disordered eating (DE), health-related lifestyle, and the different domains of the quality of life (QoL) in a Lithuanian sample of student-aged men and women. Methods. A mixed-gender sample of students (N = 1850, 58.8% were women, average age 21.6 ± 5.0 years) completed a series of questionnaires, including health-related lifestyles, BI, DE, and QoL. A series of simultaneous multiple linear regression analyses were conducted. Mediation analyses were performed to estimate the size of the total, direct, and indirect effects of variables in the models. Results. The analysis of the linear regressions demonstrated that the positive trait of body areas satisfaction was associated with the significantly enhanced QoL in all domains in both genders (for men β = 0.29-0.34; for women β = 0.26-0.33; p < 0.001). DE was associated with a poorer psychological QoL domain in women only (β = -0.07; p = 0.047). The drive for muscularity was associated with a lower QoL in men (β = -0.06-(-0.141); p < 0.05). Body areas satisfaction mediated the associations between body mass index and psychological and physical QoL in both genders (TLI (Tucker Lewis Index) = 0.975; CFI (comparative fit index) = 0.997; RMSEA (Root of the Mean Square Error) = 0.053). Conclusions. Positive traits of BI play essential roles in the QoL of student-aged women and men. The present study adds empirical evidence emphasizing the importance of integrating education about positive body image while implementing healthy lifestyle and QoL promotion programs in student-aged men and women.
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Affiliation(s)
- Migle Baceviciene
- Department of Physical and Social Education, Lithuanian Sports University, Sporto 6, 44221 Kaunas, Lithuania;
| | - Rasa Jankauskiene
- Institute of Sport Science and Innovations, Lithuanian Sports University, Sporto 6, 44221 Kaunas, Lithuania;
| | - Vaiva Balciuniene
- Department of Physical and Social Education, Lithuanian Sports University, Sporto 6, 44221 Kaunas, Lithuania;
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Antonopoulou M, Mantzorou M, Serdari A, Bonotis K, Vasios G, Pavlidou E, Trifonos C, Vadikolias K, Petridis D, Giaginis C. Evaluating Mediterranean diet adherence in university student populations: Does this dietary pattern affect students' academic performance and mental health? Int J Health Plann Manage 2019; 35:5-21. [DOI: 10.1002/hpm.2881] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 07/29/2019] [Accepted: 07/29/2019] [Indexed: 12/11/2022] Open
Affiliation(s)
- Marina Antonopoulou
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
| | - Maria Mantzorou
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
| | - Aspasia Serdari
- Department of Psychiatry and Child PsychiatryDemocritus University of Thrace, University Hospital of Alexandroupolis Thrace Greece
| | - Konstantinos Bonotis
- Department of Psychiatry, Faculty of MedicineUniversity of Thessaly Larisa Greece
| | - Giorgos Vasios
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
| | - Eleni Pavlidou
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
| | - Christina Trifonos
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
| | - Konstantinos Vadikolias
- Department of Neurology, School of MedicineDemocritus University of Thrace Alexandroupoli Greece
| | - Dimitris Petridis
- Department of Food TechnologyHellenic International University Thessaloniki Greece
| | - Constantinos Giaginis
- Department of Food Science and Nutrition, School of EnvironmentUniversity of Aegean Myrina Lemnos Greece
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