Medical school fails to improve Mediterranean diet adherence among medical students

Fiore, Maria Maddalena Di; Ledda, Caterina; Rapisarda, Venerando; Sentina, Elena; Mauceri, Cristina; D’Agati, Placido; Conti, Gea Oliveri; Serra-Majem, Lluís; Ferrante, Margherita

doi:10.1093/eurpub/ckv127

Cited by 33 publications

(38 citation statements)

References 37 publications

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“…The results of this study agreed with those of other Spanish authors [5,15,71,72], who have demonstrated that about 50% of Spanish children and adolescents in other areas of Spain present good MedDiet adherence. The fact that girls have better adherence to the MedDiet than boys in this study is a reasonable finding because beginning in childhood, women are more preoccupied with body weight, which is more likely to affect their nutritional habits [73]. It was observed that when calcium intake was adequate, boys showed a slightly better adherence to the MedDiet than girls, similar to a Greek study [4].…”

Section: Discussionsupporting

confidence: 77%

Dietary Calcium Intake and Adherence to the Mediterranean Diet in Spanish Children: The ANIVA Study

Rubio-López

Llópis-González

Picó

et al. 2017

IJERPH

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The aim of this study was to evaluate the relationship of dietary calcium intake with anthropometric measures, physical activity and adherence to the Mediterranean diet (MedDiet) in 1176 Spanish children aged 6–9 years. Data were obtained from “Antropometría y Nutrición Infantil de Valencia” (ANIVA), a cross-sectional study of a representative sample. Dietary calcium intake assessed from three-day food records was compared to recommended daily intakes in Spain. Anthropometric measures (weight and height) were measured according to international standards and adherence to the MedDiet was evaluated using the Mediterranean Diet Quality Index (KIDMED) test. For the total sample of children, 25.8% had inadequate calcium intake, a significantly higher prevalence in girls (p = 0.006) and inadequate calcium intake was associated with lower height z-score (p = 0.001) for both sexes. In girls, there was an inverse relationship between calcium intake and body mass index (p = 0.001) and waist/hip ratio (p = 0.018). Boys presented a polarization in physical activity, reporting a greater level of both physical and sedentary activity in comparison with girls (p = 0.001). Children with poor adherence to MedDiet, even if they consume two yogurts or cheese (40 g) daily, adjusted by gender, age, total energy intake, physical activity and father’s level of education, are at risk of inadequate total calcium intake (odds ratio adjusted [ORa]: 3.36, 95% confidence interval [CI]: 1.13–9.94, p = 0.001). The intake of these dairy products was insufficient to cover calcium intake recommendations in this age group (6–9 years). It is important to prioritize health strategies that promote the MedDiet and to increase calcium intake in this age group.

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Section: Discussionsupporting

confidence: 77%

Dietary Calcium Intake and Adherence to the Mediterranean Diet in Spanish Children: The ANIVA Study

Rubio-López

Llópis-González

Picó

et al. 2017

IJERPH

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“…Thus, medical students present suboptimal application of their academic knowledge about healthy diets in their own lives . Another cross‐sectional study with 1038 students using the KIDMED questionnaire investigated whether attending medical school may change students' MD adherence . Notably, 20.8% of the participants was categorized as having “poor” MD adherence, 56.5% as “average,” and just 22.7% as “good.” Hence, medical school attendance does not guarantee nutritional knowledge attainment.…”

Section: Adherence In Relation To Students' Study Fieldsmentioning

confidence: 99%

“…It was also found that gender was significantly associated with the adherence score, with females being 48% more likely to have a “good” KIDMED score than males, whereas medical school year was not associated with the outcomes. However, knowledge regarding nutrition was considered to be important for their future profession both to support therapeutic decision making and effective preventive actions …”

Section: Adherence In Relation To Students' Study Fieldsmentioning

confidence: 99%

Evaluating Mediterranean diet adherence in university student populations: Does this dietary pattern affect students' academic performance and mental health?

Antonopoulou

Mantzorou

Serdari

et al. 2019

Health Planning & Management

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Summary Adherence to a healthy diet such as Mediterranean Diet (MD) may exert beneficial effects in university students, promoting their academic performance and quality of life, as well as their mental and physical health status. In this aspect, the present study aimed to critically analyze the current epidemiological evidence concerning MD adherence of university students' populations. PubMed database was comprehensively searched, using relative keywords. Students' dietary habits are moving away from MD guidelines towards unhealthy eating patterns, especially for those living away from home and even for students with a Mediterranean country origin. Most of the available studies have documented that poorer students' health status was associated with lower MD adherence. Higher MD adherence was correlated with lower depression risk, while higher perceived stress score with lower fruit and vegetables intake. The access of students to information and knowledge provided by courses and lectures did not effectively enhance their compliance to MD. Alarmingly enough, the majority of students, even from medical and nutritional university departments, showed inadequate knowledge on healthy eating habits. Due to the influence of diet on the quality of life and the mental and physical health of students, it is crucial to redirect research focus on this important aspect.

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“…While the investigation food HES (Health examination survey), conducted on 1,968 men and 2,062 women in 2008-2012, aged 40-59 years, resident in all Italian regions the legumes consumption both for men and women was 22 g/day [10]. A cross-sectional study on 1065 medical students shows that only 35% eat legumes more than once a week [11].Therefore the aims of the study were to investigate the legumes consumption among young and adults resident in Sicily (south Italy) and the predictive factors. …”

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confidence: 99%

Legumes Consumption among Young and Adult Residents In Sicily (South Italy): Evidence and Predictive Factors

Fiore¹

2017

JNHFS

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[3]. Humans have observed, over many centuries, that diets low in meat and high in cereals and legumes are beneficial for health. Epidemiological studies over the last 20 years have conformed these observations i.e that eating legumes can extend life by preventing chronic disease, including cardiovascular disease, coronary artery disease [4], diabetes, bowel cancer [5] and overweight as well as improving gut health [6,7,8]. The consumption of legumes is recommended by public health agencies around the world. The recommendation to consume legumes is based on them being a good source of protein, fiber, and several micronutrients including iron and zinc [9]. Despite these evidences the legumes tend to be consumed infrequently by many people resident in industrialized countries [9]. Their consumption in the western world remains quite low at less than 3-5 kg/capita for year. In other parts of the world, annual legumes consumption can range from 10 kg/capita (South America and India) to 40 kg/capita (Burundi) [1]. Simona Giampaoli et al. published an article describing foods consumed by middle-aged adults in 1960 in the town of Nicotera (Italy). According to this manuscript the legumes consumption was 43 g/day and 39 g/ day for men and women, respectively. While the investigation food HES (Health examination survey), conducted on 1,968 men and 2,062 women in 2008-2012, aged 40-59 years, resident in all Italian regions the legumes consumption both for men and women was 22 g/day [10]. A cross-sectional study on 1065 medical students shows that only 35% eat legumes more than once a week [11].Therefore the aims of the study were to investigate the legumes consumption among young and adults resident in Sicily (south Italy) and the predictive factors. Materials and methodsWe carried out a cross-sectional survey. This study was carried out in -2016. Participants were recruited, on a voluntary basis, into gyms and pediatricians. Data on socio-demographic variables, habits, lifestyle and legumes consumption were collected by an anonymous questionnaire. AbstractIntroduction: Despite the consumption of legumes is recommended by public health agencies around the world because of beneficial for health they tend to be consumed infrequently. This paper investigates the legumes consumption between young and adults resident in Sicily (south Italy) and explores its association with potential predictors.

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Medical school fails to improve Mediterranean diet adherence among medical students

Abstract: More than 70% of our medical students know very little about healthy eating and the MeDi. However, this knowledge is essential in their future profession both to support therapeutic decision-making and effective preventive actions.

Cited by 33 publications

References 37 publications

Dietary Calcium Intake and Adherence to the Mediterranean Diet in Spanish Children: The ANIVA Study

Dietary Calcium Intake and Adherence to the Mediterranean Diet in Spanish Children: The ANIVA Study

Evaluating Mediterranean diet adherence in university student populations: Does this dietary pattern affect students' academic performance and mental health?

Legumes Consumption among Young and Adult Residents In Sicily (South Italy): Evidence and Predictive Factors

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