title: [A lower adherence to Mediterranean diet is associated with a poorer self-rated health in university population].
abstract: OBJECTIVE
  A higher adherence to Mediterranean diet is considered as a protective factor against the large number of deaths attributable to the main chronic degenerative diseases in developed countries. Self-rated health is established as a good indicator of population health status and as a predictor of mortality. Studies exploring the relationship between the adherence to Mediterranean diet and self-rated health are scarce, especially, in young adults. Our aim was to explore the factors related, specially the adherence to a priori-defined Mediterranean diet with self-rated health in a cohort of Spanish university students.
  
  
  METHODS
  We analyzed data from 1110 participants of Spanish DiSA-UMH (Dieta, Salud y Antropometría en universitarios de la Universidad Miguel Hernández) study. Diet was assessed using a validated food frequency questionnaire and the adherence to Mediterranean diet was calculated using the relative Mediterranean Diet Score (rMED; score range: 0-18) according to the consumption of 9 dietary components. Self-rated health was gathered from the question: "In general, how do you consider your health to be? (Excellent, good, fair, poor, very poor). Information on sociodemographic and lifestyle characteristics was also collected. Multinomial logistic regression (using relative risk ratio, RRR) was used to analyze the association between the adherence to Mediterranean diet (low rMED: 0-6 points; medium: 7-10 points; high: 11-18 points) and self-rated health (Excellent (reference), good and fair/ poor/very poor).
  
  
  RESULTS
  A low, medium or high adherence to Mediterranean diet conformed to 26.8%, 58.7% and 14.4% of participants, which of them reported an excellent (23.1%), good (65.1%) and fair/poor or very poor health, respectively. In multivariate analysis, a lower adherence to Mediterranean diet was significantly (p.
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant.. ricbarriosv@gmail.com.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Barrios-Vicedo
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant. CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid. España.. enavarrete@umh.es.
authors.forename: Eva Maria
authors.initials: EM
authors.lastname: Navarrete-Muñoz
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant. CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid. España.. manoli@umh.es.
authors.forename: Manuela
authors.initials: M
authors.lastname: García de la Hera
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant.. sandra.gonzalez.palacios@gmail.com.
authors.forename: Sandra
authors.initials: S
authors.lastname: González-Palacios
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant.. mvalera@umh.es.
authors.forename: Desirée
authors.initials: D
authors.lastname: Valera-Gran
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant.. josefrangelico@gmail.com.
authors.forename: José Francisco
authors.initials: JF
authors.lastname: Checa-Sevilla
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant.. dgimenez@umh.es.
authors.forename: Daniel
authors.initials: D
authors.lastname: Gimenez-Monzo
authors.affiliation: Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, San Joan d'Alacant. CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid. España.. vioque@umh.es.
authors.forename: Jesús
authors.initials: J
authors.lastname: Vioque
mesh_terms: D000293:Adolescent; D000328:Adult; D038441:Diet, Mediterranean / Q000706:statistics & numerical data*; D005247:Feeding Behavior; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D057566:Self Report; D013030:Spain / Q000453:epidemiology; D013334:Students; D014495:Universities; D055815:Young Adult