@misc{10481/66069,
year = {2020},
month = {11},
url = {http://hdl.handle.net/10481/66069},
abstract = {The aim of this study was to estimate the relationship between the adherence to the
Mediterranean diet (MD) and health-related quality of life (HRQoL) in university students and
to assess whether this relationship is mediated or moderated by cardiorespiratory fitness (CRF)
and handgrip strength. A cross-sectional study was performed involving 310 first-year Spanish
university students. Adherence to the MD was evaluated with the 14-item Mediterranean Diet
Adherence Screener (MEDAS), and the HRQoL was evaluated with the Short Form-12 (SF-12)
questionnaire. CRF was assessed by the 20 m shuttle run test, and the handgrip strength was
determined by dynamometry. ANCOVA models showed that participants with higher CRF and
handgrip strength levels had significantly higher scores in the physical component summary (PCS)
and mental component summary (MCS) of the SF-12 and in the MEDAS questionnaire than those with
medium and low scores (p < 0.050). Additionally, the ANCOVA models showed that students with
good adherence to theMDshowed higher scores in the MCS of HRQoL than those with low adherence
(p = 0.044, ES = 0.013), but these results did not appear for the PCS of HRQoL (p = 0.728, ES = 0.001).
In the mediation analysis, it was found that CRF and handgrip strength acted as full mediators of the
relationship between adherence to the MD and the MCS of HRQoL. In the moderation analysis, it was
evidenced that CRF and handgrip strength did not act as moderators in the relationship between
adherence to the MD and the MCS of HRQoL. In conclusion, adherence to the MD does not seem to
have a direct e ect on the MCS of HRQoL because this association seems to be fully mediated by CRF
and handgrip strength.},
organization = {European Union (EU)

DOCM 26/02/20},
organization = {University of Castilla-La Mancha 	
2018-CPUCLM-7813},
publisher = {Mdpi},
keywords = {Mediterranean diet},
keywords = {Health-related quality of life},
keywords = {Fitness},
keywords = {Muscle strength},
keywords = {Young adults},
title = {The Mediating and Moderating Effects of Physical Fitness of the Relationship between Adherence to the Mediterranean Diet and Health-Related Quality of Life in University Students},
doi = {10.3390/nu12113578},
author = {María Martín Espinosa, Noelia and González García, Alberto},
}