RT Journal Article SR Electronic T1 Mediterranean diet adherence and nutritional literacy: an observational cross-sectional study of the reality of university students in a COVID-19 pandemic context JF BMJ Nutrition, Prevention & Health JO BMJ Nutrition FD BMJ Publishing Group Ltd SP e000659 DO 10.1136/bmjnph-2023-000659 A1 Abreu, Filipa A1 Hernando, Ana A1 Goulão, Luís Filipe A1 Pinto, Alexandra Marques A1 Branco, Amélia A1 Cerqueira, Ana A1 Galvão, Cecília A1 Guedes, Fábio Botelho A1 Bronze, Maria Rosário A1 Viegas, Wanda A1 Matos, Margarida Gaspar A1 Sousa, Joana YR 2023 UL http://nutrition.bmj.com/content/early/2023/12/14/bmjnph-2023-000659.abstract AB Aim To evaluate the adherence to the Mediterranean diet (MD) and the level of nutritional literacy (NL) among university students from different academic fields of study, within the context of the COVID-19 pandemic.Methods A total of 1114 first-year undergraduate students at the University of Lisbon, Portugal, were included in this study. A self-administered online questionnaire was applied that included questions regarding sociodemographic information, the MD measured by the PREDIMED questionnaire (PREvención con DIeta MEDiterránea) and NL assessed using the Newest Vital Sign questionnaire.Results The average PREDIMED score revealed a low adherence (6.79±2.14 points) to the MD. Notably, students in the Social Sciences and Humanities academic fields showed the highest level of adherence (U=21 071; p<0.05). Within the Health field, there was a greater prevalence of dietary behaviours aligned with the MD, contributing to higher overall adherence scores. Furthermore, 84.1% of the participants demonstrated adequate NL. Interestingly, students in the Exact Sciences and Engineering field demonstrated the highest levels of NL (5.07±1.19), particularly in questions involving mathematical reasoning.Conclusions Our findings suggest that university students in Lisbon do not follow a MD and are far from the recommendations of this dietary pattern. While most participants showed adequate NL, it is essential to highlight the link between knowledge and application to daily practice. Despite positive literacy levels, there remains a deficit in translating this knowledge into correct dietary practices.All data relevant to the study are included in the article or uploaded as supplementary information.