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The Mediterranean Paradox: Knowledge, Attitudes, and the Barriers to Practical Adherence of Sustainable Dietary Behavior Among Future Educators—A Case Study of Teacher Education Students at the University of Split

Year: 2026
Type: article
Study design: Observational Study
Abstract: This paper investigates the knowledge, attitudes, and practical adherence to the Mediterranean Diet (MD) among students of the Teacher Education Study Program in Split. Recent trends indicate a decline in adherence within Mediterranean regions, a phenomenon known as the Mediterranean paradox. Studying the relationship between students’ knowledge and practice is critical within the context of SDG 3 and SDG 4, as it highlights the role of future educators in promoting healthy communities. A quantitative approach was employed using the MDNK methodology, supplemented with the MEDAS test, to assess adherence to the Mediterranean Diet. Statistical analysis included p-values and effect size measures to assess practical relevance. Students averaged 13.39/18 on the MDNK test, with most showing moderate MEDAS adherence and only 5 reaching high adherence. The year of study or employment status has not been shown as an influential factor. While most students possess a high level of knowledge on the MD’s key components and express a positive attitude toward this dietary pattern, a significant knowledge-practice gap exists, confirming the Mediterranean paradox among future teachers. The need for nutritional and food education within the university curriculum is essential to move beyond theoretical instruction and actively promote food literacy and practical skills.
Institution: University of Split
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,896
OpenAlex ID: W7124138683
FWCI: 12.78
Cites: 36
Cited by: 2
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