The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study

Abstract Background Food neophobia, characterized by the fear of unfamiliar foods, can be influenced by environmental, cultural, and genetic factors, leading to decreased consumption of novel or diverse foods. Understanding the impact of Mediterranean diet adherence and eating disorders on dietary b...

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Main Authors: Nilufer Ozkan, Fatma Hazan Gul
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-025-00735-3
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author Nilufer Ozkan
Fatma Hazan Gul
author_facet Nilufer Ozkan
Fatma Hazan Gul
author_sort Nilufer Ozkan
collection DOAJ
description Abstract Background Food neophobia, characterized by the fear of unfamiliar foods, can be influenced by environmental, cultural, and genetic factors, leading to decreased consumption of novel or diverse foods. Understanding the impact of Mediterranean diet adherence and eating disorders on dietary behaviors is crucial, particularly for young adults who are developing lifelong eating patterns. Methods The aim of this study was to investigate the relationships among food neophobia, Mediterranean diet adherence, and eating disorders in university students aged 18–24 years. A cross-sectional study was conducted with 1277 students (67.2% female) via an online questionnaire to assess sociodemographic characteristics, food neophobia (Food Neophobia Scale, FNS), Mediterranean diet adherence (KIDMED), and eating disorder risk (Eating Disorder Examination Questionnaire, EDE-Q). Results Most participants (67.7%) had a normal body mass index (BMI), 19.3% were classified as overweight, and 3.7% were classified as obese. Compared with male students, female students had significantly higher FNS scores (40.8 ± 9.21) (38.5 ± 10.97, p < 0.05), indicating greater food neophobia among women. Similarly, men’s EDE-Q scores (3.5 ± 3.32) were significantly lower than those of women (4.4 ± 4.05, p < 0.05). Most participants (69.5%) did not experience food neophobia, and underweight individuals (11.0%) were more neophobic than obese individuals (4.4%). No significant differences were observed according to BMI (p > 0.05). A positive correlation was found between age and KIDMED adherence, whereas a negative correlation was observed between BMI and EDE-Q scores regarding food neophobia. The effects of BMI on food neophobia and the risk of eating disorders were found to vary by sex. Conclusions These findings suggest that food neophobia may harm Mediterranean diet adherence and increase the risk of eating disorders among university students. Targeted interventions addressing food neophobia could promote healthier eating habits, such as the Mediterranean diet, thereby reducing disordered eating behaviors and associated risks. Further research is needed to confirm these findings, improve population nutritional habits and mental health outcomes, and develop effective public health strategies. Graphical Abstract
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spelling doaj-art-66b5ef2e26284c69aece6a0496ab3ed32025-01-19T12:27:57ZengBMCJournal of Health, Population and Nutrition2072-13152025-01-0144111010.1186/s41043-025-00735-3The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional studyNilufer Ozkan0Fatma Hazan Gul1Department of Nutrition and Dietetics, Faculty of Health Sciences, Ordu UniversityDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Mersin UniversityAbstract Background Food neophobia, characterized by the fear of unfamiliar foods, can be influenced by environmental, cultural, and genetic factors, leading to decreased consumption of novel or diverse foods. Understanding the impact of Mediterranean diet adherence and eating disorders on dietary behaviors is crucial, particularly for young adults who are developing lifelong eating patterns. Methods The aim of this study was to investigate the relationships among food neophobia, Mediterranean diet adherence, and eating disorders in university students aged 18–24 years. A cross-sectional study was conducted with 1277 students (67.2% female) via an online questionnaire to assess sociodemographic characteristics, food neophobia (Food Neophobia Scale, FNS), Mediterranean diet adherence (KIDMED), and eating disorder risk (Eating Disorder Examination Questionnaire, EDE-Q). Results Most participants (67.7%) had a normal body mass index (BMI), 19.3% were classified as overweight, and 3.7% were classified as obese. Compared with male students, female students had significantly higher FNS scores (40.8 ± 9.21) (38.5 ± 10.97, p < 0.05), indicating greater food neophobia among women. Similarly, men’s EDE-Q scores (3.5 ± 3.32) were significantly lower than those of women (4.4 ± 4.05, p < 0.05). Most participants (69.5%) did not experience food neophobia, and underweight individuals (11.0%) were more neophobic than obese individuals (4.4%). No significant differences were observed according to BMI (p > 0.05). A positive correlation was found between age and KIDMED adherence, whereas a negative correlation was observed between BMI and EDE-Q scores regarding food neophobia. The effects of BMI on food neophobia and the risk of eating disorders were found to vary by sex. Conclusions These findings suggest that food neophobia may harm Mediterranean diet adherence and increase the risk of eating disorders among university students. Targeted interventions addressing food neophobia could promote healthier eating habits, such as the Mediterranean diet, thereby reducing disordered eating behaviors and associated risks. Further research is needed to confirm these findings, improve population nutritional habits and mental health outcomes, and develop effective public health strategies. Graphical Abstracthttps://doi.org/10.1186/s41043-025-00735-3Food neophobiaMediterranean dietEating disordersUniversity studentsDietary behavior
spellingShingle Nilufer Ozkan
Fatma Hazan Gul
The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
Journal of Health, Population and Nutrition
Food neophobia
Mediterranean diet
Eating disorders
University students
Dietary behavior
title The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
title_full The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
title_fullStr The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
title_full_unstemmed The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
title_short The relationships among food neophobia, mediterranean diet adherence, and eating disorder risk among university students: a cross-sectional study
title_sort relationships among food neophobia mediterranean diet adherence and eating disorder risk among university students a cross sectional study
topic Food neophobia
Mediterranean diet
Eating disorders
University students
Dietary behavior
url https://doi.org/10.1186/s41043-025-00735-3
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