Multifactorial determinants of health status: insights from the MEDIET4ALL large-scale survey on eco-sociodemographic, psychological, and lifestyle (diet, physical activity, and sleep) factors

Background: Non-communicable diseases are a growing public health challenge, shaped not only by biological predispositions but also by geo-demographic, socioeconomic, psychological, and lifestyle factors. A comprehensive understanding of these determinants is essential for developing targeted public health strategies. This study aimed to examine the multifactorial determinants of individual health status by analyzing geo-demographic, socio-economic, behavioral, psychological, and lifestyle variables. Methods: Data were collected from 4,010 participants (age: 37.2 ± 15.4 years; 59.5% female) across 10 Mediterranean and neighboring countries using the multinational MEDIET4ALL e-survey. Health status was categorized as healthy, at-risk, or with diseases. Multinomial logistic regression, Quade's Rank ANCOVA and series of multiple regression models were conducted. Results: = -0.049), marital status lost significance, suggesting that its protective effect may be mediated by psychological well-being and health-related behaviors. Conclusion: These findings highlight the complex interplay of lifestyle, mental health, and socio-environmental factors in determining health outcomes, while emphasizing the urgent need for multi-level public health interventions, including policies promoting physical activity, healthy eating, mental well-being, and equitable healthcare access. Future research should employ longitudinal designs to establish causal relationships and guides preventive strategies.

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Publication Details

Journal
Frontiers in Public Health
Published
2026-04-10
DOI
https://doi.org/10.3389/fpubh.2026.1704240
Citations
2
Primary Topic
Nutritional Studies and Diet
Type
article
Field-Weighted Citation Impact
50.59
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article

Multifactorial determinants of health status: insights from the MEDIET4ALL large-scale survey on eco-sociodemographic, psychological, and lifestyle (diet, physical activity, and sleep) factors

Mohamed Ali Boujelbane, Nicola Francesca, Enrico Viola, Atef Salem et al.
2 citations
Frontiers in Public Health
Nutritional Studies and Diet
50.59
article

Multifactorial determinants of health status: insights from the MEDIET4ALL large-scale survey on eco-sociodemographic, psychological, and lifestyle (diet, physical activity, and sleep) factors

Mohamed Ali Boujelbane, Nicola Francesca, Enrico Viola, Atef Salem, Piotr Żmijewski, Christiana Schallhorn, Hamdi Chtourou, Walid Mahdi, Amparo Gamero, Omar Boukhris, Concetta María Messina, Nasreddine Benbettaïeb, Adam Tawfiq Amawi, Frédéric Debeaufort, Bassem Bouaziz, Liwa Masmoudi, Hadeel Ghazzawi, Juliane Heydenreich, Kaïs El Abed, Antonio Cilla, Tarak Driss, Achraf Ammar, Marta Cuenca-Ortolá, Mohamed Kerkeni, Gabriel Müller, Osama Abdelkarim, Nafaa Souissi, Clément Poulain, Stefania Filice, Sadjia Lahiani, Evelyn Frias-Toral, Ayse Merve Uyar, Khaled Trabelsi, Björn Lorenzen, Haitham Jahrami, Taha Khaldi, Wolfgang I. Schöllhorn, Laura Reyes, Waqar Husain, Bekir Erhan Orhan
article en
2 citations

Abstract

Background: Non-communicable diseases are a growing public health challenge, shaped not only by biological predispositions but also by geo-demographic, socioeconomic, psychological, and lifestyle factors. A comprehensive understanding of these determinants is essential for developing targeted public health strategies. This study aimed to examine the multifactorial determinants of individual health status by analyzing geo-demographic, socio-economic, behavioral, psychological, and lifestyle variables. Methods: Data were collected from 4,010 participants (age: 37.2 ± 15.4 years; 59.5% female) across 10 Mediterranean and neighboring countries using the multinational MEDIET4ALL e-survey. Health status was categorized as healthy, at-risk, or with diseases. Multinomial logistic regression, Quade's Rank ANCOVA and series of multiple regression models were conducted. Results: = -0.049), marital status lost significance, suggesting that its protective effect may be mediated by psychological well-being and health-related behaviors. Conclusion: These findings highlight the complex interplay of lifestyle, mental health, and socio-environmental factors in determining health outcomes, while emphasizing the urgent need for multi-level public health interventions, including policies promoting physical activity, healthy eating, mental well-being, and equitable healthcare access. Future research should employ longitudinal designs to establish causal relationships and guides preventive strategies.

Frontiers in Public HealthVol. 14
Karlsruhe Institute of Technology (DE), University of Jordan (JO), University Frères Mentouri Constantine 1 (DZ), Texas State University (US), University of Sfax (TN), COMSATS University Islamabad (PK), Multimedia University (MY), La Trobe University (AU), Johannes Gutenberg University Mainz (DE), University of Boumerdes (DZ), Universidad Espíritu Santo (EC), University of Catania (IT), Université Paris Nanterre (FR), Biotechnology Research Center (IR), Instituto de Agroquímica y Tecnología de Alimentos (ES), Innovation Cluster (Canada) (CA), National Observatory (BR), Instituts Universitaires de Technologie (FR), Institut Agro Dijon (FR), Finnish Society of Sciences and Letters (FI), Institut Supérieur du Sport et de l’Éducation Physique de Sfax (TN), Arabian Gulf University (BH), Istanbul University (TR), Norwegian School of Sport Sciences (NO), Józef Piłsudski University of Physical Education in Warsaw (PL), University of Palermo (IT), Assiut University (EG), ESSCA School of Management (FR), Leipzig University (DE)
Openalex Percentile: Top 0%
Nutritional Studies and Diet
50.59
DOIOpen Access PDFOpenAlex
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